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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.

Arjuna Subject : -

Articles 32 Documents

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Search results for , issue "Volume. 3, No. 1, January 2015" : 32 Documents clear

Complete Atrioventricular Block in Pregnancy Wigin, Christin; Hasibuan, Erdwin R; Soetikno, Soetikno; Yuniadi, Yoga; Wijaya, Liva
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: Complete heart block is an extremely rare and serious complication in pregnancy. Pregnancy outcome in patients with atrioventricular conduction block are unknown, with only a limited number of case reports published. This paper is aimed to report our case and review the available background literature. Method: Case report. Case: A twenty‐nine years old primigravida in labor presented at 38 weeks of gestation with referral from the primary health center due to bradycardia and her previous history of cardiac problem. Patient has been diagnosed with total atrioventricular block since 2 years ago. Electrocardiography assessment showed the presence of complete heart block. She was then planned for an emergency Caesarean section and later a temporary transvenous pacemaker was implanted. Conclusion: Management of complete atrioventricular block in pregnancy requires a good team consisting of obstetrician, anesthesiologist and cardiologist. Keywords: atrioventricular, bradycardia, heart block, pacemaker, pregnancy

C-Telopeptide in Relation with Osteoporosis Risk Classification Using Osteoporosis Self Assessment Tools for Asian (OSTA) in Postmenopausal Women Pangestu, Willy; Loho, Maria; Wagey, Freddy
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the correlation between C‐telopeptide with osteoporosis risk by using Osteoporosis Self Assessment Tools for Asian (OSTA) in postmenopausal women. Method: An analytic cross‐sectional study of 31 postmenopausal women in Prof. Dr. RD Kandou Hospital, Manado. Samples were collected through consecutive sampling. Data was analyzed using Pearson test with significance level of p>0.05. Result: Our sample consisted of 31 postmenopausal women. Mean OSTA score is ‐1.02K2.54. Sixteen women (51.61%) were deemed to have low risk, 8 women (25.81%) deemed to have moderate risk and 7 women (22.58%) deemed high risk based on the OSTA score. The mean C‐telopeptide plasma level of our sample is 0.52K0.25 ????g/l. We found plasma C‐telopeptide level and OSTA score were normally distributed. Correlation analysis using Pearson test identified a significant negative correlation between plasma C‐telopeptide level and OSTA score (r=‐0.768; p=0.001). Conclusion: There is a significant negative correlation between plasma C‐telopeptide level with risk of osteoporosis based on OSTA score in postmenopausal women. Keywords: OSTA score, plasma C‐telopeptide, postmenopausal women

Serum Malondialdehyde Level as a Risk Factor for Threatened Abortion Sutama, Gusti N; P Surya, I Gede
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the role of serum malondialdehyde level as a risk factor for threatened abortion. Method: Our study was a case‐control study. We examined 60 pregnant women as our subject, 30 subjects with threatened abortion as cases and 30 subjects with normal pregnancy as control group. Serum levels of malondialdehyde of each woman was examined in the Biochemistry Laboratory Faculty of Medicine Gadjah Mada University in Yogyakarta. We tested the normality of our data using Kolmogorov‐ Smirnov test, and analysis was then performed using independent sample t‐test. To determine the relationship of serum malondialdehyde with threatened abortion, Chi‐Square test was used. Result: From this study we found that the average serum malondialdehyde level in threatened abortion was 1.33K0.11 nmol/ml, while the average level of serum malondialdehyde in normal pregnancy was 1.03K0.10 nmol/ml. The analysis using independent t‐test shows that the average serum malondialdehyde level on the two groups was significantly different (p=0.001). Based on the cut‐off value of 1.12 nmol/ml, we found that the relative risk of threatened abortion is 29.57 times (95% CI=6.85‐127.64, p=0.001) in those with a high level of serum malondialdehyde. Conclusion: The serum malondialdehyde level in threatened abortion was significantly different compared to normal pregnancy. A high level of serum malondialdehyde in pregnancy was a risk factor for threatened abortion. Keywords: malondialdehyde, normal pregnancy, threatened abortion

