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All Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Jimmy P. Wirawan
Faculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo Hospital Jakarta
Health Professions Medicine & Pharmacology Public Health

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The Identification of Placental Alpha Micro Globulin-1 (Amnisure®) as a Method to Identify Rupture of Membrane Wirawan, Jimmy P.
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 1, January 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.446 KB)

Abstract

Objective: We aimed to do a study in the use of the identification of Placental Alpha Micro Globulin-1 or PAMG-1, in the form of Amnisure ® test, as a method to diagnose rupture of membrane (ROM), compared with other conventional method (direct visualization and nitrazine test). Method: We used a cross-sectional design. Every pregnant woman who came to our hospital with gestational age of 14 to 42 weeks complaining of membrane rupture was recruited. Sterile speculum examination and nitrazine test was performed for every patient. Amnisure ® was utilized, using vaginal swab from posterior fornices. Data analysis was performed with SPSS version 17. Results: We recruited 20 patients to join our study. Mean age, parity and gestational age was 28.5 years, parity one and 35.5 ± 3.4 weeks of gestation. Amnisure® test was positive in 14 patients. With nitrazine as standard for ROM diagnosis, the sensitivity for Amnisure® was 85% and the specificity was 83.3%. The positive predictive value was 92.3% and negative predictive value was 71.4%. Conclusion: For every positive vaginal pooling, nitrazine and Amnisure ® will be tested positive. Several studies using Amnisure® have shown similar results. Role of Amnisure® seemed evident in cases of uncertainty such as chronic ROM and severe oligohydramnios due to ROM. Positive results in presence of intact membranes which suggested micro-perforations of the membrane still need further research. Much still needed to be done before implementing Amnisure® in our country, especially in the matter of cost effectiveness. [Indones J Obstet Gynecol 2012; 36-1:20-3] Keywords: amnisure®, PAMG-1, ROM
The Unique Presentation of Massive Ascites Complicating Severe Preeclampsia and HELLP syndrome Wirawan, Jimmy P.
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 2, April 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.907 KB)

Abstract

Objective: To describe a rare case of massive ascites complicating severe preeclampsia and HELLP syndrome. Method: Reporting a case experienced and taken care in our hospital. Result: We report a case of Mrs L, 29 years old, gravid 1, admitted at 35th week gestation, with preeclampsia, HELLP syndrome (thrombocyte 49000/ul, LDH 888 U/l), and IUFD. We found ascites pre-operatively. Cesarean section was conducted. As much as 1.5 litre of ascites was evident during CS. We put intra-abdominal drain and ascites was about 4300 ml, 3800 ml and 1200 ml on 1st, 2nd and 3th day. Patient was discharged after five days of care. One week follow up, patient came with good condition and controlled blood pressure and clinically no evident ascites. Conclusion: Preeclampsia is one of the major causes of maternal mortality and morbidity in the world. Manifestation of preeclampsia can range from mild preeclampsia to full blown eclamptic condition. Herein we presented a case of massive ascites complicating severe preeclampsia and HELLP syndrome. [Indones J Obstet Gynecol 2011; 35-2: 67-9] Keywords: massive ascites, preeclampsia, HELLP syndrome
The Identification of Placental Alpha Micro Globulin-1 (Amnisure®) as a Method to Identify Rupture of Membrane Wirawan, Jimmy P.
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 1, January 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.446 KB) | DOI: 10.32771/inajog.v36i1.280

Abstract

Objective: We aimed to do a study in the use of the identification of Placental Alpha Micro Globulin-1 or PAMG-1, in the form of Amnisure ® test, as a method to diagnose rupture of membrane (ROM), compared with other conventional method (direct visualization and nitrazine test). Method: We used a cross-sectional design. Every pregnant woman who came to our hospital with gestational age of 14 to 42 weeks complaining of membrane rupture was recruited. Sterile speculum examination and nitrazine test was performed for every patient. Amnisure ® was utilized, using vaginal swab from posterior fornices. Data analysis was performed with SPSS version 17. Results: We recruited 20 patients to join our study. Mean age, parity and gestational age was 28.5 years, parity one and 35.5 ± 3.4 weeks of gestation. Amnisure® test was positive in 14 patients. With nitrazine as standard for ROM diagnosis, the sensitivity for Amnisure® was 85% and the specificity was 83.3%. The positive predictive value was 92.3% and negative predictive value was 71.4%. Conclusion: For every positive vaginal pooling, nitrazine and Amnisure ® will be tested positive. Several studies using Amnisure® have shown similar results. Role of Amnisure® seemed evident in cases of uncertainty such as chronic ROM and severe oligohydramnios due to ROM. Positive results in presence of intact membranes which suggested micro-perforations of the membrane still need further research. Much still needed to be done before implementing Amnisure® in our country, especially in the matter of cost effectiveness. [Indones J Obstet Gynecol 2012; 36-1:20-3] Keywords: amnisure®, PAMG-1, ROM
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