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Factors Affecting the Development of Anxiety in Postmenopausal Women: A CrossSectional Study in Coastal Areas: FaktorFaktor yang Mempengaruhi Terjadinya Kecemasan pada Perempuan Pascamenopause: Suatu Studi Potong Lintang di Daerah Pesisir Juminten Saimin; Satrio Wicaksono; Junuda Junuda; Minarti Minarti
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To analyze factors associated with anxiety in postmenopausal women. Methods: This study was descriptive analytic with cross-sectional approach conducted in 228 postmenopausal women that aged 50-64 years old in coastal areas of Kendari City. Samples were taken by simple random sampling. The technique of collecting data used questionnaires and the Taylor Manifest Anxiety Scale (T-MAS). Data were analyzed using Chi-square test with a significance value p ï‚£ 0.05. Results: The results showed that 188 respondents (82.4%) had. anxiety. Its most experienced anxiety was aged 50-54 years old (37.7%), low education (96.0%), as housewife (62.7%), low income (91.2%) and lived with a partner (54.4%). There was correlation between anxiety with age (p=0.016), education level (p = 0.009), income (p = 0.011), and residence status (p = 0.029). There was no correlation between anxiety with occupation (p = 0.351). Conclusion: There was a correlation between anxiety in postmenopausal women in coastal areas with age, education level, income, and residence status. Keywords: age, anxiety, education level, income, postmenopausal women, residence status

Socio-Demographic and Nutritional Determinants of Birth Weight in Coastal Areas: Determinan Sosio-demografikdan Gizi yang Berhubungan dengan Berat Badan Lahir Bayi di Daerah Pesisir Juminten Saimin; Amalia N Azizah; Satrio Wicaksono
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective : To identify socio-demographic and nutritional determinant associated with birth weight in coastal areas. Method : A cross sectional study using simple random sampling method. Data of labour in coastal areas of Kendari City was analyzed. Total of 215 women who aterm delivery in Community Health Centre of Mata, Nambo and Abeli on January to December 2016 were included in this study. Birth weight was examined in association with independent variable as maternal age, education, occupation, husbandâ€™s job, parity, antenatal care, iron tablets consumption and upper arm circumference. Results : Most participants were aged 20-25 years old, primary education, as housewife, multiparity and husband work as self-employed. There was 8.9% low birth weight in coastal areas. Maternal age, education and ANC visits were significantly associated with birth weight (p < 0.05). Consumption of iron tablets and upper arm circumference were significantly associated with birth weight (p < 0.05). Conclusion :Maternal age, education and ANC visits were socio-demographic determinant that associated with birth weight. Iron tablets consumption and upper arm circumference were nutritional determinant that significantly associated with birth weight. Keywords : age, antenatal care, birth weight, education, iron tablets, upper arm circumference Abstrak Tujuan :Mengidentifikasi determinan sosio-demografik dan gizi yang berhubungan dengan berat badan lahir bayi di daerah pesisir. Metode :Penelitian potong lintangdengan pengambilan sampel secara simple random sampling. Dilakukan analisis terhadap 215 ibu hamil yang melahirkan bayi cukup bulan di wilayah kerja Puskesmas Mata, Nambo dan Abelipada bulan Januari sampai Desember 2016. Varia beli independen berupa usia ibu, tingkat pendidikan, pekerjaan, pekerjaan suami, paritas, antenatal care, konsumsi tablet besi dan ukuran lingkar lengan atas. Hasil :Responden terbanyak berusia 20-25tahun, berpendidikan rendah, bekerja sebagai ibu rumah tangga, multiparitas dan pekerjaan suami wiraswasta. Terdapat8,9% bayi BBLR. Terdapat hubungan yang bermakna antara usia ibu, tingkat pendidikan dan ANC dengan BBL (p < 0.05). Terdapat hubungan yang bermakna antara konsumsi tablet besi dan ukuran LILA dengan BBL (p < 0.05). Kesimpulan :Determinan sosio-demografik yang berhubungan dengan BBL adalah usia, tingkat pendidikan, dan ANC. Sedangkan determinan gizi yang berhubungan dengan BBL adalah konsumsi tablet besi dan ukuran LILA. Kata kunci: ANC, BBL, LILA, pendidikan, tablet besi, usia

Uterine Prolapse in Postmenopausal Women in the Coastal Areas: Prolaps Uteri pada Perempuan Postmenopause di Daerah Pesisir Juminten Saimin; Indria Hafizah; Nina Indriyani; Ashaeryanto; Satrio Wicaksono
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 4 October 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v8i4.1349

