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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 17 Documents
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Search results for , issue "Volume 14. No. 1 January 2026" : 17 Documents clear
Determining Factors for Discontinuing Hormonal Contraceptive Use in Acceptors at The Kassi Kassi Community Health Center Karuniawati, Nia; Ramli, Rahmawati
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.v14i1.2300

Abstract

Introduction : During the COVID-19 pandemic, several experts have reported the effects of pregnancy accompanied by COVID-19 on both the mother and infant, influenced by the symptoms and signs presented. This study aims to analyze the correlation between blood markers; C-Reactive Protein (CRP), D-Dimer, Neutrophil-to-Lymphocyte Ratio (NLR) and the severity of COVID-19 in pregnant women during the 2020 pandemic at Persahabatan Hospital, Jakarta. Method : This cross-sectional study was conducted at Persahabatan Hospital, a National Respiratory Referral Center in Jakarta. A total of 525 pregnant women who met the inclusion criteria were evaluated. Laboratory markers, including CRP, D-Dimer, and NLR, were analyzed and categorized as normal or elevated. Data were analyzed using Chi-Square tests, and correlations were evaluated using Spearman’s rank correlation coefficient. Result : The result of this study found that elevated biomarkers were significantly correlated with increased severity of disease. CRP (>10 mg/L), D-Dimer (>3333 mg/L), and NLR (>5.8) were all associated with moderate to severe disease. Statistical analysis showed significant correlations with p-values <0.005 and a 95% confidence interval. Conclusion : Elevated CRP, D-Dimer, and NLR levels are associated with increased disease severity in pregnant women with COVID-19. These biomarkers can serve as useful predictors for the severity of the disease. Keywords : Covid 19, CRP, D-Dimer, NLR , Pregnant
Papaya Fruit (Carica papaya L.) and Its Effectiveness on Menstrual Patterns in Women Using Depo Medroxyprogesterone Acetate (DMPA): A Quasi-Experimental Study Nurhayati , Nurhayati; Suhermi , Suhermi
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.v14i1.2303

Abstract

Objective: This study aims to determine the effectiveness of administering papaya ( Carica Papaya L) in Medroxy Depo Acceptor Progesterone Acetate (DMPA) on Menstrual Patterns in PMB Patmawati . Method: Research was conducted at PMB Fatmawati. This research is a Quasy-Experiment research with a Posttest Only Control Group Design research design where this research was carried out by providing treatment (intervention) in the form of Papaya fruit ( Carica Papaya L) then observing the Menstrual Cycle Pattern. Next, the measurement results were compared with the measurement results in the control group who did not receive treatment (intervention) consuming papaya fruit ( Carica Papaya L). Results: There was a significant effect between changes in menstrual patterns between groups that consumed papaya and those who did not consume papaya (p = 0.000) and thare was a significant difference before and after consuming papaya on changes in menstrual patterns (p=0.001). Conclusion: Consuming papaya fruit regularly and consistently ( carica Papaya L) as an acceptor of Medroxy Depo Progesterone Acetate (DMPA) shows a good effect on changing menstrual patterns from previously irregular to regular Keywords: DMPA, Papaya Fruit, Menstrual Cycle
Analysis of Causes, Maternal And Perinatal Outcomes In Third Trimester Pregnant Women With Normocytic Anemia Sharief, Suchi Avnalurini; Minhajat, Rahmawati; Bukhari, Agussalim
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.v14i1.2311

