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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. 3 july 2026" : 17 Documents clear
Spontaneous Pregnancy Rates with and without Ovulation Induction after Post-Laparoscopic Neosalpingostomy for Stage III–IV Hydrosalpinx Indra Adi Susianto; Olivia Franciska Laksmana;  Hervyasti Purwiandari; Deni Dwi Ariani; Agung Pramartha Irawan
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.1726

Abstract

Objective: To compare pregnancy outcomes between natural conception and ovulation induction following laparoscopic neosalpingostomy in women with stage III–IV hydrosalpinx. Methods: A quasi-experimental study was conducted between 2014 and 2019 involving 70 infertile women who underwent laparoscopic neosalpingostomy. Participants were assigned to either a natural conception group or an ovulation induction group receiving clomiphene citrate and estradiol valerate. Patients were followed for six to seven months postoperatively. Pregnancy outcomes were analyzed using the chi-square test and multivariate logistic regression, with statistical significance set at p < 0.05. Results: The overall pregnancy rate was 83% within seven months after surgery. Forty-one pregnancies occurred in the natural conception group. No significant association was found between ovulation induction or maternal age >35 years and term pregnancy (p > 0.05). Ectopic pregnancy occurred in 4–5% of cases. Multivariate logistic regression analysis identified no independent predictors of term pregnancy. Conclusion: Laparoscopic neosalpingostomy remains a viable fertility-preserving treatment option for women with advanced hydrosalpinx. Pregnancy outcomes were comparable between women who conceived naturally and those who received ovulation induction therapy. Keywords: hydrosalpinx, laparoscopic neosalpingostomy, pregnancy outcomes, spontaneous pregnancy
Primary Dysmenorrhea and Risk Factors among Female Students in Yogyakarta: A Cross-Sectional Survey Supriyatiningsih Wenang; Lidia Febrianti; Octaviana Roshindra; Franz Bahlmann
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2319

Abstract

Objective: To investigate the prevalence of primary dysmenorrhea and its associated factors among female students in Yogyakarta Province, Indonesia. Methods: A cross-sectional study was conducted among female university students in Yogyakarta Province, Indonesia, in 2021. A total of 385 participants were recruited using a purposive sampling method. Data were collected through an online structured questionnaire administered via Google Forms. The questionnaire incorporated the International Physical Activity Questionnaire (IPAQ) along with researcher-developed items that had been validated and tested for reliability before use. Data were analyzed using univariate and bivariate analyses, with the chi-square test applied at a significance level of 5% (p < 0.05). Variables with significant associations were subsequently included in a multivariable logistic regression analysis.Results: Severe primary dysmenorrhea was the most prevalent category, affecting 44.2% of respondents. A maternal history of dysmenorrhea was significantly associated with both mild (AOR = 0.450; 95% CI: 0.249–0.813; p = 0.008) and severe primary dysmenorrhea (AOR = 2.425; 95% CI: 0.774–2.292; p < 0.001).* Among treatment-related factors, healthy food consumption showed the strongest association with mild primary dysmenorrhea (AOR = 0.570; 95% CI: 0.392–0.830; p = 0.003), whereas medication use was most strongly associated with severe primary dysmenorrhea (AOR = 2.645; 95% CI: 1.624–4.308; p < 0.001). Conclusion: Severe primary dysmenorrhea was the most common presentation among female students. A maternal history of dysmenorrhea was significantly associated with both mild and severe primary dysmenorrhea. Healthy food consumption and medication use were the treatment-related factors most strongly associated with mild and severe dysmenorrhea, respectively. Strengthening collaboration among mothers, adolescents, and healthcare providers may improve the management of primary dysmenorrhea. Keywords: associated factors, female students, primary dysmenorrhea, reproductive health
Urinary and Hemorrhage Ascites in A Patient with P4A1 Post-Subtotal Hysterectomy Surahman Hakim; Adib Kamil Putra Kadarusman; Suskhan Djusad; Raden Muhammad Ali Fadhly; Kevin Sebastian Summakwan; Valencia Hadinata
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2321

