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Relationship between Physical Activity of Pregnant Women in the Third Trimester of Pregnancy with Preterm Birth Using Kaiser Physical Activity Survey (KPAS) Questionnaire Adjie, JM Seno; Maharani, AA Rai D
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To examine the relationship between the intensity of physical activity of pregnant women with preterm birth and to know the relationship between types of physical activity of pregnant women with preterm birth. Method: This research was a case control study that was  conducted at Dr. Cipto Magunkusumo Hospital and Karawang Hospital in January 2017 to June 2017 with  KPAS questionnaire  which was divided into two groups, preterm birth  and  term birth. The sample size was 127 subjects for each group. The analysis was done by multivariate analysis of etiologic concept. Result: In term birth, the most frequent physical activity intensities were: moderate intensity (64.6%, n = 82), light intensity (22%, n = 28), and vigorous intensity (13.4%, n = 17). In preterm birth, the most frequent physical activity intensities were: light intensity  (40.1%, n = 51), vigorous  intensity (33.9%, n = 43), and moderate intensity (26%, n = 33). Adjusted OR of preterm birth in light  intensity versus moderate intensity was  OR 5.32 (95% CI, 2.80-10.13;P = < 0.001). While adjusted OR of preterm birth in vigorous intensity  compared with moderate intensity was  OR 6.29 (95% CI, 3.28- 13.46;P = < 0.001). Work and sport have a significant association with preterm birth  with OR 3.19 (95% CI, 1.62 - 6.28;P = 0.001) and OR 1.85 (95% CI,1.11 - 3.09; P= 0.017). Occupational conditions are also associated with preterm birth, including: weight lifting with OR 5.16 (95% CI, 1.10-24.08, P = 0.021), walking with OR 3.57 (95% CI, 1.61-7.92, P = 0.001), sitting with OR 2.79 (95% CI, 1.23-6.31, P =  0.011), and standing with OR 3.04 (95% CI, 1.40-6.59; P = 0.003). Conclusion: There is a significant relationship between the intensity of physical activity and  type of physical activity in pregnant women with preterm birth. Keywords: intensity of physical activity, KPAS, physical activity, preterm labor   Abstrak Tujuan: Mengetahui hubungan antara intensitas aktivitas fisik perempuan hamil dengan persalinan prematur dan mengetahui hubungan antara jenis aktivitas fisik perempuan hamil dengan persalinan prematur. Metode: Penelitian ini merupakan penelitian kasus kontrol yang dilakukan di RS Cipto Magunkusumo dan RS Karawang pada bulan Januari 2017 hingga Juni 2017 dengan kuesioner KPAS yang dikelompokkan menjadi dua, yaitu persalinan prematur dan persalinan cukup bulan. Jumlah sampel adalah 127 subjek untuk masing-masing kelompok. Analisis dilakukan dengan analisis  multivariat konsep etiologik. Hasil: Pada persalinan cukup bulan, secara berurutan intensitas aktivitas fisik yang paling banyak dilakukan, antara lain : intensitas sedang (64.6%, n= 82), intensitas ringan (22 %, n = 28), dan intensitas berat  (13.4 %, n = 17). Pada persalinan prematur, secara berurutan intensitas aktivitas fisik yang paling banyak dilakukan, antara lain : intensitas ringan (40.1 %, n = 51), intensitas berat (33.9 %, n = 43), dan intensitas sedang  (26 %, n = 33).  Hubungan antara intensitas aktivitas fisik ringan dibandingkan intensitas sedang untuk persalinan prematur memiliki OR 5.32 (IK 95% 2.80-10.13;P = < 0.001). Sedangkan  hubungan antara intensitas aktivitas fisik berat dibandingkan intensitas sedang untuk persalinan prematur memiliki OR 6.29 (IK 95% 3.28- 13.46;p = < 0.001). Pekerjaan dan olahraga memiliki hubungan bermakna dengan persalinan prematur dengan OR 3.19 (IK 95% 1,62 – 6.28;p = 0.001) dan OR 1.85 (IK 95% 1.11 – 3.09;p= 0.017). Kondisi pekerjaan juga berhubungan dengan persalinan prematur, antara lain : angkat berat (OR 5.16; IK 95% 1.10-24.08; p = 0.021), berjalan (OR 3.57;IK 95% 1.61-7.92;p = 0.001), duduk (OR 2.79;IK 95% 1.23-6.31; p = 0.011 ), dan berdiri (OR 3.04 ;IK 95% 1.40-6.59;p = 0.003).

