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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 12 Documents
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Search results for , issue "Volume 10 No. 4 Oktober 2022" : 12 Documents clear
Sexual Function in Female of Reproductive Age Post Total Hysterectomy Yonathan D Onibala; Bismarck J. Laihad; Rudy A. Lengkong
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1535

Abstract

Background: Sexual intercourse and having offspring are essential in a household to live because they are determinant of marital happiness. Many women reported increasing sexual function after hysterectomy; meanwhile, others complained about sexual dysfunction after the hysterectomy procedure. Objective: To determine the effect of sexual function on women of reproductive age after a total hysterectomy Method: This study is a descriptive retrospective study with a cross-sectional study design. Results: This study is based on the data of 23 samples that met the inclusion criteria. With 11 samples increasing FSFI score, 11 samples with a decreasing of FSFI score and 1 sample had an unchanged sexual function before and after surgery. Then from those 23 samples, 16 samples with Female Sexual Dysfunction (FSD) have FSFI score of less than or equal to 26.55 before surgery, and 17 samples with FSD after surgery. Based on the T-Test, there were significant differences between the Female Sexual Function Index (FSFI) before and after the surgery. Most of the respondents experienced decreasing sexual satisfaction (14 samples), while only five samples experienced increased sexual satisfaction and the other four samples had unchanged sexual satisfaction. In our study, most of the respondents (17 samples) claimed that there were better or decreased pain after the hysterectomy procedure. While there were only three samples that claimed an increase of pain, and only three samples claimed that there was unchanged pain scale. Conclusion: There were changes in sexual function before and after hysterectomy as measured by Female Sexual Function Index (FSFI) Key Words : Sexual function, FSFI, before hysterectomy, after hysterectomy
Effectiveness of Participation in Pregnancy Classes to Reduce the Incidence of Obstetric Labor Complications and Cesarean Section Apriska M. S. Putri; Muhammad P. Mahindra; Mahendra T. A. Sampurna; Rozi A. Aryananda; Fitria K. Khotimah
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1548

Abstract

Objective : to assess the effectiveness of participation in pregnancy classes to inform such a prenatal program for physicians and midwives, focusing to reduce the incidence of obstetric labor complications and cesarean section. Methods : This study was done using an analytic observational approach, using a cross-sectional study and consecutive sampling. One hundred and ninety-four participants of this study were women aged 20–35 years who gave birth between January and November 2019 in balarejo sub-district, East Java, Indonesia. The subjects were divided into two groups: participation (four times) and non-participation (less than four times) in the pregnancy classes. The analyzed outcomes are labor complications (prolonged labor, postpartum hemorrhage, postpartum fever, premature rupture of membrane), and cesarean section birth.. Results: The results of this study indicate that participants of pregnancy classes have a significantly lower probability of suffering prolonged labor (OR=0.05, 95% CI=0.01-0.23, p<0.05), postpartum hemorrhage (OR=0.20, 95% CI=0.04-0.95, p<0.05), and postpartum fever (OR=0.13, 95% CI=0.16-1.08, p<0.05) compared with non-participants. Also, participating women have a lower chance of undergoing cesarean section (OR=0.08, 95% CI=0.03-0.21, p<0.05). Conclusion : The incidence of obstetric labor complications and cesarean section can be effectively reduced by the participation of pregnant woman class.
Management of Isolated Tubal Torsion (ALADIN) during Emergency Laparotomy in Infertile Women Bella Aprilia; Raymond Surya; Bram Pradipta
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1582

Abstract

Introduction: Isolated tubal torsion (ITT) is rare cases with challenging to diagnose. We would like to report ITT and primary infertility patient which came with acute abdominal pain. Case: A 36 yo female came to Koja Hospital with acute abdominal pain without sign of infections. Ultrasound findings show cystic mass on bilateral adnexal sized 76x28x39 mm and 31x51x43 mm with minimal ascites. During laparotomy, proximal right fallopian tube was torsioned four times clockwise. There was hydrosalping founded on contralateral tube, while right and left ovaries and uterus were normal. We performed salpingectomy. Discussion: The clinical presentation of ITT is non-specific and it has become a challenge to physician to develop preoperative diagnosis. The spectrum of imaging findings may be wide range depending on adnexal pathology, degree of severity, and the duration of adnexal torsion. The recommendation of primary approach to tubal torsion is conservative management considering ALADIN (mALignAncy-Death tissue, INfertility). Conclusion: The diagnosis is rarely be made before operation, due to non-specific clinical symptoms and imaging findings. The considerations to perform conservative management are malignancy, death tissue/necrotic, and infertility.
The effect of serum magnesium, calcium, and potassium levels on the event of calf muscle cramps, according to the perspective of pregnant women in the third-trimester of pregnancy : Pengaruh Kadar Magnesium, Kalsium, dan Kalium Serum Terhadap Terjadinya Kram Otot Betis, Menurut Perspektif Ibu Hamil di Trimester Ketiga Kehamilan Cut N. Maracilu; Cut M. Yeni; Hasanuddin Hasanuddin; Hilwah Nora; Sarah I. Nainggolan
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1586

