Article Per Year (5 Year)
p-Index From 2020 - 2025
3.689
P-Index
This Author published in this journals
All Journal Indonesian Journal of Human Nutrition Indonesian Journal of Obstetrics & Gynecology Science Amerta Nutrition Andalas obstetrics and gynecology journal JOURNAL LA MEDIHEALTICO Jurnal Riset Kebidanan Indonesia Women Midwives and Midwifery
Utama, Bobby Indra
Unknown Affiliation
Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

Published : 30 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 30 Documents
Search

 1   2   3 
Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA): Case report Utama, Bobby Indra; Reinaldo, Poldo; Sari, Puspita
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.173-178.2022

Abstract

Background: Hemivaginal obstruction syndrome and ipsilateral renal anomalies are known as Herlyn-Werner-Wunderlich syndrome (HWWs) or better known by the acronym OHVIRA (Obstructed Hemivagina and Ipsilasteral Renal Anomaly). It occurs as a result of complete failure of the Müllerian ducts to fuse and accounts for about 5% of Müllerian duct anomalies. Initial manifestations usually appear as a result of secretions accumulating within the hemivaginal obstruction. Patients with HWWs can come with complaints of lower abdominal pain, severe dysmenorrhea, pelvic or vaginal mass, abnormal vaginal discharge, acute urinary retention, fever or vomiting. Therefore, careful diagnosis and appropriate management of this condition is desirable. The objective of the study was to report on the management of the obstruction due to HWWs. Case Report: A 12-year-old patient was admitted to the gynecology ward of Dr. M. Djamil Central General Hospital from polyclinic with abdominal pain since 4 months before being admitted to the hospital. The pain gets worse every day before menstruation and decreases when given painkillers. Bleeding from the vagina often recurs with blackish color, a little smelly since the 1 month ago. Conclusion: OHVIRA syndrome is a triad characterized by hemivaginal obstruction and agenesis of the ipsilateral kidney (OHVIRA) and uterus in the delphys. Clinical symptoms in general are cyclic dysmenorrhea, palpable mass due to accumulation of menstrual flow, and severe pelvic pain which can later develop into a persistent form as a result of prolonged retention of menstrual secretions, obstructed hemivagina. Management options are surgical resection of the obstructed vaginal septum and drainage.
Pengaruh Kadar Vitamin D dan Tumor Necrosis Factor Alpha terhadap Kehamilan Normal Trimester 1 dan Abortus Spontan Prastiwi, Olivia Oktaviani; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.391-404.2023

Abstract

Latar Belakang: Abortus masih merupakan masalah besar dalam pelayanan obstetri karena merupakan salah satu penyebab kematian ibu dan janin sampai saat ini. Kekurangan vitamin D mempengaruhi kehamilan dan dapat berdampak terhadap risiko komplikasi pada ibu hamil dan pada pertumbuhan janin. Tumor necrosis factor-alpha (TNF-α) adalah sitokin Th1 multifungsi dan sangat penting untuk kontrol awal kejadian abortus. Tujuan penelitian ini melihat apakah terdapat perbedaan kadar vitamin D, dan TNF-α pada pasien kehamilan normal trimester 1 dan pasien dengan kejadian abortus.Metode: Desain penelitian adalah potong-lintang. Penelitian ini dilakukan pada Maret 2022 hingga selesai penelitian di Poliklinik Obstetri dan Ginekologi, PONEK RSUP Dr. M. Djamil Padang, Rumah Sakit Universitas Andalas, Rumah Sakit dr. Reksodiwiryo Padang, RSUD M Zein Painan, RSUD Pariaman untuk pengambilan sampel darah. Pemeriksaan kadar 1,25 dihidroksi vitamin D3, TNF-α serum maternal dilakukan di Laboratorium Biomedik Universitas Andalas Padang. Sampel penelitian ini adalah seluruh ibu hamil trimester 1 dan ibu dengan abortus berjumlah 44 orang. Teknik pengambilan sampel dengan consecutive sampling. Analisis data univariat dan bivariat dengan menggunakan uji T-independen (p<0,05) pada taraf signifikansi dan uji Mann-whitney berdasarkan distribusi data. Hasil: primipara lebih banyak pada kehamilan normal yaitu 19 orang (86,4%) dan abortus paritas multipara lebih banyak yaitu 12 orang (54,5%). Rerata kadar serum 1,25 dihidroksi vitamin D3 sebesar 52,81 ng/ml dan rerata kadar TNF-α sebesar 351,07 ng/ml. Terdapat perbedaan bermakna pada kadar 1,25 dihidroksi vitamin D3 antara kehamilan normal dengan kehamilan abortus dengan p value 0,047. Perbedaan kadar TNF-α antara abortus dan kehamilan normal didapatkan p value 0,108.Kesimpulan: Terdapat perbedaan bermakna pada kadar vitamin D antara kehamilan normal dengan kehamilan abortus. Tidak terdapat perbedaan bermakna pada kadar TNF-α antara kehamilan abortus dengan kehamilan normal.
Skene Duct Cyst in Childhood: A Case Report Kusuma, Agung Wijaya; Utama, Bobby Indra; Sari, Yulia Margaretta
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.446-452.2023

