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All Journal International Journal of Public Health Science (IJPHS) Folia Medica Indonesiana Majalah Obstetri dan Ginekologi Health Notions Jurnal Ilmiah Universitas Batanghari Jambi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Public Health for Tropical and Coastal Region Amerta Nutrition Journal of Health Sciences Medical and Health Science Journal Biomolecular and Health Science Journal Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Jurnal Abdi Insani Jurnal Layanan Masyarakat (Journal of Public Service) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Indian Journal of Forensic Medicine & Toxicology INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Indonesian Journal of Cancer Lux Mensana: Journal of Scientific Health PASAI : Jurnal Pengabdian kepada Masyarakat

Eighty Mardiyan K, Eighty

Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran Universitas Airlangga, RSUD Dr. Soetomo, Surabaya

Author-ID : 2437923

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Characteristics of women with uterine prolapse at Dr. Soetomo Hospital, Surabaya, Indonesia Akhmad Risdianto; Hari Paraton; Gatut Hardianto; Eighty Mardiyan; Azami Denas; Tri Hastono
Majalah Obstetri dan Ginekologi Vol. 28 No. 2 (2020): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I22020.84-88

Objective: The aim of this study was to analyze the incidence, sociodemographic characteristic and risk factor patient with uterine prolaps in Dr. Soetomo Hospital period 2016.Materials and Methods: This study using observational descriptive study.Results: There were 41 subjects of this study with uterine prolaps. which is mostly on age 51-60 years old (37%). Uterine prolaps grade III was the frequent (29%). Uterine prolaps mostly happened in multiparity (93%) than primiparity (7%). All of the prolaps uterine patient giving birth by vaginal delivery. Uterine prolaps most commonly occures after menopause (80%). 28 patient (68%) with uterine prolaps underwent surgery.Conclusion: The incidence of uterine prolaps dramatically increase especially uterine prolaps grade III. Multiparity, vaginal delivery, and post menopausal were the main risk factor. This could be reduce the quality of life.

Trends in delivery mode occurring during the Covid-19 pandemic and risks in long-term urogynecology cases: A narrative review Eighty Mardiyan Kurniawati; Gatut Hardianto; Hari Paraton; Azami Denas Azinar; Tri Hastono Setyo Hadi; Nur Anisah Rahmawati
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.136-140

HIGHLIGHT 1. Trend of delivery types during Covid-19 pandemic and the risk of urogynecology cases, particularly sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence, was reviewed.2. Cesarean section was found higher than normal deliveries due to the consideration of possiblee exposure to the virus.3. Sexual dysfunction was found not to have relations to mode of delivery, but those with mode of delivery other than normal likely had dyspareunia at 18 months postpartum.4. The choice of method of delivery needs to be determined wisely by considering medical indications and the risk factors. ABSTRACTWomen's quality of life in the long term is also influenced by their reproductive health. Various diseases appear related to urogynecology cases such as sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence. The study reviews the trend of types of delivery during the pandemic and the risk of urogynecology cases, especially in the three cases. The narrative review study was conducted using the PubMed, Science Direct, and Google Scholar databases. The results showed that the percentage of cesarean section was higher than normal deliveries because of the view on the safety of exposure to the virus. Several studies have found that sexual dysfunction was not related to mode of delivery but women who delivered by emergency caesarean section, vacuum extraction, or caesarean section were more likely to report dyspareunia at 18 months postpartum but adjusted for maternal age and other confounders. Meanwhile, compared with spontaneous vaginal delivery, cesarean delivery with a protective effect or reduction of stress urinary incontinence, overactive bladder, and pelvic organ prolapse. There is a tendency to choose a certain pattern of delivery so that the choice of method needs to be chosen wisely and through medical indications and consider risk factors for long-term reproductive health problems.

Effect of Amniotic Membrane-Derived Mesenchymal Stem Cells on TNF-? Expression and Inflammatory Cells Infiltration during Vesicovaginal Fistule Repair Healing Process Eighty Mardiyan Kurniawati1, Agung Nur Rachman W1, Budi Santoso1, Harry Parathon1, Widjiati2, Fedik
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.3140

