Characteristics of High-Risk Pregnancy in Sanglah General Hospital 2011-2014

Mulyana, Ryan Saktika; Kusuma, Anak Agung Ngurah Jaya; Sanjaya, I Nyoman Hariyasa; Widiyanti, Endang Sri

doi:10.15562/bmj.v5i2.260

Cited by 2 publications

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“…Understanding the anatomical abnormalities of the fetus is the key to determine the prognosis and to map out the necessary intervention. 4,6 In addition to maternal and fetal risk factors that can cause polyhydramnios, idiopathic is the most common cause of polyhydramnios. Indomethacin administration can help to reduce amniotic fluid through suppression of fetal diuresis.…”

Section: Discussionmentioning

confidence: 99%

Management of polyhydramnios pregnancy without risk factors: a case report

Sanjaya¹,

Mulyana²,

Pangkahila³

et al. 2020

InaJPerinatol

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Introduction: Polyhydramnios is a condition in which the amount of amniotic fluid increases more than 2 litres. The causes of polyhydramnios are multifactorial, and most are idiopathic. Here we report challenging management of polyhydramnios case without apparent risk factors. Case: A 30-year-old woman G2P1001, 27-28 weeks of gestational age referred due to our tertiary health care center due to polyhydramnios. The patient chief complaint was progressively enlarged abdomen since a month ago. Her previous pregnancy, medical history and family history were unremarkable. The obstetric examination reflects the size of uterus equivalent to 36 weeks of gestational age. The fetomaternal ultrasound reveals a life, single fetus with normal heart rate and fetal movement, estimated fetal weight about 1057 grams, placenta corpus posterior grade I, Maximum Vertical Pocket 22.83 cm, no major congenital abnormalities were visible and bladder appears filled. Laboratory tests revealed blood glucose levels 90 mg/dl, Hb-A1c 5.2%, Ureum 27.30 mg/dl, Creatinine 3.39 mg/dl, and numerous leukocytes on urine sediment. Amnioreduction and fetal pulmonary maturation were conducted by Dexamethason protocol. Amnioreduction yield 1500 ml of clear, yellowish amniotic fluid. Regarding abnormality in renal function, diagnosis of Acute on Chronic Kidney Disease (ACKD were established by Internal medicine department, and the patients were given a series of ceftriaxone injection. The patient was planned for indomethacin therapy; however, Indomethacin was not available in Bali. Conclusion: Careful search for causes both from the maternal factor and fetal abnormalities can help to determine the prognosis of pregnancy. Ideally, amnioreduction, coupled with indomethacin therapy, are needed to reduce amniotic fluid, and serial monitoring of the amniotic fluid volume is required to prevent preterm labor.

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Section: Discussionmentioning

confidence: 99%

Management of polyhydramnios pregnancy without risk factors: a case report

Sanjaya¹,

Mulyana²,

Pangkahila³

et al. 2020

InaJPerinatol

Self Cite

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“…compared to healthy individuals. 1,2 PPROM in premature pregnancies leads to maternal and neonatal complications. Some of the complications caused by PPROM in premature pregnancies include preterm labor, chorioamnionitis, placental abruption, postpartum hemorrhagic, endometritis, premature babies, neonatal sepsis, and even fetal death.…”

Section: Introductionmentioning

confidence: 99%

Bacterial vaginosis as a risk factor of preterm premature rupture of membrane (PPROM)

Wiraguna¹,

Rusyati²,

Vijayamurthy³

2019

Bali Dermatology and Venereology Journal

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Introduction: The pathogenesis of PPROM is complex and not fully understood. Recent studies showed that such role of genital tract infection as bacterial vaginosis in the pathogenesis of PPROM turned out to be present. They produce lipase enzymes in which they can form compounds with the fibrous tissue of amniotic membrane resulting in increased risk of rupture of the membrane.Objective This study aims to prove that bacterial vaginosis is a risk factor for preterm premature rupture of membrane.Material and methods: This research used case control method. Sampling was using the consecutive sampling method and had fulfilled inclusion and exclusion criteria with age-based matching, then vaginal swab sampling was conducted, painted with gram staining in the Dermalotogy and Venereology Laboratory of Sanglah Hospital, and Nugent score.Result: Total of 76 pregnant women with 24-36 weeks of gestation were investigated, 38 mothers with PPROM and 38 mothers with normal pregnancy. Average score of Nugent at preterm PROM was 7.18 and in normal pregnancy was 2.37. Bacterial vaginosis risking for PPROM 7 times (OR= 7.0, 95% CI= 1.21-17.68, p= 0.001).Conclusion: Bacterial vaginosis as a risk factor for the occurrence of PPROM.

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Characteristics of High-Risk Pregnancy in Sanglah General Hospital 2011-2014

Cited by 2 publications

References 0 publications

Management of polyhydramnios pregnancy without risk factors: a case report

Management of polyhydramnios pregnancy without risk factors: a case report

Bacterial vaginosis as a risk factor of preterm premature rupture of membrane (PPROM)

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