Abstract

Introduction. Vaginal cysts are uncommon and may be either congenital or acquired. the most common vaginal cysts is a urothelial cyst or a paraurethral cyst. With an incidence of 1 in every 2000–7000 live births, paraurethral cysts are an uncommon cause of interlabial mass in newborns and account for less than 0.5 per cent of all congenital urinary system anomalies. Study Purpose. This report describes a rare Vaginal cyst in a child at the posterior vaginal wall.. Results.this is a case report study about a girl 1-year-8-months old with vaginal cyst since the age of 2 months. Physical examination and ultrasound finding revealed a cystic mass size 3x3x1 cm in posterolateral of the right vaginal wall extended to right periurethral. Management of this case was extirpation of the vaginal cyst.Conclusion. A vaginal cyst is an uncommon case in a child. Vaginal cysts have several possible etiologies, such as possibly embryological origin, ectopic inclusion tissue or possibly due to urological abnormalities. Diagnosis requires a thorough understanding of diagnostic possibilities and a systematic evaluation. This patient has been treated with surgical excision due to a high success rate.
Hematometra Ec Stenosis Of The Cervix Of The Uterus: A Case Report Sari, Yenny Mayang; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.460-466.2023

Abstract

Background : Cervical stenosis has been defined as a narrowing of the endocervical canal preventing passage of a 2.5-mm Hegar or Pratt dilator. Stenosis of the external cervical os has been described as an external os diameter of less than 4.5mm. Symptoms of cervical stenosis are dependent on the degree of endocervical canal obstruction and the patient's menopausal status. Those patients with severe or complete obstruction of the endocervical canal can experience hematometra with scant or sporadic menstrual flow, amenorrhea, dysmenorrhea, chronic pelvic pain, and infertility.Case Report : A 16-year-old woman was consulted from Pediatric with cervix stenosis with haematometra wich had been noticed since a month ago. Menarche at the age 13 years, regular and slightly pain menstruation every month. The result of MRI examination represented bilateral hematometra and hematocolpos ec suspected cervical stenosis. The management of this case was cervical dilatation and cervical tube installation. Conclusion : Cervical stenosis is a caused of menstrual complaint which is characterized by slightly pain while menstruation, hematometra and hematocolpos. 
Mayer Rokitansky Kuster Hauser Syndrome Perdana Kusuma, Arga Kafi; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.488-494.2023

Abstract

Mayer Rokitansky Küster Hauser syndrome (MRKH) is a syndrome characterized by uterine, cervix, and the two third of upper vagina aplasia which is the cause of incomplete development of the Müllerian duct. Reported a case of woman 28 years old, patient has not menstruated until now. The phenotype of the patient appears to be female, and with normal stature. Breast, axilla dan pubic hair distribution, fatty in buttocks and thigh developed normally. Fallopian tubes, uterine and 2/3 upper part of vagina were not formed. On gynecological clinical examination, found vaginal introitus with a vaginal sonde was 2 cm. On abdominal ultrasound examination, the uterus was seen as a line, right ovary measuring 2.93 x 2.59 cm and left ovary measuring 2.52 x 2.28 cm. The patient then underwent a diagnostic laparoscopic procedure, and found both right and left ovaries within normal limits, intact tubes, but no uterus was visible. Patient are planned for vaginoplasty.
Differences of Fibronectin Levels in First Trimester Normal Pregnency and Miscarriage Fadhilah, Maisarah; Utama, Bobby Indra; Tofrizal, Tofrizal
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.648-653.2024

