AbstrakLatar Belakang : Uterus bikornis subseptum adalah kelainan bentuk uterus seperti bentuk hati, fundus tampak melengkung kearah dalam, serta mempunyai sekat atau dinding di bagian dalamnya hingga cavum uteri. Kelainan ini terjadi oleh karena kegagalan fusi dari duktus mullerian kiri dan kanan.Jika hamil, wanita yang memiliki bentuk rahim ini biasanya akan mengalami kelainan letak, yaitu janin sering dalam keadaan melintang atau sungsang. Namun, wanita yang mempunyai kelainan ini kadang menjadi sulit hamil sehingga mengalami infertilitas. Selain itu juga biasanya terdapat gangguan pembentukan ginjal, namun pada pasien ini tidak ditemukan kelainan pada traktus urinariusnya. Pada kasus dimana pasien belum memiliki anak dan ditemukan kelainan uterus bikornu, maka dilakukan repair uterus dan diharapkan dengan anatomi uterus yang kembali normal maka pasien dapat hamil. Objektif : Mendiskusikan penanganan kasus kelainan kongenital organ genitalia interna pada pasien dengan uterus bikornu. Metode : Laporan Kasus. Kasus : Dilaporkan seorang pasien usia 25 tahun dengan Infertilias primer 4 tahun serta uterus bikornu. Pada pasien dilakukan kromotubasi terlebih dahulu, setelah dilakukan kromotubasi pasien dilakukan metroplasti untuk membuang sekat pada uterus dan merepair uterus. Selama followup post op dirumah sakit pasien tidak didapatkan tanda infeksi ataupun akut abdomen, kemudian pasien dipulangkan pada hari ke 5. Pasien disarankan untuk kontrol teratur ke poliklinik OBGYN untuk selanjutnya dilakukan followup terhadap keberhasilan repair uterusnya. Penilaian dapat dilakukan dengan beberapa cara diantaranya melalui USG transvaginal untuk menilai apakah ada perlengketan pada endometrium dari hasil repair uterusnya, dapat juga dilakukan HSG, SIS atau histeroscopy dalam menilai keberhasilan metroplasty pada pasien ini. Kesimpulan : Setelah dilakukan metroplasti pada pasien dengan uterus bikornu, diperlukan followup lebih lanjut untuk menentukan keberhasilan tindakan ini dengan melakukan USG lanjutan.

Background: Cancer is the second leading cause of death in the world. Cervical cancer is in the 9th position out of 35 types of cancer causing the most deaths in the world. Cervical cancer is the second highest type of cancer after breast cancer in women, which affects more than 1.4 million women worldwide. Every year more than 460,000 cervical cancer incidents occur and about 231,000 women die from the disease.Objectives: This study aims to determine the relationship between husband's support, level of knowledge and motivation, with the behavior of IVA examination in fertile aged women in the city of Padang.Methods: This research is an analytic observational study with  cross-sectional comparative study approach that looks at the relationship between knowledge, motivation, and husband's support with IVA examination behavior in women of childbearing age.Results: The percentage who did not perform IVA examination was higher among respondents with low motivation compared to those with high motivation, namely 54.7% versus 45%. Statistically this difference was not significant (p> 0.05). The number of respondents who did not perform IVA examinations was higher for respondents with less husband's support, namely 32 respondents (42.1%) and more than half of respondents who did IVA examinations, namely 44 respondents (57.9%) who received less support from their husbands. Statistically this difference was significant (p <0.05).Conclusion: There is a relationship between the level of knowledge and the behavior of the IVA examination, there is no relationship between motivation and the behavior of the IVA examination and there is a relationship between the level of knowledge and the behavior of the IVA examination.Keywords: IVA, women of childbearing age, education

