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INDONESIA
Indonesian Journal of Obstetrics & Gynecology Science
Published by Universitas Padjadjaran
ISSN : 2615496X     EISSN : 2615496X     DOI : -
Core Subject : Health,
Health Professions Public Health
OBGYNIA (Indonesian Journal of Obstetrics & Gynecology Science ) adalah jurnal dalam bidang ilmu Obstetri & Ginekologi yang diterbitkan resmi oleh Departemen Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran. OBGYNIA menerbitkan artikel penelitian tentang kemajuan ilmiah, manajemen klinis pasien, teknik bedah, kemajuan pengobatan dan evaluasi pelayanan, manajemen serta pengobatan dalam bidang obstetri & ginekologi.
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Hubungan Karakteristik Maternal dan Luaran Neonatus Kasus Ketuban Pecah Dini di RSUP Dr. Hasan Sadikin Bandung: Studi Kasus-Kontrol Rachmayanti Nur; Anita Deborah Anwar; Johannes Cornelius Mose
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.392

Abstract

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara ketuban pecah dini (KPD) dengan karakteristik ibu dan luaran neonatal di RSUP Dr. Hasan Sadikin Bandung pada tahun 2019.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain case control. Subjek penelitian adalah seluruh kasus persalinan pervaginam dan seksio sesarea tahun 2019 di RSUP Dr. Hasan Sadikin Bandung.Hasil: Pada penelitian ini diperoleh subjek sebanyak 60 wanita yang terdiri dari 30 wanita dengan KPD dan 30 wanita tanpa KPD. Subjek penelitian sebagian besar dari kelompok usia 20-35 tahun. Tidak ada perbedaan yang signifikan dari usia ibu antara kelompok KPD dan kelompok kontrol (P = 0,774). Kelompok KPD memiliki proporsi wanita primipara yang lebih tinggi secara signifikan (70%), dibandingkan dengan kelompok kontrol (36,67%), dengan P = 0,010. Kelompok KPD memiliki proporsi kehamilan prematur lebih tinggi (63,33%), dibandingkan dengan kelompok kontrol (40%), tetapi tidak signifikan (p = 0,071). Ditemukan juga bahwa kelompok KPD sebagian besar (66,67%) berpendidikan rendah (SMP sederajat atau lebih rendah) dibandingkan dengan kelompok kontrol (36,67%) dengan P = 0,007.Kesimpulan: Temuan dalam penelitian ini menunjukkan bahwa status primipara dan tingkat pendidikan yang rendah berhubungan dengan kejadian KPD. Selain itu, KPD juga dikaitkan dengan jenis kelamin bayi laki-laki, berat badan lahir rendah, dan skor APGAR yang rendah.Maternal Characteristics and Neonatal Outcomes of Premature Rupture of Membranes Cases in a Tertiary Hospital in West Java: A Case-Control StudyAbstractObjective: This study aims to find an association between premature rupture of membranes (PROM) with maternal characteristics and neonatal outcomes in a tertiary hospital in West Java, Indonesia in 2019. Methods: This research is an analytic observational study with a case control design. The subjects were all cases of vaginal delivery and cesarean section in 2019 at a tertiary hospital in West Java, Indonesia.Results: In this study, a sample of 60 subjects was obtained, consisting of 30 subjects with PROM and 30 subjects without PROM. Subjects were mostly from the age group of 20-35 years. There was no significant difference of the maternal age between PROM and control groups (p-value = 0.774). The PROM group has a significantly higher incidence of primiparous women (70%), compared to the control group (36.67%), with a p-value of 0.010. The PROM group has a higher percentage of preterm gestation (63.33%), compared with the control group (40%), but was not significant (p = 0.071). It was also found that the PROM group were mostly (66,67%) from the lower level of education (middle school or lower) compared with the control group (36,67%) with a p-value of 0.007.Conclusion: The findings in this study showed that primiparity and low education levels are associated with the incidence of PROM. In addition, PROM is also associated with male newborn, low birth weight, and low APGAR scores.Key words: Neonatal outcomes, premature rupture of membranes.
Pengaruh Metode Ceramah dan Video pada Pengetahuan dan Sikap Kader PKK Tentang Deteksi Dini Kanker Leher Rahim Melalui Tes IVA di Kecamatan Baso Tahun 2022 Nessa Maretta; Gatot N. A. Winarno; Herman Susanto
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.434