Background: Vesicovaginal fistula (VVF) causes high morbidity in women, affecting both physical and psychological condition. Until now, surgery is the mainstay treatment for this condition. However, prolonged exposure during inflammatory phase after surgery is still a problem in the healing process. TNF-? as potent pro-inflammatory cytokine plays an important role by attracting inflammatory cells to wound tissue. Amniotic membrane is the source for mesenchymal stem cells that had anti-inflammatory and imunomodulatory effect. This study aims to evaluate the effect of Amniotic Membrane-Derived Mesenchymal Stem Cells (AMMSC) on TNF-? expression and inflammatory cell infiltration during VVF repair healing process in New Zealand White (NZW) rabbit model. Method: This study was an experimental study with randomized posttest only control group design. Twentyseven NZW rabbit as VVF model was used in this study, randomly divided into 3 different treatment groups after underwent surgical treatment (no treatment <C group>, treated with freeze-dried amniotic membrane <T1 group>, and treated with freeze-dried amniotic membrane that seeded with AMMSC <T2 group>). Evaluation was done 7 days after treatment. TNF-? expression was evaluated semiquantitatively using modified Remmele-Stegner scale. Inflammatory cell infiltration was evaluated using modified Klopfleisch method. Results: Mean TNF-? expression between C, T1, and T2 group were significantly different (8.5 ± 1.6; 7.1 ± 1.2; 1.6 ± 1.2 respectively, p < 0.001). Median inflammatory cell infiltration between C, T1, and T2 group were significantly different (3.0; 2.0; 1.0 respectively, p < 0.001). Conclusion: AMMSC significantly reduced TNF-? expression and inflammatory cells infiltration during VVF repair healing process.

Comparison Study of Urinary Retention Incidence in Assisted Vaginal Delivery Case with and without 24-Hour Catheterization Eighty Mardiyan Kurniawati1, Hari Parathon2, Suskhan Djusad1, Fernandy Moegni1, Junizaf1, Budi Iman
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.3365

Background: Urinary retention is a condition commonly seen after vaginal delivery, especially in the highrisk cases, such as assisted vaginal delivery, grade 3-4th perineal rupture, or another high risk. Urinary retention caused by unsynchronized between the contraction of the bladder detrusor. Urinary catheterization is one of the preventions of urinary retention. It gives a time for perineal trauma to relieve and no longer edema, so that urethra can be fully relaxed. Therefore, 24-hour catheterization expected to prevent bladder overdistention. It also prevents the bladder from becoming atonia. Objective: This research aims to study the incidence of urinary retention in assisted vaginal delivery with and without 24-hour catheterization. Method: This study used randomized control trials that compared two groups with 24-hour catheterization and without 24-hour catheterization. This study was conducted on 40 women in each group who experienced assisted vaginal birth at Dr Soetomo Hospital, Indonesia. Result: Six women (15%) experienced urinary retention with 24-hour catheterization and six women (15%) had urinary retention without catheterization. There was no significant difference in the incidence of urinary retention with 24-hour catheterization and without 24-hour catheterization (p-value = 1.00). Also, there was no significant interference of urinary retention in the normal and prolonged second stage of labor (p-value = 0.736), and there was no significant risk factor contributing to urinary retention. Conclusion: No significant difference in urinary retention occurred in assisted vaginal delivery with and without 24-hour catheterization

Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse Shervil Kagayaita Sayko; Eighty Mardiyan Kurniawati; Pudji Lestari
Biomolecular and Health Science Journal Vol. 1 No. 1 (2018): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Introduction: Uterine prolapse is a gynecological problem that women often experience with a prevalence of 50% and is predicted that the next 30 years will increase by 45% as life expectancy increases. Increased degrees of uterine prolapse have an impact on the deterioration of women's quality of life. The uterine prolapse is influenced by several mutually supportive factors. The purpose of this study was to analyze the relationship between these factors to the degree of uterine prolapse.Methods: This research is an observational analytic research with cross sectional approach. The number of samples were 65 patients with uterine prolapse at Policlinic Gynecology RSUD Dr. Soetomo Surabaya from 2015-2017. Sampling was done by consecutive sampling. To find out the significant level, the collected data will be tested with Fisher Exact Test statistic at significance level α = 0,05.Results: The result showed that there was significant difference between degree of uterine prolapse with age factor (p = 0,016) and obesity (p = 0,041). As for the parity factor (p = 0.508) there was no significant difference between the parity factor and the degree of uterine prolapse.Discussion: Age is a major factor affecting the degree of uterine prolapse, weakening of pelvic floor tissue and muscle in elderly women is the main cause. While on the obesity factor, there is no data to support that obesity is related to the degree of uterine prolapse because the trend indicates that the majority of patients are not obese. In contrast the parity factor, although according to the statistical test there is no difference to the degree of uterine prolapse, the trend shows that parity leads to increased incidence of uterine prolapse itself.Conclusion: Age is a factor that affects the degree of uterine prolapse.

