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All Journal Jurnal Kedokteran Diponegoro Indonesian Journal of Obstetrics & Gynecology Science Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Basic and Applied Nursing Research Journal
Putri Sekar Wiyati
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Health Professions Medicine & Pharmacology Nursing Public Health

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Case Report of Unintended Pregnancy in a Woman with a Translocated IUD and Successful Laparoscopic Management: A Rare Case in a Peripheral Hospital in Central Java, Indonesia Rosiana, Alifa Nasyahta; Akhmadi, Syauqi Yoshi Kashira; Pradana, Arga Putra; Wiyati, Putri Sekar
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.783

Abstract

Introduction: The most serious complication of using intrauterine devices (IUDs) is uterine perforation. Studies have shown that the occurrence of uterine perforation in women using IUDs varies from 0.05 to 13 per 1,000 cases. If not detected, IUD translocation can cause serious complications, including bladder or intestinal perforation, intestinal obstruction, fistula formation, abscesses, adhesions, unintended pregnancy, and chronic pelvic painCase Presenation : A 31-year-old woman, G4P3A0, presented with abdominal pain and a positive pregnancy test despite having an IUD inserted in October 2022. She had no vaginal bleeding. The patient’s obstetrical history included three prior vaginal deliveries. Postpartum complications in 2022 led to retained tissue in the uterus, which was cleared with medication. She was advised to use an IUD as contraception but did not follow up. Ultrasound revealed a translocated IUD anterior to the uterus, surrounded by fluid resembling a small abscess. Management included exploratory laparoscopy for IUD removal. After the procedure, a follow-up ultrasound showed a single live intrauterine fetus, with no pain or bleeding. The patient’s condition improved after one week.Conclusion : This case highlights the importance of follow-up after IUD insertion and appropriate management in cases of misplaced IUDs with unintended pregnancy.Laporan Kasus Kehamilan Tidak Direncanakan (KTD) pada Seorang Wanita dengan Tranlokasi IUD yang Sukses dengan Tindakan Laparoskopi: Sebuah Kasus Langka di Rumah Sakit Perifer di Jawa Tengah, IndonesiaAbstrakPendahuluan: Komplikasi yang paling serius dari penggunaan Alat Kontrasepsi Dalam Rahim (AKDR) adalah perforasi uterus. Studi menunjukkan bahwa kejadian perforasi uterus pada wanita yang menggunakan IUD bervariasi antara 0,05 hingga 13 per 1000 kasus. Jika tidak terdeteksi, translokasi IUD dapat menyebabkan komplikasi serius, seperti perforasi kandung kemih atau usus, obstruksi usus, terbentuknya fistula, abses, adhesi, kehamilan yang tidak diinginkan, dan nyeri panggul kronis.Presentasi Kasus: Seorang wanita 31 tahun, G4P3A0, datang dengan keluhan nyeri perut dan hasil tes kehamilan positif. Pada tubuh pasien telah terpasang IUD pada Oktober 2022. Pasien tidak mengeluh adanya perdarahan vagina. Riwayat obstetri pasien telah melakukan persalinan pervaginam 3 kali. Pasien mengalami komplikasi postpartum pada persalinan terakhir tahun 2022, yaitu terdapat sisa jaringan plasenta yang kemudian dibersihkan dengan obat-obatan. Pasien disarankan untuk menggunakan IUD sebagai kontrasepsi setelah uterusnya dinyatakan bersih, namun setelah itu pasien tidak melakukan kontrol lanjutan. Pemeriksaan ultrasonografi menunjukkan IUD keluar dari uterus dan terletak di depan uterus, yang dikelilingi cairan menyerupai abses kecil. Tatalaksana dilakukan dengan laparoskopi eksplorasi untuk pengambilan IUD. Setelah prosedur, pemeriksaan ultrasonografi lanjutan menunjukkan janin intrauterin tunggal yang hidup, tanpa disertai nyeri atau perdarahan. Kondisi pasien membaik setelah satu minggu.Kesimpulan: Kasus ini menekankan pentingnya kontrol lanjutan setelah pemasangan IUD dan penanganan yang tepat pada kasus translokasi IUD dengan kehamilan yang tidak direncanakan.Kata Kunci: Kehamilan tidak diharapakan (KTD), translokasi IUD, laparoskopi
Maternal and Perinatal Outcomes in Pregnancy Complicated with Pre- and Gestational Diabetes Mellitus Maheswara, Ayya; Razmaeda Sarastry; Kristanto, Herman; Julian Dewantiningrum; Putri Sekar Wiyati
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.v11i1.1655