Abstract

Introduction: Miscarriage is a reflection of the low quality of health in pregnant women. The incidence of miscarriage in the world accounts for 23 million (15%) of the 130 million births per year and up to 80% of miscarriages occur in the first trimester of pregnancy. Miscarriage will affect a woman's social, physical, and psychological. The complexity of the negative impact of miscarriage makes it necessary to pay special attention. Biomarker examination is needed to more accurately identify pregnancies at risk of miscarriage before the appearance of clinical symptoms. The use of fetal fibronectin (fFN) levels have been used as a marker of unexpected labor and as evidence of premature rupture of the fetal membranes. Normally fFN can be detected in cervical and vaginal secretions at <20 weeks gestation. The presence of fFN at >22 weeks gestation indicates disruption of the uteroplacental surface. Therefore, if screening for fibronectin levels using the Enzyme-Linked Immunosorbent Assay (ELISA) test can be carried out in the first trimester of pregnancy, there is a high possibility that miscarriage can be prevented.Method: The type of research is analytical observational research with a cross-sectional research design. The stored samples were examined for fibronectin levels using the ELISA test, which included 21 blood serum samples from normal pregnancy patients in the first trimester and 21 miscarriage samples.Results: The results of the ELISA test produced an average first-trimester normal pregnancy fibronectin level of 118.8 ± 18.4 ng/mL while the miscarriage fibronectin level was 208.2 ± 152.0 ng/mL. Data analysis using the Mann-Whitney test obtained a p-value = 0.138, which means there was no significant difference in fibronectin levels between normal pregnancy in the first trimester and miscarriage.Conclusion: This study concludes that fibronectin levels are not specific biomarkers in detecting miscarriage in the first trimester of pregnancy.
The Relationship of The Incident o Metabolic Syndrome and Overactive Bladder in Female Patients at DR. M. Djamil Padang in 2023 Anggra Pramana; Utama, Bobby Indra; Yetti, Husna
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.538-547.2024

Abstract

Overactive Bladder (OAB) is a chronic medical condition that has a negative impact on an individual's health and quality of life. Cardiovascular problems are considered to be one of the risks associated with OAB where one of the higher cardiovascular parameters is metabolik syndrome. Aim to determine the relationship between  metabolik syndrome and Overactive Bladder in female patients at Dr. M. Djamil Hospital Padang. Quantitative research with a case control design using a questionnaire according to the Overactive Bladder Symptom Score (OABSS) and examination based on metabolik syndrome symptoms. The research was conducted at Dr. M. Djamil Hospital Padang in November 2022 to September 2023. There were 60 respondents who were divided into the OAB (28/60) and no-OAB group (32/60). Most respondents were aged 50-59 years (45,0%), graduated from high school (53.3%), worked as housewives (76.7%) and had diabetes mellitus (78,3%). In this study it was also found that 48,3% of respondents suffered from hypertension and 45.0% suffered from obesity. A total of 46.7% of respondents experienced OAB symptoms with a higher percentage of OAB found in the metabolik syndrome group (76,7%) than no-metabolik syndrome group (16.7%). Bivariate analysis found a relationship between metabolik syndrome and overactive bladder symptoms (p = 0.000) with metabolik syndrome affected the incidence of overactive bladder by 16.4 times (OR 16.42, (CI 95% 4.56-59.07). There is a relationship between metabolik syndrome and the incidence of OAB.
Factors Affecting the Age of Menopause in Padang City in 2023 Bennovry, Rizky Rivonda; SA, Syahredi; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.525-537.2024

Abstract

Menopause is characterized by a consecutive period of amenorrhea lasting 12 months without any underlying causes or surgical interventions. The age at which menopause occurs can be influenced by various factors, including menarche, number of childbirths, body mass index, and the utilization of hormonal contraceptives. This study aims to determine the factors that influence the incidence of menopause in Padang. This study is an analytical research with a cross-sectional study design. The research was conducted in the working areas of all primary public health centers in Padang from Januari 2023 to September 2023. The sample consisted of middle-aged women who visited the working areas of all primary public health centers during the study period. This study is using a questionnaire as the research instrument and employing the simple random sampling technique to obtain a sample size of 124 participants. The data analysis was conducted using the Chi- Square test, and utilize the statistical software SPSS. A significant relationship between variables was defined if the p-value < 0.05. The results of this study revealed that the majority of respondents experienced early menarche (36.3%), had multiparous pregnancies (33.9%), had underweight body mass index (33.1%), used hormonal contraceptives (52.4%), and experienced late menopause (40.3%). The analysis showed a significant relationship (p<0.05) between the age of menarche (p=0.036) and parity (p=0.002) with the occurrence of menopause. However, there was no significant relationship (p>0.05) between body mass index (p=0.141) and history of contraceptive use (p=0.069) with the occurrence of menopause. This study found a significant relationship between the age of menarche and parity with the occurrence of menopause, while there was no significant relationship between body mass index and history of contraceptive use with the occurrence of menopause among middle-aged women visiting the primary public health center areas in Padang.
Comparison of Microbiota in Threatened Preterm Labor and Normal Pregnancy at RSUP DR.M. Djamil Padang Ryfki SA, Muhammad; Yanti, Roza Sri; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.548-559.2024

