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Comparison of the Effects of Dienogest and Leuprolide Acetat on Serum Interferon (IFN-Æ”) Levels in a Mouse Model of Endometriosis (Mus musculus) Maria Antonia Barbara Batu Mali; Siskanita Nur Fitriana; Sutrisno Sutrisno; Husnul Khotimah; I Wayan Arsana Wiyasa; I Wayan Agung Indrawan; Maharani Maharani
Asian Journal of Health Research Vol. 2 No. 2 (2023): Volume 2 No 2 (August) 2023
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v2i2.111

Abstract

Introduction: Endometriosis is a medical condition in which there is abnormal growth of tissue resembling the endometrium outside the uterus. It can cause symptoms of pain and/or infertility. The current medical therapy focuses on reducing estradiol levels or stimulating progesterone response. One of the most effective options for medical treatment is the use of GnRH analogs. Dienogest have a direct anti-inflammatory effect on endometriotic stromal cells. However, a comparison of the anti-inflammatory effects of these drugs on IFN-Æ” has not been previously investigated. Therefore, this study aims to compare the effects of reducing IFN-Æ” by both Dienogest and Leuprolide Acetat in a mouse model. Material and Methods: This study employed a post-test only control group design and involved 4 groups, namely the negative control group, positive control group, and two treatment groups: one group administered Dienogest at a dosage of 0.0052 milligrams per day for 14 days, and the other administered Leuprolide Acetat at a dosage of 0.00975 milligrams once every 5 days for a period of 14 days. Serum IFN-Æ” levels were measured using Enzyme-Linked Immunosorbent Assay (ELISA). The data were subsequently analyzed using IBM SPSS 25 with One-Way ANOVA test. Results: This study demonstrated that Leuprolide Acetat significantly decreased serum levels of IFN-Æ”, whereas Dienogest actually increased the levels . Conclusion: In a mouse model of endometriosis (Mus musculus), Leuprolide Acetat effectively reduced the levels of IFN-Æ” (pro-inflammatory). Conversely, Dienogest increased the levels of IFN-Æ” (anti-inflammatory) in the mouse model of endometriosis.
Postpartum Depression and Breastfeeding Success among Postpartum Mothers: A Systematic Review Maharani
Asian Journal of Health Research Vol. 5 No. 1 (2026): Volume 5 No 1 (April) 2026
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v5i1.345

Abstract

Introduction: Postpartum depression is a frequent maternal mental health concern that can disrupt confidence, responsiveness, and daily care during the early postpartum period. Breastfeeding success is not limited to exclusive breastfeeding, but also includes early initiation, continuation, maternal satisfaction, and breastfeeding self-efficacy. This systematic literature review synthesized recent evidence on the relationship between postpartum depression and breastfeeding success among postpartum mothers.    Methods: A PRISMA-guided review was conducted using Scopus as the target database. The search combined terms for postpartum depression, postnatal depression, maternal depression, breastfeeding, exclusive breastfeeding, lactation, breastfeeding self-efficacy, mother, maternal, and postpartum. English language open-access articles published from 2020 to 2026 were screened. Forty-five studies met the eligibility criteria and were synthesized narratively.     Results: The evidence consistently indicated that postpartum depressive symptoms were associated with lower exclusive breastfeeding, early cessation, reduced breastfeeding self-efficacy, and more negative breastfeeding experiences. Longitudinal, cross-sectional, review, and intervention studies also showed that social support, maternal stress, breastfeeding pressure, prenatal planning, and midwife-led support shaped this association.    Conclusion: Postpartum depression and breastfeeding success should be addressed as integrated maternal outcomes. Midwifery practice needs routine psychological screening, lactation counseling, partner involvement, and non-judgmental support for mothers who breastfeed, combine feeding, or discontinue breastfeeding.