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All Journal Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Health Sains eJournal Kedokteran Indonesia Makara Journal of Health Research

Junita Indarti

Department Of Obstetrics And Gynecology, Faculty Of Medicine, University Of Indonesia

Author-ID : 286605

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Profile of Pregnant Women who Underwent Cesarean Section and their Perinatal Outcome at a Tertiary Referral Hospital: Profil Ibu Hamil dengan Indikasi Operasi Caesar dan Luaran Perinatal di Rumah Sakit Rujukan Tersier Junita Indarti; Sigit Purbadi; Ajeng Larasati; Hesti N. Rizqi; Kristian Alda; Adithya Weladatika; Leonita T. A. Sutrisna; Muhammad Azmi; Caesar Nurfiansyah
Indonesian Journal of Obstetrics and Gynecology Volume 9 No. 4 October 2021
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v9i4.1608

Abstract Objective: To investigate the effectiveness of referral system, in regard to pregnant women with indication of C-section, and to learn the patients’ profile and their baby’s perinatal outcome.Methods: The research uses a retrospective descriptive method utilizing patient medical records with history of C-section at RSCM from January 2016 to December 2019. The target population is all pregnant women who were referred and performed cesarean section to at the hospital.Results: The most indications of C-section were premature membrane ruptures (16.1%), fetal distress (14.5%) and previous C-section (14.1%). There were 1585 cases (41.9%) coming without referral, 779 cases (20.6%) were bookcase, and 806 (21.3%) non-bookcase without referral. The main reasons for referral were absence of NICU facilities (27.31%), premature membranes rupture (20.81%), and eclampsia/preeclampsia/HELLP syndrome (15.40%). Most babies are born with normal weight (2500-3999 grams) as many as 45.1% and 54.9% are groups of babies with abnormal weight. Most babies have an APGAR score 5 minute of 7-10 (83.6%). As many as 47.8% rooming in and infants requiring perinatological care in both SCN and NICU are 52.1%.Conclusion: The study found that the effectiveness of RSCM tiered referral system still has much room for improvements. The study also found gap between number of referred cases and the cases eventually underwent for C-section with the same indication. The screening can be done better for an indication of the origin of the reference whether it is appropriate to do the reference or not.Keywords: caesarean section, perinatal outcome, pregnant women, referral system. Abstrak Tujuan: Untuk mengetahui efektivitas sistem rujukan pada ibu hamil dengan indikasi seksio sesarea, serta mengetahui profil pasien dan hasil perinatal bayinya.Metode: Studi ini menggunakan metode deskriptif retrospektif dengan memanfaatkan rekam medis pasien riwayat seksio sesarea di RSCM dari Januari 2016 sampai Desember 2019. Populasi sasaran adalah semua ibu hamil yang dirujuk dan dilakukan seksio sesarea di RSCM.Hasil: Indikasi seksio sesarea terbanyak adalah ketuban pecah dini (16,1%), gawat janin (14,5%), dan riwayat seksio sesarea sebelumnya (14,1%). Ada 1.585 kasus (41,9%) yang datang tanpa rujukan, 779 (20,6%) bookcase, dan 806 (21,3%) non-bookcase tanpa rujukan. Alasan utama rujukan adalah tidak adanya fasilitas NICU (27,31%), ketuban pecah dini (20,81%), dan eklampsia/preeklamsia/sindrom HELLP (15,40%). Sebagian besar bayi lahir dengan berat badan normal (2500-3999 gram) sebanyak 45,1% dan 54,9% merupakan kelompok bayi dengan berat badan tidak normal. Sebagian besar bayi memiliki skor APGAR 5 menit 7-10 (83,6%). Sebanyak 47,8% rawat inap dan bayi yang membutuhkan perawatan perinatologi baik di SCN maupun NICU sebanyak 52,1%. Kesimpulan: Studi ini menemukan bahwa efektivitas sistem rujukan berjenjang RSCM masih memiliki banyak ruang untuk perbaikan. Studi ini juga menemukan kesenjangan antara jumlah kasus yang dirujuk dan kasus yang akhirnya menjalani seksio sesarea dengan indikasi yang sama. Penapisan dapat dilakukan lebih baik untuk indikasi asal rujukan apakah layak dilakukan rujukan atau tidak.Kata kunci: ibu hamil, luaran perinatal, seksio sesarea, sistem rujukan

