LAPORAN KASUS PADA IBU HAMIL PRIMIGRAVIDA DENGAN HPV DNA POSITIF DAN KONDILOMA AKUMINATA DI PUSKESMAS TANJUNGSARI SURABAYA

Anurillah Fadia Damayanti, Ani Media Harumi, Sherly Jeniawaty, Sukesi Sukesi

Sari


Infeksi Human Papillomavirus (HPV) dan Kondiloma Akuminata merupakan masalah kesehatan yang signifikan, terutama pada wanita hamil. Keberadaan HPV DNA positif dan kondiloma akuminata pada ibu hamil menimbulkan tantangan dalam penatalaksanaan karena berpotensi memengaruhi kesehatan maternal, jalannya persalinan, serta risiko transmisi vertikal kepada neonatus. Tujuan penelitian ini untuk menggambarkan penatalaksanaan kehamilan pada primigravida dengan HPV DNA positif dan kondiloma akuminata. Penelitian ini berupa studi kasus (Case Report) dengan pendekatan SOAP untuk mengevaluasi data subjektif, objektif, analisis masalah, serta intervensi yang diberikan. Hasil dari penelitian ini bahwa Ny. S G1P0A0 trimester II akhir didiagnosis HPV positif dengan kondiloma akuminata berukuran 1 cm, tunggal, tidak progresif, dan tanpa keluhan. Kondisi umum ibu baik dengan tanda vital dalam batas normal serta DJJ normal. Analisa kebidanan menunjukkan kehamilan dengan infeksi HPV disertai kondiloma akuminata tanpa komplikasi. Penatalaksanaan dilakukan secara konservatif melalui pendekatan observasi, edukasi mengenai infeksi HPV, vulva hygiene, peningkatan imun, serta pemantauan rutin perkembangan lesi. Kolaborasi dilakukan untuk penentuan rencana persalinan sesuai indikasi klinis. Hasil evaluasi menunjukkan lesi tetap stabil tanpa pertambahan ukuran maupun komplikasi selama pemantauan. Penatalaksanaan konservatif pada kasus ini efektif karena kondisi ibu dan janin tetap stabil, namun pemantauan berkelanjutan tetap diperlukan untuk mencegah komplikasi pada persalinan. Pemantauan secara rutin dapat membantu mencegah terjadinya komplikasi selama kehamilan.

Kata Kunci: Kehamilan, HPV DNA positif, Kondiloma akuminata

 

Human Papillomavirus (HPV) infection and condyloma acuminata represent significant health issues, particularly among pregnant women. The presence of HPV DNA and condyloma acuminata in pregnant women poses management challenges due to potential impacts on maternal health, the course of labor, and the risk of vertical transmission to the neonate. This study aims to describe the management of pregnancy in a primigravida with positive HPV DNA and condyloma acuminata. It is a case report utilizing the SOAP approach to evaluate subjective and objective data, problem analysis, and interventions provided. The study findings indicate that Mrs. S (G1P0A0, late second trimester) was diagnosed with HPV positivity and a single, non-progressive, 1 cm condyloma acuminata lesion; she was asymptomatic. The mother's general condition was good, with vital signs and fetal heart rate within normal limits. Obstetric analysis indicated an uncomplicated pregnancy complicated by HPV infection and condyloma acuminata. Management was conservative, involving observation, education regarding HPV infection, vulvar hygiene, immune system support, and routine monitoring of lesion progression. A collaborative approach was employed to determine the delivery plan based on clinical indications. Evaluation results showed the lesion remained stable, with no increase in size or complications during the monitoring period. Conservative management proved effective in this case as the maternal and fetal conditions remained stable; however, continued monitoring is necessary to prevent complications during delivery. Routine monitoring can help prevent complications throughout the pregnancy.

Keywords: Pregnancy, HPV DNA positive, Condyloma acuminata


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Referensi


Ajisafe, I. B., Afariogu, D. A., Owa, S., Ndako, J. A., Adekeye, A., Oguntimehin, O., & Owolabi, A. O. (2024). A Review on Current Trends of Human Papillomavirus: Need for Prompt Action. In 2024 International Conference on Science, Engineering and Business for Driving Sustainable Development Goals (SEB4SDG).

Andriana, R. et al. (2024). Kondiloma Akuminata pada Kehamilan : Tinjauan Kasus dan Tatalaksana Condyloma Acuminata in Pregnancy : a Review and Case Management, Tinjauan Kasus dan Tatalaksana, 14, pp. 343–350.

Cuzick, J., Adcock, R., Kinney, W., Castle, P. E., Robertson, M., McDonald, R. M., Stoler, M. H., Du, R., & Wheeler, C. M. (2023). Impact of HPV testing in opportunistic cervical screening: Support for primary HPV screening in the United States. International Journal of Cancer, 153(1), 83–93.

Hawkins, M. G., Winder, D. M., Ball, S. L. R., Vaughan, K., Sonnex, C., Stanley, M. A., Sterling, J. C., & Goon, P. K. C. (2013). Detection of specific HPV subtypes responsible for the pathogenesis of condylomata acuminata. Virology Journal, 10, 137.

Kesehatan, D. (2024) “PROFIL KESEHATAN DINAS KOTA SURABAYA TAHUN 2024,” 2, pp. 306–312.

Marking, U., Wahlström, E., Holm, J., Walther, S., Hanberger, H., & Strålin, K. (2025). Risk factors for hospitalization and death due to COVID-19 during endemic Omicron circulation, a population-based cohort study. International Journal of Infectious Diseases, 161, 108156.

Oktaviyanti, R. N., & Barakbah, J. (2018). Profil pasien kondiloma akuminata. Berkala Ilmu Kesehatan Kulit dan Kelamin, 30(3), 240–247.

Rohanda, B. A., Hutapea, R., & Nadeak, K. (2021). Identification of the type of Human Papilloma Virus (HPV) in condyloma acuminata in the genital and/or anal areas in men who have sex with men (MSM). Bali Medical Journal, 10(2), 885–890.

Sugai, S., Nishijima, K., & Enomoto, T. (2021). Management of condyloma acuminata in pregnancy: A review. Obstetrical & Gynecological Survey, 76(5), 277–284.

Svecova, D. (2020). Condyloma acuminatum during pregnancy. ?esko-Slovenská Dermatologie, 95(2), 75–79.

Widayati, U., Qurniyawati, E., & ElKhalil, R. (2026). Prevalence and risk factors of HPV infection among women of reproductive age in Surabaya. Jurnal Berkala Epidemiologi, 14(1), 1–7.

Widyantari, S., Maharani, D. R., Koesandrini, K., & Setyaningrum, T. (2023). Condyloma Accuminata in Pregnancy Overlapping with Bacterial Vaginosis. Berkala Ilmu Kesehatan Kulit dan Kelamin, 35(3), 226–230.

Yang, D., Zhang, J., Cui, X., Ma, J., Wang, C., & Piao, H. (2022). Risk factors associated with human papillomavirus infection, cervical cancer, and precancerous lesions in large-scale population screening. Frontiers in Microbiology, 13, 914516.


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