Articles
Difference of Vertical Transmission in HIV-Infected Women with Complete and Incomplete PMTCT
Fausihar, Sitti;
Saroyo, Yudianto B
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (128.755 KB)
|
DOI: 10.32771/inajog.v3i2.30
Objective: To analyze any differences on vertical transmission in
groups with complete and incomplete program as well as the factors
influencing completion.
Method: This was a retrospective cohort study performed by data
collection from medical records and/or interviews from January
2010 to February 2012. The variables analyzed subject characteristics,
applied PMTCT program and risk factors affecting transmission.
Result: Seventy-five pregnant women who were HIV-positive were
initially recruited, but 21 subjects were excluded due to incomplete
medical records. In the first group (n=27) who received complete
PMTCT, no vertical transmission was identified, while in the second
group (n=27) with incomplete PMTCT, seven children were found to
be HIV-positive. Rupture of membrane for more than 4 hours was
the only significant risk factor for vertical transmission (p=0.001,
RR=64.5, 95% CI=6.14-677.6).
Conclusion: There was a significant difference in the occurrence of
vertical transmission between complete and incomplete PMTCT
program. Complete PMTCT program may provide protective effect
against the occurrence of vertical transmission by 25.9%.
Keywords: HIV, PMTCT, vertical transmission
Prediction of Vaginal Delivery Using Fetal Head Descent Assessed Using Transperineal Ultrasound
Saroyo, Yudianto B;
Danarti, Mahendri D
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 3, July 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (98.595 KB)
|
DOI: 10.32771/inajog.v5i3.541
Objective: To evaluate the use of transperineal ultrasound in predicting the successfulness of vaginal delivery.
Methods: This was a prospective study conducted at Karawang District Hospital during the period between March 2016 and May 2016. Inclusion criteria were term pregnancy, singleton live head presentation, and active phase of labor. Using transperineal ultrasound, fetal head perineum distance, and angle of progression within relaxation phase between contraction were being calculated.
Results: There were 306 subjects who delivered vaginally. The cut off value for fetal head perineum distance as a predictor of vaginal delivery was 43.5 mm (sensitivity 91%, specificity 78%), with area under a curve of 82% (95% CI 69 - 95%, p < 0.01); while angle of progression is 107° (sensitivity 80 %, specificity 97%), with Area under curve is 96.4% (95% CI 87 - 99%, p < 0.01).
Conclusion: Fetal head perineum distance and angle of progression can predict the successfulness of vaginal delivery.
[Indones J Obstet Gynecol 2017; 5-3: 149-153]
Keywords: angle of progression, fetal head-perineum distance, prediction of vaginal delivery, transperineal ultrasound
Demographic Characteristics of Mothers Who Delivered Children with Birth Defetcs
Saroyo, Yudianto B;
Wijaya, Christian;
Marsubin, Putri M T
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (103.965 KB)
|
DOI: 10.32771/inajog.v6i4.845
Abstract
Objective: to determine the characteristics and background of mothers who delivered neonates with birth defects.
Methods: A retrospective study was used by evaluating the medical records of patients with birth defects in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016.
Results: A total of 67 (1.85%) out of 3,619 infants who were born in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016 had birth defects. Forty-seven (70.1%) mothers of the subjects irregularly attend antenatal care. The most frequent maternal comorbid disease in this study was asthma, which was found in 4 (5.97%) mothers of the subjects. 48 (58.7%) subjects had birth weight under 2500 g.
Conclusion: In this retrospective study, the main highlight is that 70.1% of the mothers who delivered neonates with birth defects did not attend antenatal care regularly. 58.7% of the neonates with birth defects had low birth weight. This study could be used as base for further research investigating about the role of antenatal care in early detection and/or the planning of delivery for babies with birth defects. Trends in babies with birth defects suggested that fetuses diagnosed with IUGR/SGA should be given special attention, as they were at increased risk for birth defects.
Keywords: birth defect, maternal description
Abstrak
Tujuan: untuk mengetahui deskripsi/ciri-ciri dan latar belakang ibu yang melahirkan janin dengan kelainan bawaan.
Metode: Studi retrospektif digunakan dengan menggunakan data sekunder rekam medis pasien dengan kelainan bawaan di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo pada periode September 2014-Juni 2016.
Hasil: Sejumlah 67 (1.85%) dari 3,619 neonatus didapatkan dengan kelainan bawaan di RSUPN Cipto Mangunkusumo pada periode September 2014-Juni 2016 . Sejumlah 47 (70.1%) ibu dari subjek tidak teratur dalam melakukan kunjungan antenatal care. Penyakit komorbid ibu yang paling banyak ditemukan dalam studi ini adalah asma, yang ditemukan dalam 4 (5.97%) subjek. 48 (58.7%) subyek memiliki berat lahir di bawah 2500 g.