Obstetric Referral System during COVID-19 Pandemic : Tertiary Referral Hospital Perspective: istem Rujukan Obstetri dalam Masa Pandemi COVID-19 : Perspektif Rumah Sakit Rujukan Tersier Arietta R. D. Pusponegoro; Chakti A. Swastika; Junita Indarti
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 2 April 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i2.1651

Abstract Objective : To evaluate the effectiveness of obstetric referrals to the dr. Cipto Mangunkusumo National Central General Hospital (RSCM), a tertiary hospital in Indonesian referral system, during the COVID-19 pandemic. Methods : A cross-sectional descriptive-analytic study that compared the effectiveness of referrals before (July-December 2019) and during the COVID-19 pandemic (March-August 2020) at the National Central General Hospital dr. Cipto Mangunkusumo (RSCM). Referral effectiveness is assessed based on two criteria, namely the suitability of the diagnosis and procedural compliance which includes communication through the integrated emergency response system (SPGDT), delivery by ambulance, and attachment of a referral letter. Results: The study found 198 referral cases from 464 obstetric cases (42.67%) before the pandemic and 231 referral cases from 486 obstetric cases (47.53%) during the pandemic. The diagnostic concordance increased from 57.58% before the pandemic to 71.00% during the pandemic (p = 0.004). Referral procedural compliance increased from 28.28% before the pandemic to 45.45% during the pandemic (p < 0.001). Based on these criteria, the effectiveness of referrals at the RSCM during the COVID-19 pandemic era was found to be significantly higher, namely before the pandemic by 21.72% and during the pandemic by 40.26% (p < 0.001). Conclusion : The effectiveness of referral to the RSCM based on the suitability of the diagnosis and the accuracy of the procedure during the COVID-19 pandemic was found to be better than before the pandemic. Keywords: COVID-19, obstetric referral system, pandemic. Abstrak Tujuan : Untuk menilai efektivitas rujukan obstetri ke Rumah Sakit Pusat Nasional dr. Cipto Mangunkusumo, rumah sakit tersier dalam sistem rujukan Indonesia, selama pandemi COVID-19 Metode: Penelitian deskriptif-analitik berdesain potong lintang yang membandingkan efektivitas rujukan sebelum (Juli-Desember 2019) dan saat pandemi COVID-19 (Maret-Agustus 2020) di Rumah Sakit Umum Pusat Nasional dr. Cipto Mangunkusumo (RSCM). Efektivitas rujukan dinilai berdasarkan dua kriteria, yakni kesesuaian diagnosis dan kepatuhan prosedur yang meliputi komunikasi melalui sistem penanggulangan gawat darurat terpadu (SPGDT), pengantaran dengan ambulans, dan pelampiran surat rujukan. Hasil: Penelitian menemukan 198 kasus rujukan dari 464 kasus obstetri (42,67%) sebelum pandemi dan 231 kasus rujukan dari 486 kasus obstetri (47,53%) saat pandemi. Kesesuaian diagnosis meningkat dari 57,58% sebelum pandemi menjadi 71,00% saat pandemi (p = 0,004). Kepatuhan prosedur rujukan meningkat dari 28,28% sebelum pandemi menjadi 45,45% saat pandemi (p < 0,001). Berdasarkan kriteria tersebut, efektivitas rujukan di RSCM pada era pandemi COVID-19 ditemukan lebih tinggi secara signifikan, yakni sebelum pandemi sebesar 21,72% dan saat pandemi sebesar 40,26% (p < 0,001). Kesimpulan: Efektivitas rujukan ke RSCM berdasarkan kesesuaian diagnosis dan kepatuhan prosedur saat pandemi COVID-19 ditemukan lebih baik. Kata kunci: COVID-19, pandemi, sistem rujukan obstetri