Objective: To assess the characteristics of postmenopausal women in the coastal areas that experience uterine prolapse.Methods: This was a retrospective descriptive study conducted at Alpha Gynecology Clinic in Kendari. Samplesare cases of uterine prolapse from coastal areas that visited in January to December 2017. Samples were taken by consecutive sampling. The diagnosis of uterine prolapse is based on the Pelvic Organ Prolapse Quantification system. Data is presented with tables and narration.Results: There were 21 respondents who experienced uterine prolapse. Most respondents were aged 61-70 years (42.8%), work as housewives (71.4%), parity more than 4 (85.7%), and duration of menopause >5 years (100.0%). The most common complaint at the fi rst time was a feeling of a lump in the vagina (81.0%), in the third degree of uterine prolapse (57.1%), and accompanied by comorbidities (66.7%). Conclusions: Uterine prolapse in postmenopausal women in the coastal areas was found in housewives, aged 61-70 years, grande-multiparous, and duration of menopause >5 years. The main complaint was felt a lump in the vagina, in the third degree and accompanied by comorbidities. Counselling, information and education regarding symptoms and management of uterine prolapse need to be done.Keywords: coastal areas, postmenopausal women, uterine prolapse.AbstrakTujuan: Mengetahui karakteristik perempuan postmenopause di daerah pesisir yang mengalami prolapsus uteri.Metode: Penelitian ini bersifat deskriptif retrospektif yang dilakukan di Klinik Ginekologi Alfa di Kendari. Sampel adalah kasus prolapse uteri yang berasal dari daerah pesisir yang berkunjung pada bulan Januari sampai Desember 2017. Sampel diambil secara consecutive sampling. Diagnosis prolapsus uteri berdasarkan sistem Pelvic Organ Prolapse Quantification. Data disajikan dalam bentuk tabel dan narasinya.Hasil: Hasil penelitian menunjukkan terdapat 21 responden yang mengalami prolapsus uteri. Responden terbanyak berusia 61-70 tahun (42,8%), pekerjaan sebagai ibu rumah tangga (71,4%), paritas lebih dari 4 (85,7%), dengan lama menopause lebih dari 5 tahun (100,0%). Keluhan yang paling sering dialami pada saat pertama datang adalah terasa ada yang mengganjal di jalan lahir (81,0%), dengan diagnosis prolapsus uteri derajat 3 (57,1%), dan disertai penyakit penyerta (66,7%).Kesimpulan: Prolapsus uteri pada perempuan postmenopause di daerah pesisir ditemukan pada ibu rumah tangga, usia 61-70 tahun, grande multipara, menopause >5 tahun. Keluhan utama terasa ada yang mengganjal di jalan lahir disertai penyakit penyerta, dengan diagnosis prolapse uteri derajat 3. Perlu dilakukan penyuluhan, konseling dan edukasi mengenai gejala dan penatalaksanaan prolapsus uteri.Kata kunci: daerah pesisir, prolaps uteri, perempuan postmenopause.

Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital : Profil Ibu Hamil dengan COVID-19 yang Dirawat di Rumah Sakit Rujukan Juminten Saimin; Steven Ridwan; Irawaty Irawaty; Arimaswati Arimaswati; Sadly Salman; Wawan Hermawan
Indonesian Journal of Obstetrics and Gynecology Volume 9 No. 1 January 2021
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v9i1.1466

Objective: To determine the clinical profile of pregnant women with COVID-19 who hospitalized in a referral hospital.Methods: This was a descriptive study conducted on pregnant women with COVID-19 who were hospitalized at Regional Hospital of Bau-Bau and Bahteramas Hospital in Southeast Sulawesi from May to July 2020. The confirmation of COVID-19 was based on RT-PCR. Data including characteristics, clinical profile, laboratory test, imaging, management, and outcomes.Results: There were 41 pregnant women with COVID-19 and no maternal death cases. Maternal age was approximately 19 to 39 years, had middle education levels, and was a housewife. Most of them did not know their closed contacts, had no comorbidities, and referrals from other hospitals. They were 3rd-trimester and hospitalized with complaints related to pregnancy. Only 3 cases had complaints related to COVID-19, namely fever and cough. The majority of laboratory tests were leucocytosis. Chest X-ray shows bronchopneumonia, pneumonia, and normal imaging. Obstetrics management was performed according to the condition of the mother and fetus, including vaginal delivery, cesarean section, and curettage. The treatment was using broad-spectrum antibiotics and antiviral. Complications in the fetus/infant were abortion, fetal distress, LBW, and asphyxia.Conclusion: Pregnant women with COVID-19 have mild or asymptomatic symptoms, hospitalized with complaints related to their pregnancy, and treatment according to the condition of the mother and fetus. There are no complications in the mother, while complications in the baby are not clear.Keywords: COVID-19, pregnant women, referral hospital. Abstrak Tujuan: Mengetahui gambaran klinis ibu hamil dengan COVID-19 yang masuk di rumah sakit rujukan COVID-19.Metode: Penelitian ini bersifat deskriptif yang dilakukan pada ibu hamil dengan COVID-19 yang dirawat di rumah sakit rujukan di Sulawesi Tenggara, yaitu RSUD Bau-Bau dan RSU Bahteramas di Kendari, pada bulan Mei sampai Juli 2020. Konfirmasi positif COVID-19 berdasarkan hasil pemeriksaan RT-PCR. Data berupa karakteristik, gambaran klinis, pemeriksaan penunjang, penatalaksanaan, dan luaran. Hasil: Terdapat 41 ibu hamil dengan COVID-19 dan tidak ada kasus kematian ibu. Usia ibu berkisar 19-39 tahun, tingkat pendidikan menengah, dan sebagai ibu rumah tangga. Sebagian besar kasus pada trimester-3, tidak tahu memiliki kontak erat, tidak memiliki komorbid, dan rujukan dari RS lain. Sebagian besar dirawat dengan keluhan terkait kehamilannya dan hanya 3 kasus dengan keluhan terkait COVID-19, yaitu demam dan batuk. Pemeriksaan laboratorium menunjukkan lekositosis. Gambaran foto toraks menunjukkan bronkopneumonia, pneumonia, dan normal. Tindakan obstetri dilakukan atas indikasi ibu dan janin, yaitu persalinan normal, seksio sesarea, dan kuretase. Terapi yang digunakan adalah antibiotic spectrum luas dan antivirus. Komplikasi pada janin/bayi berupa abortus, gawat janin, BBLR, dan asfiksia. Kesimpulan: Ibu hamil dengan COVID-19 memiliki gejala ringan atau asimtomatik, dirawat dengan keluhan terkait kehamilannya, dan dilakukan tindakan obstetri sesuai dengan indikasi ibu dan janin. Tidak ada komplikasi pada ibu, sedangkan komplikasi pada bayi belum jelas.Kata kunci: COVID-19, ibu hamil, rumah sakit rujukan