Kesimpulan: Pada studi retrospektif ini didapatkan 70.1% ibu yang melahirkan bayi dengan kelainan bawaan tidak melakukan kunjungan antenatal care. Didapatkan bahwa 58,7% bayi yang lahir dengan kelainan bawaan memiliki berat badan lahir rendah (BBLR). Studi ini dapat dijadikan sebagai landasan dilakukannya studi yang lebih besar untuk mengevaluasi peran antenatal care terhadap deteksi dini dan/atau perencanaan persalinan bayi dengan kelainan bawaan. Tren pada bayi dengan kelainan bawaan menunjukkan bahwa janin yang pada antenatal care didapatkan IUGR/SGA patut diperhatikan lebih untuk kecurigaan kemungkinan adanya kelainan bawaan.
Kata kunci: deskripsi ibu, kelainan bawaan,
Social Support and Postpartum Depression in Human Immuno Deficiency Virus (HIV) Patients
Wahyudi, Wahyudi;
Saroyo, Yudianto B;
Adjie, Jose MS;
Elvira, Sylvia D
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (111.503 KB)
|
DOI: 10.32771/inajog.v2i3.392
Objective: To evaluate the relationship between social support given to HIV patients with the incidence of postpartum depression. Method: All HIV patients who had delivery in Dr. Cipto Mangunkusumo hospital and Prof. dr. Sulianti Saroso hospital during the period of October 2012 to March 2013 were enrolled as research subjects. We performed depression screening with the Edinburgh Postnatal Depression Scale (EPDS) and to measure the social support provided by Social Support Questionnaire/Kuesioner Dukungan Sosial (KDS). Statistical analysis was done using Fisher’s exact test, Chi-square and unpaired t-test. Result: We found a total of 34.1% of subjects who experienced postpartum depression, in which 40% did not received proper social support. Considering the demographic characteristics of the subjects who experienced depression, 70% was in age group 20-35 years, 56.7% of subjects had low education level and 70% was primiparous. Conclusion: Social support has a protective effect towards postpartum depression in HIV patients. [Indones J Obstet Gynecol 2014; 3: 117-120] Keywords: Edinburgh postnatal depression scale, HIV, (kuesioner dukungan sosial), postpartum depression, social support
Social Support and Postpartum Depression in Human Immuno Deficiency Virus (HIV) Patients
Wahyudi, Wahyudi;
Saroyo, Yudianto B;
Adjie, Jose MS;
Elvira, Sylvia D
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (111.503 KB)
|
DOI: 10.32771/inajog.v2i3.392
Objective: To evaluate the relationship between social support given to HIV patients with the incidence of postpartum depression. Method: All HIV patients who had delivery in Dr. Cipto Mangunkusumo hospital and Prof. dr. Sulianti Saroso hospital during the period of October 2012 to March 2013 were enrolled as research subjects. We performed depression screening with the Edinburgh Postnatal Depression Scale (EPDS) and to measure the social support provided by Social Support Questionnaire/Kuesioner Dukungan Sosial (KDS). Statistical analysis was done using Fisher’s exact test, Chi-square and unpaired t-test. Result: We found a total of 34.1% of subjects who experienced postpartum depression, in which 40% did not received proper social support. Considering the demographic characteristics of the subjects who experienced depression, 70% was in age group 20-35 years, 56.7% of subjects had low education level and 70% was primiparous. Conclusion: Social support has a protective effect towards postpartum depression in HIV patients. [Indones J Obstet Gynecol 2014; 3: 117-120] Keywords: Edinburgh postnatal depression scale, HIV, (kuesioner dukungan sosial), postpartum depression, social support
Difference of Vertical Transmission in HIV-Infected Women with Complete and Incomplete PMTCT
Fausihar, Sitti;
Saroyo, Yudianto B
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (128.755 KB)
|
DOI: 10.32771/inajog.v3i2.30
Objective: To analyze any differences on vertical transmission in
groups with complete and incomplete program as well as the factors
influencing completion.
Method: This was a retrospective cohort study performed by data
collection from medical records and/or interviews from January
2010 to February 2012. The variables analyzed subject characteristics,
applied PMTCT program and risk factors affecting transmission.
Result: Seventy-five pregnant women who were HIV-positive were
initially recruited, but 21 subjects were excluded due to incomplete
medical records. In the first group (n=27) who received complete
PMTCT, no vertical transmission was identified, while in the second
group (n=27) with incomplete PMTCT, seven children were found to
be HIV-positive. Rupture of membrane for more than 4 hours was
the only significant risk factor for vertical transmission (p=0.001,
RR=64.5, 95% CI=6.14-677.6).