Abstract

Tujuan: Penelitian bertujuan untuk mengukur dan menganalisis pengaruh penerapan metode CerVio pada pengetahuan dan sikap kader PKK (Pemberdayaan Kesejahteraan Keluarga) tentang deteksi dini kanker leher rahim melalui tes IVA.Metode: Penelitian eksperimen semu dengan rancangan Pretest and Posttest Control Group yang dilakukan di Kecamatan Baso, Kabupaten Agam, Provinsi Sumatera Barat. Jumlah subjek penelitian 121 kader PKK (Total Sampling) dengan kriteria tertentu yang dibagi dalam kelompok intervensi (60 orang) dan kelompok kontrol (61 orang). Pengumpulan data primer menggunakan kuesioner pengetahuan dan kuesioner sikap.Hasil: Hasil penelitian menunjukkan terdapat perbedaan yang bermakna antara kelompok intervensi dan kelompok kontrol (nilai p<0,005). Metode CerVio berperan dalam meningkatkan pengetahuan Kader PKK  2,76 kali (Risiko Relatif=2,76) dan meningkatkan sikap Kader PKK 5,21 kali (Risiko Relatif =5,21) lebih positif daripada Kader PKK yang tidak mendapat intervensi. Penelitian ini membuktikan adanya peningkatan yang lebih tinggi pada pengetahuan dan sikap Kader PKK yang mendapat metode CerVio dibandingkan dengan yang tidak.Kesimpulan: Ada pengaruh metode CerVio pada pengetahuan dan sikap Kader PKK tentang deteksi dini kanker leher rahim melalui tes IVA.Effect of Lecture and Video Method on the Knowledge and Attitudes of PKK Cadres about Early Detection of Cervical Cancer by the IVA Test in Baso District 2022Abstract Objective: This study aimed  to assess and analyze the effect of CerVio method on the knowledge and attitudes of PKK Cadres about early detection of cervical cancer  by  IVA Test.Methods: This was a quasi-experimental study with a Pretest and Posttest Control Group design  in Baso District, Agam Regency, West Sumatera Province. This study involved 121 (total sampling) PKK Cadres who were selected with certain criteria. The subjects were assigned into the intervention group (60 people) and the control (61 people). Primary data collection used a knowledge questionnaire and an attitude questionnaire.Result: The results     showed that there was a significant difference between the intervention group and the control group with p<0.005. CerVio method played an important role in increasing the knowledge of PKK Cadres by 2.76 times (RR=2.76) and improving the attitudes of PKK Cadres by 5.21 times (RR=5.21), that was better than PKK Cadres who did not receive intervention. This study proved that there was a higher increase in the knowledge and attitudes of PKK Cadres who receive the CerVio method compared to those who did not.Conclusion: There is an effect of CerVio method on the knowledge and attitudes of PKK Cadres about early detection of cervical cancer by IVA Test.Key words: Health education,  knowledge, attitudes, PKK cadre, cervical cancer
Perbedaan Capaian Kontrasepsi Pascasalin Jangka Panjang Sebelum dan Saat Pandemi Covid-19 Dave Orlando Gumay; Dini Pusianawati; Hartanto Bayuaji
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.393

