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All Journal Medical Journal of Indonesia Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Cermin Dunia Kedokteran Makara Journal of Health Research
Raymond Surya
Faculty of Medicine Universitas Indonesia, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Journal : Majalah Obstetri dan Ginekologi

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Complicated vivax malaria in pregnancy: A case report in rural area of Indonesia Surya, Raymond; Manurung, Edward Sugito; Saroyo, Yudianto Budi
Majalah Obstetri & Ginekologi Vol. 31 No. 3 (2023): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I32023.162-166

Abstract

HIGHLIGHTS In malaria endemic area, pregnant women are highly prone to suffer from malaria infection. Vivax malaria in pregnancy can contribute to anemia and preterm delivery.   ABSTRACT Objective: This study aimed to report a preterm delivery and anemia as part of P. vivax malaria infection complications in a pregnant woman in Timor Tengah Selatan regency, East Nusa Tenggara, Indonesia. Case report: A 42-year-old pregnant woman, gravida 6 para 5,36-week of gestational age pregnant woman came with complaints of water breaking since one day before admission. She had fever with chills for three days, especially at night along with muscle, headache, joint soreness, dizziness, and palpitations. Rapid diagnostic test for malaria showed positive result. Peripheral blood smear examination revealed microcytic hypochromic due to iron deficiency or chronic infection and presence of trophozoites-ring form of P. vivax with 4,235 parasitemia. A baby boy was born with weight of 2,470 grams (percentile 28%), fetal head 31 cm (percentile 13%), birth length 43 cm (percentile 4%), and Apgar Score (AS) 8 and 9 at 1 and 5 minutes, respectively. The treatment was provided according to anti-malarial guideline in Indonesia using dihydroartemisin 120 mg and piperaquine phosphate 960 mg fixed dose as DHP for 3 days and primaquine 15 mg for 14 days. Conclusion: Anemia as part of vivax malaria complication in pregnancy contributes to preterm delivery.
Cervical cancer screening before hysterectomy in pelvic organ prolapse patients: Is it essential? A case series Aryasatiani, Ekarini; Surya, Raymond; Harjanti, Dyonesia Ary; Ilona, Florinda; Kartika, Chandra Dewi; Cantika, Catalya Christina; Tenka, Lisda
Majalah Obstetri & Ginekologi Vol. 33 No. 2 (2025): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I22025.173-179

Abstract

HIGHLIGHTS More advanced cervical precancerous histopathological findings compared with cervical cytology are observed in POP patients undergoing vaginal hysterectomy. Routine use of preoperative biopsy or ultrasound in POP patients undergoing vaginal hysterectomy cannot be recommended.   ABSTRACT Objective: Pelvic organ prolapse (POP) results from weakening of the pelvic floor musculature. The reported prevalence of unexpected premalignant and malignant pathologies following hysterectomy ranges from 0.2 to 0.8%. This study aims to present a case series of patients with POP who underwent vaginal hysterectomy (VH) after preoperative evaluation for abnormal cervical cytology, which subsequently demonstrated more advanced histopathological findings. Case Series: Case 1: A 55-year-old woman, P3A0, was diagnosed with third-degree uterine prolapse and cystocele. Pap smear revealed atypical glandular cells of undetermined significance (AGUS). Histopathological examination after VH demonstrated vaginitis and metaplastic chronic cervicitis with atypia progressing to mild dysplasia of endocervical epithelial cells/low-grade squamous intraepithelial lesion (LSIL). Case 2: A 62-year-old woman, P5A0, was diagnosed with third-degree uterine prolapse. Pap smear revealed atypical squamous cells of undetermined significance (ASCH). Histopathological evaluation after VH demonstrated high-grade squamous intraepithelial lesion (HSIL) up to carcinoma in situ with microinvasive glandular involvement and focal extension. Conclusion: Given that cervical cancer remains the second leading cause of mortality among women in Indonesia, preoperative screening for precancerous gynecological lesions and malignancy is strongly recommended.
Co-Authors Achmad Kemal Harzif Adly N.A. Fattah Ali Sungkar Aryasatiani, Ekarini Banunaek, Diana Budi I Santoso, Budi I Budi I. Santoso Budi Iman Santoso Budi Wiweko Cantika, Catalya Christina Chelsea, Edelyne Chiprion, Ariel Timy Debby Anggriany, Friska Dewi Anggraeni, Tricia Dyonesia Ary Harjanti Firdaus, Karina K Guinto, Valerie Tiempo Hanny Nilasari Ilona, Florinda Iskandar, Ferdy Kartika, Chandra Dewi Manurung, Edward Sugito Mutia, Heidi Dewi Nembo, Lidia F. Nembo, Lidia Firmiaty Nurbaeti, Putri Pratama Kurniawan, Andrew Puspawardani, Aisyah Retno Rima Irwinda, Rima Saroyo, Yudianto Budi Sayogo, Atikah Surahman Hakim Tenka, Lisda Ummah, Nafi'atul Zalud, Ivica