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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
ISSN : 23386401     EISSN : 23387335     DOI : -
Core Subject : Health,
The Indonesian Journal of Obstetrics and Gynecology is an official publication of the Indonesian Society of Obstetrics and Gynekology. INAJOG is published quarterly.
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Articles 16 Documents
Search results for , issue "Volume 7 No. 4 October 2019" : 16 Documents clear
Postoperative Catheterization after Total Vaginal Hysterectomy: Six versus Twenty Four Hours. A Randomized Controlled Trial: Kateterisasi Pascaoperasi Total Vaginal Histerektomi: Enam Jam versus Dua Puluh Empat Jam. Sebuah Penelitian Randomisasi Terkontrol Suskhan Djusad; Abraham A.L. Maukar; Surahman Hakim; Tyas Priyatini; Budi I. Santoso; Leonardo Leonardo
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (51.599 KB) | DOI: 10.32771/inajog.v7i4.677

Abstract

Abstracts Objective: To find out whether urinary bladder catheterization after total vaginal hysterectomy is more advantageous.Methods: Forty-six subjects were included. Subjects were divided into two groups. In one group (n = 24), a transurethral catheter was removed after six hours post-surgery. In the other group (n = 24), the catheter was removed after twenty-four hours. A few hours after removal of the catheter, patients were asked to urinate. Then residual volumes were measured by measuring cylinder, using 12F catheter. Pain was measured using visual analogue scale (VAS) score. Patients’ length of stay was also compared. Data were analyzed using Student T-test if distributed normally or Mann-Whitney Rank if data was abnormal.Results: Mean age for each group was 63,21 ± 8,73 and 62,38 ± 7,52 (6 hours, 24 hours respectively). Median score for 6 hours group was 50,00 (range 5 - 80) and for 24 hours was 100 (range 30 - 250) (P = 0,000). Pain perception and hospital stay were not statistically different in both group (P = 0,134 and P = 0,377)Conclusion:In this study, difference in postoperative catheterization time is associated with residual volume. Keywords: bladder catheterization, postoperative catheterization, residual volume, total vaginal hysterectomy. Abstrak Tujuan: Untuk membandingkan lama waktu pemasangan kateter paskaoperasi total vaginal histerektomi yang lebih menguntungkan.Metode: Empat puluh enam pasien ikut serta dalam penelitian. Secara acak dibagi menjadi 2 kelompok. Pada grup I (n = 24), pelepasan kateter dilakukan setelah enam jam pascaoperasi. Pada grup II (n = 24), kateter dilepas setelah dua puluh empat jam. Beberapa jam setelah pelepasan kateter, pasien diminta untuk buang air kecil. Lalu residu urin diukur setelahnya menggunakan gelas ukur, memakai kateter no. 12 F. Skor nyeri menggunakan skor Visual Analogue Scale (VAS). Lama rawat inap juga dibandingkan. Analisis data menggunakan student's T-test. Jika terdistribusi tidak normal, analisis memakai Mann-Whitney Rank.Hasil: Rerata usia untuk tiap grup adalah 63,21 ± 8,73 dan 62,38 ± 7,52 (6 jam, 24 jam, secara berurutan). Skor median untuk grup 6 jam adalah 50,00 (range 5 – 80) dan grup 24 jam adalah 100 (range 30 – 250) (P = 0,000). Tidak ada perbedaan signifikan secara statistic pada rasa skor nyeri dan lama rawat inap (P = 0,134 dan P = 0,377).Kesimpulan: Pada penelitian ini, perbedaan waktu pemasangan kateter pascaoperasi memiliki hubungan dengan volume sisa urine.Kata kunci: kateterisasi urine, kateterisasi pascaoperasi, volume sisa urine, total vaginal histerektomi.
Improvement Knowledge and Attitude about Adolescent’s Reproductive Health through Education Intervention in Junior and Senior High: Peningkatan Pengetahuan dan Sikap tentang Kesehatan Reproduksi Remaja melalui Intervensi Penyuluhan pada Siswa Sekolah Menengah Pertama dan Sekolah Menengah Atas Negeri Amiruddin Amiruddin; Sriyana Herman; Hermanto T. Joewono; Asrul Sani; Junaid Junaid; Ali Imran; Jafriati Jafriati
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (46.908 KB) | DOI: 10.32771/inajog.v7i4.972