Laceration Extension in Median and Mediolateral Episiotomy Utama, Bobby I; Junizaf, Junizaf; Santoso, Budi I; Ermawati, Ermawati; Hakim, Surahman
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare the laceration extension between median and mediolateral episiotomy in women with perineal body sized more than 2.5 cm. Method: A single‐blind RCT study was conducted on 104 women receiving median episiotomy and 104 women receiving mediolateral episiotomy at Dr. M. Djamil Hospital Padang and Reksodiwiryo Military Hospital Padang. Result: There was no difference in laceration extension in both groups, but pain in the first 24 hours and pain after day 14 was higher on mediolateral group than the median group (p=0.005 and p=0.008, respectively). Conclusion: There is no difference in terms of laceration extension between median and mediolateral episiotomy, but the pain is higher in the mediolateral group. [Indones J Obstet Gynecol 2015; 1: 38‐43] Keywords: laceration extension, median episiotomy, mediolateral episiotomy

Preterm Delivery and the Psychological Burden on Parents Sungkar, Ali
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

N/A

Difference of Serum MMP9 and TNF ???? Level in Preterm and Term Premature Rupture of Membranes Wibowo, Aji P; Sulistyowati, Sri; Respati, Supriyadi H
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To examine the difference between matrix metalloproteinase‐ 9 (MMP‐9) and Tumor Necrosis Factor ???? (TNF‐????) serum levels in preterm and term premature rupture of membranes (PROM). Method: Our study employed an observational cross sectional approach. Seventy samples were divided into two groups, 35 samples with preterm PROM (28‐36 weeks gestational age) and 35 samples with PROM at term pregnancy (37‐42 weeks gestational age). Both groups underwent examination for serum MMP‐9 and TNF‐???? concentration using ELISA method. Statistical analysis was done using ttest. Result: Serum levels of MMP‐9 in the preterm PROM group was 2860.68K627.32 ng/ml, which was significantly higher than in the PROM at term pregnancy group 2549.74K657.15 ng/ml (p=0.04). Likewise, the average serum level of TNF‐???? in subjects with preterm PROM was 12,086.60K5384.51 ng/ml, significantly higher in comparison to PROM at term pregnancy, which was 6422.51K2645.32 ng/ml (p=0.00). Conclusion: Serum levels of MMP‐9 and TNF‐???? in preterm PROM is significantly higher than that in PROM at term pregnancy. Keywords: MMP‐9, premature rupture of membranes, preterm, term, TNF‐????

Postoperative Urinary Retention in Total Vaginal and Abdominal Hysterectomy in Benign Gynecological Disorders Triarani, Hertia; Priyatini, Tyas
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To assess and compare the incidence of urinary retention in patients post‐vaginal and abdominal total hysterectomy for benign gynecological disorders. Method: This is a comparative analytical study with prospective and retrospective cohort design, which was conducted in Dr. Cipto Mangunkusumo Hospital and Persahabatan Hospital from June 2012 to February 2014. Result: We recruited thirty‐eight research subjects who underwent abdominal hysterectomy, and 18 subjects who underwent vaginal hysterectomy. The majority of cases underwent the procedure for abnormal uterine myoma (55.5%) and adenomyosis (28.9%). Incidence of urinary retention post‐hysterectomy was 33.3% for vaginal hysterectomy, and 31.6% for abdominal hysterectomy. The comparison of the incidence of urinary retention showed no difference between vaginal and abdominal hysterectomies (RR=1.056). Conclusion: Vaginal hysterectomy does not increase the incidence of postoperative urinary retention. However, this study suggests the need for further research with a larger sample size, employing prospective cohort design, with preoperative measurement of postvoiding urine volume (PVR). Keywords: abdominal hysterectomy, urinary retention, vaginal hysterectomy

