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The Relationship of Menstrual Hygiene Behavior with Menstrual Cycle Disorders in Female Prisoners: A Sequential Explanatory Analysis Sari, Nur Purnama; Utama, Bobby Indra; Amir, Arni
Journal La Medihealtico Vol. 5 No. 4 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i4.1454

Menstrual hygiene behaviors, such as using clean sanitary napkins, washing the body with soap, and disposing of used sanitary napkins properly, play an important role in preventing menstrual disorders. This quantitative study aims to examine the relationship between menstrual hygiene behavior and menstrual cycle disorders in female prisoners in class II B women's prison in Padang city. Qualitative research aims to explore more deeply the behavior of inmates who experience menstrual cycle disorders in class II B women's prison in Padang city. This research used a combination method with a sequential explanatory design from November 2023 to March 2024, the research sample consisted of 73 female prisoners selected by purposive sampling. Quantitative data analysis using the chi-square test showed a significant association (p-value <0.001) between menstrual hygiene behavior and menstrual cycle disorders, while qualitative data through in-depth interviews identified two main themes: menstrual hygiene behavior and menstrual cycle disorders. In conclusion, poor menstrual hygiene behavior is associated with menstrual cycle disorders, so it is recommended that prison authorities increase supervision and provide better information on menstrual hygiene to prisoners.

Differences in Grade II Perinealtearswound Healing using Fresh Amniotic Membranein Post Vaginal Delivery Women in RSUD Padang Panjang Indonesia Utama, Bobby Indra; Rahman, Andio; Firdawati, Firdawati; Burhan, Ida Rahmah
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 2 Juli 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i2.712

Introduction: Perineal tear is the most common complication of vaginal delivery which has the risk of infection and discomfort, also causes insecurity.The amniotic membrane has been shown to enhance wound healing through acceleration of epithelization, angiogenetic and antibacterial effects.Objective: This study aims to determine the difference in perineal wounds healing with or without the use of amniotic membranes.Methods: This was a cohort study conducted from December 2022 to January 2023 at Padang Panjang Hospital. Patients included were aged 17- 40 years with normal BMI without any comorbid such as diabetes mellitus, hypertension and blood disorders. The procedure was done by the same person at the same place and with the same equipment.Results: There were 28 patients who were divided into two groups i.e 14 patients who were given fresh amniotic membranes and 14 patients who were not given fresh amniotic membranes. The mean age, parity, last education, body mass index and type of perineal wound were similar between groups. In this study, there was a significant difference between recovery and pain degrees on the 10th day after the procedure between the two groups, while there was no significant difference in the incidence of infection on the 10th day and pain on the 2nd day.Conclusion: Fresh amniotic membrane improves healing and reduces the pain in perineal wound patients.Perbedaan Penyembuhan Luka Perineum Grade II dengan Penggunaan Selaput Amnion Segar pada Wanita Pasca-Persalinan Ervaginam di RSUD Padang Panjang IndonesiaAbstrakPendahuluan: Robekan perineum merupakan penyebab keduater banyak perdarahan postpartum. Selaput amnion telah terbukti meningkatkan hasil penyembuhan luka melalui efek percepatan epitelisasi, angiogenetic dan antibacterial. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan penyembuhan pada luka perineum grade II dengan atau tanpa penggunaan selaput amnion. Metode: Penelitian ini merupakan jenis studikohort yang dilakukan dari Desember 2022 sampai Januari 2023 di RSUD Padang Panjang. Pasien yang diikutkan adalah pasien berusia 17 – 40 tahun dengan IMT normal tanpa adanya komorbiditas diabetes melitus, hipertensi dan kelainan darah. Penjahitan luka dan pemberian amnion dilakukan dengan operator, lokasi serta alat yang sama menggunakan PGA 2.0 teknik jelujur dan kulit dengan teknik subkutikuler. Hasil: Terdapatsebanyak 28 pasien yang dibagimenjadi dua kelompok, yaitu 14 pasien yang diberikan selaput amnion segar dan 14 pasien tidak diberikan selaput amnion segar. Reratausia, paritas, pendidikan terakhir, indeks masa tubuh, dan jenis luka perineum grade II serupa antar kelompok. Pada penelitian ini didapatkan perbedaan yang signifikan antara kesembuhan hari ke-10 dan derajat nyeri hari ke-10 pascatindakan antara kedua kelompok, sedangkan ada kejadian infeksihari ke-10 an nyerihari ke-2 tidak ditemukan perbedaan signifikan. Kesimpulan: Selaput amnion segar meningkatkankesembuhan dan menurunkannyeri pada pasiendenganluka perineum grade II.Kata kunci: Selaput amnion segar, kesembuhan, nyeri, infeksi, luka perineum grade II