Obstetric and Perinatal Characteristics of Teenage Pregnancies: an Analysis of Five Year Period in dr. Cipto Mangunkusumo Hospital, Jakarta Junita Indarti; David Eka Prasetya; Hari Sandi; Imam Rahmadi; Raymond Surya
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Abstract Teenage pregnancy leads to higher rates of maternal and perinatal complication and has been amajor challenge globally. This study aims to evaluate the obstetric and perinatal characteristics of teenagepregnancies in Indonesian population. A cross-sectional study through medical records was performed attertiary cared dr. Cipto Mangunkusumo Hospital, Jakarta, from 2014 to 2018. We recruited average maternalage of women and teenagers who carried singleton live pregnancies and delivered at tertiary care. Obstetricalcomplications include anemia at labor, preeclampsia/eclampsia, postpartum hemorrhage, preterm rupture ofmembrane, induction of labor, cesarean section delivery and perinatal outcomes include small-for-gestationalage, stillbirth, intrauterine growth restriction, preterm birth, low birth weight, 5th minimum APGAR score wereassessed. Statistical analysis was done using SPSS 20. There were 4265 eligible subjects during 5-yearperiod. The prevalence of teenage pregnancy (11-19 years old) was 543/4265 (12.7%). Teenage pregnancyhad a higher incidence of preterm deliveries (OR 2.047, 95%CI 1.660–2.524, p<0.001) and anemia at labor(OR 1.433, 95%CI 1.113-1.843, p=0.005). Low birth weight babies (OR 1.520, 95%CI 1.229–1.879, p<0.01)were associated with teenage pregnancy. Teenage pregnancy contributes to higher incidence of pretermdeliveries, anemia at labor, and low birth weight. Keywords: teenage, pregnancy, outcome, maternal, perinatal. Karakteristik Obstetrik dan Perinatal pada Kehamilan Remaja: Analisis Lima Tahun di RSUPN Dr. Cipto Mangunkusumo, Jakarta Abstrak Kehamilan remaja meningkatkan komplikasi maternal dan perinatal serta merupakan tantangan global.Studi ini bertujuan untuk mengevaluasi karakteristik obstetrik dan perinatal kehamilan remaja di Indonesia.Studi potong lintang melalui rekam medis dilakukan di RSCM, Jakarta, pada tahun 2014 hingga 2018. Kriteriainklusi ialah kehamilan remaja dan usia reproduksi pasien yang melahirkan di RSCM. Komplikasi obstetrikyang dinilai adalah anemia saat persalinan, preeklamsia/eklamsia, perdarahan pascasalin, ketuban pecahdini, induksi persalinan, seksio sesarea, dan luaran perinatal yaitu janin kecil, lahir mati, pertumbuhan janinterhambat, persalinan prematur, berat lahir rendah, dan skor APGAR 5 menit. Analisis statistik menggunakanSPSS 20. Terdapat 4265 subjek selama 5 tahun dengan prevalensi kehamilan remaja (11-19 tahun) 543/4265(12,7%). Kehamilan remaja meningkatkan insidens persalinan prematur yang lebih tinggi (OR 2,047, 95%CI1,660–2,524, p<0,001) dan anemia saat persalinan (OR 1,433, 95%CI 1,113-1,843, p=0,005). Berat badan lahirrendah berhubungan dengan kehamilan remaja (OR 1,520, 95%CI 1,229–1,879, p<0,01). Kehamilan remajamemiliki dampak lebih tinggi terhadap persalinan prematur, anemia saat persalinan, dan berat lahir rendah. Kata kunci: remaja, kehamilan, luaran, maternal, perinatal.

Three-Delay Model on Maternal Mortality Cases in Tertiary Referral Hospital in Indonesia Junita Indarti; Affan Solihin; Arresta V. Suastika; Dyah P. Wardhani; Muhammad T. Ramadhani; Quamila F. Afdi; Syifa M. Syafitri; Muhammad Ikhsan; Kristian Alda
eJournal Kedokteran Indonesia Vol 9, No. 2 - Agustus 2021
Publisher : Faculty of Medicine Universitas Indonesia