Abstract

Tujuan: Mengetahui perbedaan capaian kontrasepsi pascasalin jangka panjang sebelum dan saat pandemi COVID-19 di RSUP dr. Hasan Sadikin Bandung. Metode: Penelitian ini adalah studi analitik observasional dengan pendekatan potong silang menggunakan data sekunder dari rekam medik subjek penelitian selama masa pengamatan yakni sebelum pandemi (1 Maret 2019–28 Februari 2020) dan saat pandemi (1 Maret 2020–28 Februari 2021). Dilakukan analisis perbedaan capaian kontrasepsi pascasalin jangka panjang sebelum dan saat pandemi COVID-19, serta perbedaan capaian penggunaan kontrasepsi pascasalin jangka panjang berdasarkan status infeksi COVID-19 menggunakan uji chi-square. Nilai P <0,05 dianggap bermakna secara statistik.Hasil: Selama periode pengamatan didapatkan proporsi subjek yang mendapatkan layanan kontrasepsi pascasalin pada periode pandemi lebih tinggi secara bermakna dibandingkan dengan kelompok sebelum pandemi (38,8% vs 27,7%, P<0,001). Tidak didapatkan perbedaan bermakna sebaran penggunaan metode kontrasepsi pada kelompok saat pandemi yang terinfeksi dan tidak terinfeksi COVID-19.Kesimpulan: Capaian pemberian kontrasepsi pascasalin jangka panjang saat pandemi lebih tinggi secara bermakna dibandingkan dengan sebelum pandemi. Tidak didapatkan perbedaan yang bermakna capaian kontrasepsi pascasalin jangka panjang saat pandemi pada subjek yang terinfeksi dan tidak terinfeksi COVID-19.Differences in Long-Term Postpartum Contraception Achievements Before and During The Covid-19 PandemicAbstractObjective: To find out the difference in the achievement of long-term postpartum contraception before and during the COVID-19 pandemic at dr. Hasan Sadikin Bandung.Methods: This research is an observational analytic study with a cross-sectional approach using secondary data from the medical records of the research subjects during the observation period before the pandemic (1 March 2019–28 February 2020) and during the pandemic (1 March 2020–28 February 2021). An analysis of the difference in the achievement of long-term postpartum contraception before and during the COVID-19 also differences in achievement of long-term postpartum contraceptive use was carried out based on the status of COVID-19 infection was conducted using the chi-square test. P-value < 0.05 was considered statistically significant.Results: During the observation period, there were the proportion of subjects who received postpartum contraceptive services during the pandemic period was significantly higher than the group before the pandemic (38.8% vs 27.7%, P<0.001). Postpartum contraceptive use in the group during the pandemic infected with COVID-19 was lower than in the uninfected subjects (32.4% vs. 39.4%, P=0.07). There was no significant difference in the distribution of contraceptive methods used in the infected and uninfected groups during the COVID-19 pandemic.Conclusion: The achievement of long-term postpartum contraception during the pandemic was significantly higher than before the pandemic. There was no significant difference in the achievement of long-term postpartum contraception during the pandemic in subjects who were infected and not infected with COVID-19.Key words: COVID-19, postpartum contraception, pandemic.
Multigravida Post-Partum dengan Inversio Uteri Subakut Komplit yang Ditatalaksana Histerektomi Supraservikal Pervaginam Amir Fauzi; Ratih Krisna; Hadrians Kesuma Putra; Yurizka Sabrina
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.335

Abstract

Inversio uteri adalah salah satu komplikasi persalinan dengan risiko kematian tinggi akibat perdarahan dan syok. Laporan ini menjelaskan mengenai presentasi dan manajemen kasus inversio uteri. Seorang wanita berusia 33 tahun, P4A0 post partum spontan di bidan hari ke 5 dirujuk ke RS Mohammad Hoesin dengan riwayat uterus yang ikut keluar saat persalinan, namun uterus dapat dimasukkan kembali. Tanda-tanda vital pasien dalam batas normal. Pada pemeriksaan abdomen didapatkan tinggi fundus uteri sulit dinilai. Pada saat dilakukan inspeksi terdapat benjolan berupa keseluruhan uterus yang terbalik keluar dari serviks. Pemeriksaan laboratorium menunjukkan penurunan kadar hemoglobin (9.1 g/dL) dan peningkatan kadar leukosit (10.34x103/mm2). Pada pemeriksaan USG tidak tampak uterus pada kavum pelvis dengan kesan yang sesuai dengan gambaran inversio komplit. Pasien dipasangkan kateter lalu diputuskan untuk histerektomi supraservikal pervaginam. Kemudian pada pasien dilakukan pemasangan tampon vagina, pemberian antibiotik, antifibrinolitik serta obat simptomatik dengan stabilisasi berupa cairan dan transfusi. Setelah dua hari, tampon dilepas dan pasien membaik tanpa adanya komplikasi.Post-Partum Multigravida with Complete Subacute Uterus Inversion Treated by Vaginal Supracervical HysterectomyAbstractUterine inversion is one of labor complications with high mortality risk caused by bleeding and shock. This paper presenting the clinical manifestation and the management of uterine inversion. A 33-year-old woman, P4A0 spontaneous postpartum at midwife day-5 was referred to Mohammad Hoesin Hospital with uterine expulsion during delivery and the uterine could be re-inserted. Vital signs within normal limits. Abdominal examination showed unmeasurable uterine fundal height. Gyneclogical examination showed an inverted uterus mass outside the cervix. There was decreased haemoglobin (9.1 g/dL) and increased leucocytes (10.34x103/mm2) level. Ultrasonography measure showed no visible uterus in pelvic cavity with impression of complete uterine inversion. The patient was catheterized and decided for vaginal supracervical hysterectomy. The patient applied with vaginal tampons and prescribed with antibiotics, antifibrinolytics and symptomatic drugs with stabilization using crystaloid fluid and blood transfusion. After two days, the tampon was removed and patient improved without any complications.Key words: hysterectomy, uterine inversion, supracervical
Profil dan Karakteristik Penderita Tumor Trofoblas Gestasional di RSUP Dr. Hasan Sadikin Periode 2021 Muhamad Bagja Ramadhan; Siti Salima; Andi Kurniadi; Gatot Nyarumenteng Adhipurnawan Winarno; Ali Budi Harsono
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.380

