Budi Iman Santoso
Departemen Obstetri dan Ginekologi FK Universitas Indonesia

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Analisis Status Hidrasi dan Asupan Zat Gizi Serta Air pada Ibu Hamil Mulyani, Erry Yudhya; Hardinsyah, Hardinsyah; Briawan, Dodik; Santoso, Budi Iman
Media Kesehatan Masyarakat Indonesia Vol 14, No 3: SEPTEMBER 2018
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.177 KB) | DOI: 10.30597/mkmi.v14i3.4343

Abstract

Kehamilan merupakan periode fisiologis-spesifik yang mana selama periode ini, kebutuhan zat gizi meningkat. Sebanyak 50-70% ibu hamil mengalami mual dan muntah terus menerus, berdampak pada kurang maksimalnya pemberian asupan gizi bagi ibu dan bayi. Keberlanjutan kondisi ibu dapat menyebabkan ketidakseimbangan cairan di dalam tubuh yang berdampak pada status hidrasi ibu. Penelitian bertujuan menganalisis hubungan karakteristik, sosial-ekonomi, status gizi, asupan gizi dan air dengan status hidrasi. Penelitian ini merupakan penelitian cross-sectional, dilakukan di wilayah kerja Puskesmas Kecamatan Kebon Jeruk, Jakarta Barat. Subjek penelitian ini adalah ibu hamil trimester kedua, memeriksakan kehamilan di tempat penelitian berjumlah 107 subjek. Uji t-test independent dan chi-square digunakan untuk menganalisis data. Subjek dibagi ke dalam dua kelompok berdasarkan status hidrasi dari nilai osmolalitas urin; normal dan hipohidrasi. Nilai rerata osmolalitas urin pada kelompok hipohidrasi dan normal, adalah 838.78±172.35 mOsm/Kg dan 268.05±116.64 mOsm/Kg. Karakteristik subjek (umur, umur kehamilan, berat badan, tinggi badan, status gizi sebelum hamil, lingkar lengan atas, lingkar pinggang, lingkar panggul, tekanan darah) tidak terdapat perbedaan di antara dua kelompok (p≥0.05). Tidak terdapat hubungan tingkat pendidikan ayah dan ibu, pekerjaan ayah dan ibu, pengeluaran rumah tangga, dan pengetahuan ibu (p≥0.05). Terdapat perbedaan asupan energi, karbohidrat, dan zinc di dua kelompok (p<0.05), tetapi tidak menemukan perbedaan asupan (protein, lemak, kalsium, zat besi, asam folat) dan air di dua kelompok (p≥0.05). Namun demikian, ibu harus tetap memerhatikan asupan zat gizi dan air untuk mendukung tumbuh kembang janin.
Peran Dokter Ahli Kebidanan dan Kandungan Meiyetriani, Eflita; Utomo, Budi; Besral, Besral; Santoso, Budi Iman; Salmah, Sjarifah
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 1 Agustus 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.912 KB) | DOI: 10.21109/kesmas.v7i1.74