Vaginal Delivery in Placental Abruption Adjie, JM Seno; Ghazali, M Farid; Khusen, Denny
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

    Objective: To describe the case of vaginal delivery in placental abruption.   Methods: A case report   Results: In the case of placental abruption, we could perform vaginal delivery.   Conclusion: The treatment of placental abruption can be vaginally or by cesarean section depending on the severity of disease, gestational age, and state of the mother and fetus. Keywords: IUFD, placental abruption, vaginal delivery

Preterm Labor and the Associated Factors Adjie, Seno; Meily, Meily; Permatasari, Ranti P
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the risk factors that affect preterm labor in Dr. Cipto Mangunkusumo Hospital. Methods: This was an analytic descriptive study done in Emergency Unit of Dr. Cipto Mangunkusumo Hospital from July to December 2014. We recruited all women who gave birth in Emergency Unit of Dr. Cipto Mangunkusumo Hospital from July to December 2014 with gestational age less than 37 weeks. Of the total sampling method, we got 365 patients. We analyzed the data using chi square. Results: The characteristic age of subjects were 14.0% of less than 20 years old, 69.0% of 21-35 years old, and the rest were more than 35 years old. Most subjects (93.1%) were employed, 94.5% were married once, 62.3% of subjects had cesarean section history, 73.7% were primiparous, only 4.4% had history more than 1 abortion, and most of them were at 33-36 weeks of gestation. Socio-demographic factor associated with preterm labor and Preterm Premature Rupture of Membrane (PPROM) was age (p=0.011; OR 1.74; 95% CI 1.136-2.679). Obstetric history associated with preterm labor and PPROM was parity (p=0.017; OR 1.78; 95% CI 1.132-2.878). Conclusion: In this study, age and parity are associated with preterm labor and PPROM. [Indones J Obstet Gynecol 2017; 5-1: 3-7] Keywords: obstetric history, parity, PPROM, preterm labor, socio-demographic factors

Assistance Influence on Labor Pain Level Seno Adjie, JM; Putri, Ruth WR
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 1, January 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To assess assistance influence on labor pain level. Method: This study was a randomized-clinical, unmasked trial with concealment by measuring labor pain level in two patients group: with and without assistance during labor; each group consisted of 36 subjects. Pain intensity were measured using Faces Pain Rating Scale. Mann-Whitney analysis was done to assess significance of pain level between two groups. Result: Majority of patient who were in non-assisted group had very painful score 50% with mean of VAS 7.38±2.12, meanwhile most of assisted group complained painful score 44.44%, with mean of VAS 6.11±1.90. Conclusion: There was significance level of painful score between non-assisted and assisted subjects x(p

The Characteristics of Preeclampsia with Severe Features Adjie, JM Seno; Lisnan, Fredy; Sutandar, Yosep
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To describe the characteristics of preeclampsia with severe features and their risk factors. Method: This study was a retrospective medical record review of demographic characteristics, obstetric and medical data of preeclampsia with severe features in Dr. Cipto Mangunkusumo Hospital from July to December 2014. Result: There were 1,013 deliveries which 183 patients of them were diagnosed as preeclampsia with severe features (18.06%). The study showed 67.76% were 20 - 35 years old, most of them were multiparity, and 41.53% were preterm labor with 28 - 336 weeks of gestation then followed by 24.59% were 34 - 366 weeks’ gestation. Majorities of preeclampsia with severe features patients were without complication either to the mother or the baby. There were 1 case of maternal mortality and 15 cases of intra uterine fetal death (IUFD). There were 73.77% cases delivering by cesarean section. The complication of the mother in preeclampsia with severe features was related significantly to the complication in baby, such as preterm delivery. Besides, women’s age and parity had significant relationship with baby complication. Conclusion: There is association of complication in preeclampsia with severe features women with baby, namely preterm delivery. Besides, women’s age and parity is related to complication of baby. Keywords: complication, preeclampsia, risk factors

