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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Published by Perkumpulan Obstetri dan Ginekologi Indonesia
ISSN : 23386401     EISSN : 23387335     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
The Indonesian Journal of Obstetrics and Gynecology is an official publication of the Indonesian Society of Obstetrics and Gynekology. INAJOG is published quarterly.
Arjuna Subject : -
Articles 11 Documents
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Search results for , issue " Volume. 2, No. 2, April 2014" : 11 Documents clear
Soluble Endoglin Serum Level is Higher in Preeclampsia Compared to Molar and Normal Pregnancy Puspitasari, Maya K.
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To analyze the differences of maternal serum soluble endoglin level in preeclampsia, molar pregnancy, and normal pregnancy, and to analyze the correlation between maternal serum soluble endoglin level with gestational age. Method: This is a cross-sectional comparative analytic study involving 18 preeclampsia cases, 18 molar pregnancies, and 18 normal pregnancies. The sample were obtained from Dr. Hasan Sadikin hospital and six satellite hospitals from January until March 2013. The comparison of mean seng serum level of the preeclampsia, molar pregnancy, and normal pregnancy group was calculated using Kruskal Wallis, and the correlation were calculated using Rank Spearman. Result: The mean level of seng serum in preeclampsia group was higher (168.79 ng/ml) than in molar pregnancy (43.47 ng/ml) and normal pregnancy (32.38 ng/ml). There is no significant difference of serum seng level between molar and normal pregnancy, with p value of 0.393 (p>0.05). There is significant differences of seng serum level between preeclampsia group and molar pregnancy (p=0.000), but no significant differences between molar and normal pregnancy, p value=0.393 (p>0.05). There is positive correlation between seng serum level of normal pregnancy with gestational age (rs=0.647; p
Kegel’s Exercise could Reduce the Incidence of Postpartum Urinary Stress Incontinence Arsyad, Eddy
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To investigate the cause of postpartum urinary incontinence in primigravida women and to determine the relationship between stress urinary incontinence and kegel’s exercise. Method: This was an observational study with cross sectional method, performed in institutional hospitals in Makassar. Thirty primigravida women who performed kegel’s exercise were compared with 30 primigravida women who did not perform kegel’s exercise. Data were analyzed with independent-t statistical analysis. Result: Urinary incontinence were significantly lower in primigravida women who performed kegel’s exercise (P=0.000). Conclusion: Kegel’s exercise may reduce the incidence of postpartum stress urinary incontinence. [Indones J Obstet Gynecol 2014; 2: 96-98] Keywords: kegel’s exercise, primigravida, urinary Incontinence.
Higher Preoperative Endometrial Cancer Risk Showed More Advanced Stage Iskandar, Jasmine
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To evaluate the preoperative endometrial cancer risk as a guidance to choose the type of surgical approach based on European Society for Medical Oncology guideline (2009). Method: Cross-sectional study involved 73 endometrial cancer patients of Dr. Cipto Mangunkusumo Hospital, from January 2006 to December 2012 which obtained from medical record. The inclusion criteria were endometrial cancer patients with complete D&C, ultrasonographic, and postoperative histopathological reports. Endometrial cancer risk of recurrence was classified according to ESMO 2009 and final diagnosis and stage based on FIGO. Result: From 405 patients, only 73 patients had complete reports. Most of the them were postmenopausal (54.8%), non-nulliparity (79.9%), and obese (49.5%) women. According to risk of recurrence stratification, low, intermediate and high risk were found in 12 patients, 27 patients, and 34 patients. Based on FIGO, there were 60.2% early and 39.8% advanced stage. In high risk group, rates of advanced stage were prominent compared to other groups. There were 38.3% patients with postoperative positive lymph nodes metastases. Conclusion: Most of the endometrial cancer patients were preoperatively diagnosed as high risk. The commonest stage after surgical examination were IIIC. High risk of recurrence showed more positive lymph node compared to low or intermediate risk. Result of preoperative histopathological and myometrial invasion compared to postoperative results were showed to be inconsistent. Patients with ≥ 2 myometrial invasion had more positive lymph nodes metastases. Endometrial cancer risks compared to FIGO stage showed the higher the risk, the more advanced the stage were. [Indones J Obstet Gynecol 2014; 2: 99-105] Keywords: endometrial cancer, FIGO stage, high risk, histological type, intermediate risk, low risk, lymph node.