Abstract

Tujuan: Tumor trofoblas gestasional (TTG) adalah suatu bentuk keganasan ginekologi pada hidatidosa yang diakibatkan oleh adanya abnormalitas proliferasi sel trofoblas. Insidensi TTG di negara Asia Tenggara ialah 9,2:40000 kehamilan. Beberapa faktor yang mempengaruhi perkembangan TTG diantaranya ialah riwayat kehamilan, usia dan kadar b-hcg. Namun hingga saat ini profil pasien TTG masih terbatas, oleh karenanya penelitian ini bertujuan menganalisis profil dan karakteristik pasien TTG di RSUP Dr. Hasan Sadikin Bandung.Metode: Metode penelitian ini ialah deskriptif kuantitatif, dengan menggunakan data sekunder yang berasal dari rekam medis pasien. Seluruh pasien yang didiagnosis TTG pada periode 2021 menjadi sampel pada penelitian ini. Variabel penelitian ini ialah status sosiodemografi, faktor risiko, gambaran klinis, dan gambaran terapi.Hasil: Jumlah sampel pada penelitian ini ialah 66 pasien. Sebanyak 53,03% pasien berusia 20-35 tahun. Sebanyak 55 pasien datang dalam kondisi stadium I (83,33%) sedangkan berdasarkan skoring FIGO sebanyak 42 pasien (63,63%) merupakan pasien dengan risiko rendah. Metastasis paru terjadi pada 7 pasien (20,61%). Kesimpulan: Mayoritas pasien TTG berusia 20-35 tahun dan tidak bekerja. Secara gambaran klinis; stadium I dan risiko rendah sering ditemukan. Kemoterapi dominan dipilih, serta multi-agent lebih sering digunakan.Profile and Characteristics GTN cases in Hasan Sadikin General Hospital in 2021 Gestational Trophoblastic NeoplasmaAbstractObjective: Gestational trophoblastic tumor (TTG) is a form of hydatidiform gynecologic malignancy caused by abnormal trophoblast cell proliferation. The incidence of TTG in Southeast Asian countries is 9.2:40000 pregnancies. Several factors that influence the development of TTG include a history of pregnancy, age and levels of b-hCG. However, until now the profile of TTG patients is still limited, therefore this study aims to analyze the profiles of TTG patients at Dr. Hasan Sadikin Bandung.Methods: This research method is descriptive quantitative, using secondary data derived from the patient's medical record. All patients diagnosed with TTG in the period 2021 were sampled in this study. The variables of this study were sociodemographic status, risk factors, clinical features, and therapeutic features.Results: The number of samples in this study was 66 patients. A total of 53.03% of patients aged 20-35 years. A total of 55 patients came in stage I condition (83.33%) while based on FIGO scoring 42 patients (63.63%) were low risk patients. Pulmonary metastases occurred in 7 patients (20.61%). Conclusion: The majority of TTG patients are aged 20-35 years and do not work. In the clinical picture; stage I and low risk are common. Predominant chemotherapy is chosen, and multi-agent is used more often.Key words: Gestational Trophoblastic Neoplasia, Patient Profile, Hydatidiform mole, Gynecological Malignancy
Relationship of Age, Body Mass Index, Gravida, and Parity in Pregnant Women with the Incidence Preeclampsia Muhammad Alamsyah Aziz; Aditya Wibowo; Nadia Larastri Almira; Tjut Sutjighassani
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.389