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Abstract Objective:To determine the changesin point of view and positive attitudes towards adolescent reproductive health in junior and senior high school students in Southeast Sulawesi after counseling interventions. Methods: Experimental Research with The One Group Pretest-Posttest Design. The population in the study were all adolescents aged between 12-19 years as students in Southeast Sulawesi. The sampling was performed by Simple stratified random sampling technique with a sample of 300 people for middle and high school students. The instrument used was a questionnaire with data analysis by using the t-test. Results:Showed that the level of knowledge and attitudes of students about adolescent reproductive health was differed between pretest & posttest in junior and senior high school students (ρ<0.05),because the students who were given counseling interventions with lecture methods, powerpoint, and discussion, will add to the broader understanding and insight and tend to generate positive responses from studentsm so that they have good basic knowledge and attitudes about adolescent reproductive health. Conclusion:The study was the increase in knowledge and positive attitudes about adolescent reproductive health after counseling interventions. Keywords:adelescent, counseling, knowledge and attitude, reproductive health Abstrak Tujuan:Untuk mengetahui perubahan pengetahuan dan sikap yang positif tentang kesehatan reproduksi remaja pada siswa SMP dan SMA Negeri di Sulawesi Tenggara setelah dilakukan intervensi penyuluhan. Metode: Penelitian Eksperimen (pre-experiment) dengan rancanganThe One Group Pretest-Posttest Design. Populasi dalam penelitian adalah keseluruhan remaja yang berusia antara 12-19 tahun yang sementara berstatus sebagai siswa SMP dan SMA Negeri di Sulawesi Tenggara. Pengambilan sampel dilakukan dengan teknikSimple stratified random sampling dengan jumlah sampel 300 orang untuk siswa SMP dan SMA.Instrumen yang dipakai adalah angket dengan analisis data menggunakan uji-t. Hasil:Menunjukkan tingkat pengetahuan dan sikap siswa tentang kesehatan reproduksi remaja berbeda antara pretest dan posttest pada siswa SMP dan SMA Negeri di Provinsi Sulawesi Tenggara (ρ value< 0,05).Hal ini disebabkan karena pada siswa SMP dan SMA Negeri di Provinsi Sulawesi Tenggara yang diberikan intervensi penyuluhan dengan metode ceramah, visualisasi (power point), dan tanya jawab, akan menambah pemahaman dan wawasan yang lebih luas dan cenderung menimbulkan respon yang positif dari siswa sehingga memiliki pengetahuan dan sikap yang baik tentang kesehatan reproduksi remaja. Kesimpulan:Terjadi peningkatan pengetahuan dan sikap yang positif tentang kesehatan reproduksi remaja setelah intervensi penyuluhan. Kata Kunci:remaja,penyuluhan, pengetahuan dan sikap, kesehatan reproduksi
Maternal Death Risk Factors in Wahidin Sudirohusodo Hospital and Its Affiliates: Faktor Risiko Kematian Maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan Jejaringnya Elizabet C. Jusuf; Witono Gunawan; Nurbani Bangsawan
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.034 KB) | DOI: 10.32771/inajog.v7i4.976

