Objective: determine the relationship between stress levels with symptoms of vaginitis in medical students at the Faculty of Medicine, Andalas University batch 2019. Method: was observational analytic with cross-sectional approach. Sampling was conducted by nonprobability sampling. The sample was 140 by conducting a guided interview on 140 female students of the Medical Education Faculty of Andalas University batch 2019. The stress level of the female students was measured by a stress questionnaire from the Depression Anxiety Stress Scale (DASS 42) and vaginitis symptoms questionnaire. Data analysis used Chi-Square test. Result: more than half of respondents which is 71 respondents (50,6%) has stress. Then, moderate stress levels is the largest percentage, that is 31 respondents (43,6%). Most respondents, 121 respondents (86.4%) have experienced symptoms of vaginitis. The statistical test results obtained pvalue = 0.943. Conclusion: more than half of repondents has stress and most respondents have experienced symptoms of vaginitis. The p-value showed that there is no significant relationship between stress levels and symptoms of vaginitis.

Objective: To investigate whether chronic primary dysmenorrhoea will significantly increase cortisol levels in the body. This study can provide an overview of the importance of handling primary dysmenorrhoea so that it does not continue to become menstrual disorders.Method: This study used a cross-sectional comparative study method with a total sample of 26 subjects with 13 subjects included in the dysmenorrhea group and 13 other subjects belonging to the non-dysmenorrhea group. The study was conducted at Department of Obstetrics and Gynecology Faculty of Medicine Universitas Andalas network primary healthcare and Dr. M. Djamil Padang Central General Hospital. Data were analyzed using computational calculation of SPSS program with bivariate test using X2 test or chi-square test with a significance degree of 0.05.Results: Twenty six subjects (13 each group) have been sampled in this study, the mean age of the dysmenorrhea group was 26.23 ± 3.92 while the mean age of the non-dysmenorrhea group was 28.62 ± 7.10. The age difference between groups was not statistically significant with a value of p = 0.30 (p> 0.05). In the comparison of cortisol levels between the two groups, it was found that the dysmenorrhea group had a higher cortisol level of 72.3077 (7.2 µg / dL) compared to the non-dysmenorrhoea group of 60.3846 (6 µg / dL). Based on the results of the bivariate analysis using the chi-square test, the value of p = 0.148 (P> 0.05) showed that there was no significant difference between the cortisol levels of the group with chronic primary dysmenorrhea compared with the non-dysmenorrhea group.Conclusion: Chronic primary dysmenorrhea can not significantly increase cortisol levels in the body.Keywords: comparative study, chronic primary dysmenorrhea, cortisol levels, non-dysmenorrhea, menstrual disorders Abstrak Tujuan :Mengetahui apakah dismenorea primer kronis akan meningkatkan kadar kortisol dalam tubuh secara signifikan. Penelitian ini dapat memberikan gambaran pentingnya penanganan dismenorea primer agar tidak berlanjut menjadi gangguan menstruasi.Metode :Penelitian ini merupakan penelitian dengan desain potong lintang studi banding dengan jumlah total sampel sebanyak 26 subjek dengan rincian 13 subjek termasuk ke dalam kelompok dismenore dan 13 subjek lainnya termasuk ke dalam kelompok non-dismenore. Penelitian dilakukan di Puskesmas jejaring PPDS Obgyn FK Unand dan RSUP Dr. M. Djamil Padang. Data dianalisis menggunakan perhitungan komputasi program SPSS dengan uji bivariat menggunakan ujiX2 atau uji chi-square dengan derajat kemaknaan 0,05. Hasil : Dari 26 subjek (masing-masing 13 subjek) yang dijadikan sampel dalam penelitian ini, didapatkan usia rerata kelompok dismenore ialah 26,23 ± 3,92 sedangkan usia rerata kelompok non-dismenore ialah 28,62 ± 7,10. Perbedaan rerata usia antar kelompok ini tidak signifikan secara statistik dengan nilai p = 0,30 (p > 0,05). Pada perbandingan kadar kortisol antar kedua kelompok, didapatkan kelompok dismenore memiliki kadar kortisol yang lebih tinggi yaitu 72,3077 (7.2 µg/dL) dibandingkan dengan kelompok non-dismenorea yaitu 60,3846 (6 µg/dL). Berdasarkan hasil analisis bivariat menggunakan uji chi-square, didapatkan nilai p = 0,148 (P > 0,05) yang menunjukkan tidak adanya perbedaan yang signifikan antara kadar kortisol kelompok dengan dismenore primer kronis dibandingkan dengan kelompok non-dismenore.Kesimpulan : Dismenore primer kronis dapat meningkatkan kadar kortisol dalam tubuh secara signifikan.Kata kunci :   dismenore primer, gangguan menstruasi, kadar kortisol, kronis, tidak dismenore, studi perbandingan

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation

In the last few decades, the incidence of caesarean section is increasing in the world, especially in Indonesia. One of the way to treat tissue scar is through biologic and synthetic dressing where nowadays, amnion has been used as biologic dressing frequently. This study was conducted to determine the effect of the use of fresh amniotic membrane on wound incision Caesarean section compared with Caesarean section incision wound covered using regular gauze bandages and fixated with plaster in RS. Dr. Reksodiwiryo Padang. The design of this study is an experimen-tal study with Post test design with control group design. Sampling was done using a formula consecutive sampling two different test samples obtained an average of 72 people for each group. The analysis used include univariate and bivariate analyzes. The average wound healing time the difference was statistically significant (p value <0.05) in the treatment and control groups. There was highly significant difference in the proportion of local infection on day 3 between the treatment and control groups (p value <0.05). There were very significant differences in the proportion of local allergic reactions at day 3, and 5 between the treatment and control group (p <0.05). There are significant differences in terms of the cost of care per day between treatment and control groups (p <0.05). From this study, the average wound healing time has a very significant difference.Keywords: Fresh Amniotic Membrane, Wound Cesarean Section, Wound Healing