Abstract

AbstractObjective: According to the 2016 Routine Health Profile Report, the exact causes of maternal mortality are hypertension (33.07%) and bleeding (27%). The exact cause of preeclampsia is unknown and is therefore referred to as the “disease of theory”. This study aimed to determine the relationship between age, BMI, gravida and parity with preeclampsia.Methods: This cross-sectional, analytic observational study, conducted in Hasan Sadikin Hospital, Bandung. Subjects are pregnant women undergoing antenatal care at Hasan Sadikin Hospital Bandung, in May 2020 a total of 40 women with a gestational age of  ≥ 20 weeks. The univariate and bivariate data were analyzed with SPSS. The Saphiro Wilk test was used to measure the data normality. The ANOVA one-way test and Fisher test were used to analyze the bivariate data.Results: Results show that of 19 samples with preeclampsia, 13 people (68.4%) were older than 35 years old with p-value of 0.042 which indicates a significant relationship. There is no significant difference between BMI, gravida, and parity, with the incidence of preeclampsia with p-value 0.602, 0.664, and 0.661 respectively.Conclusion: There is a relationship between mother’s age and the incidence of preeclampsia in Dr. Hasan Sadikin Hospital with p value = 0.042. This means older than 35 years old mothers have a tendency to develop preeclampsia.Hubungan Usia, Indeks Massa Tubuh, Gravida, dan Paritas pada Ibu Hamil dengan Insidensi PreeklamsiaAbstrakTujuan: Penelitian ini bertujuan untuk mengetahui hubungan paritas dengan preeklamsia.Metode: Studi observasional analitik potong lintang ini dilakukan di Rumah Sakit Hasan Sadikin Bandung. Subjek adalah ibu hamil yang menjalani pemeriksaan kehamilan di RS Hasan Sadikin Bandung, pada bulan Mei 2020 sejumlah 40 orang dengan usia kehamilan ≥ 20 minggu. Data univariat dan bivariat dianalisis dengan SPSS. Uji Saphiro Wilk digunakan untuk mengukur normalitas data. Uji satu arah ANOVA dan uji Fisher digunakan untuk menganalisis data bivariat.Hasil: Hasil penelitian menunjukkan bahwa dari 19 sampel dengan preeklamsia, 13 orang (68,4%) berusia lebih dari 35 tahun dengan p-value 0,042 yang menunjukkan hubungan yang signifikan.Kesimpulan: Ada hubungan usia ibu dengan kejadian preeklampsia di RSUD Dr. Hasan Sadikin dengan nilai p = 0,042. Ini berarti ibu yang berusia lebih dari 35 tahun memiliki kecenderungan untuk mengalami preeklamsia.Kata kunci: Preeklamsia, usia, IMT, gravida, paritas
Front Cover, Editorial Team, Table of Contents, and Back Cover obgynia jurnal
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ACE2 Receptors Finding in Placenta with Intrauterine Fetal COVID-19 Infection: A Meta-Analysis Tigor Peniel Simanjuntak; Hanny Hadinata Wiranegara; Temmy Hadinata Wiranegara
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.412