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Abstract Objectives : To identify maternal death risk factors in Wahidin Sudirohusodo Hospitals and its affiliates between 01 January - 31 December 2017 Methods: This study is an observational case control study that includes all cases of maternal death and considerable numbers of pregnancy without complications that occured in Wahidin Sudirohusodo Hospital and its affiliates between 01 January 2016 and 31 December 2017. Data were then be analysed using chi square and logistic regression test to know the correlations between risk factors and maternal death. Results :There are 28 cases of maternal death in Wahidin Sudirohusodo Hospital and its affiliates which mostly occured at age 20-35 years old (60.7%) and antenatal care in in primary health care (71,4%). Hypertension (39,3%) and hemorrhage (35,7%) were the most frequent complicaitons of maternal death. Age under 20 years old and older than 35 years old (odds ratio 3.882; 95% CI, 1.056-14.276; P<0.05), education level less than 9 years (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05), Age and education level did not seem to affect incidence of maternal death when analysed simultaneously (odds ratio 1.842; 95% CI, P> 0.05). Conclusions: Hypertension and hemorrhage were the most frequent causes of maternal death. Age under 20 years old and older than 35 years old as well as education level less than 9 yearsincreased the risk of maternal deaths independently. Parity, frequency of antenatal care, and location of antenatal care did not show any significant role in maternal death occurence. Keywords : Maternal death, risk factors, hypertension, hemorrhage, age Abstrak Tujuan: Untuk mengetahui faktor-faktor risiko kematian maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya dalam periode 01 Januari – 31 Desember 2016. Metode : Penelitian ini penelitian studi observasional case control dengan mengambil seluruh data kematian maternal yang terjadi di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya dalam periode 01 Januari – 31 Desember 2016. Data dianalisis dengan Uji chi square dan regresi logistik untuk melihat faktor risiko yang diteliti dengan terjadinya kematian maternal. Hasil : Ada 28 kasus kematian maternal di Rumah Sakit Umum Wahidin Sudirohusodo dan jejarignya yang sebagian besar terjadi pada kelompok umur 20-35 tahun (60,7%) dan lokasi asuhan antenatal di Puskesmas (71,4%). Komplikasi kehamilan terbanyak ialah hipertensi (39,3%) dan perdarahan (35,7%). Kelompok umur kurang dari 20 tahun dan lebih dari 35 tahun (odds ratio 3.882; 95% CI, 1.056-14.276; P <0.05) dan pendidikan kurang dari 9 tahun (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05) memiliki pengaruh signifikan terhadap terjadinya kematian maternal . Umur dan tingkat pendidikan secara simultan tidak mempengaruhi terjadinya angka kematian maternal (odds ratio 1.842; 95% CI; P > 0.05). Kesimpulan : Hipertensi dan perdarahan merupakan penyebab utama terjadinya kematian maternal. Kelompok umur kurang dari 20 dan lebih dari 35 tahun serta tingkat pendidikan < 9 tahun secara independen berisiko meningkatkan jumlah kematian maternal. Paritas, frekuensi asuhan antenatal, dan lokasi asuhan antenatal tidak memiliki peran signifikan dalam terjadinya kematian maternal. Kata kunci : Kematian maternal, faktor risiko, hipertensi, perdarahan, umur
Nasal Congestion and Its Management in Pregnancy Rhinitis Niken L. Poerbonegoro
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (116.381 KB) | DOI: 10.32771/inajog.v7i4.977

Abstract

Background: Pregnancy rhinitis occurs approximately in one-fifth of pregnancies, at almost any gestational week. The incidence rate of pregnancy rhinitis reaches up to 40%, with prevalence as high as 17%. Pathomechanism is still unclear, but it is suspected that estrogen and placental growth hormone (PGH) play roles in the development of disease. Objective: To elaborate the pathomechanism of pregnancy rhinitis and the proper management of rhinitis symptoms, particularly nasal obstruction. Methods: Literature review. Conclusion: Pregnancy rhinitis, manifested as nasal congestion, is considered a phenomenon and may become a serious condition. Persistent nasal congestion acts as a potential risk factor in affecting fetal growth and development through gradual hypoxia process. This condition can lead to various complications such as maternal hypertension, preeclampsia, impaired fetal growth, and low APGAR scores. Indepth knowledge of pathomechanism is essential as guidance to accurate treatment including conservative and pharmaca therapies, which will lead to optimal outcome for both mother and baby.
The Influence of Education Level and Occupation of Pregnant Women to the use of Maternal and Child Health (MCH) Handbook: Pengaruh Tingkat Pendidikan dan Pekerjaan Ibu Hamil dengan Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) Renny Aditya; Samuel Tobing; Mitfahul Jannah
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (56.173 KB) | DOI: 10.32771/inajog.v7i4.978

