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    Bedah Obstetri

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    Winda Lira
    This curriculum vitae summarizes the qualifications and experience of Dr. Syamel Muhammad, an obstetrics and gynecology specialist in Indonesia. It lists his education, including medical school and residency training, as well as his work history as a lecturer at the University of Andalas Medical Faculty. It also outlines his research publications, community service activities, and training experience in various obstetrics and gynecology procedures including forceps extraction, vacuum extraction, curettage, ectopic pregnancy management, c-sections, and hysterectomy.

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    Bedah Obstetri

    Uploaded by

    Winda Lira
    152 views21 pages
    This curriculum vitae summarizes the qualifications and experience of Dr. Syamel Muhammad, an obstetrics and gynecology specialist in Indonesia. It lists his education, including medical school and residency training, as well as his work history as a lecturer at the University of Andalas Medical Faculty. It also outlines his research publications, community service activities, and training experience in various obstetrics and gynecology procedures including forceps extraction, vacuum extraction, curettage, ectopic pregnancy management, c-sections, and hysterectomy.

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    Bedah obsetri

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    This curriculum vitae summarizes the qualifications and experience of Dr. Syamel Muhammad, an obstetrics and gynecology specialist in Indonesia. It lists his education, including medical school and residency training, as well as his work history as a lecturer at the University of Andalas Medical Faculty. It also outlines his research publications, community service activities, and training experience in various obstetrics and gynecology procedures including forceps extraction, vacuum extraction, curettage, ectopic pregnancy management, c-sections, and hysterectomy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    152 views21 pages

    Bedah Obstetri

    Uploaded by

    Winda Lira
    This curriculum vitae summarizes the qualifications and experience of Dr. Syamel Muhammad, an obstetrics and gynecology specialist in Indonesia. It lists his education, including medical school and residency training, as well as his work history as a lecturer at the University of Andalas Medical Faculty. It also outlines his research publications, community service activities, and training experience in various obstetrics and gynecology procedures including forceps extraction, vacuum extraction, curettage, ectopic pregnancy management, c-sections, and hysterectomy.

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    BEDAH OBSTETRI

    Syamel Muhammad
    Curriculum Vitae
    Nama : Dr. Syamel Muhammad, SpOG K.Onk

    Nip : 198320112008121001
    E-Mail : Syamelmuhammad@yahoo.com
    Kantor : Bagian/SMF Obstetri dan Ginekologi Fakultas Kedokteran Universitas Andalas
    Status : Menikah
    Riwayat Pendidikan : Pendidikan Dokter Fakultas Kedokteran Univ. Andalas (2001-2007)
    PPDS Obstetri dan Ginekologi Fak.Kedokteran Univ. Andalas (2008- 2013)
    PPDS 2 Onkologi Ginekologi Fak. Kedokteran Univ. Padjajaran
    Riwayat Pekerjaan : Staf Pengajar Fak. Kedokteran Univ. Andalas (2008-sekarang)
    Pelatihan :
    1. Advanced Ultrasound in Obstetri and Gynecology
    2. Tutor Training
    3. TOT Evidence Based Medicine
    4. Workshop How to set Up Clinical Trial
    5.Pembicara pada: Applied Surgical Anatomy in Obstetrics and Gynecology Surgery Workshop
    6.The 3rd Basic Laparoscopic Surgical Skill Training Program in Gynecologic Oncology
    7.Laparoscopy training in 7th INASGO Bineal meeting
    8.Gynecology Cancer Screening and Management
    9.XVIII World Congress on Gestational Trophoblastic Diseases
    Makalah :
    • Simple Hysterectomy in Cervical Cancer (PIT POGI 19)
    • The Deference of Uterine Artery Resistence Index (RI) and Pulsatility Index (PI) between Early Onset Severe Preeclampsia and Late Onset
    Severe Preeclampsia. (Tesis)
    Pengabdian Masyarakat :
    1. Tenaga Kesehatan pada World Cancer Day event di Bandung
    2. Tenaga kesehatan pada Bakti Sosial Pemeriksaan Kesehatan dan pengobatan gratis di Kota Bandung
    3. Pembicara pada Pelatihan deteksi dini kanker leher rahim dan kanker payudara di kabupaten Indramayu Jawabarat
    4. Pembicara pada Pelatihan deteksi dini kanker leher rahim dan kanker payudara di kabupaten Pangandaran Jawabarat
    5. Pelatihan Iva test bagu Bidan oleh Yayasan Kanker Indonesia Cabang Jawabarat
    6. Pembicara pada Surgical Anatomy workshop Hasan Sadikin Hospital Bandung
    out line
    • introduction