Abstract

Objective: Association between ACE2 receptors in the placenta and the incidence of intrauterine COVID-19 infection in pregnant women infected with COVID-19 Methods: Systematic review and meta-analysis of placenta in pregnant women with COVID-19 infection, ACE2 receptor in placenta, and RT-PCR of neonates from COVID-19 pregnant women. This study followed the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) protocol. Results: 6 journals meet the inclusion criteria. ACE2 receptors were found in syncytiotrophoblasts 72/72 (100%), cytotrophoblasts 41/72 (56.9%), extravillous trophoblasts 24/72 (33.3%), decidual cells 2/72 (2.7%), villous stromal cells 1/72 (1.3%), and 1/72 stromal cells (1.3%) with the incidence of neonates infected with SARS-CoV-2 from pregnant women with COVID-19 10.5%, odds ratio (OR) between ACE2 receptors and neonates infected with COVID-19 is 1.97 (95%CI 0.05–81.09), the pooled proportion of ACE2 receptor findings in 72 placentas in pregnant women with COVID-19 infection, syncytiotrophoblast 98.3 (95% CI 94.3–99.9), cytotrophoblast 40.3 (95% CI 2.3–88.9), and extravillous trophoblast 35.2 (95% CI 0.2–88.5). Conclusion: Expression of ACE2 receptors is always present in the placenta of pregnant women, and there is an association but non-significant between ACE2 receptors in the placenta and the incidence of COVID-19 intrauterine infection with an odds ratio of 1.97 (95%CI 0.05-81.09).Reseptor ACE2 Pada Plasenta dengan Kejadian Infeksi COVID-19 Intrauterine Pada Fetus: A Meta-AnalysisAbstrakTujuan: Hubungan antara reseptor ACE2 di plasenta dengan angka kejadian infeksi COVID-19 intrauterine pada ibu hamil yang terinfeksi COVID-19. Metode: Tinjauan sistematis dan meta-analisis plasenta pada ibu hamil COVID-19, reseptor ACE2 pada plasenta, dan hasil uji RT-PCR neonatus dari ibu hamil COVID-19. Penelitian ini mengikuti protokol Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA). Hasil: 6 jurnal memenuhi kriteria. Reseptor ACE2 ditemukan di sinsitiotrofoblas 72/72 (100%), 41/72 sitotrofoblas (56.9%), trofoblas ekstravili 24/72 (33.3%), sel desidua 2/72 (2.7%), sel stroma vili 1/72 (1.3%), dan sel stroma 1/72 (1.3%) dengan insidensi neonatus yang terinfeksi SARS-CoV-2 dari ibu hamil dengan COVID-19 sebanyak 10.5%, odds ratio (OR) antara reseptor ACE2 dan neonatus terinfeksi COVID-19 adalah 1.97 (95%CI 0.05–81.09), proporsi gabungan penemuan reseptor ACE2 pada 72 plasenta ibu hamil COVID-19, sintiotrofoblas 98.3 (95%CI 94.3 – 99.9), sitotrofoblas 40.3 (95%CI 2.3 – 88.9), dan trofoblas ekstravili 35.2 (95%CI 0.2 – 88.5). Kesimpulan: Ekspresi reseptor ACE2 selalu ditemukan di plasenta ibu hamil, dan terdapat hubungan yang tidak bermakna antara reseptor ACE2 di plasenta dengan kejadian infeksi intrauterine COVID-19 yaitu odds ratio 1.97 (95%CI 0.05-81.09).Kata kunci : Infeksi COVID-19, Intrauterine, reseptor ACE2 plasenta.
Purandare Hysteropexy in A 32 Years Old Woman with Stage III Pelvic Organ Prolapse and Cesarean History: Case Report Kadek Fajar Marta; I Wayan Megadhana; I Gede Mega Putra; Andy Susanto
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.347

Abstract

Background: In reproductive age and low-parity women, pelvic organ prolapse is an uncommon case. Although this condition isn’t harmful, giving an appropriate treatment is important while considering women needs. This case report covers about the management of Purandare hysteropexy in a 32 years old woman with stage III pelvic organ prolapse and cesarean section history.Case: Conservative surgical therapy, Purandare hysteropexy, was performed on a reproductive age woman with stage III pelvic organ prolapse who wish to conserve her uterus.Result: Purandare hysteropexy was successfully performed on the patient, and she has better quality of life and minimal complaint after surgery.Conclusion: Purandare hysteropexy is an appropriate conservative surgical therapy, comparable to mesh using surgery, for women of reproductive age with pelvic organ prolapse.Histeropexi Purandare pada Wanita Usia 32 Tahun dengan Prolaps Organ Panggul Derajat III dan Riwayat Seksio Cesarea: Laporan KasusAbstrakLatar Belakang: Prolaps organ panggul adalah kasus yang jarang terjadi pada wanita usia reproduktif atau riwayat paritas rendah. Walaupun kondisi ini tidak berbahaya, terapi yang diberikan harus sesuai dengan keperluan dari wanita. Laporan kasus ini menggambarkan proses manajemen histeropexi purandare pada wanita usia 32 tahun dengan prolaps organ panggul wanita derajat III dan riwayat seksio cesarea.  Kasus: Terapi bedah konservatif, histeropexi purandare, dilakukan pada wanita usia reproduktif dengan prolaps organ panggul derajat III yang masih ingin mempertahankan uterusnya. Hasil: Purandare histeropeksi berhasil dilakukan pada pasien. Pasien mempunyai kualitas hidup dan keluhan yang minimal setelah prolaps organ panggul Kesimpulan: Histeropexi Purandare adalah terapi bedah konservatif, yang sesuai, setara dengan pembedahan yang menggunakan mesh, untuk dilakukan pada wanita usia reproduktif dengan prolaps organ panggul. Kata kunci: prolaps organ panggul, wanita usia reproduktif, purandare, histeropexi.
Hubungan Antara Rasio Neutrofil-Limfosit Terhadap Kejadian Metastasis Intraperitoneal pada Pasien Karsinoma Musinosum Ovari di RSUD Prof. Dr. Margono Soekarjo Tahun 2017-2020 Endang Purwati; Aditiyono Aditiyono; M. Yamsun; Vitasari Indriani; Oktavia Permatasari
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.431