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Abstract Objective: to investigate the relationship between education level and occupation of pregnant women with MCH handbook utilization at the Pekauman Public Health Center of Banjarmasin in July–August 2018. Methods: the method that was used is analytical observational research with cross-sectional design. The number of research sample is 50 people with systematic random sampling techniques, and data were analyzed by chi-square statistical tests. Results: the majority of respondents were34 pregnant women (68%) with low education level, and36 pregnant women (72%) were unemployed. There were 36 pregnant women (72%) with ineffective MCH handbook utilization. The statistical result between education level of pregnant women with MCH handbook utilization is p-value = 0.005 (p < 0.05) and between occupation of pregnant woman with MCHhandbook utilization is p-value = 0.001 (p <0.05). Conclusion: there a significant relationship of education leveland occupation of pregnant women with MCH handbook utilization at the Pekauman Public Health Center of Banjarmasin in July-August 2018. Keywords: level ofeducation, occupation, MCH handbook Abstrak Tujuan: untuk mengetahui hubungan tingkat pendidikan dan pekerjaan Ibu hamil dengan pemanfaatan buku KIA di Puskesmas Pekauman Banjarmasin Periode Juli–Agustus 2018 Metode: metode yang digunakan adalah observasional analitik dengan desain cross sectional. Besar sampel penelitian adalah 50 orang dengan teknik pengambilan systematic random sampling dan datadianalisis dengan uji statistik chi square Hasil: sebagian besar responden adalah 34 ibu hamil (68%) dengan tingkat pendidikan rendah dan 36 ibu hamil (72%) yang tidak bekerja. Terdapat 36 ibu hamil (72%) dengan pemanfaatan buku KIA yang tidak efektif. Hasil uji statistik antara tingkat pendidikan ibu hamil dengan penggunaan buku KIA adalah p value = 0.005 (p < 0.05) dan antara pekerjaan ibu hamil dengan pemanfaatan buku KIA adalah p value = 0.001 (p < 0.05). Kesimpulan: terdapat hubungan yang bermakana tingkat pendidikan dan pekerjaan ibu hamil dengan pemanfaatan buku KIA di Puskesmas Pekauman Banjarmasin periode Juli–Agustus 2018 Kata kunci: tingkatpendidikan, pekerjaan, buku KIA
Administration Oral Misoprostol after Radical Hysterectomy Due to Cervical Cancer in the Early Stage Decrease Urinary Retention Incident: Pemberian Misoprostol Per Oral Pasca Histerektomi Radikal Pada Karsinoma Serviks Stadium Awal Untuk Menurunkan Insiden Retensio Urine Rajuddin rajuddin; Lutfi N. Nugroho; hasanuddin hasanuddin
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (75.146 KB) | DOI: 10.32771/inajog.v7i4.997

