Polycystic Ovary Syndrome or Polycystic Ovarian Syndrome (PCOS) is one of the hormonal disorders in childbearing age women (WUS) that is often found (Keevil, 2019;Witchel et al., 2019).Based on data from the Central Bureau of Statistics (BPS) in Indonesia, the prevalence of PCOS suffered by women aged 15-40 years as much as 5,5-16%.
Prematuritas hingga saat ini masih menjadi masalah global di dunia. Prematuritas juga bertanggung jawab terhadap mayoritas kematian neonatus. Studi ini bertujuan untuk mengetahui karakteristik ibu hamil (maternal) dan faktor obstetrik yang berhubungan dengan persalinan preterm di RSUPN Dr Cipto Mangunkusumo Jakarta. Studi ini merupakan studi deskriptif observasioanal dengan desain potong lintang yang dilakukan pada wanita dengan usia kehamilan <37 minggu dan melahirkan antara Januari - Desember 2014. Data yang dikumpulkan meliputi usia ibu, paritas, riwayat Preterm Premature Ruptur of Membrane (PPROM), penyakit ibu khususnya preeklamsia, penggunaan kortikosteroid antenatal untuk mematangkan paru, cara persalinan, skor Apgar 5 menit dan jenis kelamin bayi. Selama periode studi terdapat 2447 persalinan dengan prevalensi persalinan preterm sebesar 41,32%. Hampir setengah dari kelahiran prematur mengalami PPROM sebelum bayi lahir. Janin berjenis kelamin laki-laki memiliki hubungan yang signifikan secara statistik dengan kelahiran prematur (p 0.036, OR 1.375, 95% CI 1.020-1.854). Ibu usia <35 hampir dua kali lipat risiko mengalami PPROM dibandingkan ibu ?35. Menjadi nulipara juga meningkatkan risiko PPROM lebih dari 1,6 kali lipat (OR 1.663, 95% CI 1.213-2.278). Penyakit ibu seperti Diabetes Mellitus tipe 2, penyakit ginjal, jantung, autoimun, keganasan dalam kehamilan, penyakit tiroid dan infeksi sistemik memberikan risiko melahirkan prematur dua kali lebih tinggi dibandingkan dengan preeklamsia. Faktor keseluruhan terbesar yang terkait dengan kelahiran prematur adalah janin laki-laki. Pada kehamilan tunggal, usia dan paritas secara statistik berhubungan dengan PPROM pada persalinan prematur.
Premenstrual syndrome (PMS) is physical and non-physical symptoms experienced by women of the reproductive age two to fourteen days before menstruation. One of the factors can cause PMS is stress. Objective: To determined the correlation between stress and premenstrual syndrome among year 2021 Faculty of Medicine students at University of Tarumanagara. Methods: This research was an observational analytic study with a cross-sectional research design. The stress variable was measured using the Depression Anxiety Stress Scales-21 (DASS-21) questionnaire and the premenstrual syndrome variable was measured based on prospective questionnaire by the American College of Obstetricians and Gynecologists (ACOG). The number of respondents obtained was 138 and the chi-square test was analyzed as a hypothesis test. Results: There were 56 (62,2%) respondents classified as having stress and experienced PMS, while 15 (31,3%) respondents not having stress experienced PMS. The 34 (37,8%) respondents were classified as being stressed but not experiencing PMS, and 33 (68,8%) respondents were not stressed and not experiencing PMS. The affective and somatic symptoms most often experienced irritability (77,54%) and joint or muscle pain (49,28%). There was a significant relationship between stress and premenstrual syndrome with p-value = 0,001 (p-value <0,05). Conclusion: There is a statistically significant relationship between stress and PMS (p<0,05). Affective symptoms were felt more than the somatic ones.Keywords: DASS-21, diagnostic criteria of PMS, premenstrual syndrome, stress
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