Dwiana Ocviyanti
Departement Of Obstetrics And Gynecology, Faculty Of Medicine, Indonesia University, Jakarta, Indonesia

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Risk factors for bacterial vaginosis among Indonesian women Ocviyanti, Dwiana; Rosana, Yeva; Olivia, Shanty; Darmawan, Ferry
Medical Journal of Indonesia Vol 19, No 2 (2010): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.119 KB) | DOI: 10.13181/mji.v19i2.396

Abstract

Aim To identify risk factors for bacterial vaginosis (BV) among Indonesian women.Methods This is a cross sectional study involving 492 women with age ranged 15-50 years. Vaginal discharge was collected. Whiff test and Nugent scoring were utilized to identify BV. Settings are Puskesmas Karawang, Pedes, Cikampek,Tempuran, Batalyon 201 Clinic Cijantung, Faculty of Medicine University of Indonesia and Cipto Mangunkusumo Hospital.Results Age of the subjects were 15-25 years old (26.8%), 26 – 40 years old (59.1%), and > 40 years old (14%). The mean age was 30.9 years. Marital status of the subjects were not-married (16.9%), married (76.4%), married more than once (6.7%). Prevalence of bacterial vaginosis in this study was 30.7% according to Nugent’s score. Age > 40 years old (OR=3.15 IK 95% = 1.15-1.48) and uncircumcised couple (OR=6.25, IK 95% = 2.54 - 15.38) were independently and significantly associated with incidence of BV (p<0.05).Conclusions Prevalence of BV in this study was 30.7%. Determinant risk factors of BV were age and uncircumcised sexual partner. (Med J Indones 2010; 19:130-5)Keywords: bacterial vaginosis, risk factors, vaginal flora
VIA (Visual Inspection with Acetic Acid Aplication) Preparation of Steps OCVIYANTI, DWIANA
Indonesian Journal of Cancer Vol 4, No 5 (2010): Workshops 2010
Publisher : "Dharmais" Cancer Center Hospital

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https://www.scribd.com/doc/43601359/VIA-Visual-Inspection-with-Acetic-Acid-Aplication-Preparation-of-Steps
Colposcopy Examination OCVIYANTI, DWIANA
Indonesian Journal of Cancer Vol 4, No 5 (2010): Workshops 2010
Publisher : "Dharmais" Cancer Center Hospital

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https://www.scribd.com/doc/43601404/Colposcopy-Examination
Cryotherapy and LEEP OCVIYANTI, DWIANA
Indonesian Journal of Cancer Vol 4, No 5 (2010): Workshops 2010
Publisher : "Dharmais" Cancer Center Hospital

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https://www.scribd.com/doc/43601453/Cryotherapy-and-LEEP
Objective: There were only few studies about the characteristic of vaginal pH among contraception user in Indonesia. This study aimed to determine the effect of contraception on vaginal pH among Indonesian women. Method: This study is a cross-sectional study. The target population was Indonesian women aged 15 - 50 years. The samples consisted of 492 people. Based on the method of contraception, subjects were grouped into 4 groups, subjects with combination hormonal contraceptives, progestin onl Ocviyanti, Dwiana
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: There were only few studies about the characteristic of vaginal pH among contraception user in Indonesia. This study aimed to determine the effect of contraception on vaginal pH among Indonesian women. Method: This study is a cross-sectional study. The target population was Indonesian women aged 15 - 50 years. The samples consisted of 492 people. Based on the method of contraception, subjects were grouped into 4 groups, subjects with combination hormonal contraceptives, progestin only, condoms/IUDs, and subjects with no contraception or sterile. Vaginal acidity (pH) was examined by Dip- Stick (Merck®). Result: The average age was 30.9 ± 8.27. The methods of contraception the subjects used were combination hormonal contraception (18.0%), progestin-only (29.5%), condom/IUDs (5.1%) and no contraception/sterile (47.4%). Most subjects had vaginal pH
Identifying Causes of Vaginal Discharge: The Role of Gynecologic Symptoms and Signs Hasan, Farhan D; Ocviyanti, Dwiana
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.529 KB) | DOI: 10.32771/inajog.v3i1.17