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Abstract Objective: to determine the effect of oral Misoprostol after Radical Hysterectomy in the early stage Cervical Cancer to reduce the incidence of urinary retention.Methods: The study was conducted with a prospective cohort method, randomized control trial and double blind to the patients with early stage cervical cancer who performed Radical Hysterectomy in Dr. Zainoel Abidin hospital, Banda Aceh. There are 34 research subjects who had agreed to participate in the study. The research subject divided into 2 groups. The first group who received Misoprostol orally as the intervention group and the other group that received placebo as the control group.Results: The incidence of urinary retention after Radical Hysterectomy in Dr. Zainoel Abidin hospital, Banda Aceh, decreased significantly in the intervention group compared to the control group (P 0,049). In the intervention group Misoprostol reduce residual urine. Ability to void spontaneously and urine volume were increase. The duration of catheterization and length of hospital stay for the patients were shorter.Conclusion: Administration of Misoprostol orally reduce the incidence of urinary retention after Radical Hysterectomy. Oral Misoprostol can be recommended as an additional procedure to reduce urinary retention.Keywords: cervical cancer, misoprostol , radical hysterectomy, urinary retention. Abstrak Tujuan: untuk mengetahui pengaruh pemberian Misoprostol per oral pasca operasi Histerektomi Radikal pada pasien Karsinoma Serviks stadium awal terhadap insidensi retensio urin.Metode: Penelitian dilakukan dengan metode kohort prospektif, randomized control trial dan double blind, pada pasien karsinoma serviks stadium awal yang dilakukan Histerektomi Radikal di RS dr. Zainoel Abidin, Banda Aceh. Terdapat 34 pasien yang telah menyetujui mengikuti penelitian, yang dibagi ke dalam 2 kelompok yaitu kelompok yang mendapat Misoprostol tablet per oral sebagai kelompok perlakuan dan kelompok yang mendapat plasebo sebagai kelompok kontrol. Residu urin pada kedua kelompok diukur dan faktor-faktor lain yang terkait dilakukan pendataan untuk dilakukan analisis. Hasil: Kejadian retensio urin pasca Histerektomi Radikal di RS dr. Zainoel Abidin, Banda Aceh, menurun secara bermakna pada kelompok perlakuan dibandingkan kelompok kontrol (P0,049). Pada kelompok perlakuan Misoprostol menurunkan residu urin.Peningkatan kemampuan berkemih spontan dan volume urin .lama pemakaian kateter transuretra dan lama perawatan menjadi lebih singkat.Kesimpulan: Pemberian Misoprostol per oral mengurangi insiden retensio urin pasca Histerektomi Radikal. Saran : Misoprostol per oral dapat direkomendasikan sebagai prosedur tambahan untuk mengurangi retensio urin.Kata kunci: karsinoma serviks, histerektomi radikal, misoprostol, retensio urin
Differences of Vitamin D Level in Non-pregnant Reproductive Age Women and First Trimester Pregnant Women: Perbedaan Kadar Vitamin D pada Perempuan Usia Reproduksi Tidak Hamil dan Perempuan Hamil Trimester Pertama Rizkar A. Sukarsa; Radiastomo S. Budi; Benny H. Purwara; Hanom H. Syam
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.745 KB) | DOI: 10.32771/inajog.v7i4.998