Abstract

Objective: To determine the effect of magnesium, calcium, and potassium levels on calf muscle cramps in third-trimester pregnant women at Dr. Zainoel Abidin Banda Aceh. Methods: This research is an observational analytic study with a case-control method by taking samples using a total sampling technique. The research sample was third-trimester pregnant women (28-40 weeks of gestation) who were treated in the maternity ward for the period September to December 2020. Results: A total of 263 samples were involved in this study where 105 patients (40%) were obese, 229 patients (87%) were housewives, 161 patients (61%) did not experience muscle cramps and samples had magnesium levels below normal as much as 82 people, calcium levels below normal as many as 127 people and potassium levels below normal as many as 2 people. The mean levels of magnesium, calcium, and potassium were 1.8 mg/dL, 8.69 mg/dL, and 4.25 mmol/L, respectively. The results of this study are magnesium levels affect muscle cramps in pregnant women (p-value=0.000), while calcium levels (p-value=0.373) and potassium (p-value=0.062) do not affect muscle cramps in pregnant women. Conclusion: There is a significant effect between magnesium levels on the incidence of calf muscle cramps in third-trimester pregnant women, while calcium and potassium levels do not affect them. Keywords: Muscle Cramps, Magnesium, Calcium, Potassium.
Calsium Supplementation with Rasbora sp. to Prevent Loss of Bone Mineral Density during Gonadotropin-releasing hormone Agonis Long-term Treatment Enrico Hervianto; Hardyan Sauqi; Farida Heriyani; Juhairina
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1602

Abstract

Background. Gonadotropin-releasing hormone (GnRH) agonist widely used to induce hypoestrogenic climate overcoming any benign gynecologic abnormalities such as endometriosis, adenomyosis, or various cause of abnormal uterine bleeding. Hypoestrogenic cause some of adverse effect mainly loss of bone mineral density (BMD). Suplementation of calcium improve loss in BMD, hence prevent development of osteoporosis. Certain area of Indonesia shows specific biodiversity, for example South Borneo has its wetland biodiversity in swamp and river. Processed food from fishery like Rasbora sp. (locally called Seluang fish) is local favourite due to access and economical reason. Method. Studies included 24 reproductive age (15-49 years old) female on agonist GnRH leuprolide acetate 11,25 mcg regimen given subcutaneously. Measurement of bone mineral density was done twice within 3 months apart, before and after first agonist GnRH treatment. During observation, subject was divided to one of three daily supplementation belows, placebo containing saccharum lactis, grinded powder of 500 mg of calcium, or grinded powder of dried Rasbora sp containing 500 mg of calcium. Measurement pre- and post- supplementation was count using bone quality index with Osteosys of Sonost 3000. Result. Placebo supplementation group in GnRH agonist has bone mineral density loss of -22,7201 greater than 500 mg grinded powder of lactate calcium dan grinded powder of rasbora sp, respectively -4,4570 and -3,3634 after 3 months of trial. Homogeneity test shown p=0.031 level of significancy and ANOVA resulted a significant difference from three classes. Post Hoc resulted calcium lactate supplementation 18,26 + 3,20 greater (p = 0.001) and grinded powder of Seluang 19,36 + 3,20 greater (p = 0.000). Both form of calcium lactate and fish powder supplementation have no significant differences. Conclusion. Calcium supplementation in both of calcium lactate powder and natural resources help maintaining bone mineral density during GnRH agonist treatment. Seluang fish (Rasbora sp.), abundantly found along Indonesia people especially in South Borneo, has similar potency with pharmaceutical calcium lactate product in same weight. Fishery product, has beneficial trace element for bodies, 84 mg of calcium (Ca), 6,81 % of magnesium (Mg), 13,4 mg of iron (Fe), dan 3.97 % of zinc (Zn). Keyword: Bone mineral density, Calcium supplementation, Agonist GnRH, Rasbora Sp.
Successful pregnancy after hCG/hMG treatment in an azoospermic male with idiopathic hypogonadotropic hypogonadism Gyun-Ho Jeon; Cheyon Park
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1604