Abstract

Objective: To describe a rare case of combined urinary and hemorrhagic ascites following emergency subtotal hysterectomy for uterine rupture and to highlight the diagnostic challenges associated with this condition.Methods: Case reportCase: A 33-year-old G5P4A1 woman presented to the emergency department with severe abdominal pain and distension four days after a subtotal hysterectomy for uterine rupture following a c-section. ultrasound showed massive ascites, yet the patient’s hemoglobin remained relatively stable, and laboratory tests showed elevated renal markers, a sign of urinary reabsorption through the peritoneum. Ultrasound and urinary catheterization, which resulted in 3000 cc of urine, confirmed a combined etiology of urinary ascites and hemoperitoneum. Exploratory laparotomy found a 4 cm superior bladder defect and active bleeding from the right infundibulopelvic ligament. Discussion: This case highlights a rare diagnostic challenge where urinary and hemorrhagic ascites coexisted. Literature indicates that a history of multiple cesarean sections increases tissue adhesion risks five-fold, significantly complicating emergency hysterectomies and increasing the risk of multi-organ injury. A key finding in this case is the "mimicking" effect: the massive intraperitoneal fluid collection initially suggested massive hemorrhage, yet the relatively stable hemoglobin levels proved otherwise. This discrepancy is a vital diagnostic clue that clinicians must recognize to differentiate urinary leakage from isolated hemorrhage. Conclusion: Combined urinary and hemorrhagic ascites after subtotal hysterectomy is a rare but significant complication. Early recognition through clinical, laboratory correlation and imaging are important for improving patient outcomes in complex obstetric cases. Keywords: bladder rupture, hemoperitoneum, hemorrhage, post-operative ascites subtotal hysterectomy.
Early Term Pregnancy in a Patient with Brain Tumor Achmad Rivaldi; Bernadus Dirgantoro
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2365

Abstract

Objective: The increased vascularity and hormonal changes during pregnancy may contribute to the progression of symptoms and accelerated tumor growth in patients with brain tumors. The management strategy for brain tumors in pregnancy should be carefully planned. This case report aims to investigate the association between patient's current pregnancy and a suspected meningioma brain tumor along with how to its management. Methods: Case Report. Case: A 45-year-old pregnant woman at 37 weeks of gestation, presented with complaints of intermittent left-sided headaches accompanied by vision loss and difficulty hearing which occurred gradually over the past 2 years. The pastient has a history of a brain tumor. During pregnancy, there were no worsening neurological deficits such as seizures or loss of consciousness. A Imaging test evaluation  during pregnancy revealed a brain tumor, suggestive for meningioma, measuring from 4.6 cm x 5.6 cm x 3.7 cm to 5.2 cm x 5.6 cm x 4.4 cm after 2 years. The decision was made to terminate the pregnancy via cesarean section. Postoperative recovery was uncomplicated and the patient was planned for tumor excision. Conclusion: In this case, there is no association was found between the patient's current pregnancy and the brain tumor, suspected to be meningioma. In pregnancies with brain tumors that do not exhibit progressive neurological deficits, pregnancy termination can be performed until term, before subsequently undergoing tumor surgery. A multidisciplinary approach involving various fields is necessary to manage pregnancies with brain tumor and comorbid diseases to reduce maternal and neonatal morbidity and mortality rates. Keywords: brain tumor, meningioma, pregnancy, termination
Vasopressin to Reduce Blood Loss during Cesarean Myomectomy Nadhira Salsabila; Roziana Roziana; Rijal Bulqini
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2466

Abstract

Objective: To report the use of intramyometrial vasopressin to reduce intraoperative blood loss during cesarean myomectomy for a large uterine fibroid. Methods: We present the case of a term pregnant woman with a large intramural uterine fibroid who underwent myomectomy during cesarean delivery. Results: A 38-year-old woman, gravida 5 para 4, presented at term with uterine contractions that had persisted for two days. She had been diagnosed with uterine fibroids three months earlier and remained asymptomatic throughout the pregnancy. An emergency cesarean section was performed under spinal anesthesia because of obstetric indications. Intraoperatively, a large intramural uterine fibroid measuring 17 × 11 cm and weighing 1.2 kg was identified and successfully removed. The procedure included bilateral fimbrectomy, uterine repair, and myomectomy. To reduce intraoperative bleeding, 20 IU of vasopressin was injected intramyometrially. The estimated blood loss was 900 mL, and the patient received a transfusion of 250 mL of packed red blood cells. Considering the size of the fibroid, the blood loss was relatively low, and the procedure was completed without major hemorrhagic complications or the need for hysterectomy. Conclusion: Although uterine fibroids during pregnancy are often asymptomatic, large fibroids may require surgical management during cesarean delivery. This case highlights the potential role of intramyometrial vasopressin as an effective adjunct for reducing intraoperative blood loss during cesarean myomectomy. Careful patient selection, meticulous surgical planning, and close hemodynamic monitoring are essential to ensure patient safety and optimize surgical outcomes. Keywords: bleeding, cesarean myomectomy, pregnancy, uterine myoma, vasopressin
Clinical Characteristics and Outcomes of Patients with Suspected Placenta Accreta Spectrum: A Retrospective Study (2022–2023) Intan Rachmawati; Sri Sulistyowati; Muhammad Adrianes Bachnas; Nutria Widya Purna Anggraini; Eric Edwin Yuliantara; Wisnu Prabowo; Supriyadi Hari Respati; Hafi Nurinasari; Robert Ridwan; Lini Astetri
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2476

