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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 31 Documents

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Search results for , issue "Volume. 3, no. 2, April 2015" : 31 Documents clear

Prevalence of Lower Urinary Tract Symptoms in Women Based on Bahasa Indonesia Validated ICIQ-FLUTS Long Form Moegni, Fernandi; Retnoningrum, Endah
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To obtain the prevalence of women with lower urinary tract symptoms (LUTS) in Dr. Cipto Mangunkusumo National Hospital, Indonesia. Method: We conducted a descriptive and analytic study with questionnaire- based data collection. All subjects were interviewed using the conventional method and International Consultation on Incontinence Questionnaire (ICIQ) Female LUTS long form validated in Indonesian language in the gynecology outpatient clinic in Dr. Cipto Mangunkusumo Hospital. Result: Using the conventional method, proposing only one question of urinary disturbance without asking the detailed symptoms, a low prevalence of LUTS was obtained (17.3%). On the other hand, with a well-structured questionnaire using ICIQ-FLUTS long form, the prevalence of LUTS was 95.3%. This result revealed that LUTS was a common condition among Indonesian women in the study population with vaginal delivery as the common risk factor. Conclusion: Screening for LUTS using a structured questionnaire identified a significantly higher prevalence of LUTS than the conventional method. The ICIQ-FLUTS long form validated in Indonesian language is a robust questionnaire that can be recommended for use in epidemiological research as well as routine clinical practice. Keywords: ICIQ FLUTS long form, Indonesia, LUTS, prevalence, women

A Red Card for Plagiarism Gunardi, Eka R
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Difference of Vertical Transmission in HIV-Infected Women with Complete and Incomplete PMTCT Fausihar, Sitti; Saroyo, Yudianto B
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To analyze any differences on vertical transmission in groups with complete and incomplete program as well as the factors influencing completion. Method: This was a retrospective cohort study performed by data collection from medical records and/or interviews from January 2010 to February 2012. The variables analyzed subject characteristics, applied PMTCT program and risk factors affecting transmission. Result: Seventy-five pregnant women who were HIV-positive were initially recruited, but 21 subjects were excluded due to incomplete medical records. In the first group (n=27) who received complete PMTCT, no vertical transmission was identified, while in the second group (n=27) with incomplete PMTCT, seven children were found to be HIV-positive. Rupture of membrane for more than 4 hours was the only significant risk factor for vertical transmission (p=0.001, RR=64.5, 95% CI=6.14-677.6). Conclusion: There was a significant difference in the occurrence of vertical transmission between complete and incomplete PMTCT program. Complete PMTCT program may provide protective effect against the occurrence of vertical transmission by 25.9%. Keywords: HIV, PMTCT, vertical transmission

User Profile and Factors Correlating to Duration of Intrauterine Device Use Gunardi, Eka R; Fadli, Fadli
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the demographic and clinical profile of intrauterine device (IUD) users and factors correlating to duration of IUD use. Method: We conducted a prospective observational study of 867 patients who underwent IUD insertion in Raden Saleh Outpatient Clinic during the period of January - December 2011. All patients were followed for 1 year to ascertain any complaint of discharge after insertion. Spearman correlation test was conducted to inves- tigate the strength of correlation and significance between age, parity, and discharge, with duration of IUD use. Result: During year 2011, 867 patients (median of age=34 [range=14-49]; median parity=2 [range=0-7]) underwent IUD insertion in Raden Saleh Clinic. The majority of subjects were aged between 31-35 years old and were willing to use IUD for 4 years. Bivariate analysis revealed a significant correlation between age, parity, and vaginal discharge with duration of IUD use. The strongest correlation was identified between age and duration of use (r=0.25, p0.002 for parity and duration of use; r=0.05 p=0.045 for discharge and duration of use). Conclusion: Most IUD users were aged 31-35 years, who were willing to use IUD for 4 years. Factors that correlated with duration of IUD use were age, parity, and vaginal discharge. Keywords: contraceptive, duration of use, family planning, intrauterine device

Modification of Immediate Postplacenta CuT-380A IUD Insertion Using Ring Forceps and Standard Inserter: Twelve Months Follow-up Tjahjanto, Hary; Hadiningrat, Wijoyo
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the outcome of CuT-380A IUD postplacental insertion in vaginal delivery using new modification insertion technique. Method: We carried out a prospective cohort study of postplacental IUD insertion by means of ’push and push’ technique, using ring forceps and standard inserter (inserter tube and plunger rod). We included women who underwent vaginal delivery from 1st June 2009 until 31st March 2011 and had postplacental IUD insertion. Followup was conducted for 12 months, including history, physical examination, ultrasound and questionnaires during evaluation, through home visits and by phone. The first monitoring is before 6 weeks after delivery, the second monitoring was after 6 weeks up to 3 months, the third is after 3 months up to 6 months, the fourth is after 6 months up to 12 months, the fifth is after 12 months up to 24 months and the sixth is after 24 months up to 32 months after insertion. Result: On the second monitoring, 2 acceptors experienced expulsion. At the third monitoring period, one acceptor requested for IUD removal. At 9 months up to 12 months post-insertion, one expulsion was encountered, and one acceptor requested removal of device. At ≥12 months there was one acceptor who had IUD removal. We did not find any report of unintended pregnancy or perforation. Conclusion: Immediate post-placental insertion of CuT-380A IUD after vaginal delivery using ’push and push’ technique is safe and effective. The pregnancy rate at typical use is 0%, continuation rate is 94.1% and low expulsion rate (2.86%). Loss of follow up was 5.6% and no perforation was reported. Keywords: continuation rate, immediate post-placental IUD insertion, ’push and push’ technique, typical use, vaginal delivery