Abstract

Salah satu bentuk medikalisasi kelahiran adalah angka persalinan sectio caesarea yang tinggi. Hasil beberapa studi menunjukkan bahwa dokter ahli kebidanan dan kandungan merupakan faktor penting yang menentukan persalinan yang dijalani responden. Penelitian ini bertujuan menilai perandokter ahli kebidanan dan kandungan dalam mengambil keputusan untuk melakukan sectio caesarea dibandingkan persalinan normal dengan mengontrol variabel sosiodemografi dan faktor risiko ibu. Penelitian dilakukandengan metode cross sectional menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) DKI Jakarta. Populasi penelitian adalah wanita pernah kawin usia 15 – 44 tahun yang memiliki riwayat melahirkan 5 tahun terakhir sebelum survei dilakukan. Hasil penelitian menunjukkanpemilihan petugas pelayanan antenatal berhubungan dengan persalinan sectio caesarea, tetapi hubungan ini tidak berdiri sendiri, terkait dengan pengaruh status ekonomi rumah tangga. Dari penelitian ini disimpulkan bahwa terdapat hubungan yang signifikan antara responden yang memilihdokter ahli kebidanan dan kandungan sebagai petugas pelayanan antenatal dengan persalinan sectio caesarea yang juga dipengaruhi oleh status sosial ekonomi rumah tangga responden. Selain status sosial ekonomi, variabel yang berhubungan dengan persalinan sectio caesarea adalah usiaibu, paritas ibu, pendidikan ibu, riwayat komplikasi kehamilan, dan riwayat perdarahan.Kata kunci: Sectio caesarea, dokter ahli kebidanan dan kandungan, sosiodemografi, faktor risiko ibuAbstractOne of the birth medicalization form is the high number of sectio caesarea deliveries. Result of some studies shows that obstetrician is a factor which can determine the preference type of delivery. The purpose of this study is to assess the role of the obstectrician in order to make decision making inpreference sectio caesarea delivery than vaginal delivery after controlled with sociodemographic factors and maternal risk factor. The study was a cross sectional study using a quantitative approach. This study using secondary data which obtained from Indonesia Demographic and Health Survey 2007 with subset of the research is DKI Jakarta region. Population of this study was married women with age between 15 – 44 years old who has delivery history in term of 5 years before the survey. The study shows significant correlation between prenatal care workers with sectio caesarea delivery but this correlation also has an interaction with household economic status variables. There is significant correlation between respondent whose prenatal care with obstectrician with sectio caesarea delivery. This correlation also related with household economic status. Others variables related to sectio caesarea delivery beside social economic status are maternalage, parity, maternal education, complication during pregnancy history, and bleeding history.Keywords: Sectio caesarea, obstetrician, sociodemographic, maternal risk factor
The Impact of Dehydration in the Third Trimesters on Pregnancy Outcome-Infant Birth Weight and Length Mulyani, Erry Yudhya; Hardinsyah, Hardinsyah; Briawan, Dodik; Santoso, Budi Iman
Jurnal Gizi dan Pangan Vol. 13 No. 3 (2018)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (399.182 KB) | DOI: 10.25182/jgp.2018.13.3.157-164

Abstract

This cohort study aimed to analyze the effect of dehydration on pregnancy outcome. A total of 66 pregnant women aged (18-35 years) at second trimester (&gt;12 weeks) of pregnancy was recruited from seven health centers (Puskesmas) Kebon Jeruk, West Jakarta from December 2016 to January 2018. Five biomarkers (urine color, urine osmolality, urine specific gravity, serum osmolality, serum sodium) were utilized to determine hydration status. Based on the result, subjects were then assigned to dehydration group (DG) and normal group (NG), 51.5% was in the DG and 48.5%, in the NG respectively. Independent t-tests and Chi-square were employed to answer research questions. There were differences in weight of the mothers in the second and third trimester between the two groups (p&lt;0.05), but no differences in weight gain during pregnancy (p≥0.05). More than fifty percent of subjects suffered nausea and vomiting during pregnancy in the two groups. Water intake level in DG (72.53±14.41%) were lower than NG (118.68±14.37%). The accounted difference in Infant birth weight, length, chest circumference and head circumference; were 491.84 g, 0.98 cm, 0.98 cm, and 1.11 cm, respectively where infant from the NG had higher measurements than DG. After adjustment for water intake level, the infant birth weight and length in DG (2,798.53±97.85 g; 47.32±0.32 cm) was lower than NG (3,371.77±102.60 g; 49.09±0.33 cm). The accounted difference in infant birth weight and length between the two groups were 596.1 g and 1.8 cm, respectively. Thus in addition to nutrient intake and weight gain during pregnancy, pregnant mothers should also concern for their fluid intake in order to maintain their health condition and feotal growth - development.
Stress Urinary Incontinence (SUI): Conservative and Surgical Approach Santoso, Budi Iman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.263 KB) | DOI: 10.32771/inajog.v6i1.749