Abstract

Tujuan: Untuk mengetahui hubungan antara rasio neutrofil-limfosit terhadap kejadian metastasis intraperitoneal pada pasien karsinoma musinosum ovari di RSUD Prof Dr. Margono SoekarjoMetode: Penelitian analitik observasional dengan desain cross-sectional dilakukan pada 43 pasien karsinoma musinosum ovari. Data diambil melalui rekam medis pemeriksaan laboratorium berupa neutrofil dan limfosit pre-operasi pertama tahun 2017-2020. Teknik pengambilan data menggunakan consecutive sampling. Data dianalisis secara statistik dengan uji chi-squareHasil: Penelitian menunjukkan bahwa dari 43 pasien, didapatkan rerata usia pasien 51 tahun, mayoritas stadium IIIB (25%). Rasio Neutrofil Limfosit katagori rendah ≤ 4,1 (30%), Rasio Neutrofil Limfosit  katagori tinggi >4,1 (70%) serta rerata Rasio Neutrofil Limfosit 10.74. Nilai Rasio Neutrofil Limfosit pada pasien yang mengalami metastasis cenderung lebih tinggi daripada pasien yang tidak mengalami metastasis. Lokasi metastasis karsinoma musinosum sebagian besar pada rongga pelvis. Analisis hubungan antara Rasio Neutrofil Limfosit dengan metastasis intraperitoneal secara statistik menunjukan (CI:0.22-9.12,p = 0,000; p ≤ 0,05).Kesimpulan: Terdapat hubungan antara rasio neutrofil-limfosit terhadap kejadian metastasis intraperitoneal pada karsinoma musinosum ovari.Correlation between Neutrophil Lymphocytes Ratio With Metastases Intraperitoneal Of Mucinous Ovary Cancer in Hospital Prof Dr Margono Soekarjo 2017-2020Abstract Objective: Purpose to determine the correlation between Neutrophils-Lymphocytes Ratio (NLR) with the metastases intraperitoneal of mucinous ovarian cancer patients in RSUD Prof Dr. Margono Soekarjo.Method: This study uses observational analytic method with cross-sectional design. The subjects of this study were 43 patients with mucinous ovary cancer which data neutrophil and lymphocytes pre one surgery. The data source comes from secondary data taken from the medical record installation in the period 2017-2020 using consecutive sampling technique.Results: This study showed that from 43 patients , the mean were aged 51 years. The majority were stage IIIB (25%). Neutrophil Lymphocyte Ratio low category ≤4.1 (30%), Neutrophil Lymphocyte Ratio high category >4.1 (70%) and the mean Neutrophil Lymphocyte Ratio 10.74. The location of mucinous carcinoma metastases is mostly in the pelvic cavity. Analysis of the correlation between NLR with metastases intraperitoneal showed that statistically (CI:0.22-9.12,p = 0,000; p ≤ 0,05).Conclusion: There is correlation between Neutrophils-Lymphocytes Ratio (NLR) with the metastases intraperitoneal of mucinous ovarian cancer.Key words: carsinoma mucinous ovary cancer,neutrophil-lymphocyte ratio (NLR),metastases intraperitoneal

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