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All Journal Jurnal Kebidanan Midwiferia Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) The Southeast Asian Journal of Midwifery Manuju : Malahayati Nursing Journal Journal of Midwifery Medical and Health Science Journal Oksitosin : Jurnal Ilmiah Kebidanan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Jurnal Layanan Masyarakat (Journal of Public Service) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Jurnal AbdiMas Nusa Mandiri INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL KESANS : International Journal of Health and Science Kolaborasi Jurnal Pengabdian Masyarakat Journal for Quality in Public Health JUKEJ: Jurnal Kesehatan Jompa Al-Hayat: Natural Sciences, Health & Environment Journal Folia Medica Indonesiana
Gatut Hardianto, Gatut
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Airlangga
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Education Energy Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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The comparison of maternal stress level during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic Farisya Nurliana Fatin; Gatut Hardianto; Dwi Izzati
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.23-29

Abstract

HIGHLIGHTS Maternal stress level during pregnancy in the COVID-19 pandemic had normal category. There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic. Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic.   ABSTRACT Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia. Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test. Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102). Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
THE EFFECT OF GIVING PROPOLIS EXTRACT TO PREGNANT WOMEN WITH BACTERIAL VAGINOSIS Kiki Apnita Sari; Willy Sandhika; Gatut Hardianto
Indonesian Midwifery and Health Sciences Journal Vol. 7 No. 3 (2023): Indonesian Midwifery and Health Sciences Journal, July 2023
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v7i3.2023.247-257

Abstract

Background: Bacterial Vaginosis (BV) in pregnancy is caused by several physiological changes that disrupt the vaginal ecosystem, namely hormonal changes and vaginal flora. Treatment with antibiotics for Bacterial Vaginosis (BV) cases has a risk of resistance, so alternative therapies are needed, one of which is propolis extract. This study aims to prove the effect of giving propolis extract to pregnant women with bacterial vaginosis. Methods: This study used a quasi-experimental type of clinical trial research with The Pretest-Posttest Control Group Design. The population in this study were 100 pregnant women who experienced flour albus at Anugrah Pratama Clinic Surabaya in September-December 2021. The sample of pregnant women with BV was 44 people who were divided into control and intervention groups. Independent variabel is giving propolis extract and dependent variabel is infection of bacterial vaginosis. The sampling technique in this study was consecutive sampling. Data analysis using Chi Square Test. Results: The control group did not reduce bacterial vaginosis infection, which remained with BV (+) infection by 54.5% and BV infection (-) by 45.5%, while the intervention group was proven to reduce bacterial vaginosis infection to BV infection (+) by 18 .2% and BV infection (-) of 81.8%. Analysis: The results of the Chi-Square test showed that the p-value of BV infection was 0.012 and bacterial vaginosis infection α (0.05). Conclusion: There is a significant difference between the control group and the group given propolis extract. It can be concluded that there is an effect of propolis extract administration on reducing infection in pregnant women with bacterial vaginosis.
Risk factors associated with spontaneous abortion in Dr. Soetomo General Hospital Surabaya: a case-control study Zakira, Safira; Hardianto, Gatut
Jurnal Kebidanan Midwiferia Vol. 7 No. 1 (2021): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v7i1.1125

Abstract

The Maternal Mortality Ratio (MMR) in Indonesia is still fairly high. One of the top three causes of maternal death is bleeding. Spontaneous abortion is an early pregnancy problem leading to the occurrence of bleeding and direct maternal death. The causes of spontaneous abortion vary and can be caused by multiple factors. Early identification of risk factors is necessary to reduce mortality and morbidity due to spontaneous abortion and its complications. This study's objective was to identify the risk factors of spontaneous abortion in Dr. Soetomo General Hospital. This study was an observational analytic with a case-control approach. The population was all pregnant women hospitalized at the Obstetrics and Gynaecology Department in Dr. Soetomo General Hospital from January 2017 to December 2018. The samples were 120 in total, included 40 cases and 80 controls taken by consecutive sampling. The data were analyzed using univariate and bivariate analysis with the Chi-square test. The results based on the bivariate analysis showed history of previous abortion (p <0.001), chronic maternal disease (p <0.001), hemoglobin levels (p = 0.020), maternal age (p= 0.026), gravidity (p= 0.036), and infection (p= 0.037) had significant correlation with spontaneous abortion. In conclusion, risk factors associated with spontaneous abortion in Dr. Soetomo General Hospital were history of previous abortion, chronic maternal disease, anemia, advanced maternal age, multigravidity, and infection. Positive pregnancy outcomes are expected to play a role in reducing MMR in Indonesia. Therefore, high-risk pregnant women are suggested to carry out regular Antenatal care recommendations with intensive supervision.
COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS Amani, Fariska Zata; Denas, Azami; Paraton, Hari; Hardianto, Gatut; Mardiyan K, Eighty; Hartono S, Tri
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.1929