Abstract

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The awareness of urinary tract infection management in pregnant women. A qualitative study Santoso, Budi Iman; Surya, Raymond; Yasmin, Farah Asyuri; Irwinda, Rima
Majalah Obstetri & Ginekologi Vol 25, No 3 (2017): December
Publisher : Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (79.781 KB) | DOI: 10.20473/mog.V25I32017.92-96

Abstract

Objectives: to identify knowledge, attitude, and practice of health providers including GPs and gynecologists to the implementation of the national guideline on the treatment of UTI among pregnant women.Materials and Methods: A cross-sectional study design was used. Subjects were women who attended the International Sym-posium of UTI. Questionnaires consisting ofregarding demo-graphic characteristics, knowledge, attitude, and practice were given to the subjects. The questionnaires had been tested for valid-ity and reliability by applying the Pearson correlation and Cronbach’s alpha test. Statistical analyses were performed using SPSS 23.0 for Windows.A two-tailed p value less than 0.05 was considered to be statistically significant.Results: A total of 140 subjects were recruited in this study. Of these, 104 subjects (74.3%) returned the questionnaire, and 99 subjects (70.7%) were eligible for this study. Nine (9.1%), 69 (69.7%), and 21(21.2%) subjects had good, fair, and poor know-ledge, respectively. Sixty-five (65.7%) and 64 subjects (64.6%) showed a positive attitude and had positive practice, respectively.Conclusion: Knowledge, attitude, and practice among respon-dents are good enough, despite only a few of them have read the updated guideline. Continuous medical education through online update or symposium may be one effective method to disseminate new update in guidelines.
Peran Dokter Ahli Kebidanan dan Kandungan Meiyetriani, Eflita; Utomo, Budi; Besral, Besral; Santoso, Budi Iman; Salmah, Sjarifah
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 1 Agustus 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.912 KB) | DOI: 10.21109/kesmas.v7i1.74

Abstract

Salah satu bentuk medikalisasi kelahiran adalah angka persalinan sectio caesarea yang tinggi. Hasil beberapa studi menunjukkan bahwa dokter ahli kebidanan dan kandungan merupakan faktor penting yang menentukan persalinan yang dijalani responden. Penelitian ini bertujuan menilai perandokter ahli kebidanan dan kandungan dalam mengambil keputusan untuk melakukan sectio caesarea dibandingkan persalinan normal dengan mengontrol variabel sosiodemografi dan faktor risiko ibu. Penelitian dilakukandengan metode cross sectional menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) DKI Jakarta. Populasi penelitian adalah wanita pernah kawin usia 15 – 44 tahun yang memiliki riwayat melahirkan 5 tahun terakhir sebelum survei dilakukan. Hasil penelitian menunjukkanpemilihan petugas pelayanan antenatal berhubungan dengan persalinan sectio caesarea, tetapi hubungan ini tidak berdiri sendiri, terkait dengan pengaruh status ekonomi rumah tangga. Dari penelitian ini disimpulkan bahwa terdapat hubungan yang signifikan antara responden yang memilihdokter ahli kebidanan dan kandungan sebagai petugas pelayanan antenatal dengan persalinan sectio caesarea yang juga dipengaruhi oleh status sosial ekonomi rumah tangga responden. Selain status sosial ekonomi, variabel yang berhubungan dengan persalinan sectio caesarea adalah usiaibu, paritas ibu, pendidikan ibu, riwayat komplikasi kehamilan, dan riwayat perdarahan.Kata kunci: Sectio caesarea, dokter ahli kebidanan dan kandungan, sosiodemografi, faktor risiko ibuAbstractOne of the birth medicalization form is the high number of sectio caesarea deliveries. Result of some studies shows that obstetrician is a factor which can determine the preference type of delivery. The purpose of this study is to assess the role of the obstectrician in order to make decision making inpreference sectio caesarea delivery than vaginal delivery after controlled with sociodemographic factors and maternal risk factor. The study was a cross sectional study using a quantitative approach. This study using secondary data which obtained from Indonesia Demographic and Health Survey 2007 with subset of the research is DKI Jakarta region. Population of this study was married women with age between 15 – 44 years old who has delivery history in term of 5 years before the survey. The study shows significant correlation between prenatal care workers with sectio caesarea delivery but this correlation also has an interaction with household economic status variables. There is significant correlation between respondent whose prenatal care with obstectrician with sectio caesarea delivery. This correlation also related with household economic status. Others variables related to sectio caesarea delivery beside social economic status are maternalage, parity, maternal education, complication during pregnancy history, and bleeding history.Keywords: Sectio caesarea, obstetrician, sociodemographic, maternal risk factor
Gambaran Faktor Risiko Prolaps Organ Panggul Pasca Persalinan Vaginal di Daerah Istimewa Yogyakarta Pangastuti, Nuring; Sari, Dwi Cahyani Ratna; Santoso, Budi Iman; Agustiningsih, Denny; Emilia, Ova
Majalah Kedokteran Bandung Vol 50, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (677.733 KB) | DOI: 10.15395/mkb.v50n2.1321