Conclusion: There was a significant difference in the occurrence of
vertical transmission between complete and incomplete PMTCT
program. Complete PMTCT program may provide protective effect
against the occurrence of vertical transmission by 25.9%.
Keywords: HIV, PMTCT, vertical transmission
Prediction of Vaginal Delivery Using Fetal Head Descent Assessed Using Transperineal Ultrasound
Saroyo, Yudianto B;
Danarti, Mahendri D
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 3, July 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (98.595 KB)
|
DOI: 10.32771/inajog.v5i3.541
Objective: To evaluate the use of transperineal ultrasound in predicting the successfulness of vaginal delivery.
Methods: This was a prospective study conducted at Karawang District Hospital during the period between March 2016 and May 2016. Inclusion criteria were term pregnancy, singleton live head presentation, and active phase of labor. Using transperineal ultrasound, fetal head perineum distance, and angle of progression within relaxation phase between contraction were being calculated.
Results: There were 306 subjects who delivered vaginally. The cut off value for fetal head perineum distance as a predictor of vaginal delivery was 43.5 mm (sensitivity 91%, specificity 78%), with area under a curve of 82% (95% CI 69 - 95%, p < 0.01); while angle of progression is 107° (sensitivity 80 %, specificity 97%), with Area under curve is 96.4% (95% CI 87 - 99%, p < 0.01).
Conclusion: Fetal head perineum distance and angle of progression can predict the successfulness of vaginal delivery.
[Indones J Obstet Gynecol 2017; 5-3: 149-153]
Keywords: angle of progression, fetal head-perineum distance, prediction of vaginal delivery, transperineal ultrasound
Demographic Characteristics of Mothers Who Delivered Children with Birth Defetcs
Saroyo, Yudianto B;
Wijaya, Christian;
Marsubin, Putri M T
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (103.965 KB)
|
DOI: 10.32771/inajog.v6i4.845
Abstract
Objective: to determine the characteristics and background of mothers who delivered neonates with birth defects.
Methods: A retrospective study was used by evaluating the medical records of patients with birth defects in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016.
Results: A total of 67 (1.85%) out of 3,619 infants who were born in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016 had birth defects. Forty-seven (70.1%) mothers of the subjects irregularly attend antenatal care. The most frequent maternal comorbid disease in this study was asthma, which was found in 4 (5.97%) mothers of the subjects. 48 (58.7%) subjects had birth weight under 2500 g.
Conclusion: In this retrospective study, the main highlight is that 70.1% of the mothers who delivered neonates with birth defects did not attend antenatal care regularly. 58.7% of the neonates with birth defects had low birth weight. This study could be used as base for further research investigating about the role of antenatal care in early detection and/or the planning of delivery for babies with birth defects. Trends in babies with birth defects suggested that fetuses diagnosed with IUGR/SGA should be given special attention, as they were at increased risk for birth defects.
Keywords: birth defect, maternal description
Abstrak
Tujuan: untuk mengetahui deskripsi/ciri-ciri dan latar belakang ibu yang melahirkan janin dengan kelainan bawaan.
Metode: Studi retrospektif digunakan dengan menggunakan data sekunder rekam medis pasien dengan kelainan bawaan di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo pada periode September 2014-Juni 2016.
Hasil: Sejumlah 67 (1.85%) dari 3,619 neonatus didapatkan dengan kelainan bawaan di RSUPN Cipto Mangunkusumo pada periode September 2014-Juni 2016 . Sejumlah 47 (70.1%) ibu dari subjek tidak teratur dalam melakukan kunjungan antenatal care. Penyakit komorbid ibu yang paling banyak ditemukan dalam studi ini adalah asma, yang ditemukan dalam 4 (5.97%) subjek. 48 (58.7%) subyek memiliki berat lahir di bawah 2500 g.
Kesimpulan: Pada studi retrospektif ini didapatkan 70.1% ibu yang melahirkan bayi dengan kelainan bawaan tidak melakukan kunjungan antenatal care. Didapatkan bahwa 58,7% bayi yang lahir dengan kelainan bawaan memiliki berat badan lahir rendah (BBLR). Studi ini dapat dijadikan sebagai landasan dilakukannya studi yang lebih besar untuk mengevaluasi peran antenatal care terhadap deteksi dini dan/atau perencanaan persalinan bayi dengan kelainan bawaan. Tren pada bayi dengan kelainan bawaan menunjukkan bahwa janin yang pada antenatal care didapatkan IUGR/SGA patut diperhatikan lebih untuk kecurigaan kemungkinan adanya kelainan bawaan.
Kata kunci: deskripsi ibu, kelainan bawaan,