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The Relationship Between Parity, History Of Antenatal Care (ANC), Pregnancy Complications, Estimated Fetal Weight and Fetal Presentation To The Selection Of Cesarean Section Action Helmy Aries Stiawan; Aladin Aladin; Husna Yetti
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.70-87.2026

Abstract

Introduction: There is an increase in caesarean sections trend globally. Caesarean section is generally performed to assist deliveries that cannot be carried out normally, but this also has a significant impact on both maternal and child health, as well as the economic burden so it is necessary to evaluate the factors that influence decision for caesarean section, to determine the relationship between parity, antenatal care Method: This study is an analytical observational study with a case control design conducted in July 2024 using medical record data of pregnant women who underwent caesarean section or vaginal delivery at the Pariaman City Regional General Hospital in the urban area and Sungai Dareh Regional Hospital at Dharmasraya in rural areas. The sample for this study were pregnant women who chose caesarean section and women after vaginal delivery who met the inclusion and exclusion criteria Results: In this study there were 354 pregnant women who underwent CS (n=177) and vaginal delivery (n=177). Bivariate analysis showed a relationship between parity (OR: 1.64 [95% CI: 1.07-2.52]; p=0.023), history of ANC (OR: 1.64 [95% CI: 1.06-2, 55]; p=0.026), pregnancy complications (OR:3.16 [95% CI: 1.98-5.03]; p=0.000), fetal presentation (OR: 2.02 [95% CI: 1.26-3.24]; p=0.003) and estimated fetal weight (OR: 1.98 [95% CI: 1.19-3.30]; p= 0.008) with the decision making of caesarean section. Multivariate analysis showed that the most influencing factors on the decision making of  caesarean section were pregnancy complications (OR 4.35 [95% CI: 2.58 – 7.34]; p= 0.000), fetal presentation (OR 3.21 [95% CI : 1.85 – 5.55]; p=0.000) and parity (OR 1.59 [95% CI: 1.01 – 2.52]; p=0.044). Conclusion: The factors that most influence the decision making of  caesarean section are pregnancy complications, fetal presentation, and parity.
Gambaran Terapi dan Respon Terapi Karsinoma Nasofaring di RSUP Dr. M. Djamil Padang Raina Maghri Jodie; Sukri Rahman; Aladin Aladin
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 1 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v1i1.26

Abstract

Pendahuluan: Terapi KNF terdiri atas radioterapi, kemoterapi, maupun kombinasi keduanya. Penilaian terhadap perubahan ukuran tumor menjadi hal yang penting dalam evaluasi klinis terapi kanker. Terdapat kriteria respon tumor yang telah distandarisasi, salah satunya yaitu kriteria WHO. Respon terapi dikelompokkan menjadi 4 kategori yaitu complete response (CR), partial response (PR), progressive disease (PD), dan stable disease (SD). Penelitian ini bertujuan untuk mengetahui gambaran terapi dan respon terapi karsinoma nasofaring di RSUP Dr. M. Djamil Padang. Metode: Penelitian ini merupakan penelitian observasional deskriptif dengan pendekatan retrospektif yang mengambil data dari bagian rekam medik dan poliklinik THT-KL RSUP Dr. M. Djamil Padang pada periode Januari 2018 – Desember 2020. Hasil: Hasil didapatkan 28 pasien KNF yang telah selesai menjalani seluruh rangkaian terapi. Dari 28 pasien, 67,8% adalah laki-laki. Kelompok usia paling banyak terdapat pada rentang usia 50-59 tahun (35,7%), berasal dari suku Minang (93%) dengan tingkat pendidikan paling banyak adalah SMA (78,5%). Sebagian besar pasien didiagnosis dengan stadium IV (57,2%) dengan jenis KNF WHO tipe 3 (82,2%). Pilihan terapi yang paling banyak diberikan pada pasien KNF yaitu kemoterapi neoadjuvan yang dilanjutkan dengan radioterapi (64,3%). Kesimpulan: Hasil respon terapi dari semua pasien KNF yang telah menjalani rangkaian pengobatan adalah CR (46,4%), PR (46,4%), PD (7,2%), dan tidak terdapat pasien dengan SD.
Association Between Social Media or Internet Exposure and Age at Menarche Among State Junior High School Girl Students in Padang Faisal D Brawidya; Aladin Aladin; Firdawati Firdawati
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.271-281.2026

Abstract

Background: Menarche marks the onset of reproductive capability in females and is occurring at increasingly younger ages. Recent studies suggest that digital media exposure may influence the timing of puberty. Objective: To evaluate the association between social media or internet exposure and age of menarche among junior high school girls in Padang, Indonesia. Methods: A cross-sectional study was conducted on 105 eighth-grade students selected using proportional random sampling. Data on social media usage patterns—including onset age, daily duration, and exposure to pornographic content—were collected via structured questionnaires. Chi-square tests were applied for statistical analysis. Results: Early onset of social media use was significantly associated with earlier menarche (p=0.001). Longer daily usage also correlated with earlier onset (p=0.005). Additionally, exposure to pornographic content showed a strong association with earlier menarche (p=0.003). Conclusion: High exposure to digital media—especially involving adult content—may accelerate menarche through neuroendocrine disruption and psychosocial stress. These findings emphasize the need for parental supervision and health education to manage adolescent screen time and promote reproductive health awareness.