Abstract

Prolaps organ panggul merupakan salah satu bentuk disfungsi dasar panggul pada perempuan. Disfungsi dasar panggul adalah keadaan terganggunya fungsi dasar panggul merupakan salah satu kondisi kesehatan yang banyak dikeluhkan perempuan. Lebih dari 46% perempuan dengan riwayat persalinan vaginal mengalami disfungsi dasar panggul,dan peningkatan jumlah paritas berkorelasi dengan peningkatan kejadian prolaps organ panggul. Tujuan penelitian ini adalah untuk mengetahui gambaran karakteristik faktor risiko prolaps organ panggul pasca persalinan vaginal di wilayah Daerah Istimewa Yogyakarta. Penelitian dilakukan pada Januari–Maret 2018. Hasil penelitian didapatkan 51 subjek penelitian dengan persalinan vaginal yang dapat dilakukan pemeriksaan POPQ pada 3 bulan pascapersalinan. Prolaps organ panggul didapatkan pada sebagian besar pasien pascasalin, yaitu sejumlah 46 orang, prolaps uteri 33 orang, sistokel 44 orang, serta rektokel pada 46) orang. Hanya 5 orang yang tidak memiliki gambaran prolaps organ panggul pada 3 bulan pascapersalinan.Dari penelitian ini dapat disimpulkan bahwa faktor risiko prolaps organ panggul pascapersalinan vaginal di Daerah Istimewa Yogyakarta terdiri atas faktor intrinsik (usia ibu, panjang genital hiatus maupun perineal body), dan ekstrinsik (paritas, indeks massa tubuh overweight dan obes, kenaikan berat badan selama hamil >15 kg, serta dilakukan episiotomi dan terjadi robekan perineum). Upaya pencegahan terutama edukasi, perbaikan gaya hidup, pengendalian indeks massa tubuh, pengaturan diet, olahraga penguatan otot dasar panggul, pembatasan jumlah kehamilan dan persalinan, serta pertolongan persalinan sesuai Asuhan persalinan normal. Kata kunci: Disfungsi dasar panggul, faktor risiko, persalinan vaginal, prolaps organ panggul Risk Factors for Pelvic Organ Prolapse in Women with History of Vaginal Delivery in YogyakartaPelvic organ prolapse is one form of pelvic floor dysfunctions in women that impairs the pelvic floor function and also one of the most frequently conditions complained by women. More than 46% women with history of vaginal delivery have experienced pelvic floor dysfunction where higher number of parity correllates to increased pelvic organ prolapse incident. The aim of this study was to understand the  characteristic risk factors of pelvic organ prolapse incident post vaginal delivery in Special Region of Yogyakarta. The study ws performed during the period of January to March 2018 on 51 subjects with history of vaginal delivery evaluated using POPQ in 3 months postpartum. Pelvic floor dysfunction was present in most postpartum patients, i,e, 46 people while 33 experienced uterine prolapse, 44 experienced cystocele, and 46 experienced rectocele. Only 5 subjects had no pelvic floor dysfunction in any form. Risk factors for pelvic organ prolapse in post vaginal delivery in the Special Region of Yogyakarta consist of intrinsic factors (maternal age, genital length of hiatus, and perineal body), and extrinsic factors (parity, overweight status and obese status based on body mass index, weight gain during pregnancy exceeding 15 kg,  episiotomy and the occurrence of perineal rupture). Prevention actions include  education followed by lifestyle improvement, control of body mass index, dietary regulation, exercise, restrictions on the number of pregnancies and childbirth, and safe delivery according to normal birth care standard.Key words: Pelvic floor dysfunction, pelvic organ prolapse, risk factors, vaginal delivery
Is Zuspan Regimen Adequate for Preventing Eclampsia?: A Case Report Surya, Raymond; Santoso, Budi Iman; Hakim, Surahman
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.258 KB) | DOI: 10.15850/amj.v5n4.1357

