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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.
Arjuna Subject : -
Articles 33 Documents
Search results for , issue "Volume. 3, No. 3, July 2015" : 33 Documents clear
Accuracy of Intraoperative Frozen Section in Diagnosing Malignancy of Ovarian Neoplasm Utami, Tofan W; Iskandar, Jasmine; Tanamas, Gregorius; Jamtani, Mona; Nuranna, Laila; Nuryanto, Kartiwa H
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.766 KB) | DOI: 10.32771/inajog.v3i3.47

Abstract

Objective: To evaluate the accuracy of frozen section for ovarian neoplasm in our hospital. Method: A retrospective evaluation was conducted on medical records of patients with ovarian neoplasms who underwent a frozen section laparotomy between the years 2008 and 2013 at Dr. Cipto Mangunkusumo Hospital. Records with incomplete data on frozen section or paraffin block report were excluded. Criteria for frozen section laparotomy in our facility was based on a malignancy score of equal to or more than 6. Frozen section reports were compared to paraffin block report based on benign, borderline, or malignant cases. Result: From 139 patients with ovarian neoplasm, only 91 patients fulfilled the inclusion and exclusion criteria. Frozen section examination revealed benign cases was 15.4%, borderline cases was 15.4%, and malignant cases was 69.2%. Based on histopathological type, clear cell cystoadenocarcinoma was the most commonly observed histotype (19.8%). The sensitivity of frozen section for benign, borderline, and malignancy cases respectively was 81.8%, 76.9%, 91.0%. The specificity of frozen section for benign, borderline, and malignancy case respectively was 93.8%, 94.8%, 91.6%. Conclusion: We found that the accuracy of intraoperative frozen section in our facility is adequate to diagnose ovarian neoplasm and can be used to assist in determining the extent of surgical management. [Indones J Obstet Gynecol 2015; 3: 161-164] Keywords: frozen section, ovarian neoplasm, paraffin block, sensitivity, specitificity
Daily Application of EvidenceBased Medicine Indarti, Junita
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.511 KB) | DOI: 10.32771/inajog.v3i3.39

Abstract

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Husband’s Support is a Main Factor Associated with Contraceptive Practices Fernando, Darrell; Dediat, Rachmat
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.385 KB) | DOI: 10.32771/inajog.v3i3.40

Abstract

Objective: To determine factors associated with contraceptive practices in Palabuhanratu, West Java. Method: We conducted a cross-sectional study at the Obstetrics and Gynecologic ward of Local General Hospital of Palabuhanratu District, between March and June 2012. Data was collected using directed interview method by investigators and midwives, using non-validated questionnaires. Statistical analysis was performed using SPSS 20.0, utilizing Chi-Square test for nominal data and Kruskal-Wallis test for numerical data. Result: We obtained 71 samples. The only factors which are significant were age group of 20-35 years old (OR=3.5, 95%CI=1.1-11.1, p=0.025) and husband’s support (OR=14.67, 95%CI=1.52-141.18, p=0.012). The most recognized contraceptive methods familiar to our respondents were injection (94.4%) and pills (93.0%), and the most useful source of information on contraception was medical personnel (73.2%). Conclusion: Husband’s support is a main factor associated with contraceptive practice. The choice of contraceptive method should be adjusted according to the ability and desire of patients to prevent failures in family planning. Keywords: associated factors, contraception, husband’s support
Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section Suntoro, Suntoro; Kayika, I Putu G
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.8 KB) | DOI: 10.32771/inajog.v3i3.41

Abstract

Objective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual function was measured at three months post-delivery with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for comparative nonpaired categorical variables was done using Chi square or Fisher analysis. Analysis for confounding variables was carried out using multivariate logistic regression. Result: From 150 respondents, 43.3% had sexual dysfunction, with 52% of the spontaneous labor group and 34% of the cesarean section group. Bivariate analysis showed that occurrence of sexual dysfunction at three months post-spontaneous labor was 1.5 times higher (95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement shows a two-fold difference (95% CI 1.17-3.40) compared to cesarean section. However, orgasm disturbance was 8 times higher (95% CI 1.90-3.58) in the spontaneous labor group, with confounding variable of perineal rupture. Disturbance of sexual stimuli, satisfaction, and pain were not significantly different between spontaneous labor and cesarean section. Multivariate analysis found that spontaneous labor was statistically significant for sexual dysfunction at three months post-delivery in patients with sexual encouragement (RR=2.716, p=0.008) and orgasm accession dysfunction (RR= 6.952, p=0.031). However, the more than 30 years old of age variable was statistically significant in sexual dysfunction variable with RR= 2.60 and p=0.021. Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months post-delivery, especially for sexual encouragement and orgasm accession. Meanwhile, the variables with the age of 30 years old or older of age were influential on sexual dysfunction, especially to the sexual stimuli variable. Keywords: labor method, sexual dysfunction, three months postdelivery
Diagnostic Value of IGFBP-1 Rapid Test and Combined IGFBP-1-AFP in Vaginal Fluid from Premature Rupture of Amniotic Membranes Aryati, Aryati; Kusumawati, Lulut; Sulistyono, Agus
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.265 KB) | DOI: 10.32771/inajog.v3i3.42