Abstract

Abstract Objective : Analyzing the causes, maternal and perinatal outcomes in third trimester pregnant women. Method :This research is a hybrid study which combines 2 research designs, namely descriptive analytical and observational with a cross sectional study approach to assess laboratory examinations of anemic pregnant women and a cohort to assess maternal & perinatal outcomes in third trimester pregnant women with normocytic anemia. Bivariate analysis was carried out using the chi square test to measure the strength of the relationship between variables. A complete blood count, ferritin, TIBC, serum Fe, reticulocyte and peripheral blood smear were carried out. This research was conducted on third trimester pregnant women with anemia. Results :Of the 50 pregnant women who experienced normocytic anemia, there were (92,0%) mild anemia, (8,0%) moderate anemia and no severe anemia was found. Maternal and perinatal outcomes have a p value <0.05. Most pregnant women in the third trimester have low serum Fe < 37 µ/dL (52,2%) in mild anemia and normal serum Fe 37-148 µ/dL (75%) in moderate anemia, most have low ferritin < 13 ng/ dL in mild anemia (82,6%) and (100%) in moderate anemia, most high TIBC ? 389 µ/dL in mild anemia (87%) and (100%) in moderate anemia, all reticulocyte values ??are high (> 1,50%) in mild and moderate anemia. Conclusion :Chronic diseases and infections were the biggest causes of normocytic anemia in third trimester pregnant women in this study, howeverNormocytic anemia in this study had a picture of serum ferritin and iron that almost resembled microcytic anemia, which was probably caused by iron deficiency, so it was necessary to examine C-Reactive Protein (CRP) as a biomarker/sign of infectious disease.The higher the degree of anemia, the greater the risk of birth problems, which will affect the birth process. Likewise with perinatal outcomes, the higher the degree of anemia, the greater the incidence of LBW and asphyxia in babies. Keywords: Normocytic anemia, pregnancy, maternal and perinatal outcomes, serum Fe, ferritin, TIBC, reticulocytes
Pregnancy Outcomes in Women Aged 20–34 vs. ?35 Years: A Cross-Sectional Study in a Tertiary Referral Center Syahputra, Farsyah Septrial Hendra; Pribadi, Adhi; Hidayat, Dini; Achmad, Eppy Darmadi; Kurniadi, Andi
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.v14i1.2460

Abstract

Objective: This study aims to compare pregnancy outcomes between mothers under and over 35 years of age at Dr. Hasan Sadikin General Hospital. Methods: An observational analytic approach with a cross-sectional design was used. Data from the medical records of 150 patients at Dr. Hasan Sadikin General Hospital in 2022 were analyzed. Patients were divided into two groups: ages 20-34 and greater than or equal to 35. Data analysis was performed using SPSS version 27.0. Results: Advanced maternal age was significantly associated with mode of delivery [OR 2.16, 95% CI (1.08-4.28), p=0.048], hypertensive disorders of pregnancy [OR 3.99, 95% CI (1.86-8.38), p<0.001], and postpartum hemorrhage [OR 2.93, 95% CI (0.99-8.79), p=0.044]. Conclusion: This study affirmed that advanced maternal age is associated with adverse maternal outcomes, namely hypertensive disorders of pregnancy and postpartum hemorrhage. Moreover, compared to mothers aged 20-34, advanced maternal age is linked with higher rates of cesarean deliveries and forceps deliveries.   Keywords: Advanced maternal age pregnancy, Adverse maternal outcomes, Neonatal outcomes, Peak reproductive years, Complications of pregnancy
Maternal Risk Factors Associated with Neonatal Stunting: A Case–Control Study Rohhmah, Anita; Fitriyati, Yasmini; Zahra, Afifah Az; Rahmawati, Isna Arifah
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.v14i1.2465

Abstract

AbstractObjective: To identify maternal risk factors associated with neonatal stunting at Wonosari Hospital. Methods: A case–control study was conducted involving mothers who gave birth at Wonosari Hospital in 2023. Maternal sociodemographic characteristics (age, education, and occupation), nutritional status (body mass index and mid-upper arm circumference), and pregnancy-related factors (gestational age, gestational status, hemoglobin levels, blood pressure, pregnancy complications, and mode of delivery), as well as newborn length at birth, were obtained from medical records. Neonatal stunting was defined as a length-for-age z-score < ?2 SD according to World Health Organization (WHO) standards. Statistical analysis was performed using chi-square tests and multiple logistic regression. Results: A total of 154 participants were included, equally divided into case (stunted newborns) and control (non-stunted newborns) groups. Mothers with a lower educational level had significantly higher odds of delivering a stunted newborn (p= 0.010; aOR = 2.845; 95% CI = 1.286–6.293). Preterm birth was also associated with an increased risk of neonatal stunting (p= 0.033; aOR = 9.847; 95% CI = 1.210–80.152). In addition, pregnancy complications were significantly associated with higher odds of neonatal stunting (p = 0.020; aOR = 2.728; 95% CI = 1.171–6.352). Conclusion: Maternal factors, including low educational level, preterm birth, and pregnancy complications, were significantly associated with neonatal stunting at Wonosari Hospital. These findings underscore the importance of maternal education in neonatal health outcomes. Furthermore, close monitoring of fetal growth and nutritional status, along with appropriate management of pregnancy complications, may help reduce the risk of neonatal stunting. However, larger-scale studies are needed to assess the population-level impact of these factors. Keywords: neonatal, pregnancy complication, stunting.
Overview of Women's Reproductive Health Problems among Foreign Tourists in Health Services in Bali Putra, Anak Agung Ngurah Surya Wira Mahotama; Apsari, Putu Indah Budi; Pariartha, I Made
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.v14i1.2467