The Impact of Educational Intervention of HighRisk Pregnancy and HighRisk Childbirth on Knowledge, Attitude, and Behavior in Recognizing Danger Signs in Pregnancy: A Single Blind Clinical Trial Adjie, JM Seno; Malik, Devi M
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 2, April 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To assess the impact of additional educational interventions given to pregnant women in identifying high-risk pregnancy and high-risk childbirth by measuring changes in knowledge, attitudes and behaviors in the pregnancy and after childbirth. Methods: This study was a single blind clinical trial conducted at obstetrics out-patient clinic of Dr. Cipto Mangunkusumo Hospital, Jakarta. Total sample were 52 responders, for the 26 responders to the control group and 26 responders to the intervention group. The research instrument was a questionnaire form, which include knowledge, attitude and behaviour of a number of 48 questions. Analysis was performed using SPSS 20 with bivariate analysis. Results: We did not found significant differences in a range of age (30.65  29.38 with 1.20  0.75), education (both groups showed a high level of education) and employment for both groups. We found significant differences on knowledge, behaviour (p = 0.001 and = 0.042, respectively) on the first antenatal care compared with after childbirth. Conclusion: The educational intervention gives significant impact in attitude and behaviour. [Indones J Obstet Gynecol 2017; 5-2: 69-72] Keywords: attitude, behaviour, educational intervention, knowledge

The Characteristics of Preeclampsia with Severe Features JM Seno Adjie; Fredy Lisnan; Yosep Sutandar
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To describe the characteristics of preeclampsia with severe features and their risk factors. Method: This study was a retrospective medical record review of demographic characteristics, obstetric and medical data of preeclampsia with severe features in Dr. Cipto Mangunkusumo Hospital from July to December 2014. Result: There were 1,013 deliveries which 183 patients of them were diagnosed as preeclampsia with severe features (18.06%). The study showed 67.76% were 20 - 35 years old, most of them were multiparity, and 41.53% were preterm labor with 28 - 336 weeks of gestation then followed by 24.59% were 34 - 366 weeksâ€™ gestation. Majorities of preeclampsia with severe features patients were without complication either to the mother or the baby. There were 1 case of maternal mortality and 15 cases of intra uterine fetal death (IUFD). There were 73.77% cases delivering by cesarean section. The complication of the mother in preeclampsia with severe features was related significantly to the complication in baby, such as preterm delivery. Besides, womenâ€™s age and parity had significant relationship with baby complication. Conclusion: There is association of complication in preeclampsia with severe features women with baby, namely preterm delivery. Besides, womenâ€™s age and parity is related to complication of baby. Keywords: complication, preeclampsia, risk factors

