Validasi Ultrasonografi Transabdominal pada Luaran Kelainan Kongenital Janin di RSUP Dr. Hasan Sadikin Bandung Tahun 2018

Yoga Paripurna, M. Rizkar Arev Sukarsa, Hanom Husni Syam, R. M. Sonny Sasotya, Adhi Pribadi, M. Alamsyah Aziz, Akhmad Yogi Pramatirta, Amillia Siddiq

Abstract


Tujuan: Tujuan penelitian ini adalah untuk mengetahui validasi ultrasonografi transabdominal dalam mendeteksi luaran kelainan kongenital janin di RSHS Bandung.
Metode: Penelitian ini merupakan observasional analitik dengan cross-sectional retrospective. Sampel diperoleh dari seluruh pemeriksaan ultrasonografi transabdominal dengan luaran bayi yang lahir di RSHS bulan 1 Januari−31 Desember 2018. Teknik sampling menggunakan consecutive sampling, didapatkan minimal sampel 196 kasus. Pengolahan data menggunakan SPSS dengan analisis uji Chi-kuadrat.
Hasil: Hasil yang didapatkan adalah kelainan kongenital Central Nervous System 18,9%, Abdominal wall defect 9,8%, Facial & Neck anomalies 7,6%, Skeletal system 6,8%, Hidrop Fetalis 5,3%, Genito-urinary, Congenital heart disease dan Gastrointestinal system masing-masing sebanyak 2,3%, Thorax anomalies sebanyak 0.8%.
Kesimpulan: Secara keseluruhan dapat disimpulkan seluruh ukuran pada analisis diagnostik menunjukkan kategori di atas cukup kuat, didapatkan validasi yang baik ultrasonografi transabdominal pada luaran kelainan kongenital janin.

Validation of Transabdominal Ultrasound for Fetal Congenital Abnormalities at Dr. Hasan Sadikin Bandung Hospital in 2018

Abstract
Objective: The purpose of this study was to determine transabdominal ultrasound validation in detecting fetal congenital abnormalities in RSUP dr. Hasan Sadikin Bandung.
Methods: This was an observational analytic study with cross-sectional retrospective method. Samples obtained from all transabdominal ultrasonographic examinations with outcome of newborn in RSHS from January 1st-December 31st 2018. Sampling technique was consecutive sampling with minimum sample of 196 cases obtained. Data processing using SPSS with Chi-square analysis transabdominal ultrasonographic.
Result: The results obtained are congenital abnormalities of Central Nervous System type 18.9%, Abdominal wall defect 9.8%, Facial & Neck anomalies 7.6%, Skeletal system 6.8%, Fetal Hydrops 5.3%, Genito-urinary, Congenital heart disease and Gastrointestinal system respectively 2.3%, Thorax anomalies 0.8%.
Conclusion: All measures in the diagnostic analysis show all categories are quite strong, therefore good ultrasound validation is obtained in the outcome of fetal congenital abnormalities.

Key words: Transabdominal ultrasonography, validation, congenital abnormalities


Keywords


Ultrasonografi, validasi, kelainan kongenital

Full Text:

PDF

References


Renna MD, Pisani P, Conversano F, Perrone E, Casciaro E, Renzo GC, et al. Sonographic markers for early diagnosis of fetal malformations. World journal of radiology. 2013;5(10):356−71.

World Health Organization. Congenital Anomalies [21/11/2018]. Available from: http://www.who.int/news-room/fact-sheets/detail/congenital-anomalies.

World Health Organization Regional Office for South-East Asia. Birth Defects in South-East Asia - A Public Health Challenge. 2013.

DeSilva M, Munoz FM, McMillan M, Kawai AT, Marshall H, Macartney KK, et al. Congenital anomalies: Case definition and guidelines for data collection, analysis, and presentation of immunization safety data. Vaccine. 2016;34(49):6015−26.

Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385(9963):117−71.

Todros T, Capuzzo E, Gaglioti P. Prenatal diagnosis of congenital anomalies. Images Paediatr Cardiol. 2001;3(2):3−18.

Edwards L, Hui L. First and second trimester screening for fetal structural anomalies. Semin Fetal Neonatal Med. 2018;23(2):102-11.

Dahlan, M. Sopiyudin. Penelitian Diagnostik: Dasar-Dasar Teoritis Dan Aplikasi Dengan Program SPSS Dan Stata, Seri Evidence Based Medicine 5 (CD Aplikasi). Salemba Medika, 2009.

Rossi AC, Prefumo F. Accuracy of Ultrasonography at 11–14 Weeks of Gestation for Detection of Fetal Structural Anomalies: A Systematic Review. Obstet Gynecol. 2013;122(6):1160−7.

Frederiksen, Line Elmerdahl MSc; Ernst, Andreas MD; Brix, Nis MD; Braskhøj Lauridsen, Lea Lykke BSc; et all. Risk of Adverse Pregnancy Outcomes at Advanced Maternal Age. Obstet Gynecol. 2018;13(3):457−63.

Goetzinger, K. R., Shanks, A. L., Odibo, A. O., Macones, G. A., & Cahill, A. G. Advanced Maternal Age and the Risk of Major Congenital Anomalies. American Journal of Perinatology. 2016. https://doi.org/10.1055/s-0036-1585410




DOI: http://dx.doi.org/10.24198/obgynia/v3n2.215

Refbacks

  • There are currently no refbacks.


Alamat Redaksi

 

KSM/Dep Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran RSUP Dr. Hasan Sadikin

Jl. Pasteur No 38 Bandung 40161 

Telp: 0813-2012-9954

Email: obgyniajurnal@gmail.com

 

 

 




Indexed By
         



Web Analytics
View My Stats

Indonesian Journal of Obstetrics & Gynecology Science @2017