Maternal mortality remains a worldwide concern to this day. Three main causes of maternal mortality during 2010–2013 were hemorrhage, hypertension, and infection, which all of them are the direct causes. The high MMR is also due to the presence of 3 delay which is Delay in seeking assistance (type–1), delay in identifying and accessing medical center (type–2) and delay in having prompt treatment (type–3) . Therefore, this study aims to describe maternal mortality cases in tertiary hospital which is Cipto Mangunkusumo Hospital (CMH) so that the root of problems in maternal deaths can be discovered and improvements can be done in the future. This was a descriptive study conducted in the Department of Obstetrics and Gynecology at CMH, Jakarta. Data collection was taken from 2016 – 2018 where subjects were taken from secondary data on maternal mortality. Based on the data that has been collected in CMH total live births in Emergency Department CMH during 2016-2018 which was 4.226 cases. There was 22 maternal death cases (0.52%). Most deaths were occurred in 2017 (50% of all cases). Indirect causes of maternal mortality were the leading cause in this study, including septic shock, hypovolemic shock due to Dengue Shock Syndrome, cardiogenic shock, and acute respiratory failure. Three delay models were three main factors contributing to maternal mortality interrelated and influenced by other factors with delay in looking for assistance and treatment (31,8%) was the upmost factor of maternal mortality. More than half maternal deaths in CMH during 2016 – 2018 caused by indirect causes. Among three delay models, delay in looking for assistance and treatment was the upmost factor of maternal mortality. Keywords: maternal mortality, three-delay model. Tiga Model Keterlambatan pada Kasus Kematian Ibu di Rumah Sakit Tersier di Indonesia Kematian ibu masih menjadi perhatian dunia hingga saat ini. Tiga penyebab utama angka kematian ibu (AKI) selama 2010-2013 adalah perdarahan, hipertensi, dan infeksi, yang semuanya merupakan penyebab langsung. Tingginya AKI juga disebabkan oleh adanya 3 keterlambatan yaitu keterlambatan dalam mencari pertolongan, keterlambatan dalam mengidentifikasi dan mengakses pusat kesehatan, dan keterlambatan dalam mendapatkan pengobatan yang tepat. Penelitian ini bertujuan untuk mendeskripsikan kasus kematian ibu di rumah sakit tersier yaitu Rumah Sakit Cipto Mangunkusumo (RSCM) sehingga akar permasalahan kematian ibu dapat ditemukan dan dapat dilakukan perbaikan di masa yang akan datang. Penelitian ini merupakan penelitian deskriptif yang dilakukan di Bagian Obstetri dan Ginekologi RSCM, Jakarta. Pengambilan data diambil dari tahun 2016 – 2018, subjek diambil dari data sekunder kematian ibu. Berdasarkan data yang terkumpul di RSCM jumlah kelahiran hidup di Instalasi Gawat Darurat RSCM selama tahun 2016-2018 sebanyak 4.226 kasus. Terdapat 22 kasus kematian ibu (0,52%). Kematian terbanyak terjadi pada tahun 2017 (50% dari seluruh kasus). Penyebab tidak langsung kematian ibu merupakan penyebab utama dalam penelitian ini, antara lain syok septik, syok hipovolemik akibat dengue shock syndrome, syok kardiogenik, dan gagal napas akut. Tiga model keterlambatan merupakan tiga faktor utama penyebab kematian ibu yang saling berkaitan dan dipengaruhi oleh faktor lain dengan keterlambatan mencari pertolongan dan pengobatan (31,8%) merupakan faktor penyebab kematian ibu yang paling tinggi. Lebih dari separuh kematian ibu di RSCM selama tahun 2016 – 2018 disebabkan oleh penyebab tidak langsung. Di antara tiga model keterlambatan, keterlambatan dalam mencari bantuan dan pengobatan merupakan faktor utama kematian ibu. Kata kunci: kematian maternal, model tiga terlambat.

Infections of Chlamydia trachomatis and Mycoplasma hominis as Risk Factors for Abnormal Cervical Cells Mardhia, Mardhia; Effiana, Effiana; Irsan, Abror; Natalia, Diana; Rahmayanti, Sari; Indarti, Junita; Rachmadi, Lisnawati; Yasmon, Andi
Makara Journal of Health Research Vol. 22, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Cervical cancer is the fourth most common cancer among women across the world. Recent studies have shown that cervical cancer is not only caused by persistent infection of human papillomavirus (HPV), but sexually transmitted infections (STIs) also play a role in the pathogenesis of abnormal cervical cells. STIs frequently occur with no specific symptoms, such as the infections caused by Chlamydia trachomatis and Mycoplasma hominis. Asymptomatic STIs could lead to persistent infection. Persistent infections caused by STIs have been hypothesised to increase the access of HPV into the deeper cervical tissue and cause cervical cell abnormalities. Therefore, we conducted this study to assess the association between C. trachomatis and M. hominis infections and abnormal cervical cells. Methods: A cross-sectional study was performed on 58 outpatients at the Department of Obstetrics and Gynecology, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Abnormal cervical cells were detected by a liquid-based cytology Pap smear, and bacterial identification was done by conducting conventional duplex polymerase chain reaction (PCR). Results: 58 patients, 14 (24.1%) showed abnormal cervical cells, whereas 44 (75.9%) patients showed normal cervical cells. The conventional duplex PCR demonstrated a positive result for C. trachomatis and M. hominis bacterial infections in only 1 (7.1%) and 2 (14.3%) patients with abnormal cervical cells, respectively. The statistical analysis revealed no significant association between the bacterial infections and the abnormal cervical cytology in the patients (p > 0.05). Conclusions: Infections caused by C. trachomatis and/or M. hominis were not associated with abnormal cervical cells.