Identifying Causes of Vaginal Discharge: The Role of Gynecologic Symptoms and Signs Hasan, Farhan D; Ocviyanti, Dwiana
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To attain diagnostic accuracy of various gynecologic symptoms and signs in identifying causes of vaginal discharge. Method: Eighty-two subjects were included in this cross sectional study. Gynecologic symptoms and signs were inquired from each subject and further laboratory examinations were carried out to identify the etiology. Diagnostic accuracy for each symptom and sign was compared to the laboratory examination as the standard reference. Symptoms and signs with positive predictive value (PPV) of more than 50% were considered to have good diagnostic accuracy. Result: For bacterial vaginosis, excessive wetness in genital area; vulvar maceration; and thin, turbid, yellowish vaginal discharge had PPVs of 53%; 52%; and 52%, respectively. For candidal vaginitis, vulvar maceration; and white, curd-like vaginal discharge had PPVs of 58% and 100%, respectively. For trichomoniasis, thin, turbid, frothy, yellowish vaginal discharge; and strawberry-cervix appearance had PPVs of 60% and 100%, respectively. There were no symptoms or signs with PPV of more than 50% for chlamydial cervicitis. Diagnostic accuracy for clinical findings in gonorrheal cervicitis could not be calculated due to the small number of subjects. Conclusion: Various gynecologic symptoms and signs were found to be accurate in diagnosing bacterial vaginosis, candidal vaginitis, and trichomoniasis. No symptoms or signs were considered accurate to aid etiological diagnosis for chlamydial and gonorrheal cervicitis. Keywords: bacterial vaginosis, Candida sp, Chlamydia trachomatis, gynecologic symptoms and signs, Neisseria gonorrhoeae, Trichomonas vaginalis

Helminth Infection in Pregnancy: Effect on Serum Albumin Level and Pregnancy outcome Ridwan, Steven; Wahyuni, Sitti; Chalid, Maisuri T
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the prevalence of helminth infection in pregnant women and its effect on albumin levels and pregnancy outcome. Method: A prospective cohort study was conducted on third trimester pregnant women presenting for antenatal care in several hospitals in Makassar. Information on subject demography was recorded using short questionnaire. Stool samples were collected to determine the presence of helminth infection. Albumin levels were measured from maternal blood and cord‐blood. Outcome of pregnancy was assessed upon delivery. Result: The prevalence of helminth infection in our subjects was 22.8%. Among 21 infected women, 17 were infected with Ascaris lumbricoides (80.9%), one with Trichuris trichiura and three with both Ascaris and Trichuris. The mean Ascaris lumbricoides intensity was 1769.3 epg (Range = 24‐11.688 epg). Helminth infections have no effect on either maternal or neonatal albumin levels (p=0.748 and p=0.480, respectively). Although it was not found to be significant (p>0.05), helminth infection seems to affect gestational age (OR 2.06, 95% CI 1.48‐2.86) and birth weight (OR 2.18, 95% CI 1.52‐3.14). Neonatal albumin level and pregnancy outcome were not affected by maternal albumin level. Conclusion: Helminth infection seems to affect pregnancy outcome in pregnant women in Makassar, but not through influence of albumin. Factors other than albumin level may responsible for such condition.

Sexually Transmitted Infection in Correlation with Cervical Precancerous Lesion Indarti, Junita; Kurniawan, Riyan H; Nilasari, Hanny
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To identify the correlation between sexually transmitted infection and cervical precancerous lesion. Method: The study design is cross‐sectional. Samples were collected by consecutive sampling method until the minimal amount was fulfilled. This study was conducted in the Colposcopy Outpatient Clinic and Cytology Laboratory, Division of Specialistic Gynecology, Department of Obstetrics and Gynecology, Dr. Cipto Mangunkusumo Hospital (RSCM), Jakarta, from September 2008 to March 2009. Laboratory examination for sexually transmitted infection (STI) was performed in Department of Dermatovenereology, RSCM, Jakarta. Patients were grouped into cases and control group. The case group consisted of patients diagnosed with cervical intraepithelial neoplasia (CIN) and the control group consisted of patients without CIN. Sexually transmitted infection was identified and its relationship to CIN was analyzed. Result: We included 130 patients into this study, 25.38% without CIN and 74.62% with CIN. We found that one patient can be infected by up to five types of infection at a time. We also discovered a statistically significant relation between CIN 1 and STI (p=0.028), CIN 2 and STI (p=0.007), and CIN 3 and STI (p=0.013). Conclusion: Based on our study, we discovered a significant relationship between the incidence of STI and CIN. Keywords: cervical intraepithelial neoplasia, cervical precancerous lesion, sexually transmitted infection

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eko subaktiansyah

Contact Email
eko.subaktiansyah@gmail.com

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support@inajog.com

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Location
Kota adm. jakarta pusat,

Dki jakarta

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