Menstrual Cycle Variations Observed in Obese and Normal-Weight Women Desmawati, Desmawati; Berliani, Hasvia; Utama, Bobby Indra
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.4

Obesity plays a significant role in estrogen production, which can lead to menstrual cycle disorders. This study aimed to determine differences in estrogen levels and menstrual cycles between obese and normal-weight female students at the Faculty of Medicine, Universitas Andalas. This study used the comparative cross-sectional design involving 32 obese respondents and 32 respondents with normal-weight status, selected through a systematic random sampling method. The study was conducted from November 2021 to July 2022. Estrogen levels were measured using the enzyme-linked immune assay (ELISA) method, and the menstrual cycle data were collected via interview. Statistical analysis was performed using an unpaired t-test and a Chi-square test. The results showed no significant difference in estrogen levels between the obese group (188.31±47.56 pg/mL) and the normal-weight group (181.76±51.06 pg/mL) (p > 0.05). However, abnormal menstrual cycles were more common in the obese group (29.7%) compared to the normal group (9.4%), with a p-value of 0.002. In conclusion, there are no differences in estrogen levels between the normal nutrition and obese groups; however, the menstrual cycles of these groups are different.

Menstrual Cycle Variations Observed in Obese and Normal-Weight Women Desmawati, Desmawati; Berliani, Hasvia; Utama, Bobby Indra
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.4

Obesity plays a significant role in estrogen production, which can lead to menstrual cycle disorders. This study aimed to determine differences in estrogen levels and menstrual cycles between obese and normal-weight female students at the Faculty of Medicine, Universitas Andalas. This study used the comparative cross-sectional design involving 32 obese respondents and 32 respondents with normal-weight status, selected through a systematic random sampling method. The study was conducted from November 2021 to July 2022. Estrogen levels were measured using the enzyme-linked immune assay (ELISA) method, and the menstrual cycle data were collected via interview. Statistical analysis was performed using an unpaired t-test and a Chi-square test. The results showed no significant difference in estrogen levels between the obese group (188.31±47.56 pg/mL) and the normal-weight group (181.76±51.06 pg/mL) (p > 0.05). However, abnormal menstrual cycles were more common in the obese group (29.7%) compared to the normal group (9.4%), with a p-value of 0.002. In conclusion, there are no differences in estrogen levels between the normal nutrition and obese groups; however, the menstrual cycles of these groups are different.

Kajian literatur efektivitas konsumsi daun kelor (Moringa oleifera), daun katuk (Sauropus androgynus laml merr) dan ikan gabus (Channa striata) terhadap kelancaran asi pada ibu menyusui Rossa, Fayola; Lisa, Ulfa Farrah; Utama, Bobby Indra; Rahmi, Laila; Hudzaifah, Hindun Mila
Jurnal Riset Kebidanan Indonesia Vol 8, No 2 (2024): Desember
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32536/jrki.v8i2.303

Latar belakang: Ketidaklancaran Air Susu Ibu (ASI) seringkali menjadi permasalahan pada ibu menyusui. Upaya yang dapat dilakukan adalah memberikan ibu tambahan makanan yang dapat meningkatkan produksi ASI diantaranya daun kelor, daun katuk dan ikan gabus. Tujuan penelitian: untuk mengetatahui efektivitas konsumsi daun kelor, daun katuk dan ikan gabus dalam kelancaran ASI pada ibu menyusui. Metode : Jenis penelitian ini adalah literature review menggunakan PICO. Pencarian artikel diakses melalui database nasional dan internasional dengan kata kunci sesuai. artikel dipilih berdasarkan kriteria inklusi dan eksklusi dan selanjutnya dilakukan analisis. Sitasi dilakukan dengan menggunakan Mendeley. Hasil: Berdasarkan 20 Jurnal yang dianalisis, konsumsi daun kelor dalam bentuk ekstrak, nastar dan jus, daun katuk dalam bentuk rebusan, esktrak dan biskuit serta ikan gabus dalam bentuk nugget pada ibu menyusui terbukti efektif dalam mempengaruhi kelancaran ASI Simpulan: Daun kelor dan daun katuk mengandung alkaloid dan steroid serta ikan gabus yang memilki protein tinggi terbukti efektif dalam meningkatkan kelancaran ASI pada ibu menyusui