Abstract

Magnesium sulphate (MgSO4) is believed to treat preeclampsia and eclampsia for more than a century with a total dose of MgSO4 varying from 2 to 5g per 24 hours. Zuspan and Pritchard are two internationally recommended regimens that are accepted as the standard regimen. In this case report, we presented a 41 year old woman with puerperal preeclampsia prescribed with a complete Zuspan regimen. She had eclamptic seizure after completing Zuspan regimen with Mg SO4 level of 4.3 mg/dL. In this case, the possibility of eclamptic seizures might be due to a lack of MgSO4 dose. The administration of MgSO4 for preeclampsia with severe features and prophylactic of eclampsia should be adjusted.  
Stress Urinary Incontinence (SUI): Conservative and Surgical Approach Santoso, Budi Iman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.263 KB) | DOI: 10.32771/inajog.v6i1.749

Abstract

N/A
Risk of small for gestational age babies in preterm delivery due to pregnancy-induced hypertension Irwinda, Rima; Santoso, Budi Iman; Surya, Raymond; Nembo, Lidia Firmiaty
Medical Journal of Indonesia Vol 28, No 1 (2019): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.741 KB) | DOI: 10.13181/mji.v28i1.1795

Abstract

BACKGROUND Pregnancy-induced hypertension (PIH) causes high maternal morbidity and mortality worldwide. This study aims to assess the impact of PIH on fetal growth according to gestational age in preterm deliveries.METHODS A prospective cohort study using secondary data was undertaken in Ende District, East Nusa Tenggara, Indonesia from September 2014 to August 2015. The t-test was performed to compare mean birth weight based on gestational week between normotensive and PIH women, continued by linear regression. The chi-square or Fisher exact test was also conducted to determine the probability of birthing small for the gestational age (SGA) and large for gestational age (LGA) babies between normotensive and PIH women.RESULTS A total of 1,673 deliveries were recorded in Ende Hospital over the 1-year study period, among which 182 cases involved preterm births. The PIH group had lower birth weight than normotensive women at each gestational age starting from 32–35 weeks (p=0.004; 95% CI 150.84–771.36). Normotensive women at gestational ages of 32 (p=0.05; 95% CI 0.01–0.83), 34 (p=0.37; 95% CI 0.01–4.12), and 36 (p=0.31; 95% CI 0.02–2.95) weeks had a lower risk of birthing SGA babies than PIH women; LGA babies were recorded at gestational ages of 33 (p=1.00; 95% CI 0.07–37.73) and 35 (p=0.31; 95% CI 0.34–63.07) weeks.CONCLUSIONS Poor perfusion of the uteroplacental is one of the reasons behind intrauterine growth restriction, which results in SGA babies born to PIH women.