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Abstract Objective: To compare vitamin D level in non-pregnantreproductive age women and first-trimester pregnant women. Methods: This was acomparative cross-sectional study. The vitamin D serum level of two groups, the first one wasnon-pregnantreproductive age women (18-35 years), and the second one was first-trimester pregnant women,was collected. Samples were examined by Electro Chemiluminescence Immunoassay (ECLIA) method. The study was conducted in Dr. Hasan Sadikin Hospital in February-April 2018. Results: The mean of vitamin D level in the non-pregnantreproductive age women group was 18.73 (6.93) ng/mL, while the first-trimester pregnant women group was 13.87 (4.04) ng/mL. The difference in mean of vitamin D level in both groups was significant with p-value<0.001. Conclusion: Vitamin D level in the non-pregnantreproductive age women group is higher than the first-trimester pregnant women group. Keywords: first-trimester pregnant women, non-pregnantreproductive-age women, vitamin D Abstrak Tujuan: Membandingkan kadar vitamin D pada perempuan usia reproduksi tidak hamil danperempuan hamil trimester pertama sehingga dapat mencegah berbagai komplikasi kehamilan. Metode: Penelitian analitik komparatif potong lintang terhadap 60 perempuan yang dibagi menjadi 2 kelompok, kelompok perempuan usia reproduksi tidak hamil (18-35 tahun) dan kelompok perempuan hamil trimester pertama. Pada kedua kelompok dilakukan pemeriksaan kadar vitamin D dengan metode Electro-chemiluminescence immunoassay(ECLIA). Penelitian ini dilakukan di RSUP Dr. Hasan Sadikin pada bulan Februari-April 2018.Data diproses menggunakan program SPSS versi 24.0. Hasil: Kadar vitamin D rata-rata pada kelompok perempuan usia reproduksi tidak hamil adalah 18,73 (6,93) ng/mL, sedangkan pada kelompok perempuan hamil trimester pertama adalah 13,87 (4,04) ng/mL. Perbedaan kadar rata-rata vitamin D pada kedua kelompok tersebut bermaka dengan nilai p<0,001. Kesimpulan: Kadar vitamin D pada kelompok perempuan usia reproduksi tidak hamil lebih tinggi dibandingkan dengan kelompok perempuan hamil trimester pertama. Kata kunci: perempuan hamil trimester pertama, perempuan usia reproduksi tidak hamil, vitamin D
Postoperative Pain Survival and Correlating Factors in Endometriosis Patients: Kesintasan Keluhan Nyeri Pasca Pembedahan pada Pasien Endometriosis serta Faktor-Faktor yang Mempengaruhi Kanadi Sumapradja; Fitriana M. Nuryadi
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.074 KB) | DOI: 10.32771/inajog.v7i4.1038

Abstract

Abstract Objective: To determine the survival of pain complaints at 3, 6, 9 and 12 months and the correlation between age at diagnosis, age of menarche, parity, stage of disease and post-operative medication in endometriosis patient at RSUPN Dr. Cipto Mangunkusumo. Methods: This was a prospective cohort study with survival analysis method of 139 women of productive age with endometriosis who came to Gynecology Outpatient Clinic in Dr. Cipto Mangunkusumo Hospital from January 2015 to January 2017. The patients were observed at 3 months, 6 months, 9 months and 12 months after the surgery. Results: Survival of pain complaints at 3, 6, 9 and 12 months after endometriosis operation was 99.2%, 96.6%, 93% and 88.4% respectively. There was no significant correlation between post-operative pain survival and age of diagnosis (p=0.138), age of menarche (p=0.492), parity (p=0.110) and stage of disease (p=0.908). There was a significant correlation between post-operative medical therapy and pain complaints survival. Subjects who were given medication had a risk of 0.26 times (CI 95% 0.081-0.857) pain recurrence compared to those who were not. Conclusion: Pain complaints survival were significantly associated with post-operative medical therapy, but not associated with age, age of menarche, parity and stage of disease. Keywords: endometriosis, postoperative medical therapy, postoperative pain, survival Abstrak Tujuan: Mengetahui kesintasan keluhan nyeri pada 3, 6, 9 dan 12 bulan dan hubungan antara usia saat diagnosis, usia menarke, paritas, stadium penyakit dan terapi medisinalis pasca pembedahan pada pasien endometriosis di RSUPN Dr. Cipto Mangunkusumo. Metode: Penelitian kohort prospektif pada 139 wanita usia produktif dengan metode analisis kesintasan pada pasien endometriosis yang datang ke Poliklinik Ginekologi RSUPN Cipto Mangunkusumo pada bulan Januari 2015 hingga Januari 2017. Pasien kemudian diobservasi pada bulan ke 3, 6, 9 dan 12 setelah operasi. Hasil : Kesintasan keluhan nyeri pada bulan ke 3, 6, 9 dan 12 berturut-turut adalah 99,2%, 96,6%, 93% dan 88,4%. Tidak ada hubungan yang bermakna antara kesintasan nyeri pasca pembedahan dengan usia saat diagnosis (p=0,138), usia saat menarke (p=0,492), paritas (p=0,110) dan stadium penyakit (p=0,908). Terdapat hubungan yang bermakna antara terapi medisinalis pasca pembedahan dan kesintasan keluhan nyeri. Subyek yang mendapatkan terapi medisinalis pasca pembedahan memiliki risiko 0,26 kali mengalami kekambuhan nyeri dibandingkan dengan yang tidak. Kesimpulan : Kesintasan keluhan nyeri memilki hubungan yang bermakna dengan terapi medisinalis pasca pembedahan namun tidak memiliki hubungan dengan usia saat diagnosis, usia menarke, paritas dan stadium penyakit. Kata kunci: endometriosis, kesintasan, nyeri pasca pembedahan, terapi medisinalis pasca pembedahan
Choice of Delivery Places and Factors which Influence it in the Aceh Besar Regency: Pilihan Tempat Persalinan Ibu dan Faktor-Faktor yang Mempengaruhinya di Kabupaten Aceh Besar Moh. Andalas; Ilham Kosman
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.832 KB) | DOI: 10.32771/inajog.v7i4.1052