Abstract

One of the threats in pregnancy is threatened preterm labor. Several studies show that the composition of the microbiota in the vagina of premature births and normal pregnancies is different. This study aims to determine the comparison of microbiota in pregnancies with premature parturition and normal pregnancies at Dr M Djamil General Hospital, Padang. This research is an analytical observational study with a case–control study design conducted at the Department/SMF of Obstetrics and Gynecology, RSUP Dr. M. Djamil Padang from July – September 2023. The study population in this research were all pregnant women with a gestational age of 20-37 weeks who were diagnosed with imminens preterm labor and normal pregnant women with a gestational age of 20-37 weeks who received antenatal care at RSUP Dr. M. Djamil Padang. Respondents had vaginal swabs taken for microbiological culture at the Biomedical Laboratory, Andalas University, Padang. There were 33 respondents each in the imminence premature birth and normal pregnancy groups. Vaginal swab results showed that the most common microorganism found in normal pregnancy was Lactobacilus sp. (73%) while in threatened preterm labor Staphylococcus aureus (37%), Staphylococcus epidermidis (27%) and E.coli (15%) were more commonly found with only a small proportion of Lactobacilus sp (12%). Chi square analysis showed a significant difference between the vaginal microbiota of normal pregnant women and pregnant women with PPI. The conclusion of this study is that there is an increase in Staphylococcus aureus, Staphylococcus epidermidis and E.coli in pregnant women on PPI with a decrease in the number of normal flora, namely Lactobacilus spp.
The Implementation of Antenatal Classes: A Scoping Review Oktarina, Mika; Sulastri, Delmi; Utama, Bobby Indra; Firdawati, Firdawati
Women, Midwives and Midwifery Vol. 5 No. 3 (2025): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.5.3.40-52.2025

Abstract

Background: Antenatal classes serve as a learning platform for pregnant women regarding pregnancy and childbirth preparation. This literature review aims to map the literature and evidence-based practices related to antenatal class implementation. Purpose:  This  scoping  review  aims to assess the implementation of Antenatal Classes. Methods: This study adopts a literature review design. Initial searches for journal articles were conducted on the PubMed, ScienceDirect, and Google Scholar databases from 2019 to 2024. The study identified 78 articles, of which only six journal articles met the inclusion criteria. Literature review procedures: collecting library data, reading, and note-taking, as well as critically assessing research materials. Results: According to the literature review, the implementation of antenatal classes yields numerous benefits, reducing stress and anxiety symptoms for both pregnant women and their partners in facing pregnancy and childbirth. Providing comprehensive and continuous material can enhance pregnant women's knowledge, attitudes, and behavior changes in preventing complications. Conclusion: Antenatal classes benefit mothers in preparing for a healthy pregnancy, childbirth, breastfeeding, transitioning into motherhood, and enabling early detection. Support from husbands and families to attend antenatal classes can boost the mother's confidence. A research gap identified for future studies is the variation in facilitators (healthcare professionals) of antenatal classes between developed and developing countries. Interprofessional Collaboration (IPC) is implemented in developed countries by involving specialized doctors, midwives, and nutritionists as facilitators in antenatal class implementation.
Co-Authors . Widayat Andani Eka Putra Anggra Pramana Arif, Ichsan Arni Amir Arwan, Berriandi Bennovry, Rizky Rivonda Berliani, Hasvia Delmi Sulastri Desmawati Desmawati Dessy Arisanty Diniy Miftahul Muthmainah Ermawati Ermawati F, Fauzan Fadhilah, Maisarah Fajri, Ari Fuad Fajriati, Hifzhillah Ferry, Ferdinal Firdawati, Firdawati Gumilar, Rimbun Wahyu Hafni Bachtiar Hardisman Haviz Yuad Hindun Mila Hudzaifah Husna Yetti Ida Rahmah Burhan Kusuma, Agung Wijaya Laila Rahmi, Laila Marni, Herti Nelmi Silvia Nur Indrawaty Lipoeto Nurhayati Nurhayati Oktarina, Mika Perdana Kusuma, Arga Kafi Prastiwi, Olivia Oktaviani Puspita Sari Rahman, Andio Reinaldo, Poldo Roby Putrama Rossa, Fayola Ryfki SA, Muhammad SA, Syahredi Sari, Hasni Kemala Sari, Nur Purnama Sari, Yenny Mayang Sari, Yulia Margaretta Setiawan, Muhammad Rudi Sihaloho, Febri Theresia Tofrizal Ulfa Farrah Lisa, Ulfa Farrah Vella Amalia Yanti, Roza Sri