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Abstract Objective: To attain diagnostic accuracy of various gynecologic symptoms and signs in identifying causes of vaginal discharge. Method: Eighty-two subjects were included in this cross sectional study. Gynecologic symptoms and signs were inquired from each subject and further laboratory examinations were carried out to identify the etiology. Diagnostic accuracy for each symptom and sign was compared to the laboratory examination as the standard reference. Symptoms and signs with positive predictive value (PPV) of more than 50% were considered to have good diagnostic accuracy. Result: For bacterial vaginosis, excessive wetness in genital area; vulvar maceration; and thin, turbid, yellowish vaginal discharge had PPVs of 53%; 52%; and 52%, respectively. For candidal vaginitis, vulvar maceration; and white, curd-like vaginal discharge had PPVs of 58% and 100%, respectively. For trichomoniasis, thin, turbid, frothy, yellowish vaginal discharge; and strawberry-cervix appearance had PPVs of 60% and 100%, respectively. There were no symptoms or signs with PPV of more than 50% for chlamydial cervicitis. Diagnostic accuracy for clinical findings in gonorrheal cervicitis could not be calculated due to the small number of subjects. Conclusion: Various gynecologic symptoms and signs were found to be accurate in diagnosing bacterial vaginosis, candidal vaginitis, and trichomoniasis. No symptoms or signs were considered accurate to aid etiological diagnosis for chlamydial and gonorrheal cervicitis. Keywords: bacterial vaginosis, Candida sp, Chlamydia trachomatis, gynecologic symptoms and signs, Neisseria gonorrhoeae, Trichomonas vaginalis
Identifying Causes of Vaginal Discharge: The Role of Gynecologic Symptoms and Signs Hasan, Farhan D; Ocviyanti, Dwiana
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.529 KB) | DOI: 10.32771/inajog.v3i1.17

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Abstract Objective: To attain diagnostic accuracy of various gynecologic symptoms and signs in identifying causes of vaginal discharge. Method: Eighty-two subjects were included in this cross sectional study. Gynecologic symptoms and signs were inquired from each subject and further laboratory examinations were carried out to identify the etiology. Diagnostic accuracy for each symptom and sign was compared to the laboratory examination as the standard reference. Symptoms and signs with positive predictive value (PPV) of more than 50% were considered to have good diagnostic accuracy. Result: For bacterial vaginosis, excessive wetness in genital area; vulvar maceration; and thin, turbid, yellowish vaginal discharge had PPVs of 53%; 52%; and 52%, respectively. For candidal vaginitis, vulvar maceration; and white, curd-like vaginal discharge had PPVs of 58% and 100%, respectively. For trichomoniasis, thin, turbid, frothy, yellowish vaginal discharge; and strawberry-cervix appearance had PPVs of 60% and 100%, respectively. There were no symptoms or signs with PPV of more than 50% for chlamydial cervicitis. Diagnostic accuracy for clinical findings in gonorrheal cervicitis could not be calculated due to the small number of subjects. Conclusion: Various gynecologic symptoms and signs were found to be accurate in diagnosing bacterial vaginosis, candidal vaginitis, and trichomoniasis. No symptoms or signs were considered accurate to aid etiological diagnosis for chlamydial and gonorrheal cervicitis. Keywords: bacterial vaginosis, Candida sp, Chlamydia trachomatis, gynecologic symptoms and signs, Neisseria gonorrhoeae, Trichomonas vaginalis
The Role of Hospitals in Cervical Cancer Prevention Susilawati, Susie; Ocviyanti, Dwiana
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 (100.216 KB) | DOI: 10.32771/inajog.v2i1.371