Abstract

Objectives: To understand the overview of women's reproductive health problems among foreign tourists in several health services in Bali in 2022-2023. Methods: The research design used is descriptive research with a cross-sectional method. The study sample consists of 103 samples selected through purposive sampling. Data from the research results will be analyzed univariately and processed using SPSS version 27. The research locations to be used are two private hospital in Bali Results: The research results on foreign tourists with women's reproductive health problems revealed that the age group was predominantly 20-35 years, with 31 (60.8%) in 2022 and 34 (65.4%) in 2023. Most foreign tourists who visited did not have insurance, amounting to 32 (62.7%) in 2022 and 36 (69.2%) in 2023. The most common diagnosis was prolonged labor, with 20 (39.2%) in 2022 and 11 (21.2%) in 2023. The most frequent complaint was abdominal pain, experienced by 30 (58.8%) in 2022 and 19 (36.5%) in 2023. For the treatment of foreign patients with reproductive health issues, non-pharmacological treatment was predominant, with 34 (66.7%) in 2022 and 31 (59.6%) in 2023. Conclusion: Based on the research conducted, the overview of women's reproductive health problems among foreign tourists in several health services in Bali in 2022-2023 is dominated by the age group 20-35 years, most of whom have health insurance. The most common diagnosis is prolonged labor, with the majority experiencing complaints of lower abdominal pain, and treatment predominantly involving non-pharmacological methods.
Inflammatory Marker and their Association with COVID-19 Severity in Pregnant Women Lisnawati, Yuyun; Purnadiputra, Akbar; Widyakusuma, Lucky Savitry; Pudyastuti, Sri; Sari, Amanda Mustika
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.v14i1.2686

Abstract

Abstract : Objective: To analyze the correlation between blood markers; C-Reactive Protein (CRP), D-Dimer, Neutrophil-to-Lymphocyte Ratio (NLR) and the severity of COVID-19 in pregnant women during the 2020 pandemic at Persahabatan Hospital, Jakarta. Method :This cross-sectional study was conducted at Persahabatan Hospital, a National Respiratory Referral Center in Jakarta. A total of 525 pregnant women with confirmed COVID-19 who met the inclusion criteria were included in the study. Laboratory markers, including CRP, D-Dimer, and NLR, were analyzed and categorized as normal or elevated. Data were analyzed using the Chi-square test, and correlations were evaluated using Spearman’s rank correlation coefficient. Result :The results showed that elevated biomarkers were significantly correlated with increased disease severity. CRP (>10 mg/L), D-Dimer (>3333 mg/L), and NLR (?5.8) were all associated with moderate to severe disease. All biomarkers demonstrated a significant correlation with disease severity (p < 0.005). Conclusion: Elevated CRP, D-Dimer, and NLR levels are associated with increased disease severity in pregnant women with COVID-19, suggesting their potential role as practical indicators for disease severity assessment. Keywords : Covid 19, CRP, D-Dimer, NLR, Pregnant.
A Spontaneous Uterine Rupture in Placenta Accreta Spectrum: a case series Sunarno, Isharyah; Riu, Deviana Soraya; Adil, Andi; Muhiddin, Rachmawati; Juanita, Juanita
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.v14i1.2688