Abstract

Objective: To compare the diagnostic value of IGFBP-1 and combined IGFBP-1-AFP rapid tests in diagnosing premature rupture of membranes (PROM). Method: This study was conducted in Dr. Soetomo Hospital in Surabaya from July to November 2013. The subjects were 52 pregnant women with presumed PROM diagnosis, which was recorded by clinical data and sampling of vaginal discharge swab. The diagnostic value was obtained by comparing the results of IGFBP-1 and combinated IGFBP-1-AFP rapid tests by standard PROM examination namely vaginal pooling, litmus paper test and ferning test. Result: A difference between the diagnostic value of IGFBP-1 and combined IGFBP-1-AFP rapid tests in diagnosing PROM was shown, where the sensitivity and specificity of IGFBP-1 rapid test was 85% and 95%, compared to combined IGFBP-1-AFP rapid test, which was 91% and 95%. The correlation coefficient of combined IGFBP-1-AFP rapid test with standard PROM examination (r=0.841, p=0.000) was higher than the correlation coefficient of IGFBP-1-AFP rapid test with standard PROM examination (r=0.772, p=0.000). Conclusion: Combined IGFBP-1-AFP rapid test has a better diagnostic value than IGFBP-1 rapid test alone. Keywords: combined IGFBP-1-AFP, IGFBP-1, PROM
Endometrial Histology in Abnormal Uterine Bleeding with Risk Factors Hasan, Rudy; Suparman, Eddy; Lengkong, Rudy A
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.86 KB) | DOI: 10.32771/inajog.v3i3.44

Abstract

Objective: To determine the endometrial histology in abnormal uterine bleeding (AUB) patients with risk factors. Method: This study involved 30 patients with complaints of AUB, aged over 35 years with associated risk factors of parity, obesity and fasting blood glucose in the outpatient clinic at Prof. Dr. R. D. Kandou General Hospital Manado, from July 2013 until October 2013. Patients who agreed to be involved in this study, underwent dilatation and curettage (D&C) to assess the endometrial histology that was grouped as the hyperplasia and non-hyperplasia groups. Result: From the results of the study, 7 patients were in the 35-40 years age group (23.3%) and in the 41-50 years age group were 23 patients (76.7%). Based on parity, 11 patients (36.7%) were nulliparous and 19 patients (63.3%) were multiparous. Based on the BMI, 16 patients (53.5%) were obese and 14 patients (46.7%) were non-obese. And based on the results of fasting blood sugar, similar results was obtained in normal and abnormal fasting blood glucose with the results of 15 patients in each groups (50%). And from all of patients who underwent D&C, endometrial hyperplasia was shown in 21 patients (70%) and non-hyperplasia endometrium in 9 patients (30%). From the results of Fischer exact test, a significantly high association was obtained between BMI and fasting blood glucose with the occurrence of endometrial hyperplasia. Conclusion: There is a significant relationship between BMI and high fasting blood glucose with endometrial hyperplasia. [Indones J Obstet Gynecol 2015; 3: 146-150] Keywords: age, AUB, BMI, endometrial hyperplasia, fasting blood sugar, parity
Pentoxifylline as a Therapy for Thin Endometrial Lining in Infertility Natadisastra, Muharam; Kurniawan, Riyan H; Malik, Devi M
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.549 KB) | DOI: 10.32771/inajog.v3i3.45

Abstract

Objective: To evaluate the effect of pentoxifylline as a single regimen therapy for thin endometrial lining in infertility. Method: A cross-sectional retrospective research was held in Yasmin Clinic - Kencana, Dr. Cipto Mangunkusumo Hospital from 2010 until 2011. Our respondents were women with infertility problem. Result: There was significant improvement of endometrial lining in respondents who received pentoxifylline in the first month (p
IIIB-IV Degree Perineal Rupture Repair Using Overlapping and End-to-End Techniques with Pudendal Block Anesthesia Pangastuti, Nuring; Junizaf, Junizaf; Pranoto, Ibnu; Santoso, Budi I; Priyatini, Tyas
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.26 KB) | DOI: 10.32771/inajog.v3i3.46