Risk Factor Characteristics Of Patients With Uterine Prolapse In Gynecology Outpatient Clinic In Dr. Soetomo Hospital, Surabaya Vemaniarti Lian Pravitasari; Eighty Mardiyan Kurniawati; Pirlina Umiastuti
Biomolecular and Health Science Journal Vol. 4 No. 2 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i2.30789

Introduction: Uterine prolapse can occurs due to the failure of the ligamentous and fascial supports of the uterus. It causes inconvenience to the patients because of genital tract dysfunction and decrease quality of life. The risk factor are multifactorial. Advancing age, increasing parity, vaginal delivery, and menopause is associated with the uterine risk factors. The aim of this study is to describe the stage, treatment, age, parity, vaginal delivery, and menopause status of women with uterine prolapse in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This research is a descriptive study. The sample is included all women with complaints of uterine prolapse diagnosed and treated at Dr. Soetomo General Academic Hospital, Surabaya from January – December 2017. Statistical was analysed descriptively.Results: From total 82 patients of uterine prolapse in Gynecology Outpatient Clinic Dr. Soetomo General Academic Hospital, Surabaya in 2017, most of the uterine prolapse patients were older than 65 years old (45.1%) and multiparous (62.2%). More than half of the patients (61%) have had more than three vaginal deliveries and have gone through menopause (91.5%). Stage IV prolapse, 33 cases (40.2%) has the highest percentage. Mostly, 47 cases (57.3%) received conservative treatment. Conclusion: Uterine prolapse is most likely to be found in women with older age, came from those in the age group of >65 years old. The incidence of uterine prolapse might increase in multiparous women, have more than three vaginal deliveries, and have gone through menopause. Most of them is on stage IV and received conservative treatment. It is important for women to be educated about uterine prolapse risk factor as an uterine prolapse prevention.

A Rare Case of Spontaneous Uterine Rupture in Second Trimester Pregnancy with Bicornuate Uterus: A Case Report Eighty Mardiyan Kurniawati; Fadhilah Mega Indriati; Cholid Rochman Riskianto
Jurnal Ilmiah Kesehatan Vol 15 No 01 (2022): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Eighteen weeks gestation of 34 years-old-woman with abdominal pain in the last 12 hours because of uterine rupture. Abdominal pregnancy was found with 2D ultrasound. On laparotomy exploration, bicornuate uterus was found with uterine rupture and an unviable fetus. Supravaginal hysterectomy was performed to control haemorrhage. Uterine anomaly is rare. However, the complications that occur will be an obstetric emergency. Screening uterine anomalies at premarital or early antenatal care is needed for predicting the risk of maternal mortality.

DIFFERENT SEXUAL FUNCTION OF UTERIC PROLAPSE PATIENTS BETWEEN OPERATIVE AND NON-OPERATIVE Mei Indarti; Eighty Mardiyan Kurniawati; Gadis Meinar Sari; Gatut Hardianto
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.317-324

Abstract Background: The prevalence of pelvic organ prolapse (POP) increases as the age increment. Uterine prolapse is the most common type of POP cases. Although uterine prolapse is not a life-threatening condition, it can affect a woman's quality of life. Either operative or non-operative therapy can affect reproductive or sexual function. The purpose of this study was to analyze differences in sexual function scores in uterine prolapse patients between operative and non-operative therapy. Methods: This is an analytic observational study with a cross-sectional design. Sampling technique used convenience sampling and data were analyzed by Mann-Withney test using SPSS. Results: There were 30 samples, 14 of them did operative therapy and 16 of them did non-operative or pesarry therapy. Data analysis using Mann-Withney test shown that the operative group had median score of 16,6 while the non-operative group had median score of 19,9 with p=0,124 (p>0,05). Conclusion: There was no significant difference of sexual function scores between patients with operative therapy and non-operative therapy.

ASSOCIATION BETWEEN PESARIUM INSTALLATION AND VULVOVAGINAL CANDIDIASIS INCIDENT Nur Hidayati; Eighty Mardiyan Kurniawati; Juniastuti Juniastuti
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.53-61

AbstractBackground: Vulvovaginal candidiasis (VVC) is one of the lower female genital tract infections caused by Candida sp. The Symptoms of VVC are more production of yellowish-white secretions, irritation, odor, itching in the genitals to swelling. One of the risk factors triggering CVV is the use pessaries in patients with uterine prolapse. This study aims to determine the relationship between pessary installation and Vulvovaginal Candidiasis (VVC) incident. Methods: this research uses a cross sectional study with a sampling technique that is purposive sampling. The sample used was POP patients with pessaries who visited Dr. Hospital. Soetomo in 2018 as many as 68 patients. The primary data in this study is a research form that has been prepared by the researcher, while the secondary data is patient medical records. Data analysis used the Chi-Square test with a Prevalence Ratio (PR) of 95% CI. Results: This study showed that the incidence of CVV was most commonly found in women aged >45 years with most of them being in primary education, using a pessary for more than 3 months and being a housewife, meanwhile the incidence of CVV was more common in POP women with pessaries than without a pessary. The results of the Chi-Square test showed that have a significant relationship between pessarium installation and the incidence of CVV (p=0.041). Conclusion: there is a relationship between pessary installation in POP patient and vulvovaginal candidiasis incident.