Manual Vacuum Aspiration versus Sharp Curettage for Incomplete Abortion: Which One is Better? Aspirasi Vakum Manual dibandingkan dengan Kuret Tajam untuk Abortus Inkomplit: Mana yang Lebih Baik? JM Seno Adjie; Erik J Triyadi
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To acknowledge the effectiveness and safety of MVA compare with SC in management of incomplete abortion below 12 weeks of gestation which compare time to perform procedure, rates of evacuation and infection one week after procedure, and complication during MVA and SC procedure Methods: A prospective study with 62 subjects with complain incomplete abortion came to ER at RSCM, RS Fatmawati and RS Karawang, divided into 31 subjects on MVA group and 31 subjects on SC group. The data was documented on the time of MVA procedure compare to SC, clinical findings on complication during procedure, completed evacuation and infection symptoms one week after procedure. Results: Sixty two subjects (31 each group) with average time of procedure was 17,65 Â± 4,128 minutes and SC was 22,26 Â± 4,611 minutes with p = 0,00 and 95% CI; -4,513(-6,837 to -2,389 with significant statistically difference. The comparison of completed evacuation one week after procedure was 3,2% (n = 1) on MVA and 6,5% (n = 2) on SC with clinical findings, and p = 0,554, RR = 1,034 and 95% CI 0,924 â€“ 1,158 with no statistically difference. On the other comparison, we didnâ€™t find any infection symptoms one week after procedure and complication during procedure on both of procedures. Conclusion: MVA has more effective than SC on the time of procedure in incomplete abortion with below 12 weeks of gestation. MVA has superiority from completed evacuation but no statistically difference and has equal safety to SC on clinical infection symptoms and complication during procedure. Keywords: Manual Vacuum Aspiration (MVA), sharp curettage (SC), incomplete abortion. Tujuan:Mengetahuiefektifitasdankeamanandari AVM dibandingkan dengan kuret tajam pada penanganan abortusin komplit dibawah usia kehamilan 12 minggu dengan melihatdari lama tindakan, proporsi tingkat kebersihan evakuasi sisa konsepsi 1 minggu pasca tindakan, proporsigejala â€“ gejalainfeksi 1 minggu pasca tindakan dan proporsi komplikasi pada saat tindakan AVM dan kuret tajam. Metode:Penelitian ini merupakan penelitian kohort prospektif (observasional) dengan jumlah sampel 62 subjek yang berkunjung dengan abortusin komplit ke UGD RSCM, RS Fatmawati dan RSUD Karawang terbagi dalam 31 subjek pada kelompok prosedur AVM dan 31 subjek pada kelompok prosedur kuret tajam. Data dikumpulkanmelaluipencatatanwaktu lama prosedur AVM dibandingkankurettajam, pemeriksaan klinis komplikasi selama prosedur berlangsung, pemeriksaan klinis kebersihan sisa konspesi 1 minggu pasca tindakan dan gejala â€“ gejala infeksi 1 minggu pasca tindakan. Hasil:Sebanyak 62 subjek (masing â€“ masing 31 subjek), dimana didapatkan rerata dan simpang baku prosedur AVM 17,65 Â± 4,128 menit dan kuret tajam 22,26 Â± 4,611 menit dengan p = 0,00 dan IK 95% -4,513(-6,837 s/d -2,389), bermakna secara statistik. Pada perbandingan proporsi tingkat kebersihan evakuasi sisa konsepsi 1 minggu pasca tindakan didapatkan pada AVM 3,2% (n = 1) dan pada kuret tajam 6,5% (n = 2) terdapat sisa konsepsi dengan penilaian klinis, p = 0,554, RR = 1,034 dan IK95% 0,924 â€“ 1,158 tidak memiliki perbedaan bermakna secara statistik. Pada perbandingan lainnya, tidak ditemukan gejala â€“ gejala infeksi 1 minggu pasca prosedur dan komplikasi selama prosedur berlangsung pada prosedur AVM dan kuret tajam. Kesimpulan:.AVM juga memiliki keunggulan dalam kebersihan sisa konsepsi namun tidak bermakna secara statitik dan memiliki keamanan yang setara dengan kuret tajam dari tingkat gejala infeksi dan komplikasi selama prosedur. Kata kunci :Aspirasi Vakum Manual (AVM), kuret tajam, abortusin komplit

Blood Pressure Elevation Timing Following Hysterectomy Kartiwa Hadi Nuryanto; Kanadi Sumapraja; Marcel Elian Suwito; Eka Rusdianto Gunardi; Seno Adjie; Tofan Widya Utami
Indonesian Journal of Cancer Vol 16, No 3 (2022): September
Publisher : National Cancer Center - Dharmais Cancer Hospital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v16i3.901

Background: Hysterectomy is the most common non-obstetric surgery in adult, reproductive-age women. Hysterectomy with or without ovarian conservation is known to increase the risk of cardiovascular disease. However, only a few studies regarding its immediate and short-term effects on hypertension are available. This study aimed to determine changes in blood pressure after a hysterectomy procedure.Methods: This study is a prospective cohort study of patients who underwent a total hysterectomy procedure with or without ovarian conservation at Cipto Mangunkusumo Hospital, Indonesia, from July 2018 to July 2020. Samples were grouped into patients with total hysterectomy only or hysterectomy with ovarian conservation (HT/HTSOU) and bilateral salpingo-oophorectomy hysterectomy (HTSOB). Statistical analysis was done using paired t-test and Wilcoxon test. Results: There were 80 patients included in this study (40 for each group). A significant increase in all blood pressure components occurred at 12 months after the HT/HTSOU and HTSOB procedures (p < 0.05). After six months of the HTSOB procedure, the increase in blood pressure components only occurred in systolic blood pressure and mean arterial pressure (MAP) (p < 0.05).Conclusions: There was a significant increase in all blood pressure components in the HT/HTSOU and HTSOB group at 12 months following hysterectomy while there was a significant increase in systolic blood pressure and MAP in the HTSOB group at 6 months following hysterectomy.