Maternal and Neonatal Characteristics and its Contact Tracing of Covid-19 in Pregnancy in Cipto Mangunkusumo General Hospital Junita Indarti; Handika Zulimartin; Boeyoeng E.A.P Dalimunte; Nova V. Wijaya; Henny S. Wonodihardjo; Ario B. Hanggono; Kristian Alda; Mohammad A.F Dilmy; Siti R.F Harun
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.127.144-50

Pregnant women might be at greater risk for common pregnancy complications and baby abnormalities if they are infected with COVID-19. This cross-sectional study aims to investigate the characteristics of pregnant women with COVID-19, using secondary data from medical records of subjects treated with COVID-19 at Cipto Mangunkusumo Hospital from January to June 2021. 102 pregnant women with confirmed COVID-19 were enrolled and 77 were delivered during admission. Enrolled subjects mostly consisted of multigravidas 58 (56.8%) between 29-36 weeks gestation 42 (41.1%). No comorbidities were present in the majority of subjects that were enrolled. Most presented with mild symptoms 50 (49%) and 21 (20,6%) with moderate symptoms. Most were delivered by Caesarean section (CS) a total of 58 out of 102 cases (75.4%). A total of 8 (7.9%) of those with severe cases with acute respiratory distress syndrome were admitted to intensive care. Pulmonary consolidation corresponding to pneumonia on chest x-ray were findings in 43 (42.2%) women. The majority of neonates born 36 (37.1%) had a birth weight of 1500-2499 grams. The were no positive COVID-19 findings of neonatal nasopharyngeal swab results. Perinatal complications occurred in 28 (36.3%) neonates that experienced respiratory distress and 22 (28.6%) experienced neonatal sepsis. A total of 44 (57.1%) infants with birth weight <2500 grams. Among these neonates 41 (55.4%) required NICU admission, 10 (13.5%) required ventilators due to respiratory distress. Most of the subjects on contact tracing, contracted COVID-19 from their neighbors or close relatives; 56(54.9%). There was 1 case of maternal death. In addition, we found that most of COVID-19 transmissions originated from asymptomatic close relatives and neighbors.

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.

Pedekatan Holistik Pasien Tuberkuloma Serebri Dalam Kehamilan: Laporan Kasus Junita Indarti; Elizabeth Novita; Leonita Triwachyuni Agustina Sutrisna; Rendy Pratama
Majalah Kedokteran Indonesia Vol 71 No 6 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.6-2021-402

Background: Tuberculoma are tumor-like space occupying lesions dispersed among various sites. Unlike pulmonary tuberculosis (TB), diagnosis and treatment of tuberculoma have received little consideration, especially those affected during pregnancy.Case: A 22-years-old women with two gestations, one parity, one abortion, and one alive child was admitted due to several syncope episodes. It was found that she had cerebral tuberculoma and received appropriate medication. Following her discharge, she was pregnant and had another symptoms. Holistic and multidiscipline approach was provided to the patient.Discussion: Cerebral tuberculoma is one of the most serious clinical forms of TB. There are some interactions between pregnancy and cerebral tuberculoma. Diagnosis and management on biopsychosocial aspect of cerebral tuberculoma in pregnancy was needed for patients, couples, and families affected.Conclusion: Tuberculoma in pregnancy is one of the challenging problem in pregnancy. Limited resource of references combined with both the mother and baby condition. It is important that healthcare providers assess the patient’s need and provide comprehensive and holistic management.

The Role of Social Obstetrics and Gynecology in the Coverage of Cervical Cancer Screening in the Era of Health Transformation in Indonesia Junita indarti
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 4 October 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i4.2181

Concordance and Acceptability of HPV DNA Genotyping Test by Patient’s Self-Sampling Against Clinician Sampling Indarti, Junita; Syaharutsa, Danny Maesadatu; Surya, Ilham Utama; Alda, Kristian
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 2 April 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i2.2402