Vaginal pH of Menopausal Women is Related to the Duration of Menopause: Keasaman Vagina Perempuan Menopause Berhubungan dengan Lamanya Menopause Juminten Saimin; Yenti Purnamasari; Sufiah Mulyawati
Indonesian Journal of Obstetrics and Gynecology Volume 9 No. 2 April 2021
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v9i2.1483

Sociodemographic Factors of Elective and Emergency Cesarean Delivery in the Referal Hospital: A cross-sectional study: Faktor Sosiodemografi pada persalinan seksio sesarea elektif dan emergensi di Rumah Sakit Rujukan: sebuah penelitian potong lintang Restuaji B.K. Umam; Nur I. Purnamasari; I Putu Sudayasa; Juminten Saimin
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1613

Objectives: To analyze the correlation between sociodemographic factors and cesarean section delivery at Referral Hospital in Kendari. Method: This was a cross-sectional study conducted at dr. Ismoyo Hospital in Kendari. Data were obtained from medical records of cesarean section delivery from January to December 2019. Sampling used simple random sampling techniques. Data were analyzed using the Chi-square test. Result: There were 50.5% emergency cesarean and 49.5% elective cesarean. The maternal age was 18-44 years. Most cases are aged 20-35 years (78.5%), have a higher education level (65.1%), employees (53.2%), and multipara (56.5%). There was a correlation between age and cesarean section (p = 0.027). There was no correlation between education level (p = 0.618), occupation (p = 0.563), and parity (p = 0.365) with cesarean section. Conclusion: There is a correlation between maternal age and cesarean section. Education, counseling, and antenatal care should be done for early detection. Keywords: age, cesarean section, education level, occupation, parity

Overview of S-RBD Antibody Levels After Covid-19 Vaccination in Premenopausal and Menopausal Women Juminten Saimin; Irawaty Irawaty; Nur Indah Purnamasari; Yenti Purnamasari; Sufiah Asri Mulyawati
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 1 January 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i1.1666

Objective: To determine the levels of S-RBD antibodies in premenopausal and postmenopausal women who received the COVID-19 vaccine. Methods: This study involved 21 premenopausal and postmenopausal women who received two doses of CoronaVac at 28 days intervals. The duration of vaccination was 4-24 weeks. This study was conducted on May–October 2021 in Kendari City, Indonesia. Blood samples were taken at a health care facility and examined at the Prodia Clinical Laboratory. Participants were healthy women, willing to participate, and signed informed consent. Participants were excluded if they had a history of COVID-19, had taken antibiotics or immunomodulators in the last 24 hours, had a history of acute/chronic inflammatory disease and malignancy, were traumatized and received monoclonal antibody therapy. Results: Participants were 52.95±7.61 years old. The duration of the second vaccination was 13.67±5.26 weeks. The lowest level of S-RBD antibody was menopause with vaccination duration <=12 weeks (185.59±112.34 U/mL), and the highest was premenopause with vaccination duration >12 weeks (257.5±3.54 U/mL). The S-RBD antibody level in premenopausal women was higher than in menopausal women at the duration of vaccination <=12 weeks (223.37±63.45 vs 185.59±112.34 U/mL) and >12 weeks (257.5±3.54 vs. 225.55±91.14 U/mL). There was no significant difference in S-RBD antibody levels between two or more groups (p>0.05). Conclusion: S-RBD antibody levels in postmenopausal women after receiving two doses of COVID-19 vaccine were lower than in premenopausal women, but the difference was not significant. S-RBD antibody levels in postmenopausal women increased with increasing duration of vaccine administration. Keywords: menopause, immune response, COVID-19 vaccine, S-RBD antibody

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