Abstract

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
SOSIODEMOGRAPHIC FACTORS ON CONTRACEPTIVE USE AMONG MARRIED WOMAN: EVIDENCE FROM THREE INDONESIA DEMOGRAPHIC AND HEALTH SURVEY (IDHS) Latifah, Nur Faridah; Jayanti, Ratna Dwi; Hardianto, Gatut
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 3 (2024): Indonesian Midwifery and Health Sciences Journal, July 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i3.2024.239-249

Abstract

Background: Data on contraceptive use are needed to evaluate contraceptive use and plan for future needs. Changes in contraceptive method use and the factors that influence contraceptive method use are serious matters that need to be considered. Methods: This study used secondary data from the Indonesian Demographic and Health Survey (IDHS) in 2007, 2012, and 2017. The research design used was cross-sectional. Researchers used descriptive analysis to determine the characteristics of married women who use contraception. Inferential analysis was used to see the relationship between sociodemographic factors and the use of contraceptive method types. Results: The results of the analysis showed that the most widely used type of contraception from 2007-2017 was injectable contraception. Most married women who used contraceptives were in the age group of 30-39 years, had only 1-2 children, had a high school education and below, and worked as housewives. Women living in rural and urban areas have equal opportunities to obtain contraceptive services. Even women with the lowest wealth index still have access to contraceptives. The chi-square test results of age, education, occupation, residence, and wealth index variables with p = 0.000 (p < 0.005) from 2007-2017, as well as the variable number of children with p = 0.000 (p < 0.005) in 2007, p = 0.002 (p < 0.005) in 2012 and p = 0.000 (p < 0.005) in 2017. Conclusion: This study found a positive association between contraceptive method use and the variables of age, education, occupation, number of children, place of residence, and wealth index.
Collagen-1 and elastin expression in cervical tissue: A comparison across cervical elongation, pelvic organ prolapse, and combined conditions Widyasari, Anis; Hardianto, Gatut; Kusumastuti, Etty Hari; Kurniawati, Eighty Mardiyan
Majalah Obstetri & Ginekologi Vol. 32 No. 3 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I32024.189-195

Abstract

HIGHLIGHTS Pathogenesis of cervical elongation is still limited, including the histological and molecular differences between a cervical elongation and a normal cervix. The expression of collagen-1 level in the cervical elongation group was stronger compared to the cervical elongation with POP and control group.   ABSTRACT Objective: This study aimed to assess differences in the expression of collagen-1 and elastin in cervical tissues among patients with Cervical Elongation (CE), Pelvic Organ Prolapse (POP), a combination of CE with POP, and those without either condition. Materials and Methods: An analytical study with a cross-sectional design was conducted, using immunohistochemistry (IHC) to analyze cervical tissue samples preserved in paraffin blocks. Patient groups included those diagnosed with CE, POP, CE combined with POP, and a control group without CE or POP. All participants underwent surgery between January 2021 and April 2023. IHC was used to measure the expression levels of collagen-1 and elastin in each tissue sample. Observations were made under 400x magnification, focusing on five randomly selected visual-field areas in each sample to determine the area fraction. Two experienced pathologists conducted the analyses in a blinded manner to ensure objective evaluation. Results: Statistical analysis using the Kruskal-Wallis test revealed significant differences in the expression of collagen-1 across the four groups (CE, POP, CE with POP, and control). Patients with CE showed a higher expression of collagen-1 than those with CE and POP combined, as well as the control group. However, no significant differences in elastin expression were observed among the groups. Conclusion: Collagen-1 expression differs significantly across patients with CE, POP, and CE combined with POP, suggesting a distinct role in cervical tissue remodeling in these conditions. Conversely, elastin expression was consistent across all groups, indicating that it may not play a differentiating role in these pathologies. These findings highlight collagen-1’s potential involvement in the structural changes associated with CE and POP.
Perbandingan Tingkat Stres Pembelajaran Terhadap Gangguan Siklus Menstruasi pada Mahasiswa Kebidanan Tingkat Akhir Universitas Airlangga Adelia Ayu Qurrotul Jannah; Gatut Hardianto; Dewi Setyowati
Al-Hayat: Natural Sciences, Health & Environment Journal Vol. 3 No. 1 (2025): Al-Hayat: Natural Sciences, Health & Environment Journal 
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/alhayat.v3i1.9341