Objectives: To determine the effectiveness of this alternative method, especially during the COVID-19 pandemic and considering Indonesia’s cultural context. Methods: This study utilized a cross-sectional design, and involved patients at the Gynecology and Colposcopy Clinic of Dr. Cipto Mangunkusumo General Hospital. The estimated sample size was 48, determined using a diagnostic test formula. The sample population consisted of female patients with positive VIA or abnormal Pap smear results. Each patient underwent HPV DNA self-sampling and clinician sampling tests using the GenoFlow HPV Array technique and continued with colposcopy. All patients were also administered a questionnaire consisting of eight questions about their perspective on the self-sampling HPV DNA test. The data analysis employed a 2 × 2 table using SPSS version 20, and Cohen’s kappa coefficient was calculated to measure the agreement between the sampling results of patients’ and Clinicians’. Results: Among the examinations conducted by clinicians, there were 33 patients with positive HPV results, whereas through self-sampling, there were 28 patients with positive HPV (p=0.00). High risk HPV was the most commonly observed, with HPV type 16 appearing the most (15%). Based on these data, the self-sampling sensitivity, specificity, positive predictive value, and negative predictive value were 85%, 100%, 100%, and 75%, respectively, with a concordance rate of 89.6%. The Cohen’s Kappa coefficient between samples taken by the clinician and self-sampling resulted in K=0.778, which is considered a good agreement (K=0.61-0.80). All patients concluded that the procedure was easy (100%), and the majority (60.5%) expressed a preference for the self-sampling method. Conclusion: There is a good agreement between the results of self-sampling and clinician sampling for detecting HPV DNA, with patients positively accepting the self-sampling method, indicating its potential as an effective cervical cancer screening method. Keywords: Cervical Cancer Screening, Clinician Sampling, Human Papillomavirus, Self-Sampling.

Co-Authors Abror Irsan Adithya Weladatika Aditya, Reyhan Adri Dwi Anggayana Affan Solihin Agassi Antoniman, Mohammad Ajeng Larasati Alda, Kristian Aldri Frinaldi Alida Harahap Andi Yasmon Andrijono Andrijono Anggara Mahardika Aria Kekalih Arietta Pusponegoro Arini Setiawati Ario B. Hanggono Arisda Oktalia Arresta V. Suastika Bambang Sutrisna Bethy Suryawati Boeyoeng E.A.P Dalimunte Bonifasius, Bonifasius Budidarmo, Utomo Caesar Nurfiansyah Caroline Caroline Chakti A. Swastika Cherysa Rifiranda Dalri Suhartomo Darrell Fernando David Eka Prasetya Diana Natalia Diana Natalia Ditha Loho Dwiana Ocviyanti Dwiyana Ocviyanti Dyah P. Wardhani Effiana Effiana Effiana, Effiana Elizabeth Novita Erda Ayu Umami Erda Ayu Umami Ferry Y Irawan Finish Fernando Fitriyadi Kusuma Gatot Purwoto Gumilang Gumilang Handika Zulimartin Hanny Nilasari Hari Sandi Henny S. Wonodihardjo Heru Prasetyo Hesti N. Rizqi I Putu G Kayika Imam Rahmadi Iwan Darmansjah Jan Susilo JM Seno Adjie Kristian Alda Kristian Alda Kristian Alda Kristian Alda Kristian Alda Laila Nuranna Leonita T. A. Sutrisna Leonita Triwachyuni Agustina Sutrisna Lisnawati Rachmadi Lucas Christiawan Maemonah, Maemonah Mardhatillah, Syifa Mardhia, Mardhia Mardhia, Mardhia Mohammad A.F Dilmy Mohammad F. Aziz Muhammad Azmi Muhammad Ikhsan Muhammad Ikhsan Muhammad T. Ramadhani Najmarani Devi Firdaus Natasya Prameswari Nova V. Wijaya Nuni Sulastri Nuryati C. Siregar Ocviyanti, Dwiyana Omo Abdul Madjid Prasetyo, Sandy Pratama, Yuven S Quamila F. Afdi Rahmadhany, Rizky Raymond Surya Rendy Pratama Reyhan Aditya Ribkhi A. Putri Riyan H Kurniawan Riyan H Kurniawan, Riyan H Rizky Rahmadhany RR. Ella Evrita Hestiandari Sandy Prasetyo Sari Rahmayanti Shinta Pangestu Sigit Purbadi Simon Fongana Siti R. F. Harun Siti R.F Harun Solihin, Affan Sumulyo, Ganot Surya, Ilham Utama Syaharutsa, Danny Maesadatu Syifa M. Syafitri Tofan W Utami Utomo Budidarmo Vitasatria, Arresta Wiguna, Sandra Yuven S Pratama

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