Giant ovarian cyst itself is defined as a cyst >10 cm in diameter from radiological- examination or the size of the cyst exceeds the umbilicus. Extra-large benign and malignant cysts of the ovary are uncommon and involve diagnostic and management challenges. We present the case of a 20-year-old nulliparous woman who was referred to our center with complaints of abdominal pain and heavy breathing. She benefited from a salphingo-oophorectomy laparotomy procedure. Benign and malignant gynecologic and non-gynecologic etiologies are included in the differential diagnosis of an abdominal mass. Because of the infrequent occurrence or absence of distinctive clinical presentation of the giant ovarian cyst, accurate preoperative diagnosis is challenging.

The COVID-19 pandemic is a challenge for all medical personnel in the world. Various studies have been conducted to gain more knowledge about SARS-CoV-2, but studies in the pediatric population are still very limited. We report a case of a boy aged two years and seven months who came to the hospital with an atypical generalized seizure for less than 5 minutes and immediately regained consciousness after the seizure. Other symptoms included fever, productive cough, rhinorrhea, and shortness of breath. The X-ray showed a well-defined homogeneous consolidation in the upper right lobe and a small spot in both lungs which consistently showed top right lobar pneumonia and bronchopneumonia. From the SARS-CoV-2 nucleic acid test, positive results were obtained on the third day of hospitalization. The patient received antiseizure therapy, antibiotics, and other supportive therapies by Indonesian Pediatrician Association (IDAI) guidelines. During treatment, the patient responded well to the treatment given, with no other seizure episodes. A negative result on the SARS-CoV-2 nucleic acid test was obtained after twelve days of hospitalization as well as improvements of the lungs as seen from the X-ray.

Background The combination of pelvic rocking exercise using a birth ball and back massage as non-pharmacological therapy needs to be investigated in relation to reducing pain and labor duration in primigravida mothers. Aim This study aims to determine the effect of a combination of pelvic rocking exercise using a birth ball and back massage on pain and labor duration in primigravida mothers. Methods The design of this study was quasy Experiment with the approach of non-equivalent control group 's. The research sample was 160 primigravida maternity mothers. The sample in the treatment group was given pelvic rocking intervention using a birth ball and back massage and the sample in the control group was given standard labor care such as touch, and taught labor positions that were in an upright position, providing encouragement and counseling. This research conducted in July–December 2020. Results Provided evidence that pelvic rocking using a birth ball and back massage offers safe, non-invasive treatment for pain management and duration during labor. Conclusion The results of this study provide an understanding that there is a significant effect of the combination of pelvic rocking exercise and back massage on pain and duration of labor in primigravida mothers.

The Inspection Visual Acetic acid (IVA) and Pap smear tests in Benteng sub-district are still lacking and very minimal. This study aims to find out how the scope of the IVA test and Pap smear examinations for couples of childbearing ages in Benteng Kepulauan Selayar District in 2021. The type of research used is descriptive analytic with a cross-sectional research design by making couples of childbearing ages as the research sample. The target in the Benteng Health Center area with non-probability sampling technique and accident sampling technique, totaling 93 people. The research used univariate data analysis with frequency distribution tables, bivariate analysis with chi-square technique. The results of the bivariate analysis showed that there was a significant relationship between age and the IVA and Pap smear tests (p = 0.029), there was no significant relationship between education and the IVA and Pap Smear tests (p = 0.049), there was a significant relationship between knowledge and the tests. IVA and Pap Smear (p = 0.027), there was a significant relationship between attitudes with the VIA and Pap Smear tests (p = 0.020), and there was a significant relationship between husband's support with the VIA and Pap Smear tests (p = 0.017). The conclusion of this research is from the coverage analysis that greatly affects the success of the IVA test and pap smear examination, it is the husband’s involvement or husband’s support.

Latar Belakang: Mioma uteri disebut juga fibroid uterus atau leiomyoma merupakan neoplasma jinak yang berasal dari otot, dan jaringan ikatuterus, yang sering terjadi pada usia reproduksi. Diduga penyebab timbulnya mioma uteri paling banyak oleh karena stimulasi hormon estrogen yangberlebihan. Keluhan yang diakibatkan oleh mioma uteri sangat tergantung pada lokasi, arah pertumbuhan, jenis, besar dan jumlah mioma. Keluhanyang sering muncul adalah menorrhagia. Hanya sekitar 20 – 50 % saja mioma uteri menimbulkan keluhan, sedangkan sisanya tidak mengeluh apapun.
Kasus: Kami melaporkan kasus perempuan usia 48 tahun dengan nyeri perut kanan bawah. Pemeriksaan fisik ditemukan nyeri tekan pada abdomen.Pada pemeriksaan USG didapatkan kesan adanya mioma uteri intramural dengan ukuran 4,76 cm× 6,20 cm × 3,60.
Pembahasan: Selanjutnya dilakukan tindakan operatif laparatomi miomektomi untuk mengambil mioma dengan tetap mempertahankan uterus. Hasilpemeriksaaan laboratorium histopatologi adalah leiomyoma tanpa disertai tanda-tanda keganasan. Selama operasi dan setelah operasi tidak adakomplikasi.
Kata Kunci: Mioma uteri; fibroid uterus; miomektomi; laparotomi