Abstract

Objectives: Diagnosing uterine rupture in placenta accreta spectrum (PAS) can be challenging, often confirmed only during surgery after the rupture has occurred. This poses significant risks of morbidity and mortality for both the mother and neonates. Therefore, it is crucial for obstetricians to understand the clinical signs of uterine rupture in PAS cases. We aim to present four cases of grade 3a PAS and their associated maternal and neonatal outcomes related to spontaneous uterine rupture. Case management: Four cases of spontaneous uterine rupture attributed to FIGO grading 3A PAS occurred at Wahidin Sudirohusodo Hospital, a tertiary healthcare center in Makassar, South Sulawesi, Indonesia. All patients were multigravida with prior cesarean sections, presented at preterm gestational ages, and had histologically confirmed PAS. They were referred from secondary healthcare facilities. In two cases, spontaneous uterine rupture was identified prior to surgery, with the patients presenting in hypovolemic shock and intrauterine fetal demise. In the other two cases, the rupture occurred during laparotomy before any uterine procedure, and the neonates were delivered alive. During the emergency laparotomy, uterine ruptures were identified at the sites of placental attachment. In one case, an additional rupture was observed on the posterior uterine wall. Management included emergency classical cesarean                        section               followed       by        supracervical hysterectomy,                    postoperative           ICU admission, and massive blood transfusion. All mothers were discharged in stable condition. Conclusion: Spontaneous uterine rupture in PAS cases is associated with increased maternal morbidity as well as neonatal mortality and morbidity. Keywords: caesarean section, placenta accreta spectrum, spontaneous uterine rupture, classical cesarean section, supracervical hysterectomy
Risk Factors of Intrauterine Growth Restriction: A Case-Control Study Bramanta, Putu Jeremia Dani; Kusumosih, Theresia Avilla Ririel; Purnajati, Oscar Gilang; Caesarini, Marie
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.v14i1.2739

Abstract

Abstract Objectives: To explore out whether age, rate of delivery, and hypertension are risk factors for IUGR in Bethesda Hospital Yogyakarta Methods: A case control study was used by evaluating medical record of patient who diagnosed with IUGR in Bethesda Hospital Yogyakarta between January 2015 – December 2021.  Results: The sample size was 62 with a case number of 31 (IUGR) and in control patients without IUGR of 31. Based on bivariate analysis with chi square test, it was found the risk factor for IUGR was hypertension (P = 0,032; OR = 3,906). Risk factor age (P = 0,115) and rate of delivery (P = 0,446; OR = 1,681) were not found to be risk factor for IUGR. Conclusion: Hypertension is a risk factor for IUGR, whereas age and rate of delivery are not risk factors for IUGR in Bethesda Hospital Yogyakarta. Keywords: IUGR, age, rate of delivery, hypertension.
Age at Sexual Debut as a Determinant of HPV Infection in Women with Clinically Normal Cervix in Indonesia Utami, Tofan Widya; Nuranna, Laila; Purwoto, Gatot; Indarti, Junita; Firdaus, Najmarani Devi; Oktalia, Arisda; Sulastri, Nuni; Kekalih, Aria
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.v14i1.2745

Abstract

Objectives: This study examined the association between sexual debut and HPV infection in Indonesian women with a clinically normal cervix, contextualized within the Sustainable Development Goals (SDGs). Methods: This prospective cohort study utilized primary data from structured interviews and gynecological exams conducted by the Female Cancer Program (FCP) team across public and private health providers in Jakarta (January 2012–July 2018). Cervical cancer risk factors, including early sexual debut, were analyzed using odds ratios (ORs). Results: A total of 1,390 women with a clinically normal cervix were enrolled in this study, with 52 (3.7%) testing positive for HPV-DNA. Statistical analysis indicated an odds ratio (OR) of 1.176 (95% CI: 0.598–2.316, p = 0.601) for early sexual debut. Conclusion: This study showed that there was an insignificant association between sexual debut and HPV infection in clinically normal cervix. According to the SDGs, early sexual debut and cervical cancer are highly associated. In order to meet the SDGs by 2030, more research is required to validate this finding and assess additional co-factors connected to cervical cancer.

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