Abstract

Objective: To determine the relationship of maternal delivery and the factors that influence in Aceh Besar regency of Aceh Province. Method: We used a cross-sectional study design. Data were collected in all Community Health Centres in each sub-district in Aceh Besar regency of Aceh province. The total sample size of this study was 80 patient data, with details of 40 maternity patients in health facilities and 40 patients who were delivered to non-health facilities. Data were taken on factors that influence the choice of place of delivery, i.e. travel time from home to health facilities, age, parity, antenatal care, education, and income. Results: The result of chi-square test showed significant relation time (p = 0,000), Education (p = 0,011), parity (p = 0,000), antenatal care (p = 0,025), age (p = 0,003), revenue (p = 0.022) with maternity delivery in Aceh Besar regency. From the result of multivariate analysis found that travel time is the most influential factor in choosing the birth place with (OR = 51,976). Conclusion: The result of multivariate analysis showed that travel time was the most influential factor in choosing the delivery place with 51,976 times. Keywords: health facilities, maternal mortality rate, safe delivery Abstrak Tujuan: Untuk mengetahui hubungan tempat persalinan ibu dan faktor-faktor yang mempengaruhi di Kabupaten Aceh Besar Provinsi Aceh. Metode: Penelitian ini menggunakan desain potong lintang. Data diambil di seluruh Puskesmas di setiap kecamatan di Kabupaten Aceh Besar Provinsi Aceh. Jumlah total sampel penelitian ini adalah 80 data pasien, dengan rincian 40 pasien yang bersalin di fasilitas kesehatan dan 40 pasien yang bersalin di non fasilitas kesehatan. Data yang diambil mengenai informasi faktor yang mempengaruhi pilihan tempat persalinan, yaitu waktu tempuh dari rumah ke fasilitas kesehatan, usia, paritas, ANC, pendidikan, dan pendapatan. Hasil: Hasil uji chi-square menunjukkan terdapat hubungan secara signifikan waktu tempuh (p=0,000), pendidikan (p=0,011), paritas (p=0,000), ANC (p=0,025), usia (p=0,003), pendapatan (p=0,022) dengan pemilihan tempat persalinan ibu di Kabupaten Aceh Besar. Dari hasil analisis multivariate didapatkan waktu tempuh adalah faktor yang paling berpengaruh dalam memilih tempat persalinan dengan (OR=51,976). Kesimpulan: Berdasarkan hasil analisis regresi logistik, kelompok yang waktu tempuh nya dari rumah ke fasilitas kesehatan < 30 menit 51,976 kali lebih besar kemungkinan memilih tempat persalinan di fasilitas kesehatan. Kata kunci: angka kematian ibu, fasilitas kesehatan, persalinan aman
The Association between Preeclampsia and Newborn Hearing Loss: Hubungan antara Preeklamsia dengan Penurunan Pendengaran pada Bayi Baru Lahir Siti R. Nanin; Ansyori Hatta; Alibasyah A. Chakra; Ghanie Abla; Legiran Legiran
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.681 KB) | DOI: 10.32771/inajog.v7i4.1053