Introduction : Wounds are defects of normal anatomical structures and functions. Injuries can occur because of physical, chemical, or biological trauma. Wound healing is a complex process involving many cells, cytokines, growth factors, proteases, and extracellular matrix (ECM) that work together to restore the integrity of the injured tissue. Virgin Coconut Oil is an oil saturated with medium-chain fatty acids (MCFA), one of which is lauric acid. Based on our research, VCO has wound healing properties. Research conducted in vivo on rabbits and rats experienced an increase in collagen, fibroblast proliferation, and neovascularization which influenced accelerating wound healing.Objective : This study aims to determine the difference in the mean REEDA scale in abdominal incision wounds after obstetric / gynecology laparotomy with topical VCO and those without topical VCO.Material and methods : This study is an experimental research design with a randomized clinical trial that was conducted on 36 people divided into 2 groups (treatment and control). Post-obstetric / gynecology laparotomy patients were subjected to topical VCO application on the incision wound and the REEDA scale was calculated at 24, 48, and 72 hours post-surgery. Statistical analysis is using the Mann-Whitney test.Results : Age mean of the respondents in the treatment group was 32.28 ± 10.42 years old, while the untreated group was 30.5 ± 6.54 years old. The mean REEDA scale for abdominal incision wounds applied topical VCO at 24 hours was 3.17 ± 1.04, at 48 hours was 2.11 ± 1.08, and at 72 hours was 1.39 ± 0.85. The mean REEDA scale for abdominal incision wounds that were not treated with topical VCO at 24 hours was 3.83 ± 0.99, at 48 hours was 3.11 ± 1.37 and at 72 hours was 2.72 ± 1.41. The findings of the experimental analyses showed that there was no association with the use of topical VCO in surgical wounds on a 24-hour REEDA scale (p>0.05), there was a relationship between the use of topical VCO in surgical wounds on a 48-hour and 72-hour REEDA scale (p<0.05). In the care group, the mean REEDA scale decreased by 33.4 % from 24 to 48 hours and 34.1 % from 48 to 72 hours.Conclusion : There is a relationship with the use of topical VCO in post-abdominal incision wounds post obstetrics/gynaecology laparotomy with REEDA scale 48 hours and 72 hours post-surgery. The mean REEDA scale decreased by over 24 to 48 hours and 48 to 72 hours in the treatment group (who administered topical VCO in postoperative incision wounds).Keywords: VCO, REEDA scale, Wound healing

Abstrak Tujuan : Untuk melihat perbedaan rerata faktor hemostasis pada preeklampsia berat dan eklampsia. Metode : Penelitian yang dilakukan bersifat deskriptif analitik menggunakan desain cross sectional study dengan melihat Rekam Medis subjek sesuai waktu dan tempat penelitian. Sampel adalah seluruh rekam medis ibu melahirkan yang menderita preeklampsia dan eklampsia di bagian obstetric dan ginekologi di RSUP Dr. M. Djamil Padang pada periode 15 Januari 2016 sampai 31 Desember 2017. Penilaian berupa dinilai kadar trombosit, PT, APTT dan D-Dimer. Sampel diambil dari populasi yang memenuhi kriteria inklusi dan tidak memiliki kriteria eksklusi. Pengambilan sampel menggunakan teknik consecutive sampling yang diambil dari Bagian Rekam Medis RSUP Dr. M.Djamil Padang. Analisis statistik untuk menilai kemaknaan menggunakan T-Test. Hasil: Semakin berat kondisi kehamilan semakin rendah rerata trombosit dan PT. Didapatkan perbedaan yang bermakna antara trombosit pada PEB dan eklampsia (p > 0,05). Rerata PT, APTT dan D-Dimer memperlihatkan perbedaan yang tidak bermakna terhadap kondisi kehamilan. Uji statistik dengan T-Test tidak menunjukan perbedaan yang bermakna rerata PT, APTT, dan D-dimer antara eklampsia dengan PEB (p >0,05). Kesimpulan: Terdapat perbedaan yang bermakna rerata pada trombosit, sedangkan pada PT, APTT, dan D-dimer pada PEB dan eklampsia tidak terdapat perbedaan yang bermakna. Kata kunci : kondisi kehamilan, PEB, eklampsia, trombosit, PT, APTT dan D-Dimer. pISSN 2579-8323 Volume 2, Nomor

The aim of this study was to see the difference in the mean ratio of sodium levels between pregnancy with severe preeclampsia and eclampsia. The method in this research is an analytical study using a cross sectional design. The research was conducted in the delivery room Dr. M. Djamil Padang from 15 January 2016 to 31 December 2017. There were 60 patients as research subjects, the sample was divided into 2 groups, namely severe preeclampsia (PEB) and eclampsia. Anamnesis and physical examination were then carried out to obtain data and clinical diagnosis. The data were recorded in a research form that had been provided, then the blood electrolytes were examined for sodium and potassium. Statistical analysis to assess meaning using the T-test. The results showed that in the PEB and Eclampsia groups, it was found that multiparity parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at gestational age near term. The conclusion of this study there was no significant difference in the mean sodium ratio between preeclampsia, PEB and eclampsia. Keywords: pregnancy condition, PEB, eclampsia, platelet, PT, APTT, and D-Dimer