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Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)

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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.

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Articles 22 Documents

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Search results for , issue "Volume. 2, No. 2, April 2014" : 22 Documents clear

Extending Coverage and Developing a Network for Achieving Cervical Cancer Screening with Documentation on Visual Inspection of Acetic Acid (Do-VIA) in Indonesia Laila Nuranna Nuranna, Laila
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v31i3.1082

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The Age, Education, and Occupation Characteristics is not Associated with Human Immunodeficiency Virus (HIV) Infection in Pregnant Mothers Kade Y. Saspriyana; Â Ketut Suwiyoga; I Made Darmayasa
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To know the relation ship between age, education and occupation on the pregnant women and the HIVstatus of the husband against the risk of being infected with HIV. Method: This was an unpaired case cont rol study perform ed in the Obstetrics and Gynecology Department of Sanglah Hospital, Denpasar, from October to November 2011. The subjects were pregnant women who were willing to particip ate in the research, which were grouped into HIV-infected case and control group. Diagnosis of HIV was based on rapid test The data was analyzed using ChiSquar e test with the help of SPSS version 17.0 Result: There was fifty subjects consisting of 25 subjects in the case group and 25 subjects in contr ol group we obtained that the risk of HIV-infected pregnant women in the old vs young age, low vs higher education, and occupations at risk vs not at risk is not significant in the two groups. Each Odds ratio is 0.35 (CI =95% 0.08-1.55; P = 0.16),0.85 (CI=95% 0.28-2.59; P =0.77), and 2.09 (CI=95% 0.1824.62; P =1.00). Meanwhile, the odds ratio of the husband HIV status was 12.67 (CI =95% 3.31-48.50; P =0.01). Conclusion: Husband s infected with HIVincreases the risk of HIV in pregnant women 12 times greater than if the husband was not infected with HIV. Wher eas, age, education, and th e occupation of mothers is not a risk factor for the occurrence of HIV infection in pregnant women. Keywords: age, education, husband HIV statu s, occupation and pregnant women infected with HIV.

Heat Shock Protein 70 (Hsp70) Level is Lower in Premature Rupture of Membrane Muhammad RA Radam; Soetrisno Soetrisno; Supriyadi H Respati
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

AbstractObjective: To prove wheth er the levels of Heat Shock Protein 70 (Hsp70) was lower in women experiencing premature rupture of membranes than in women with normal aterm pregnancy in order to explain occurrence of pregnancy premature rupture of membranes at termin biomolecular (Hsp70). Method: This was an obse rvational resear ch and the study design was a cross-sectional study. The number of all samples was 60 women, divided into 2 groups and each group contained 30 women. Independ ent var iable: Heat Shock Protein 70 level, Depend ent var iable: Premature Rupture of Membrane. Data was analyzed by t test Result: Based on matern al character istic on both groups, the mean levels of Hsp70 in serum of pr egnant women with PROM lower (0.36) compared to normal pregnant group (3.94) and this difference was statistically significant (p<O.OOl). Diagnostic valu e of the power levels of Hsp 70 in th e PROM compared with norm al pregnancies analysis using Receiver Operating Characteristic curve (ROC) in SPSS17.0 for Windows for by 0.833 or 83.3%, it can be concluded that the diagnostic value of the PROM Hsp70 levels were good (>50%). Conclusion: Theme an levels of Hsp 70 in premature rupture of membranes obtained lower levels than in normal full-term pregnancy and this difference was sta tistically significant. Keywords: Heat Shock Protein 70, maternal stress, PROM

Soluble Endoglin Serum Level is Higher in Preeclampsia Compared to Molar and Normal Pregnancy Maya K. Puspitasari; Anita D. Anwar; Firman F. Wirakusumah
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To analyze th e differences of maternal serum soluble endoglin level in pr eeclampsia, molar pregnan cy, and normal pregnancy, and to analyze th e correlation between maternal serum soluble endoglin level with gestational age. Method: This is a cros s-sectional compara tive analytic study involving 18 preeclamps ia cases, 18 molar pr egnan cies, and 18 normal pregnancies. The sample were obtained from Dr. Hasan Sad ikin hospital and six satellite hospitals from January until Mar ch 2013. The comparison of mean seng se rum level of th e preeclampsia,molar pregnancy, and normal pregnancy gro up was calculated using Kruskal Wallis, and the corr elation we re calculated using Rank Spearman. Result: The mean level of seng se rum in pr eeclamp sia gro up was higher (168.79 ngjml) than in molar pr egnan cy (43.47 ngjml) and normal pregnancy (32.38 ngjml). Ther e is no significant difference of se rum seng level be tween molar and norm al pregnan cy, with p value of 0.393 (p>0.05). There is significant differ ences of seng serum level between pr eeclampsia gro up and molar pr egnancy (p=O.OOO), but no significant differ ences between molar and normal pregnancy, p value=0.393 (p >0.05). Ther e is positive correlati on between seng se rum level of norm al pregnancy with gestational age (rs=0 .647 ; p<0.001). Conclusion: Mat ern al se rum seng level in preeclampsia is higher than th e level of which in molar pre gnan cy and norm al pregnancy. Keywords: molar pregnancy, norm al pr egnancy, pr eeclamp sia, soluble endoglin level