Qualitative Study on Maternal and Perinatal Health Services in Primary Health Care Facility in Banten Province: Kajian Mutu Pelayanan Kesehatan Maternal Perinatal Fasilitas Kesehatan Tingkat Primer di Provinsi Banten Omo Abdul Madjid; Simon Fongana; Dwiana Ocviyanti; Junita Indarti; Seno Adjie; IPG Kayika; Arietta Pusponegoro; Siti R. F. Harun
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 2 April 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i2.1892

Objective: To determine the effect of clinical governance in PHCs on maternal and perinatal health in Banten Province, Indonesia.Methods: This was an observational analytic study with cross sectional method performed on the PHCs on Banten Province, Indonesia. All PHCs in Banten Province having maternal and perinatal health services were included in the study. Clinical governance and services were measured using a self-made questionnaire filled by the representative of the PHC. Characteristics analyzed in this study were age, education level, completed training, and occupation. Clinical governance aspects analyzed in this study were leadership, culture, competence, governance, and readiness. The services analyzed in this study were antenatal, pathology, and emergency service. Results: There were 117 PHC representatives who were recruited to the study. The PHC which were categorized as “outstanding” for leadership, culture, competence, governance, and readiness were 23.1%, 41%, 98%, 81.2%, and 83.8%, respectively. The PHC which were categorized as having “good” antenatal, pathology, and emergency services were 92.3%, 51.3%, and 90.6%, respectively. The PHCs with better clinical governance aspects delivered better antenatal, pathology, and emergency services for maternal and perinatal care.Conclusions: Primary health cares with better clinical governance aspects delivered better antenatal, pathology, and emergency services for maternal and perinatal care. Therefore, improving clinical governance is essential to improve maternal and perinatal health services quality in Banten Province, IndonesiaKeywords: clinical governance, health service, maternal health, quality assurance.AbstrakTujuan: Untuk mengetahui pengaruh tata kelola klinik di Puskesmas terhadap kesehatan ibu dan perinatal di Provinsi Banten, Indonesia.Metode: Penelitian observasional analitik dengan metode potong lintang yang dilakukan di Puskesmas di Provinsi Banten, Indonesia. Semua Puskesmas di Provinsi Banten yang memiliki layanan kesehatan ibu dan perinatal diikutsertakan dalam penelitian ini. Tata kelola dan layanan klinis diukur menggunakan kuesioner buatan sendiri yang diisi oleh perwakilan Puskesmas. Karakteristik yang dianalisis dalam penelitian ini adalah usia, tingkat pendidikan, pelatihan yang diselesaikan, dan pekerjaan. Aspek tata kelola klinis yang dianalisis dalam penelitian ini adalah kepemimpinan, budaya, kompetensi, tata kelola, dan kesiapan. Pelayanan yang dianalisis dalam penelitian ini adalah pelayanan antenatal, patologi, dan gawat darurat.Hasil: Terdapat 117 perwakilan Puskesmas yang direkrut untuk penelitian. Puskesmas yang dikategorikan “sangat baik” untuk kepemimpinan, budaya, kompetensi, tata kelola, dan kesiapan masing-masing adalah 23,1%, 41%, 98%, 81,2%, dan 83,8%. Puskesmas yang memiliki pelayanan antenatal, patologi, dan gawat darurat yang tergolong “baik” berturut-turut adalah 92,3%, 51,3%, dan 90,6%. Puskesmas dengan aspek tata kelola klinis yang lebih baik memberikan layanan antenatal, patologi, dan darurat yang lebih baik untuk perawatan ibu dan perinatal.Kesimpulan: Pelayanan kesehatan primer dengan aspek tata kelola klinis yang lebih baik menghasilkan pelayanan antenatal, patologi, dan kegawatdaruratan yang lebih baik untuk pelayanan ibu dan perinatal. Oleh karena itu, peningkatan tata kelola klinis sangat penting untuk meningkatkan kualitas pelayanan kesehatan maternal dan perinatal di Provinsi Banten, IndonesiaKata kunci: kesehatan ibu, pelayanan kesehatan, penjaminan mutu, tata kelola klinik.

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