Differences In Serum IL-6 Levels Between First-Trimester Normal Pregnancy and Spontaneous Abortion Vella Amalia; Utama, Bobby Indra; Dessy Arisanty; Nelmi Silvia
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.115-123.2025

Objectives: In spontaneous abortion cases without previously known predisposing factors, an increase proinflammatory cytokines, especially interleukin 6 (IL-6), found in local and systemic specimens compared to normal 1st -trimester pregnancies. Therefore, IL-6 is thought to have a role in implantation failure in early pregnancy resulting in spontaneous abortion. However, research on serum IL-6 levels in spontaneous abortion patients is still limited in Indonesia. This study aims to determine the difference in serum IL-6 levels in normal pregnancy 1 st - trimester and spontaneous abortion in hospitals in Padang City; Method: This study is an analytical study with a cross-sectional design using secondary data of 21 blood serum samples from each research group at the Biomedical Laboratory of FK Unand. Samples were collected using a consecutive sampling technique. A serum examination was performed with the ELISA technique. Bivariate data analysis using Mann-Whitney statistical test based on data type and distribution; Result: The results showed that the mean value of serum IL-6 levels was 280,56 ng/L in the normal pregnancy group in the 1st -trimester and the median value of the spontaneous abortion group was 279,78 ng/L. There was no significant difference in serum IL-6 levels in normal pregnancy in the 1st -trimester and spontaneous abortion (p = 0,980); Conclusion: This study concluded that there was no difference in serum IL-6 levels between patients with normal pregnancy in the 1st -trimester and spontaneous abortion in hospitals in Padang City. Keywords: Spontaneous abortion, first trimester, serum interleukin 6, cytokines, ELISA

Perkembangan dan Faktor yang Berhubungan dengan Balita Wasting di Kota Padang: Development of Under-five Wasting Children and Related Factors in Padang City Desmawati, Desmawati; Sihaloho, Febri Theresia; Utama, Bobby Indra
Amerta Nutrition Vol. 9 No. 1 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1.2025.20-25

Background: At the age of under five years, there is rapid physical, cognitive, social, and emotional development, which influences their future abilities. The prevalence of wasting in Indonesia is 7.7%, but it has not received serious attention, so it needs to be explored further. Objectives: This Study aimed to examine the development of under-five wasting children and any associated factors in the Anak Air's Health Center Working Area, Padang City. Methods: It was observational analytical research with a cross-sectional design. The research sample was under-five wasting children aged 12 – 60 months, totaling 118 people taken as respondents. Data on the internal factors of respondents was collected using a validated questionnaire. The development of respondents was examined by using the pre-developmental screening questionnaire. Data was analyzed using chi-square and ordinal logistic regression. Result: This study found that most respondents were under 3 years old, male, had normal birth weight, and had no history of suffering from infectious diseases. A total of 13 (11.1%) of respondents had deviation development, 59 (50%) were doubtful, and only 46 (38.9%) had normal development. Bivariate results showed a significant relationship between age, gender, and infectious diseases with respondents' development (p-value<0.5). There is no significant relationship between birth weight and the respondents’ development (p-value>0.5). Age is the most related factor to the respondents’ development. Conclusion: The conclusion is most respondents have questionable and distorted development, and age is the most related factor. More attention is needed for under-five wasting children so that their development is normal.

