Introduction : Albumin main function is maintaining the plasma colloid oncotic pressure. Preeclampsia cause a decrease in serum albumin in the pregnant woman. Low albumin levels increase mortality, longer wound healing and longer hospital stays. The intake of oral albumin is expected to be effective in increasing the level of albumin in the blood.Objective : To determine the effect of freeze dryer method intake compared to liquid snakehead fish extract in patients with preeclampsia and hypoalbuminemia.Material and methods : Using pre and post-test control group design.The total sample was 38 patients with severe preeclampsia with hypoalbuminemia, divided into control and intervention groups. Control was given the intake of liquid snakehead fish extract, in the intervention was given the Freeze dryer method. The research data were analyzed using the Mann Whitney test method and the Wilcoxon test.Results : In the intervention group the mean pretest albumin level was 2.66 ± 0.17 gr / dl and on the 4th day it was 3.13 ± 0.16 gr / dl (p = 0.000). In the control group the mean pretest albumin level was 2.72 ± 0.15 gr / dl and on the 4th day it became 3.06 ± 0.14 gr / dl (p = 0.000). On the 4th day after treatment, the increase in serum albumin levels in the intervention group was 0.47 ± 0.19 gr / dl; whereas in the control group was 0.34 ± 0.10 gr / dl with a value of p = 0.031 (p <0.05).Conclusion : The freeze dryer method (freeze dryer method ) for the Cork Fish Extract resulted in a higher increase in albumin levels than the liquid snakehead fish extract.Keywords: Preeclampsia, Hypoalbuminemia, freeze dryer method of Snakehead Fish Extract
Abdominal pregnancy is a rare form of pregnancy but presents a very high risk of both morbidity and mortality for the fetus and mother. This situation is one of the most serious forms of ectopic pregnancy. The incidence of abdominal pregnancy varies, Rahman et al, get an incidence of 1 in 130,200 births. In the United States between 1970-1983 there were 10.9 abdominal pregnancies / 100,000 live births and 9.2 abdominal pregnancies / 1000 ectopic pregnancies. In laparotomy, placental management is the most difficult challenge, because it must be well prepared and planned. In this case report a 36-year-old woman with a diagnosis of gravid G2P1A0H1 27-28 weeks + Abdominal Pregnancy + Dead Fetus + Mild Anemia. Laparotomy is performed to deliver the baby, Durante surgery is carried out exploration of the placental attachment. Obtained the placenta embedded in the douglas cavum by attaching to the Ascendent Colon, Rectum, descending colon, intestine and peritoneum. It appears that some of the placenta has detached from its implantation, accompanied by a pile of stout cells. Removal of the placenta was carried out throughout the attachment site. The rest of the placenta is cleaned one by one by clamping with the clam punster slowly. Keywords: Abdominal Pregnancy, Dead Fetus, Laparotomy
Abdominal pregnancy is a rare form of pregnancy but presents a very high risk of both morbidity and mortality for the fetus and mother. This situation is one of the most serious forms of ectopic pregnancy. The incidence of abdominal pregnancy varies, Rahman et al, get an incidence of 1 in 130,200 births. In the United States between 1970-1983 there were 10.9 abdominal pregnancies / 100,000 live births and 9.2 abdominal pregnancies / 1000 ectopic pregnancies. In laparotomy, placental management is the most difficult challenge, because it must be well prepared and planned. In this case report a 36year-old woman with a diagnosis of gravid G2P1A0H1 27-28 weeks + Abdominal Pregnancy + Dead Fetus + Mild Anemia. Laparotomy is performed to deliver the baby, Durante surgery is carried out exploration of the placental attachment. Obtained the placenta embedded in the douglas cavum by attaching to the Ascendent Colon, Rectum, descending colon, intestine and peritoneum. It appears that some of the placenta has detached from its implantation, accompanied by a pile of stout cells. Removal of the placenta was carried out throughout the attachment site. The rest of the placenta is cleaned one by one by clamping with the clam punster slowly.
Kehamilan abdominal adalah bentuk kehamilan yang jarang terjadi namun memberi risiko yang sangat tinggi baik morbiditas dan mortalitas terhadap janin maupun ibu. Keadaan ini merupakan salah satu bentuk yang paling serius dari kehamilan ektopik. Angka kejadian kehamilan abdominal berbeda-beda, Rahman dkk, mendapatkan angka kejadian 1 diantara 130.200 kelahiran. Di Amerika Serikat antara tahun 1970-1983 terdapat 10,9 kehamilan abdominal/100.000 kelahiran hidup dan 9,2 kehamilan abdominal /1000 kehamilan ektopik. Pada tindakan laparotomi, manajemen plasenta merupakan tantangan terberat, karena harus dipersiapkan dan direncanakan secara baik. Pada Laporan kasus ini wanita 36 tahun dengan diagnosis G2P1A0H1 gravid 27-28 minggu + Kehamilan Abdominal + Janin Mati + Anemia Ringan. Dilakukan Laparotomi untuk melahirkan bayi , Durante operasi dilakukan eksplorasi tempat perlekatan plasenta. Di dapatkan plasenta tertanam di cavum douglas dengan melekat pada Colon Ascenden, Rectum, colon desenden, usus dan peritoneum. Tampak sebagian plasenta sudah terlepas dari penanaman nya, disertai tumpukan stout cell. Dilakukan pelepasan plasenta di seluruh tempat perlekatan. Sisa plasenta di bersihkan satu persatu dengan penjepitan dengan punster clem secara perlahan Kata kunci:Kehamilan Abdominal, Janin Mati, Laparotomi
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