Abstract

Idiopathic hypogonadotropic hypogonadism (IHH) is one of the correctable causes of male infertility. Although there have been several previous reports about fertility treatment for IHH, there are no established guidelines of therapeutic method yet. We present an azoospermic male of IHH who succeeded in pregnancy and full term live birth after 18 months of treatment with human chorionic gonadotropin (hCG)/human menopausal gonadotropin (hMG), and then changed his treatment into testosterone replacement therapy to maintain an appropriate male hormone level. This case report shows that a thorough and careful examination of whether it is a reversible cause is necessary and important in the approach to male infertility. In addition, it further proves that, in the case of IHH, a continuous long-term gonadotrophic stimulation therapy contributes to successful pregnancy and may need a testosterone replacement therapy after birth.
Sociodemographic Factors of Elective and Emergency Cesarean Delivery in the Referal Hospital: A cross-sectional study: Faktor Sosiodemografi pada persalinan seksio sesarea elektif dan emergensi di Rumah Sakit Rujukan: sebuah penelitian potong lintang Restuaji B.K. Umam; Nur I. Purnamasari; I Putu Sudayasa; Juminten Saimin
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1613

Abstract

Objectives: To analyze the correlation between sociodemographic factors and cesarean section delivery at Referral Hospital in Kendari. Method: This was a cross-sectional study conducted at dr. Ismoyo Hospital in Kendari. Data were obtained from medical records of cesarean section delivery from January to December 2019. Sampling used simple random sampling techniques. Data were analyzed using the Chi-square test. Result: There were 50.5% emergency cesarean and 49.5% elective cesarean. The maternal age was 18-44 years. Most cases are aged 20-35 years (78.5%), have a higher education level (65.1%), employees (53.2%), and multipara (56.5%). There was a correlation between age and cesarean section (p = 0.027). There was no correlation between education level (p = 0.618), occupation (p = 0.563), and parity (p = 0.365) with cesarean section. Conclusion: There is a correlation between maternal age and cesarean section. Education, counseling, and antenatal care should be done for early detection. Keywords: age, cesarean section, education level, occupation, parity
Level of maternal zinc serum as risk factor of preeclampsia Tian Kaprianti; Putri Mirani; Abarham Martadiansyah; Peby M. Lestari; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1616

Abstract

Objective : To know the relationship of serum zinc levels with preeclampsia (PE) Method: This observational research uses a type of case control research. The population of this study is all pregnant women with a single pregnancy, gestational age of 28-42 weeks who were treated at the Department of Obstetrics and Gynecology of RSUP Dr. Mohammad Hoesin Palembang from August 2020 to November 2020. The study divided into 2 group, a case group of 30 pregnant women with PE and a control group of 60 pregnant women non PE. Serum zinc level examination is performed on all samples that match the research criteria. The data is processed by using SPSS software program version 20.0 Windows. Result: Both case and control groups had no meaningful differences to the general characteristics of the patient. There were significant differences in average zinc levels of maternal serum in both research groups (p=0.013; 43.90 plus-minus 15.79 pg/dL). The value of serum zinc levels that have the best sensitivity and specificity is at 45.5 pg/dL. Conclusion: There is a meaningful relationship between serum zinc levels and PE events. Pregnant women with serum zinc levels greater than or equal to 45.5 pg /dL were significantly at 3.2 times more risk of PE than pregnant women with serum zinc levels less than or equal to 45.5 pg/dL. In this case it is necessary to supplement zinc earlier in pregnancy to reduce the risk of preeclampsia. Keywords: preeclampsia, zinc, case-control studies
Assessment serum zinc levels in pregnancy with COVID-19 compared with normal pregnancy: Penilaian kadar seng serum pada kehamilan dengan COVID-19 dibandingkan dengan kehamilan normal Freddy W. Wagey; Vivi Mamangkey; Frank M.M. Wakey
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1623