Expression Collagen I and III in Anterior Vaginal Women with and without Pelvic Organ Prolapse Basyar Basyar; Trika Irianta; Syahrul Rauf
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To find out the expression of collagen [ and III in the anterior vaginal wall of women with and without pelvic organ prolapse (POP). Method: The research was a cross sect ional study, conducted in Dr. Wahidin Sudiro Husodo hospital and its networks from January 1, 2011 to April 1, 2012. The case group consisted of 35 women with POPlevel III and IV.The contro l group consisted of35 women without POP. The expression of collagen I and III were examined by immunohistochemical test with the stain ing of antibody of collagen I (mouse monoclonal collagen lab 90395 ) and the antibody collagen III (Mu167 4i).The data was then analyzed by using a computer statistic program with a significance level of 0.05. Result: It was found that in the group of women with POP, there were 28 cases of expression collagen III (84%), which is significantly higher than in women without POP, found in only 20 cases (58.8%), with p=0.02. Meanwhile, in the group of POP, 9.1% of subjects showed moderate expre ssion of collagen I, significantly less compared to the expressio n in the contro l group (35.3%), with p=0.007. For the ratio of collagen I and III, the result was weak in women with POP(58.5% ) while in the control group, the result was high (85.7%). Conclu sion: In terms of collagen I and III expression, there was no significant difference between the two groups. Keywords: collagen I, collagen III, pelvic organ prolapse, vaginal wall

Primipara Undergoing Episiotomy had Lower Postpartum Sexual Function Irwan Irwan; Efendi Lukas; Nusratuddin Abdullah
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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

Kegelâ€™s Exercise could Reduce the Incidence of Postpartum Urinary Stress Incontinence Nusratuddin Abdullah; Eddy Arsyad
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To investigate the cause of postpartum urin ary incontinence in primi gravida women and to determin e the relationship between stress urinary incontinence and kegel's exercise. Method: This was an observational study with cross sectional method , perform ed in instituti onal hospitals in Makassar. Thirty primigravida women who performed kegel's exercise were compared with 30 primi gravida women who did not perform kegel's exercise. Data were analyzed with independent-t sta tistical analysis. Result: Urinary incontinence were significantly lower in primigravida women who performed kegel's exercise (P=O.OOO). Conclusion: Kegel's exercise may reduce the incidence of postpartum stress urinary incontinence. Keywords: kegel's exercise, primigravida, urinary Incontinence.

Higher Preoperative Endometrial Cancer Risk Showed More Advanced Stage Jasmine Iskandar; Gregorius Tanamas; Tofan W. Utami; Tricia D. Anggraeni,; Â Kartiwa H. Nuryanto
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the pr eoperative endo metria l cancer risk as a guida nce to choose th e typ e of surg ical approach based on European Society for Medical Oncology guideline (200 9). Method: Cross-sectional study involved 73 endometrial cancer patients of Dr. Cipto Mangunkusumo Hospital, from january 200 6 to December 2012 whi ch obt ain ed from medical record. The inclusion criteria wer e endometr ial cancer pati ents with compl ete D&C, ultr asonographic, and postoperative histopathological rep orts. Endometrial cancer risk of recurren ce was classified acco rding to ESMO 2009 and final diagno sis and stage based on FIGO. Result: From 40 5 patients, only 73 patients had compl ete reports. Most of the them were postmenopaus al (54.8 %), non-nulliparity (79 .9%), and obese (49.5%) women.According to risk of recurren cestratification, low, intermediate and high risk were found in 12 patients, 27 patients, and 34 pati ents. Based on FIGO, there were 60.2% early and 39.8% advanced sta ge. In high risk gro up, rates of advan ced stage wer e prominent compar ed to othe r gro ups. There were 38.3% patients with postoper ativ e positive lymph nod es metastases. Conclusion: Most of th e endometrial cancer patients we re pr eoperatively diagnosed as high risk. The commones t stage after surgical examination were me. High risk of recurrence showed more positive lymph node compared to low or intermediat e risk. Result of preoperative histopathological and myometrial invasion compared to postoper ative results wer e showed to be inconsistent Pat ients with =1/2 myometrial invasion had more positive lymph nodes metastases. Endometrial cancer risks compared to FIGO stage showed the higher the risk, th e more advanced the stage were. Keywords: endometrial cancer, FIGO stage, high risk, histol ogical type, intermediate risk , low risk, lymph node.

Length of Menopause has a Positive Correlation with C-Telopeptide Plasma Level in Pascamenopause Women Willy Pangestu; Eddy Suparman; Freddy Wagey
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the correlation between length of menopause with C-telopeptide in pascamenopause women. Method: An analytic cross-sectional study of 29 pascamenopause women in Malalayang hospital Manado. Sampling method with consecutive random sampling. Data were analyzed with Spearman test with significance level of p

Diagnostic Approach of Abnormal Uterine Bleeding Riyan H. Kurniawan; St. Finekri A. Abidin
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To introduce and apply PALM-COEIN classification system as standard diagnostic approach of AUB to investigate the etiology. Method: Three cases willbe discussed. First, Mrs, 45 yo, P3with AUB due to suspected adenomiosis, perform ed total hystere ctomy with histopathology result leiomyoma. Second case. Mrs, 43 yo, P3 with AUB due to suspected adenomiosis, performed total hysterectomy with histop athology result adenomyoma. Third case, Mrs, 48 yo, P3 with AUB due to suspected adenomiosis, perform ed tot al hyst erectomy and bilateral salpingoophorectomy with PA result adenomyosis. Result: AUB diagnostic approach with PALM-COEIN performed to look for etiology and prevent mistake of etiology ofAUB, such as cancer that must be consider on AUB patient above 40 years old. Conclusion: This PALM-COEIN classification should become stan dard diagnostic appro ach to investigate the etiology. Keywords: abnormal uterine bleeding.

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eko subaktiansyah

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