Abstract

The disrupted female reproductive cycle is often related to stress. One of the things that happens to women who experience stress is reproductive disorders related to menstrual events. High stress levels in final semester students are probably due to the large number of assignments that must be completed, high physical activity where final semester female students are in addition to activities on campus such as practicing in hospitals. This irregular menstrual cycle is influenced by several factors, including hormonal changes due to stress in an unstable emotional state. This study aims to analyze the comparison of stress levels on menstrual cycle disorders of midwifery final level students at Airlangga University. This study uses an observational analytic design with a cross-sectional approach. The instrument used is a questionnaire distributed via online g-form. The research data were analyzed using the Mann-Whitney U test. The results showed that the most respondents experienced no stress as much as 53 or 71.6%, while those who experienced stress were 21 or 28.4%.. it can be concluded that there is a significant difference in the level of stress with disruption of the menstrual cycle in final level students of midwifery at Airlangga University
The Role of Probiotics in Urinary Tract Infections in Women: Peran Probiotik dalam Infeksi Saluran Kemih pada Perempuan Kurniawati, Eighty Mardiyan; Gatut Hardianto; Setyo Hadi, Tri Hastono; Paraton, Hari; Widyasari, Anis; Rahmawati, Nur Anisah
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1881

Abstract

Objective: To review the role of probiotics in urinary tractinfections in womenMethods: Systematic review was conducted by searchingfi ve databases with several keywords, namely “urinary tractinfection”, “cystitis”, “women” and “probiotics”. Articles thathave gone through peer review are included in the studyif they meet the inclusion and exclusion criteria. Reportingfollows the PRISMA rules.Results: The women included in this study varied from earlyadulthood to postmenopausal, most of whom were sexuallyactive, used birth control methods, and had recurrenturinary tract infections. The results showed that the use ofprobiotics in varied outcomes, either positive or not showedsignifi cant results. This is also due to the differences in theoutcomes studied and the additional materials used. Thisalso contributed to the emergence of adverse effects.Conclusion: The use of probiotics in the treatment ofcystitis and urinary tract infections has hope, although notall studies show signifi cant results. The side effects foundare still tolerable although they need to be considered.Keywords: cystitis, probiotic, urinary tract infection, women.AbstrakTujuan: Meninjau peran probiotik dalam infeksi salurankemih pada perempuan.Metode: Tinjauan sistematis dilakukan dengan mencari limadatabase dengan beberapa kata kunci, yaitu “infeksi salurankemih”, “sistitis”, “perempuan” dan “probiotik”. Artikel yangtelah melalui peer review diikutsertakan dalam penelitianjika memenuhi kriteria inklusi dan eksklusi. Pelaporanmengikuti aturan PRISMA.Hasil: Perempuan yang diikutsertakan dalam penelitian inibervariasi mulai dari dewasa awal hingga pascamenopause,sebagian besar aktif secara seksual, menggunakan metodekontrasepsi, dan mengalami infeksi saluran kemih berulang.Hasil penelitian menunjukkan bahwa penggunaan probiotikpada infeksi saluran kemih menunjukkan hasil yang positifmaupun tidak menunjukkan hasil yang signifi kan. Hal inijuga disebabkan perbedaan outcome dan bahan tambahanyang digunakan. Penggunaan bahan juga berkontribusipada munculnya efek samping.Kesimpulan: Penggunaan probiotik dalam pengobatansistitis dan infeksi saluran kemih memiliki harapan, walaupuntidak semua penelitian menunjukkan hasil yang signifi kan.Efek samping yang ditemukan masih dapat ditoleransimeskipun perlu diperhatikan.Kata kunci: infeksi saluran kemih, perempuan, probiotik,sistitis.
Social Support and Client Satisfacation with Visual Inspection Acetate Acid (VIA) Suswanti, Reca Dwi Putri; Hardianto, Gatut; Handayani, Samsriyaningsih
Journal for Quality in Public Health Vol. 5 No. 1 (2021): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v5i1.257