Abstract

Abstract Objective: The objective of this study was to assess serum zinc levels in pregnancy with COVID-19 compared with normal pregnancy. Methods: The sampling method used was consecutive sampling. All subjects enrolled must meet eligibility inclusion and exclusion criteria with signed informed consent. The study was conducted from March 2021 to June 2021 in Manado. Pregnant women with COVID-19 and normal pregnant women serum zinc levels were measured. Results:Sixteen pregnant patients with COVID-19 and 16 normal pregnant patients’ serum zinc levels were measured.All pregnant women with COVID-19 have low serum zinc levels (100%), whereas in the normal pregnancy group only 8 subjects (50%) have low serum zinc levels and 8 subjects (50%) have normal serum zinc levels. In the pregnancy with COVID-19 group, the mean±SD value was 40.75±10.440, whereas in the normal pregnancy group the mean±SD value was 60.25±17.407. The analysis using an independent T-test shows a significant difference in serum zinc levels between pregnancies with COVID-19 and normal pregnancies (p=0.001). Conclusion: There is a significant difference in serum zinc levels in pregnancies with COVID-19 and normal pregnancies. Keywords: COVID-19,pregnancy with COVID-19, zinc in pregnancy. Abstrak Tujuan: Untuk mengetahui kadar zinc pada kehamilan dengan COVID-19 dibandingkan pada kehamilan normal. Metode: Pengambilan sampel metode consecutive sampling setiap subjek yang sesuai dengan kriteria inklusi dan eksklusi penelitian dan telah menandatangani surat persetujuan. Penelitiandilakukan bulan Maret 2021 sampai Juni 2021 di Manado. Dilakukan pemeriksaan kadar zinc dalam serum pasien hamil dengan COVID-19 dan pasien hamil normal. Hasil:Enam belas pasien hamil dengan COVID-19 dan 16 pasien hamil normal dilakukan pemeriksaan kadar zinc. Kelompok kehamilan dengan COVID-19, semuanya memiliki kadar zinc rendah (100%). Sedangkan pada kehamilan normal kelompok kadar zinc rendah sebanyak 8 orang (50%) dan kadar zinc normal sebanyak 8 orang (50%). Pada kelompok kehamilan dengan COVID-19 didapatkan nilai mean±SD sebesar 40,75±10,440, sedangkan pada kelompok kehamilan normal nilai mean±SD sebesar 60,25±17,407. Pada analisis uji beda independen menunjukkan bahwa terdapat perbedaan bermakna kadar zinc pada kehamilan dengan COVID-19 dan kehamilan normal (p=0.001). Kesimpulan: Terdapat perbedaan bermakna kadar zinc pada kehamilan dengan COVID-19 dan kehamilan normal Kata kunci : COVID-19,kehamilan dengan COVID-19,zinc pada kehamilan,
Assosiation between Serum Cortisol Levels and Anxiety levels In Elective and Emergency Cesarean Section: Hubungan antara Kadar Kortisol Serum dan Tingkat Kecemasan Pada Operasi Caesar Elektif dan Darurat Nadia O. S. Nurdin; John J. E. Wantania; Ronny A. A. Mewengkang
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1624

Abstract

Objective: To detect anxiety before elective and emergency cesarean section. Methods: This study was a cross-sectional study. The number of research samples was 42 samples consisting of 21 pregnant patients with an elective cesarean section plan and 21 pregnant patients with an emergency cesarean section at Prof. RSUP. Dr. R. D. Kandou Hospital Manado and Network Hospital in Manado from March 2021 to June 2021. Anxiety was assessed by examining serum cortisol and anxiety levels according to the Hamilton questionnaire (HAM-A). The data were then analyzed using SPSS version 23.0 software. Results: Cortisol levels were higher in emergency cesarean section (mean 21.590±11.6392) compared to elective cesarean section (mean 10.586±4.9501). Anxiety levels according to HAM-A scores were higher in emergency cesarean section (mean 15.33±7.722) compared to elective cesarean section (mean 7.19±3.614). Conclusion: There was a significant positive correlation between cortisol levels and anxiety levels based on HAM-A scores. Keywords: cesarean section , cortisol, HAM-A score. anxiety, Abstrak Tujuan: Untuk mendeteksi kecemasan sebelum tindakan seksio sesarea elektif dan emergensi. Metode: Penelitian ini merupakan suatu penelitian cross-sectional. Jumlah sampel penelitian 42 sampel terdiri dari 21 pasien hamil dengan rencana seksio sesarea elektif dan 21 pasien hamil dengan rencana seksio sesarea emergensi di RSUP Prof. Dr. R. D. Kandou Manado dan RS Jejaring di Kota Manado dari bulan Maret 2021 sampai bulan Juni 2021. Kecemasan dinilai melalui pemeriksaan kortisol serum dan tingkat kecemasan menurut kusioner Hamilton (HAM-A). Data kemudian dianalisis dengan menggunakan software SPSS versi 23.0. Hasil: Kadar kortisol secara rata-rata lebih tinggi pada seksio sesarea emergensi (mean 21.590±11.6392) dibandingkan dengan seksio sesarea elektif (mean 10.586±4.9501). Tingkat kecemasan menurut skor HAM-A secara rata-rata lebih tinggi pada seksio sesarea emergensi (mean 15.33±7.722) dibandingkan dengan seksio sesarea elektif (mean 7.19±3.614). Kesimpulan: Terdapat korelasi positif bermakna antara kadar kortisol dan tingkat kecemasan berdasarkan skor HAM-A pada semua subjek penelitian. Kata kunci: kortisol, seksio sesarea, skor HAM-A. kecemasan

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