Gut Microbiota Profile in Endometriosis Patients at Dr. M. Djamil Padang, West Sumatra, Indonesia Haviz Yuad; Utama, Bobby Indra; Lipoeto, Nur Indrawaty; Putra, Andani Eka
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.134-145.2025

Objective: Endometriosis (EMS) is a chronic gynecological condition affecting up to 10% of women worldwide. The pathogenesis associated with hormonal imbalance, immune dysregulation, and changes in the gut microbiota. Gut microbiota dysbiosis may drive chronic inflammation that contributes to the progression of EMS. This study hypothesizes that certain gut microbiota profiles are associated with these factors in EMS patients, potentially developing non-invasive diagnostics and more targeted therapies. Methods: This is an observational analytical study with a case-control design conducted at Dr. M. Djamil Padang General Hospital in May 2024 with a sample size of 44 people. Case samples were women aged 18–40 years who were diagnosed with endometriosis based on the inclusion criteria, while the control group were women of reproductive age without a diagnosis of endometriosis. Data testing used the Next Generation Sequencing method, microbiome analysis test, and SPSS test. Results: The majority of EMS patients were aged 30-37 years, married, and had Nullipara obstetric status. In addition, the gut microbiota was dominated by the phyla Bacteroidetes and Firmicutes. Conclusion: There is a relationship between gut microbiota dysbiosis and the incidence of endometriosis, namely an increase in Bacteroidetes and a decrease in Firmicutes Keywords: endometriosis, dysbiosis, bacteroides, firmicutes, gut microbiota

Anal Incontinence in Chronic Total Perineal Rupture : A Case Report Roby Putrama; Sari, Yulia Margaretta; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.145-152.2025

Objective: Obstetric anal sphincter injury is a complication of vaginal delivery that, if inadequately managed, can lead to total perineal rupture and fecal incontinence, significantly impacting a patient's quality of life. This case report aims to describe the management of long-standing total perineal rupture in a patient with fecal incontinence. Method: A 37-year-old woman with a 1-year history of fecal incontinence and 15-year history of uncontrolled flatus following an unattended perineal tear during her first delivery was referred for evaluation. Physical examination and transperineal ultrasound revealed a perineal defect involving the external and internal anal sphincter. The patient was managed with sphincteroplasty and perineorrhaphy. Postoperative care included cleansing, catheterization, and medications, along with dietary modifications. Result: The patient’s Wexner score of 14 indicated moderate to severe fecal incontinence. After surgical management, the patient experienced improved control over bowel movements and enhanced quality of life. Conclusion: Vaginal lacerations can cause severe injuries to the perineal body and anal sphincters. Early identification and appropriate surgical intervention, such as sphincteroplasty and perineorrhaphy, are essential in improving outcomes and restoring quality of life in patients with obstetric anal sphincter injuries. Keywords: Obstetric anal sphincter injury, fecal incontinence, sphincteroplasty, perineorrhaphy, perineal rupture

Association Between Mode of Delivery and Incidence of Overactive Bladder (OAB) in Community Health Centers in Padang Diniy Miftahul Muthmainah; Utama, Bobby Indra; Yetti, Husna
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.63-73.2025

Background: Overactive bladder (OAB) is a syndrome characterized by unstable bladder contractions and significantly impacts the quality of life. Risk factors such as age, pregnancy, and childbirth are often associated with lower urinary tract symptoms. While national epidemiological data on OAB in Indonesia is unavailable, a small study at a public health center in Padang revealed a high prevalence of OAB among pregnant women (97.14%). This study aims to analyze the association between mode of delivery and the incidence of OAB. Method: This study employed a cross-sectional design conducted at community health centers in Padang. Data were collected through structured interviews and medical records. The inclusion criteria were women aged 20–45 years who had experienced at least one delivery. OAB was assessed using the Overactive Bladder Symptom Score (OABSS). Statistical analysis was performed to determine the association between delivery methods (vaginal or cesarean) and the incidence of OAB. Result: Out of the total participants, 65.4% reported OAB symptoms. The incidence was significantly higher in women with a history of vaginal delivery compared to those with cesarean delivery (p < 0.05). Furthermore, age and parity were found to be contributing factors to OAB symptoms. Discussion: The findings suggest that the mode of delivery is associated with the incidence of OAB, with vaginal delivery posing a higher risk. These results underscore the importance of counseling pregnant women about potential long-term urinary health outcomes associated with childbirth techniques. Further studies with larger samples and more diverse populations are recommended to validate these findings. Keywords: overactive bladder, vaginal delivery, caesarean section

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