Length of Menopause has a Positive Correlation with C-Telopeptide Plasma Level in Pascamenopause Women Pangestu, Willy
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the correlation between length of menopause with C-telopeptide in pascamenopause women. Method: An analytic cross-sectional study of 29 pascamenopause women in Malalayang hospital Manado. Sampling method with consecutive random sampling. Data were analyzed with Spearman test with significance level of p
The Age, Education, and Occupation Characteristics is not Associated with Human Immunodeficiency Virus (HIV) Infection in Pregnant Mothers Saspriyana, Kade Y.
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To know the relationship between age, education and occupation on the pregnant women and the HIV status of the husband against the risk of being infected with HIV. Method: This was an unpaired case control study performed in the Obstetrics and Gynecology Department of Sanglah Hospital, Denpasar, from October to November 2011. The subjects were pregnant women who were willing to participate in the research, which were grouped into HIV-infected case and control group. Diagnosis of HIV was based on rapid test. The data was analyzed using Chi Square test with the help of SPSS version 17.0 Result: There was fifty subjects consisting of 25 subjects in the case group and 25 subjects in control group we obtained that the risk of HIV-infected pregnant women in the old vs young age, low vs higher education, and occupations at risk vs not at risk is not significant in the two groups. Each Odds ratio is 0.35 (CI = 95% 0.08-1.55; p = 0.16), 0.85 (CI = 95% 0.28-2.59; p = 0.77), and 2.09 (CI = 95% 0.18-24.62; p = 1.00). Meanwhile, the odds ratio of the husband HIV status was 12.67 (CI = 95% 3.31-48.50; p = 0.01). Conclusion: Husbands infected with HIV increases the risk of HIV in pregnant women 12 times greater than if the husband was not infected with HIV. Whereas, age, education, and the occupation of mothers is not a risk factor for the occurrence of HIV infection in pregnant women. [Indones J Obstet Gynecol 2014; 2: 65-68] Keywords: age, education, husband HIV status, occupation and pregnant women infected with HIV.
Diagnostic Approach of Abnormal Uterine Bleeding Kurniawan, Riyan H.
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To introduce and apply PALM-COEIN classification system as standard diagnostic approach of AUB to investigate the etiology. Method: Three cases will be discussed. First, Mrs, 45 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy with histopathology result leiomyoma. Second case. Mrs, 43 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy with histopathology result adenomyoma. Third case, Mrs, 48 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy and bilateral salpingoophorectomy with PA result adenomyosis. Result: AUB diagnostic approach with PALM-COEIN performed to look for etiology and prevent mistake of etiology of AUB, such as cancer that must be consider on AUB patient above 40 years old. Conclusion: This PALM-COEIN classification should become standard diagnostic approach to investigate the etiology. [Indones J Obstet Gynecol 2014; 2: 106-109] Keywords: abnormal uterine bleeding
Expression Collagen I and III in Anterior Vaginal Women with and without Pelvic Organ Prolapse Irianta, Trika Irianta
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To find out the expression of collagen I and III in the anterior vaginal wall of women with and without pelvic organ prolapse (POP). Method: The research was a cross sectional study, conducted in Dr. Wahidin Sudiro Husodo hospital and its networks from January 1, 2011 to April 1, 2012. The case group consisted of 35 women with POP level III and IV. The control group consisted of 35 women without POP. The expression of collagen I and III were examined by immunohistochemical test with the staining of antibody of collagen I (mouse monoclonal collagen Iab 90395) and the antibody collagen III (Mu 167 4i). The data was then analyzed by using a computer statistic program with a significance level of 0.05. Result: It was found that in the group of women with POP, there were 28 cases of expression collagen III (84%), which is significantly higher than in women without POP, found in only 20 cases (58.8%), with p=0.02. Meanwhile, in the group of POP, 9.1% of subjects showed moderate expression of collagen I, significantly less compared to the expression in the control group (35.3%), with p=0.007. For the ratio of collagen I and III, the result was weak in women with POP (58.5%) while in the control group, the result was high (85.7%). Conclusion: In terms of collagen I and III expression, there was no significant difference between the two groups. [Indones J Obstet Gynecol 2014; 2: 87-90] Keywords: collagen I, collagen III, pelvic organ prolapse, vaginal wall