Abstract

Introduction: This study was conducted to show that early prevention and treatment of cervical cancer can save on treatment costs. Cervical cancer is one of the biggest threats to women's health. This is related to the low awareness of women who have had active sexual relations in carrying out early detection of cervical cancer so that it can increase the incidence of cervical cancer. The purpose of this study was to determine the relationship between social support and client satisfaction on IVA service satisfaction by public health center officers. Methods: This study used an observational analytic study with a retrospective cohort design. The sample size used was 70 respondents with the same distribution in each control group and the exposed group, each using 35 respondents. The sampling technique used consecutive sampling. Univariate analysis using Chi-Square test. Bivariate analysis using Spearman correlation test. Results: The results of Univariate analysis in the control group and the exposed group showed that age (p= 0.4), education (p= 0.136), occupation (p= 0.622), length of marriage (p= 0.073), number of sexual partners (p= 0.073). = 0.602) and the number of children (p = 0.151). The results of bivariate analysis showed that husband's support (p= 0.735), mother's support (p= 0.984), health cadre support (p= 0.320) and peer support (p= 0.725). There is no relationship/correlation between social support and service satisfaction. Conclusion: There are other factors that can affect the satisfaction of women of childbearing age with early detection of cervical cancer (VIA) apart from social support.
Characteristics and treatment in patient with Vaginismus in East Java Indonesia Kurniawati, Eighty Mardiyan; Hardianto, Gatut; Paraton, Hari; Setyo Hadi, Tri Hastono; Widyasari, Anis; Rahmawati, Nur Anisah
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 3 July 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i3.2231

Abstract

Background - Vaginismus is still an under-researched case of women's health despite its universal prevalence. Aim -This study aims to explore the characteristics of vaginismus in East Java Indonesia. Methods- The subjects in this study were all new female patients with Vaginismus was found in a single hospital - East Java Indonesia in 2022. The data used in this study are secondary data obtained from the medical records. Descriptive data are presented as numbers and percentages for categorical data. Results – Vaginismus was found in a single hospital - East Java Indonesia. Based on medical record data, throughout 2022 there will be 60 patients with a diagnosis of Genito Pelvic Pain Penetration Disorder (GPPPD). The results of the assessment of patient characteristics showed that almost all patients were of reproductive age. Most of the respondents have been married for more than 1 year. Management is carried out independently and collaboratively. A total of 60 patients underwent anamnesis and physical examination. Complaints experienced by patients are failure to penetrate. Treatment was done using Botox injections, dilatation, hymenectomy, and consultation to psychiatrist and andrologist. Conclusion - Management in cases of Vaginismus requires cross-professional collaboration such as psychiatrists and andrology. The treatment given also tends to be complex.
Co-Authors Adelia Ayu Qurrotul Jannah Aisha Grayli Cahyani Akhmad Risdianto Andriyanti, Andriyanti Anggreini Wahyu Prastika Anis Widyasari Arum Dewi Pusparini Aulia Rahma Oktaviya Azami D Azinar Boedi Setiawan Budi I Santoso Budi Santoso Budi Utomo Budi Utomo Budi Utomo Cahyani, Aisha Grayli Denas A, Azami Denas, Azami Dewi Setyowati Dini Lukita Hapsari Dony Rosmana Dony Rosmana Bimantara, Dony Rosmana Dwi Widyaningrum Eighty M Kurniawati Eighty Mardiyan K, Eighty Eko Budi Koendhori, Eko Budi Endyka Erye Frety Fariska Zata Amani Farisya Nurliana Fatin Fatin, Farisya Nurliana Febe Ernila Fedik A Rantam Fitriana, Farida Hadi, Tri Hastono Setyo Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hari Paraton Harlina Harlina Hartono S, Tri Henky Mohammad Masteryanto Hermanto Tri Joewono Icha Nur Oktaria Isnin Anang Marhana Ivon Diah Wittiarika Izzati, Dwi Jayanti, Ratna Dwi Juniastuti Juniastuti Kanda Izzatul Aini Ardelia Kartuti Debora MS, Kartuti Kartuti Debora, Kartuti Kasiati Kasiati Kiki Apnita Sari Kurniawan, Agde Muzaky Kusumastuti, Etty Hari Latifah, Nur Faridah Lilik Djuari Mardianti Mardianti, Mardianti Martono Tri Utomo Maulidia Fahmadina Rozana Mei Indarti Mokhamad Anhar Dani Muhammad Miftahussurur Mustofa, Vina Firmanty Nila Kurniasari Ningrum, Astika Gita Nisrina Salimah Putri Norma Pattinama Nur Anisah Rahmawati Nur AR Widiatmoko Nuswantoro, Djohar Panada Sedianing Drastita Pharahita, Syifa Pandya Prisca Desyani Kia Putra, M. Dimas Abdi Rahmawanti, Nova Rahmawati, Nur Anisah Reca Dwi Putri Suswanti Riani Widia Parantika Rim Kosim Rozy Dian Putri Rozy Rustam, Mardianti Safitri, Cahyani Tiara Samsriyaningsih Handayani Sari, Gadis Meinar Setyo Hadi, Tri Hastono Suswanti, Reca Dwi Putri Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi Tri HS Hadi Wahyul Anis Wahyuningtyas, Riska Widati Fatmaningrum Widjiati Widjiati, Widjiati Willy Sandhika Yuli Triyani Zakira, Safira