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All Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Darrell Fernando
Faculty of Medicine, University of Indonesia, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Prevention of Recurrent Urinary Tract Infections in Postmenopausal Women Fernando, Darrell
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 1, January 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.62 KB)

Abstract

Objective: To determine the most effective and applicable methods to reduce recurrence of urinary tract infections in postmenopausal women. Method: A search was conducted on Pubmed, NEJM, BMJ, and Google. After screening and selection, six articles were considered useful; comprising of two original research articles, one systematic review, and three society guidelines. Result: Society guidelines recommended continuous antimicrobial prophylaxis, with postcoital antimicrobial prophylaxis as an alternative. The first research article found similar results in continous antimicrobial prophylaxis group and intermittent antimicrobial prophylaxis group. The second research article found no significant difference in cranberry and trimethoprim group. The systematic review revealed vaginal estrogens are effective in preventing recurrent UTI, but the type of estrogen is less clear. Oral estrogens are not effective. Conclusion: Prevention of recurrent urinary tract infections in postmenopausal women include risk factor identification, non-antimicrobial prophylaxis with cranberry and vaginal estrogen preparations, and antimicrobial prophylaxis (continuous or intermittent). [Indones J Obstet Gynecol 2014; 2-1: 55-60] Keywords: postmenopausal, prevention, recurrent urinary tract infection.
Husband’s Support is a Main Factor Associated with Contraceptive Practices Fernando, Darrell; Dediat, Rachmat
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.385 KB) | DOI: 10.32771/inajog.v3i3.40

Abstract

Objective: To determine factors associated with contraceptive practices in Palabuhanratu, West Java. Method: We conducted a cross-sectional study at the Obstetrics and Gynecologic ward of Local General Hospital of Palabuhanratu District, between March and June 2012. Data was collected using directed interview method by investigators and midwives, using non-validated questionnaires. Statistical analysis was performed using SPSS 20.0, utilizing Chi-Square test for nominal data and Kruskal-Wallis test for numerical data. Result: We obtained 71 samples. The only factors which are significant were age group of 20-35 years old (OR=3.5, 95%CI=1.1-11.1, p=0.025) and husband’s support (OR=14.67, 95%CI=1.52-141.18, p=0.012). The most recognized contraceptive methods familiar to our respondents were injection (94.4%) and pills (93.0%), and the most useful source of information on contraception was medical personnel (73.2%). Conclusion: Husband’s support is a main factor associated with contraceptive practice. The choice of contraceptive method should be adjusted according to the ability and desire of patients to prevent failures in family planning. Keywords: associated factors, contraception, husband’s support
Husband’s Support is a Main Factor Associated with Contraceptive Practices Fernando, Darrell; Dediat, Rachmat
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.385 KB) | DOI: 10.32771/inajog.v3i3.40

Abstract

Objective: To determine factors associated with contraceptive practices in Palabuhanratu, West Java. Method: We conducted a cross-sectional study at the Obstetrics and Gynecologic ward of Local General Hospital of Palabuhanratu District, between March and June 2012. Data was collected using directed interview method by investigators and midwives, using non-validated questionnaires. Statistical analysis was performed using SPSS 20.0, utilizing Chi-Square test for nominal data and Kruskal-Wallis test for numerical data. Result: We obtained 71 samples. The only factors which are significant were age group of 20-35 years old (OR=3.5, 95%CI=1.1-11.1, p=0.025) and husband’s support (OR=14.67, 95%CI=1.52-141.18, p=0.012). The most recognized contraceptive methods familiar to our respondents were injection (94.4%) and pills (93.0%), and the most useful source of information on contraception was medical personnel (73.2%). Conclusion: Husband’s support is a main factor associated with contraceptive practice. The choice of contraceptive method should be adjusted according to the ability and desire of patients to prevent failures in family planning. Keywords: associated factors, contraception, husband’s support
Prevention of Recurrent Urinary Tract Infections in Postmenopausal Women Fernando, Darrell; Santoso, Budi I
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 1, January 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.62 KB) | DOI: 10.32771/inajog.v2i1.381

Abstract

Objective: To determine the most effective and applicable methods to reduce recurrence of urinary tract infections in postmenopausal women. Method: A search was conducted on Pubmed, NEJM, BMJ, and Google. After screening and selection, six articles were considered useful; comprising of two original research articles, one systematic review, and three society guidelines. Result: Society guidelines recommended continuous antimicrobial prophylaxis, with postcoital antimicrobial prophylaxis as an alternative. The first research article found similar results in continous antimicrobial prophylaxis group and intermittent antimicrobial prophylaxis group. The second research article found no significant difference in cranberry and trimethoprim group. The systematic review revealed vaginal estrogens are effective in preventing recurrent UTI, but the type of estrogen is less clear. Oral estrogens are not effective. Conclusion: Prevention of recurrent urinary tract infections in postmenopausal women include risk factor identification, non-antimicrobial prophylaxis with cranberry and vaginal estrogen preparations, and antimicrobial prophylaxis (continuous or intermittent). Keywords: postmenopausal, prevention, recurrent urinary tract infection.
Co-Authors Budi I Santoso, Budi I Dediat, Rachmat Eka R. Gunardi