Abstract

Objectives: To describe the clinical characteristics, management strategies, and maternal and perinatal outcomes of patients evaluated for suspected Placenta Accreta Spectrum (PAS). Methods: This retrospective descriptive study included 175 pregnant women evaluated for suspected PAS at Dr. Moewardi General Hospital between 2022 and 2023. The preoperative likelihood of PAS was assessed using the Morbidly Adherent Placenta (MAP) score, whereas the final diagnosis was established according to the International Federation of Gynecology and Obstetrics (FIGO) classification based on histopathological examination or intraoperative findings in patients managed conservatively. Results: Most patients had Class I obesity (40.0%), a history of fewer than two previous caesarean sections (78.9%), and delivered at term (47.4%). Preoperative assessment showed that 52.6% of patients had low MAP scores, which was consistent with the final FIGO classification, as 73.1% of patients were classified as FIGO Grade 0 (normal placentation or placenta previa without invasion), indicating that true invasive PAS accounted for only a minority of cases. Consequently, conservative uterinesparing management was feasible in most patients; 77.7% did not require hysterectomy, and 69.7% experienced an estimated blood loss of less than 1,000 mL. Perinatal outcomes were generally favorable, with 58.3% of neonates having a normal birth weight and 60.6% showing no signs of asphyxia. Conclusion: Among patients evaluated for suspected PAS, the majority had low MAP scores and were ultimately classified as FIGO Grade 0, indicating the absence of invasive placental disease. Consequently, conservative uterine-sparing management was successfully implemented in most cases and was associated with favorable maternal and perinatal outcomes. Keywords: cesarean section, maternal outcomes, perinatal outcomes, placenta accreta spectrum, uterine-sparing management
Diagnostic Accuracy of IGFBP-1 (ACTIM-PROM) Versus the Nitrazine Test for Preterm Premature Rupture of Membranes Pande Putu Firsta Widyaning; Mukhammad Nooryanto; Rahajeng Rahajeng; Cholid Rochman Riskianto
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2497

Abstract

Objective: To evaluate the diagnostic performance of insulin-like growth factor-binding protein-1 (IGFBP-1; ACTIM PROM) compared with the nitrazine test for the diagnosis of preterm premature rupture of membranes (PPROM). Methods: This observational analytical study included 30 pregnant women, comprising 15 women with PPROM and 15 controls. Posterior fornix fluid collected during a sterile speculum examination was analyzed using both the nitrazine test and the ACTIM PROM immunoassay. Results: The nitrazine test demonstrated a sensitivity of 80.0%, specificity of 73.3%, and overall diagnostic accuracy of 76.6%. ACTIM PROM demonstrated a sensitivity of 93.3%, specificity of 100%, and overall diagnostic accuracy of 96.6%. ACTIM PROM showed significantly higher specificity than the nitrazine test, whereas no significant difference was observed in sensitivity. Conclusion: ACTIM PROM demonstrated superior specificity and overall diagnostic accuracy compared with the nitrazine test and may serve as a reliable diagnostic tool for the diagnosis of PPROM. Keywords: ACTIM PROM; diagnostic accuracy; IGFBP-1; nitrazine test; preterm premature rupture of membranes.
Perceived Stress and Its Associated Factors among Pregnant Women in Rural Kancheepuram District, Tamil Nadu: A Cross-Sectional Study Pragadeesh Raja Veerappan; Sindhuri Raghavan; Shankar Anand; Vedapriya Vedapriya; Dharani Lenin
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2514

