General anaesthesia for obstetric surgery has distinct characteristics that may contribute towards a higher risk of accidental awareness during general anaesthesia. The primary aim of this study was to investigate the incidence, experience and psychological implications of unintended conscious awareness during general anaesthesia in obstetric patients. From May 2017 to August 2018, 3115 consenting patients receiving general anaesthesia for obstetric surgery in 72 hospitals in England were recruited to the study. Patients received three repetitions of standardised questioning over 30 days, with responses indicating memories during general anaesthesia that were verified using interviews and record interrogation. A total of 12 patients had certain/ probable or possible awareness, an incidence of 1 in 256 (95%CI 149-500) for all obstetric surgery. The incidence was 1 in 212 (95%CI 122-417) for caesarean section surgery. Distressing experiences were reported by seven (58.3%) patients, paralysis by five (41.7%) and paralysis with pain by two (16.7%). Accidental awareness occurred during induction and emergence in nine (75%) of the patients who reported awareness. Factors associated with accidental awareness during general anaesthesia were: high BMI (25-30 kg.m -2 ); low BMI (<18.5 kg.m -2 ); out-of-hours surgery; and use of ketamine or thiopental for induction. Standardised psychological impact scores at 30 days were significantly higher in awareness patients (median (IQR [range]) 15 (2.7-52.0 [2-56]) than in patients without awareness 3 (1-9 [0-64]), p = 0.010. Four patients had a provisional diagnosis of post-traumatic stress disorder. We conclude that direct postoperative questioning reveals high rates of accidental awareness during general anaesthesia for obstetric surgery, which has implications for anaesthetic practice, consent and follow-up.

Background: Chronic Energy Deficiency (CED) and anemia in pregnant women have a health impact on the mother and child in the womb. This condition can increase the risk of babies with low birth weight, miscarriage, premature birth, even death in mothers and newborns. This study aims to determine the relationship between CED and anemia in pregnant women at the Muara I Health Center in Lhokseumawe City in 2017. Subjects and Method: This study was a cross-sectional study conducted at the Muara I Community Health Center, Lhokseumawe, in December 2017. A sample of 90 pregnant women was selected by consecutive sampling. The dependent variable was anemia of pregnant women. The independent variables were education and CED. CED was measured based on maternal mid-upper arm circumference (MUAC) during pregnancy using MUAC tape. The hemoglobin level was measured by Hb Sahli. Other data were measured using a questionnaire. The data were analyzed using multiple logistic regression tests. Results: CED has a significant positive and statistically significant effect on anemia in pregnant women (OR = 64.34; 95% CI = 15.10 to 274.10; p <0.001). Low maternal education has a positive effect but was statistically significant towards anemia in pregnant women (OR = 3.15; 95% CI = 0.81 to 12.27; p = 0.099). Conclusions: CED and low maternal education have a positive effect on anemia in pregnant women.

Kanker Serviks merupakan masalah yang paling sering terjadi pada sistem reproduksi wanita. Setiap tahun terdeteksi lebih dari 15.000 kasus kanker serviks, dan sekitar 8.000 kasus diantaranya berakhir dengan kematian. Jumlah penderita kanker diperkirakan terus meningkat dari tahun ke tahun dengan perkiraan mencapai 12 juta jiwa pada tahun 2030. Setiap tahun, terdapat 6,25 juta orang baru yang menderita kanker. Untuk penyakit kanker serviks di dunia, diperhitungkan terjadi lebih dari 30 per 100.000 penduduk. Penelitian ini bertujuan untuk untuk mengetahui pengaruh usia pertema kali melakukan hubungan seksual terhadap  kejadian kanker serviks pada wanita di RSUD. Dr. Pirngadi Kota Medan Tahun 2017.Penelitian bersifat case kontrol study. Kasus  ini diambil dari penderita kanker serviks dan kontrol bukan penderita kanker serviks di Poli Obygn RSUD Dr. Pirngadi Medan. Jumalh sampel pada kasus dan pada kontrol 58. Analisis data yang digunakan dengan Simple Logistic Regression.Hasil menunjukkan adanya pengaruh yang signifikan anatara usia pertama kali melakukan hubungan seksual (p=0,002; OR 3,359; 95% CI 1,566-7,203 ) terhadap kejadian kanker serviks. Disimpulkan bahwa wanita yang  pertama kali melakukan hubungan seksual<20 tahun perkiraan risikonya 3,3 kali akan menderita kanker serviks di bandingkan dengan wanita yang melakukan hubungan seksual>20 tahun.

The Effectiveness of Self-administered and Interview Based Questioner Method in the Reporting of Sexual Behavior among Young-People. The result of the Population Census shows about 41 million or 26% of the Indonesian population are adolescents aged 10-24 years. It will cause many problems, such as sexual behaviors. Sexual health problem is a sensitive issue that is both privacy and at the same time regulated by social and religious norms. This is one of the causes of getting a true number of young people's sexual behavior was difficult. So, we did a study to compare the effectiveness of self-administered and interview-based questioner methods to obtain a true number of young people's sexual behavior. It was a comparative-quantitative study, using 360 students of SMK X and Faculty of Y in Medan City age 15-21 years as samples, gotten by simple random. This study showed that using a self-administered method, young people reported they got intercourse when they were with boy/girlfriend about 7,9%, and using interviewbased questioner method 5,0%. Young people who reported that ever got intercourse in a selfadministered method about 8,6%, and using interview-based questioner method 3,3%. The result showed there is different reporting young people's sexual behavior between self-administered method and interview-based questioner method. Young people were more likely to report sexual behaviors by self-administered method compared to interview-based questioner method.

Menarche adalah menstruasi pertama yang biasa terjadi dalam rentang usia 10-16 tahun atau pada masa awal remaja ditengah masa pubertas sebelum memasuki masa reproduksi. Datangnya menarche dapat menimbulkan kecemasan. Fungsi keluarga adalah peran keluarga dalam memberikan informasi untuk menjaga kesehatan reproduksi. Fungsi keluarga berhubungan dengan cemas dan tidak cemas  remaja dalam menghadapi menarche. Penelitian ini bertujuan untuk mengetahui Hubungan Fungsi Keluarga dengan Kecemasan Menghadapi Menarche pada Remaja Putri Usia Sekolah di SD Negeri 064988 Medan. Jenis penelitian adalah penelitian kuantitatif dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh siswi kelas 5 dan 6 di SD Negeri 064988 berjumlah 85 orang dan seluruhnya dijadikan sampel. Data diperoleh dengan wawancara menggunakan kuesioner, pada uji bivariat dianalisis dengan Chi Square. Hasil penelitian diketahui 41 responden yang termasuk kategori fungsi keluarga baik terdapat 25 orang tidak cemas dan 16 orang mengalami cemas. Kemudian dari 44 responden yang termasuk kategori fungsi keluarga kurang  terdapat 10 orang tidak cemas dan 34 orang mengalami cemas. Hasil penelitian menunjukkan bahwa terdapat hubungan antara fungsi keluarga dengan kecemasan menghadapi menarche diperoleh nilai probabilitas p (0,0001). Kepada orangtua terutama ibu, serta anggota keluarga lainnya diharapkan dapat memberikan informasi kesehatan reproduksi kepada remaja putri agar menambah pengetahuan terutama tentang menstruasi pertama (menarche) sehingga dapat mengurangi kecemasan menghadapi menarche.