Heat Shock Protein 70 (Hsp70) Level is Lower in Premature Rupture of Membrane Radam, Muhammad RA
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To prove whether the levels of Heat Shock Protein 70 (Hsp70) was lower in women experiencing premature rupture of membranes than in women with normal aterm pregnancy in order to explain occurrence of pregnancy premature rupture of membranes at termin biomolecular (Hsp70). Method: This was an observational research and the study design was a cross-sectional study. The number of all samples was 60 women, divided into 2 groups and each group contained 30 women. Independent variable: Heat Shock Protein 70 level, Dependent variable: Premature Rupture of Membrane. Data was analyzed by t test. Result: Based on maternal characteristic on both groups, the mean levels of Hsp70 in serum of pregnant women with PROM lower (0.36) compared to normal pregnant group (3.94) and this difference was statistically significant (p50%). Conclusion: Theme an levels of Hsp 70 in premature rupture of membranes obtained lower levels than in normal full-term pregnancy and this difference was statistically significant. [Indones J Obstet Gynecol 2014; 2: 69-75] Keywords: Heat Shock Protein 70, maternal stress, PROM
Progressive Ovarian Cancer with Trocar Site Metastases Resulted from Inadequate Laparoscopy Damayanti, Ina
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: Discuss the complications of laparoscopic ovarian cystic neoplasms. Method: Case report. A-52 year old female with 2 parities, complained of a lump at anterior abdominal wall during chemotherapy for clear cell ovarian adenocarcinoma after total hysterectomy and bilateral salphingooophorectomy by laparoscopy. The indication was suspected ovarian cancer from solid parts found during ultrasound and CA125 level 169. During previous laparoscopy, the cyst was ruptured, left in abdominal cavity with high CO2 pressure for five hours and retrieved without a bag. The frozen section examination of the cyst wall were diagnosed as endometriosis. The physician assured her that the lump was only scar and did not need further evaluation. CA125 level was 557 IU after chemotherapy. PET scan confirmed a 2 cm-diameter mass superior to peritoneum and multiple implants intra abdominally. Result: A debulking laparotomy was done. Omental cake was found with one part adhered to the right previous trocar insertion site. It was connected to tumor implant size 3x4 cm until fat tissue of abdomen wall. Another implant was also found at left paracolical area. Conclusion: Laparoscopy offers advantages such as less bleeding, better visualisation, and enhanced recovery. Some controversies exist in cases with suspicion of malignancy. Pneumoperitoneum might cause seeding of tumor cells. This could be prevented by using low pressure, avoidance of exsuflation of gas through trocar opening, or by using bags to retrieve operative specimens. Preoperative evaluation of clinical findings, ultrasound, and tumor markers are important to prevent improper surgical management. [Indones J Obstet Gynecol 2014; 2: 110-113] Keywords: complication, laparoscopy, metastases, ovarian cancer, trocar site.
Primipara Undergoing Episiotomy had Lower Postpartum Sexual Function Lukas, Efendi
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To compare postpartum sexual functions between primipara with episiotomy and without episiotomy. Method: The research was conducted in public service section of Dr. Wahidin Sudiro Husodo hospital and a number of educational hospitals obstetrics and gynecology of Faculty of Medicine of Hasanuddin University, started from February to May 2012. The research evaluated the sexual function of postpartum with episiotomy in 171 primipara, and 150 primipara postpartum without episiotomy. Sexual function was measured by Female Sexual Function Index (FSFI) questionnaire which had been validated in various countries. The research was conducted with cross sectional approach. Samples were withdrawn with consecutive sampling method. The data was processed with SPSS version 17, with chi-square test, and significant level of 0.05. Result: Indicated that either the episiotomy or non-episiotomy group has undisturbed sexual function score (>28.5), however, higher score was indicated in non- episiotomy group (65.477) compared to the episiotomy group (59.70), (p0.05). [Indones J Obstet Gynecol 2014; 2: 91-95] Keywords: episiotomy, FSFI, primipara, sexual functions

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