Abstract

Objective: To estimate the prevalence of perceived stress and identify its associated risk factors among rural pregnant women. Methods: A community-based cross-sectional study was conducted among 250 antenatal mothers (gestation >12 weeks) in rural Kancheepuram District, Tamil Nadu, over two years (January 2017 – December 2018). Data on demographic, obstetric, and lifestyle factors were collected using a semi-structured questionnaire. The Perceived Stress Scale (PSS) was used to assess stress levels. Results: Among the 250 participants, the mean perceived stress score was 14.4 ± 4.01. The prevalence of moderate stress was 51.2% (n=128), while 48.8% (n=122) reported low stress. Significant associations with higher stress were found for age (p=0.021), occupation (p=0.009), education (p=0.000), and lower socioeconomic status (p=0.003). Additionally, participants with thyroid disorders (p=0.022) and a history of infertility treatment (p=0.004) reported significantly higher stress levels. No significant association was found between stress and obstetric parameters such as gravida or parity. Conclusion: This study found a high prevalence of moderate perceived stress among rural pregnant women. Key risk factors include lower socioeconomic status, occupation, and specific comorbidities. These findings underscore the need for routine psychosocial screening and early intervention, particularly for at-risk groups. Comprehensive support strategies must be integrated into antenatal care to promote maternal well-being and improve pregnancy outcomes. Keywords: antenatal care, perceived stress, pregnancy, rural health, tamil nadu
Mean Platelet Volume and Neutrophil-to-Lymphocyte Ratio in Preeclampsia and Normal Pregnancy Hartatiek Nila Karmila; Nathalya Dwi Kartika Sari; Ika Mardiyanti; Regina Ayu Fristiyanti; Nur Sophia Matin
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2798

Abstract

Objectives: To compare mean platelet volume (MPV) and neutrophil-to-lymphocyte ratio (NLR) values betwee  women with preeclampsia and those with normal pregnancies. Methods: This cross-sectional study used secondary data obtained from the medical records of A. Yani Islamic Hospital, Surabaya. A total of 63 third-trimester pregnant women were selected using purposive sampling, including 30 women wit preeclampsia and 33 women with normal pregnancies. MPV and NLR values were obtained from hematological examination records at the time of diagnosis. Data normality was assessed using the Shapiro–Wilk test. As the data were normally distributed, an independent t-test was performed to compare the mean MPV and NLR values between the two groups. Statistical significance was set at p < 0.05. Results: The mean MPV did not differ significantly between the normal pregnancy and preeclampsia groups (9.05 ± 0.79 vs. 9.12 ± 1.10 fL, respectively; p = 0.756). The mean NLR was significantly higher in the preeclampsia group than in the normal pregnancy group (5.34 ± 2.94 vs. 4.11 ± 1.07, respectively; p = 0.028). Conclusion: Women with preeclampsia had significantly higher NLR values than women with normal pregnancies, whereas MPV values did not differ significantly between the groups. These findings suggest that NLR may be associated with preeclampsia, whereas MPV was not significantly different between women with preeclampsia and those with normal pregnancies. Keywords: hematological parameter, mean platelet volume (MPV), neutrophil lymphocyte ratio (NLR), preeclampsia, pregnancy.
Cesarean Section Patterns Based on the Robson Classification in a Regional General Hospital Ormy Abiga Mahendra; Yoseph Leonardo Samodra; I Nyoman Tritia Widiantara
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 3 July 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i3.2954

Abstract

Objectives: To quantify cesarean section use and identify the Robson groups contributing most to the institutional cesarean rate among all deliveries. Methods: This retrospective cross-sectional study included all eligible and complete delivery records at Panembahan Senopati Regional General Hospital from January 1, 2022, through December 31, 2023. Delivery mode and Robson group were summarized using group size, group-specific cesarean section rate, absolute contribution, and relative contribution. Associations were assessed using chi-square tests and exploratory modified Poisson regression with robust standard errors. Results: Among 1,178 deliveries, 763 (64.8%) were vaginal and 415 were cesarean, yielding a cesarean rate of 35.2% (95% confidence interval, 32.6-38.0%). Groups 2, 5, and 4 contributed 27.2%, 21.7%, and 17.3% of all cesareans, respectively, and together accounted for 66.3%. Group 5 had the highest group-specific rate (69.8%). Previous cesarean section showed the strongest adjusted association with cesarean delivery (adjusted prevalence ratio, 3.02; 95% confidence interval, 2.52-3.61). Conclusion: Cesarean use was concentrated in Groups 2, 5, and 4. Future audits should distinguish induction from prelabor cesarean delivery, review primary cesarean pathways, and support individualized management after previous cesarean. Keywords: cesarean section, clinical audit, delivery, Robson classification.

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