THE RELATIONSHIP BETWEEN AGE, PARITY, AND BIRTH WEIGHT WITH THE DEGREE OF PERINEAL RUPTURE IN THE RSUD JAYAPURA Yuni Hukubun; Dwi Izzati Budiono; Eighty Mardiyan Kurniawati
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.103-115

AbstractBackground: Perineal rupture is a condition in which the perineum is torn as a result of vaginal delivery either by action or not, which affects the health status of women. Age, parity, and birth weight are influencing factors for perineal rupture.The aim of this study was to analyze the relationship between age, parity, and birth weight with the degree of perineal rupture. Methods: Observational analytic research with a case control approach. The sample used in this study were the patients who get diagnostic of perineal rupture during April – December 2019 in the RSUD Jayapura as many as 654 patients. The sampling technique used is total sampling. The independent variables used were age, parity, and birth weight, while the dependent variable was perineal rupture. Bivariate analysis test using Spearman rank correlation. Multivariate analysis test using multiple logistic regression with backward method. Results: The results of the bivariate analysis in this study was showing that the younger mother's age, lower paratity values and higher birth weight related with the degree of perineal rupture, then the multivariate results obtained birth weight had a dominant effect of degree perineal rupture. This is because the heavy of birth weight make the perineum more strecthcing, so the perineum gets more thinner and easier to rupture. Conclusion: There is a relationship between age, parity, and birth weight with the degree of perineal rupture. Birth weight is the most dominant independent factor on the degree of perineal rupture. So, it is necessary to give education about childbirth preparation and preconception counseling to mothers.

Co-Authors Achmad Rheza Agde Muzaky Kurniawan Agde Muzaky Kurniawan Ahila Meliana Akhmad Risdianto Amani, Fariska Zata Anis Widyasari Anna Surgean Veterini Arief Wibowo Azwinda, Farah Bagus Setyoboedi Budi Utomo Cahyani Tiara Safitri Cahyani Tiara Safitri Cahyani Tiara Safitri Cholid Rochman Riskianto Cita Rosita Sigit Prakoeswa Damayanti Tinduh Denas A, Azami Denas, Azami Devina Callista Ayungga Dewi Sulistyawati Diah Indriani Diana Khoirul Khafidloh Dwi Izzati Budiono Erry Gumilar Dahlan Fadhilah Mega Indriati Faizah, Zakiyatul Fauzan Djunaidi Gadis Meinar Sari Gatut Hardianto, Gatut Gatut Hardiyanto Hamzah Hanna Dyahferi Anomsari Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hartono S, Tri Hidayatullah, Amiruddin Irwanto Irwanto Ivon Diah Wittiarika Izzati, Dwi Jojor Sihotang Juniastuti Juniastuti Karimah, Azimatul Kurniawan, Agde Muzaky Kusumastuti, Etty Hari Lucky Prasetiowati Mardianti Rustam Mei Indarti Miftha Hurrahmi Mokhamad Anhar Dani Muhammad Rais Fathurrachman Mustofa, Vina Firmanty Nabilah Khansa Nawangsari, Nur Ainy Fardana Novy Ngan Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Hidayati Paramita, Alma Dhiani Pudji Lestari Putri, Anastassya Yuniar Setyo Rahmawati, Nur Anisah Rimbun Risa Etika, Risa Riska Wahyuningtyas Rizqy Rahmatyah Rodhiyana, Rosda Romi Kiki Nur Fita Sari Rosda Rodhiyana Safa Salsabila Hanum Safitri, Cahyani Tiara Setyo Hadi, Tri Hastono Shervil Kagayaita Sayko Siti Nur Aini, Rani Sri Umijati Subijanto Marto Soedarmo Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistiawati Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi Ulfa Nur Laily Umiastuti, Pirlina ummu kulsum Ummu Kulsum Velyana Lie Vemaniarti Lian Pravitasari Vina Firmanty Mustofa Vina Firmanty Mustofa Vina Firmanty Mustofa Widati Fatmaningrum Widjiati Widjiati Widjiati Widjiati, Widjiati Yanuar Prionggo Yuni Hukubun

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