Abstract

Objective: To compare the incidence of persistent sonographic anal sphincter defect, fecal urgency, anal and fecal incontinence after IIIb- IV degree perineal rupture repair using overlapping and end-to-end technique. Method: An open clinical trial with randomization was carried out in July 2010-April 2012. The population consisted of the patients who underwent vaginal delivery in Dr. Sardjito Central General Hospital, Sleman District General Hospital, as well as Tegalrejo, Jetis and Mergangsan Community Health Centers who did no have complaints of fecal urgency, anal incontinence, and/or fecal incontinence, and suffered IIIb-IV degree perineal rupture repaired within less than 24 hours of rupture. The exclusion criteria included conditions in which patients could not undergo repair at the moment (shock, uncooperative patient). Fourty-eight research samples were divided into 2 groups, 24 samples for each of the treatment group (overlapping repair) and the control group (end-to-end repair). Local anesthesia was performed in a pudendal-block manner. Result: Success of the repair was assessed based on the presence of persistent sonographic anal sphincter defects in the 6-week evaluation after repair. Successful repair was higher in the overlapping group than that of the end-to-end group (94.74% vs 81.25%, p=0.31). Clinically and based on the Fecal Continence Scoring Scale (FCSS), evaluation at weeks II and VI indicated successful repair in both groups. Conclusion: There was no difference in the incidence of persistent sonographic anal sphincter defects, fecal urgency, anal incontinence, and fecal incontinence, after IIIb-IV degree perineal rupture repair using overlapping technique in comparison with end-to-end technique. Keywords: end-to-end technique, III-IV degree perineal rupture, obstetric perineal rupture, overlapping technique
Accuracy of Intraoperative Frozen Section in Diagnosing Malignancy of Ovarian Neoplasm Utami, Tofan W; Iskandar, Jasmine; Tanamas, Gregorius; Jamtani, Mona; Nuranna, Laila; Nuryanto, Kartiwa H
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.766 KB) | DOI: 10.32771/inajog.v3i3.47

Abstract

Objective: To evaluate the accuracy of frozen section for ovarian neoplasm in our hospital. Method: A retrospective evaluation was conducted on medical records of patients with ovarian neoplasms who underwent a frozen section laparotomy between the years 2008 and 2013 at Dr. Cipto Mangunkusumo Hospital. Records with incomplete data on frozen section or paraffin block report were excluded. Criteria for frozen section laparotomy in our facility was based on a malignancy score of equal to or more than 6. Frozen section reports were compared to paraffin block report based on benign, borderline, or malignant cases. Result: From 139 patients with ovarian neoplasm, only 91 patients fulfilled the inclusion and exclusion criteria. Frozen section examination revealed benign cases was 15.4%, borderline cases was 15.4%, and malignant cases was 69.2%. Based on histopathological type, clear cell cystoadenocarcinoma was the most commonly observed histotype (19.8%). The sensitivity of frozen section for benign, borderline, and malignancy cases respectively was 81.8%, 76.9%, 91.0%. The specificity of frozen section for benign, borderline, and malignancy case respectively was 93.8%, 94.8%, 91.6%. Conclusion: We found that the accuracy of intraoperative frozen section in our facility is adequate to diagnose ovarian neoplasm and can be used to assist in determining the extent of surgical management. [Indones J Obstet Gynecol 2015; 3: 161-164] Keywords: frozen section, ovarian neoplasm, paraffin block, sensitivity, specitificity
p53 Gene Codon 72 Polymorphisms among Cervical Carcinoma Patients Basyar, Rustham; Saleh, Agustria Z; Sastradinata, Irawan; Yuwono, Yuwono
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.277 KB) | DOI: 10.32771/inajog.v3i3.48

Abstract

Objective: To identify the association between p53 gene codon 72 polymorphism and cervical carcinoma. Method: An analytic observational study with case-control design, from November 2013 until March 2014 in the Department of Obstetrics and Gynecology and Microbiology Laboratory Faculty of Medicine, Sriwijaya University, Dr. Moh. Hoesin Hospital Palembang. Result: In total there are 100 samples analyzed consisting of 50 subjects and 50 control groups. Genotype distribution in subject group are 54% Arg/Arg, 42% Pro/Arg and 4% Pro/Pro, and in control group are 36% Arg/Arg, 46% Pro/Arg and 18% Pro/Pro. Arg/Arg genotype is at risk of cervical carcinoma 6.7 times higher compared with Pro/Pro genotype (p=0.013; OR 6.75; 95% CI 1.34-34.94). Arg allele in the p53 gene codon 72 increase the risk of cervical carcinoma 2.6 times more than Pro allele. Conclusion: Proline mutation to Arginine in gene p53 P72R is one of the risk factor for cervical carcinoma. Keywords: arginine, cervical carcinoma, gene p53 codon 72, polymorphism, proline

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