Abstract

Objective: To analyze maternal and perinatal outcomes in pregnancies complicated by pre-gestational and gestational diabetes. Methods: This is an analytical observational study with a cross-sectional design. We examined 57 women, 39 of pre-gestational diabetes mellitus (PGDM) women, and 19 had gestational diabetes mellitus (GDM). The data were analyzed using the chi-square and Fisher’s exact test. Results: There were no maternal deaths in either group. Pre-eclampsia was significantly higher in the PGDM group. Perinatal deaths and asphyxia were the same in both groups. Prematurity was higher in the PGDM group. Neonates of GDM women appeared to be heavier. Intrauterine fetal death (IUFD) rates were higher in the GDM group. Congenital anomalies were found in the GDM group. Conclusion: There were differences in maternal and perinatal outcomes in both groups, namely pre-eclampsia and congenital anomaly.
Assessing Contraceptive Service Training Using the Kirkpatrick Model to Improve Health Worker Competency Prawitasari, Shinta; Barirah, Ratih; Sangun, Diannisa Ekarumi Enisar; Wiyati, Putri Sekar
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2932

Abstract

AbstractObjective: To evaluate contraceptive service training using the Kirkpatrick evaluation model levels 1–3.Methods: This quasi-experimental study was conducted based on the Kirkpatrick evaluation model to assess contraceptive service training in West Nusa Tenggara, Indonesia. Thirty health workers participated after providing informed consent. The competency-based training employed a blended learning approach, consisting of 57 hours of online theoretical instruction followed by 50 hours of face-to-face practical training. The training was evaluated at the reaction, learning, and behavior levels of the Kirkpatrick model. Participants were representatives from districts and municipalities across West Nusa Tenggara Province.Results: Participants reported a high level of satisfaction with the training (86.89%). Knowledge levels improved significantly, with mean scores increasing from 56.33 on the pre-test to 95.73 on the post-test. During the training, participants demonstrated effective counseling skills as well as competency in IUD and implant insertion and removal. However, the mean competency scores showed a decline one year after the training.Conclusion: The improvement in pre-test and post-test scores was statistically significant (p < 0.001). At the behavior level, a slight decrease in competency was observed after one year of follow-up.Keywords: contraceptive services, contraceptive training, evaluation, health worker, kirkpatrick model.
Co-Authors -, Adhie Nur Radityo Adespin, Dea Amarilisa Adhie Nur Radityo Akhmadi, Syauqi Yoshi Kashira Alifa Nasyahta Rosiana Ari Budi Himawan Astika Widy Utomo Barirah, Ratih Besari Adi Pramono Danti Meirani Dimas Tri Anantyo Firdausy, Dania Emeralda Herman Kristanto Herman Kristanto Inas Sausan Julian Dewantiningrum Julian Dewantiningrum Khairunnisa, Latifa Larasati, Irene Astrid Maheswara, Ayya Marwan Azmi Abdurrahim Mochtar, Arufiadi Anityo Mukti, Ngesti Anggita Nahwa Arkhaesi Namira Khairani Naura Laras Rif&#039;ati Pradana, Arga Putra Ratnasari Dwi Cahyanti, Ratnasari Dwi Razmaeda Sarastry Sangun, Diannisa Ekarumi Enisar Shinta Prawitasari Tun Paksi Sareharto Yurico, Ariq Azky Yurico