    • Forceps Extraction

    • Vacuum Extraction

    • Curettage

    • Ectopic pregnancy

    • Caecarean Section
    Introduction
    • Procedure to manage obstetrics condition

    • Vaginal procedur

    • Forceps or Vacuum extraction (Assisted vaginal delivery)

    • Curettage

    • Perineoraphy

    • Abdominal procedure

    • C-Section

    • Laparotomy for ectopic pregnancy

    • Hysterectomy
    Assisted Vaginal Delivery
    • Vacuum extractors have replaced forceps for many situations in
    which assistance is required to achieve vaginal delivery.

    • Compared with metal-cup vacuum extractors, soft-cup devices are


    easier to use and cause fewer neonatal scalp injuries; however, they
    detach more frequently.

    • Vacuum extractors can cause neonatal injury. These devices should


    be employed when indicated, usually for a nonreassuring fetal heart
    tracing or failure to progress in the second stage of labor.

    • Complications may be minimized if the physician recognizes


    contraindications to the use of vacuum extraction. Complete
    documentation is essential
    Types of Vacuum Extractors
    • The metal-cup vacuum extractor is a mushroom-shaped metal cup varying from
    40 to 60 mm in diameter.

    • A centrally attached chain connects the cup to a detachable handle that is


    used to apply traction.

    • A mechanical or electrical suction device is attached to the metal cup via a


    peripherally located vacuum port

    • SOFT CUPS

    • Compared with metal-cup devices, soft-cup vacuum extractors cause fewer


    neonatal scalp injuries. However, these instruments have a higher failure rate.

    • Soft-cup instruments can be used with a manual vacuum pump or an


    electrical suction device. Some have a built-in vacuum-release valve that
    allows pressure to be rapidly attained and accurately controlled.
    Comparative Advantages of
    Vacuum Extractors and Forceps
    • Vacuum extractors

    • Easier to learn

    • Quicker delivery

    • Less maternal genital trauma

    • Less maternal discomfort

    • Fewer neonatal craniofacial injuries

    • Less anesthesia required

    • Forceps

    • Fewer neonatal injuries, including cephalohematoma, retinal hemorrhage and transient lateral
    rectus palsy

    • Higher rate of successful vaginal delivery


    TABLE 2
    Indications for Vacuum-Assisted Delivery

    Maternal indications

    Need to avoid voluntary maternal expulsive efforts (e.g., the mother has cardiac or cerebrovascular disease)

    Inadequate maternal expulsive efforts

    Maternal exhaustion or lack of cooperation

    Fetal indications

    Nonreassuring fetal heart tracing

    Prolonged second stage of labor

    Failure to progress in second stage of labor

    Information from references: 1, 9, 10 and 12.


    Relative Contraindications
    for Vacuum Extraction
    • Fetal prematurity (< 34 weeks of gestation)

    • Fetal scalp trauma

    • Unengaged head

    • Incomplete cervical dilatation

    • Active bleeding or suspected fetal coagulation defects

    • Suspected macrosomia

    • Nonvertex presentation or other malpresentation

    • Cephalopelvic disproportion

    • Delivery requiring rotation or excessive traction

    • Inadequate anesthesia
    Curettage
    Perineoraphy
    Cecarean Section
    Laparotomy/Laparoscopic
    for Ectopic Pregnancy
    Hysterectomy
    Terimakasih

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