Abstract

Objective: to analyze the relationship between PE and the newborn hearing loss Method : Analytic observation research withcross sectionaldesign performed inRSMHPalembangsince December 2016 to July 2017, obtained 48 aterm neonates born from mother diagnosed with PE (11 PE and 37 severe PE). Measurements of neonatal hearing loss then performed using emission otoacoustics (OAE) in both ears by ENT division with catagories intepretation of pass and refer. The mothers were physically check and interviewed to obtain demographic data and obstetric history. After the data normality were proved byShapiro Wilktest, we performed bivariate analysis using X2test on demographic and obstetric characteristics of the mother, neonatal demographic characteristics, and determine the relationship of PE with OAE result. The ratio of systolic (SBP) and diastolic (DBP) blood pressure to neonatal hearing loss was determined by independent T test and ROC test. Multivariate analysis was performed to determine the maternal and neonatal risk factors that influenced neonatal hearing loss. Data analysis using SPSS version 18.0. Results : There were no significant differences in maternal and neonatal demographic characteristics in neonatal hearing loss (p> 0.05). No significant relationship was found between PE and OAE of both ear (right, p = 0,437; left, p = 0,368). There was difference of mean of SBP and DBP of mother inneonate OAE of both ears (p <0,05) with cut off point of SBP 160 mmHg and DBP 106 mmHg.There was a significant association between DBP (> 106 mmHg) of the mother and birth weight of the fetus (< 2500 g) with referOAE. Conclusion: There was a significant association between neonatal hearing loss and maternal PE, determined primarily by maternal DBP, and neonatal birth weight. Keywords: maternal blood pressure, OAE,preeclampsia, Abstrak Tujuan: untuk menilai hubungan PE ibu dengan penurunan pendengarah bayyi baru lahir Metode: Penelitian observasi analitik dengan disain cross sectionaldilakukan di RSMH Palembang sejak Desember 2016 sampai Juli 2017, diperoleh 48 neonatus aterm lahir dari ibu PE (11 PER dan 37 PEB). Neonatus dilakukan pengukuran pendengaran menggunakan otoakustik emisi (OAE) pada kedua telinga oleh divisi THT dengan kategori intepretasi refer dan pass. Ibu dilakukan pemeriksaan dan wawancara untuk memperoleh data demografi dan riwayat obstetri. Setelah normalitas data dibuktikan dengan tes Saphiro Wilk, dilakukan analisis bivariat menggunakan tes X2 pada karakteristik demografi dan obstetri Ibu, karakteristik demografi neonatus, dan menentukan hubungan preeklampsia dengan hasil OAE. Perbandingan tekanan darah sistolik (TDS) dan diastolik (TDD) terhadap penurunan pendengaran neonatus ditentukan dengan independent T test dan uji ROC. Analisis multivariat dilakukan untuk menentukan faktor risiko Ibu maupun neonatus yang berpengaruh terhadap penurunan pendengaran neonatus. Analisa data menggunakan SPSS versi 18.0. Hasil: Tidak ditemukan perbedaan signifikan karakteristik demografi Ibu maupun neonatus tehadap penurunan pendengaran neonatus (p>0,05). Tidak ditemukan hubungan signfikan antara kondisi PE dengan OAE kanan (p = 0,437) dan kiri (p = 0,368). Ditemukan perbedaan rerata TDS dan TDD ibu terhadap OAE kedua telinga neonatus (p<0,05) dengan cut off point TDS 160 mmHg dan TDD 106 mmHg. Ditemukan hubungan signifikan antara TDD (>106 mmHg) ibu dan berat lahir janin (>2500 gr) dengan OAE refer. Kesimpulan: Terdapat hubungan bermakna antara penurunan pendengaran neonatus dengan kondisi preeklampsia ibu, yang ditentukan terutama oleh TDD ibu, serta berat lahir bayi. Kata kunci:, OAE, preeklamsia, tekanan darah

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