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Objective: To evaluate the role of hospitals in DKI Jakarta on primary and secondary cervical cancer prevention. Method: This was a survey conducted to 25 hospitals, chosen with simple random sampling from 109 hospitals in DKI Jakarta. Questionnaire used for interview contained statements regarding knowledge, attitude and behavior of 117 health care professionals along with identification of facility preparedness for cervical cancer prevention within those 25 hospitals. Result: The assessment of knowledge shows that all health care professionals (100%) knew that HPV vaccination is used as a primary prevention for cervical cancer. About 98.3% respondent knew HPV vaccine injected intramuscularly. As much as 91.5% of the respondent knew HPV vaccine is given three times either at month 0, 1, 6 or at month 0, 2, 6. About 71.8% respondent knew deltoid as site for vaccine injection. Most of health care professionals (99.1%) knew VIA (visual inspection with acetic acid) can be used for early detection of cervical cancer. About 76.9% respondent knew how to interpret positive VIA results and 60.7% respondent knew how to do VIA test. As much as 93.2% health care professional knew the purpose of Pap test and about 82.1% knew how to do it. From attitude aspect, most of health care professionals (96.6%) agreed in giving HPV vaccination. About 94% of them agreed to do VIA test and about 98.3% agreed in conducting Pap test. From behavioral aspect, most of the respondent (76.9%) offered HPV vaccination to their clients/patients and 62.4% respondent did HPV vaccination. VIA test was offered and conducted by 52.1% and 30.8% of them, respectively. About 86.3% respondent offered Pap test and 71.8% did the Pap test. As many as 75% of female health care professionals who meet the qualification already had a Pap test for themselves, but only 32.5% ever been vaccinated for HPV. From facility aspect, twenty hospitals (80%) in DKI Jakarta offered HPV vaccination with Pap test can be done in all of them. VIA test and colposcopy were only available in eleven (44%) and ten (40%) hospitals respectively. Conclusion: Most hospitals in DKI Jakarta have health care professionals with good knowledge and attitude in cervical cancer prevention. However, not many have shown expected behavior in the primary prevention. Most hospitals in DKI Jakarta provide facilities for HPV vaccination and Pap test, but only few have VIA facilities and colposcopy. Keywords: cervical cancer prevention, health care professional, hospital
ABORSI DI INDONESIA Ocviyanti, Dwiana; Dorothea, Maya
Majalah Kedokteran Indonesia Vol 68 No 6 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Kehamilan tidak diinginkan umumnya berdampak buruk bagi perempuan, terutama jika terjadi pada remaja perempuan. Kehamilan tidak diinginkan pada remaja perempuan dapat menyebabkan putus sekolah, gangguan pada kehamilan karena usia yang terlalu muda, ketidaksiapan mental remaja perempuan menghadapi perannya di masa yang akan datang, dan juga berdampak pada perkembangan anak yang dikandungnya.
MASALAH DAN TATA LAKSANA OBESITAS DALAM KEHAMILAN Ocviyanti, Dwiana; Dorothea, Maya
Majalah Kedokteran Indonesia Vol 68 No 6 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Pendahuluan: Berat badan lebih (overweight) dan obesitas merupakan kondisi pandemik global yang prevalensinya terus meningkat. Kondisi ini juga banyak ditemukan pada wanita usia subur. Keadaan berat badan lebih dan obesitas pada kehamilan merupakan salah satu kondisi obstetri berisiko tinggi. Kondisi berat badan lebih dan obesitas terbukti dari berbagai penelitian dapat meningkatkan risiko morbiditas dan mortalitas ibu dan janin, antara lain dapat meningkatkan risiko hipertensi dan diabetes gestasional pada masa antepartum, komplikasi intrapartum seperti distosia bahu, perdarahan postpartum, dan kegagalan induksi maupun persalinan pervaginam pasca bedah sesar. Selain itu, pada masa postpartum, obesitas terbukti meningkatkan risiko tromboemboli. Pada janin, obesitas dalam kehamilan meningkatkan risiko makrosomia dan kecacatan janin. Oleh karena itu, guideline-guideline dari Amerika, Kanada, Australia, serta Inggris menganjurkan tata laksana kolaboratif multidisiplin antara dokter umum, bidan, dokter spesialis obstetri dan ginekologi, ahli anestesi, ahli gizi, serta kedokteran olahraga dalam melakukan tata laksana pada ibu hamil dengan obesitas.