Factors Affecting Selection of Contraceptive Methods and Its Length of Use Astato, Erdiyan; Djajadilaga, Djajadilaga
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the factors related to the selection of contraceptive methods and length of use on acceptors in Raden Saleh Clinic and Fatmawati General Hospital. Method: The study was a prospective observational study designs. The factors that we observed include the family planning factor (wife age, number of desired children and infertility), subjective factors (side effect experience of contraception, support from the husband/ family, and religion), objective factors (medical disorders, person helping to select contraception, family planning service centre and availability of contraceptives) and the level of motivation (level of education). All the clients who will receive contraception and meet the criteria for the research were interviewed and given questionnaires until the desired sample size is achieved. The study was conducted at the Raden Saleh Clinic and Fatmawati General Hospital. We then conducted follow-up at 3 and 6 months after the use of the contraceptive methods to assess the length of use. Result: The total number of subjects was 151 people. The average age of respondents was 31 years old, with the contraception options being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable contraception (3.9%), and oral contraception (3.9%). From all the factors studied, only the number of desired children were found to affect the selection of contraceptive methods significantly (p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors did not affect the selection of contraceptive method (p>0.05). We also found that all of these factors do not have a significant relationship to the length of contraceptive use (p>0.05). There were 6.6% of subjects (n=10) who switched the type of contraception. From all of them, there was a trend of switching from oral contraceptive to injectable method (33.3%) and from IUD to injectable method (66.7%). Conclusion: Only the number of desired children has an effect on the selection of contraceptive methods in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors studied do not affect in selection of contraceptive methods. Family planning factors, subjective factors, objective factors and motivation levels have no effect on the length of contraceptive use by clients at Raden Saleh Clinic and Fatmawati General Hospital. Keywords: contraception methods, factors, length of use, selection

Survival and Side Effects of Cisplatin/Cyclophosphamide and Carboplatin/Paclitaxel Adjuvant Chemotherapy in Stage IC-IV Ovarian Cancer Markus, Unedo H; Winarto, Hariyono; Andrijono, Andrijono; Sutrisna, Bambang
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare the survival and side effects in epithelial ovarian cancer patients receiving adjuvant chemotherapy of cisplatin/ cyclophosphamide and carboplatin/paclitaxel. Method: We recruited epithelial ovarian cancer patients receiving cisplatin/cyclophosphamide (group A) or carboplatin/paclitaxel (group B) adjuvant chemotherapy after surgery. Chemotherapy was given for six cycles. Overall survival and side effects were assessed. Result: A total of 49 patients were recruited, consisting of 25 patients for group A and 24 patients for group B. In this study, the overall survival of stage IC-IV ovarian cancer patients was 37.3 months in group A (95%CI=31.86-43.46) and 35.5 months (95%CI= 13.93- 43.46) in group B (p

A Real-time Optoelectronic Device in Screening of Precancerous Cervical Lesion Rahmadhany, Rizky; Indarti, Junita
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To obtain the diagnostic values of optoelectronic device for screening of precancerous cervical lesions. Method: We performed a diagnostic study with cross sectional design. Subjects were recruited from Dr. Cipto Mangunkusumo Hospital, from February until December 2013. Subjects were enrolled based on consecutive sampling until the minimum sample was achieved (60 samples). Result: During the study period, 60 patients were enrolled. Sensitivity, specificity, positive predictive value, and negative predictive value of the optoelectronic device were 76%, 95%, 96%, and 64%, respectively. We also investigated diagnostic values of other screening methods, namely citology and colposcopy. Sensitivity and specificity of liquid based cytology were 83% and 63% respectively. The combination of optoelectronic device and liquid based cytology increased the sensitivity to 92.8%. Meanwhile, sensitivity and specificity of colposcopy were 88% and 58%, respectively. Based on Altman criteria, kappa value for optoelectronic device with cytology was 0.35 (fair) and optoelectronic device with colposcopy was 0.45 (moderate). Conclusion: A real-time optoelectronic device might be used as an alternative method in early detection of precancerous cervical lesions, either as a single method or combined with liquid based cytology. Keywords: diagnostic values, optoelectronic device, precancerous cervical lesions

Clinical Evaluation of Neoadjuvant Chemotherapy Followed by Radical Hysterectomy in the Management of Cervical Cancer Stage IIB Sanif, Rizal
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the clinical efficacy, operability, radicality, toxicity, and incidence of recurrences of neoadjuvant chemotherapy (NAC) followed by radical hysterectomy (RH) among patients with stage IIB cervical cancer. Method: This is an observational clinical study at Dr. Moh. Hoesin Hospital, Palembang. Data were analyzed from 27 patients who matched the inclusion criteria and underwent 3 cycles of neoadjuvant chemotherapy (NAC) with Paclitaxel (75 mg/m2) in combination with Cisplatin (50 mg/m2) and Docetaxel (75 mg/m2) combined with Carboplatin (300 mg/m2) according to AUC 6, followed by radical hysterectomy from January 2012 until December 2013. Result: The operability rate after NAC was 96.4%. Lymph node metastases were negative in 75% of patients, and we found bilateral lymph node metastases in 14.3% of patients. Parametric infiltrations were negative in 85.7% of the patients, and positive in 14.3% of patients. No vaginal infiltrations were found. As much as 89.3% of the patients did not experience any side effect, while anemia and thrombocytopenia were found in 10.8% of the patients. We found that 7.1% of patients had recurrences within 6 months interval. Conclusion: NAC followed by radical hysterectomy showed significant advantages for patients with stage IIB cervical cancer, with fewer side effects. However, long-term evaluation and a larger number of patients are required to confirm this result. Keywords: cervical cancer, neoadjuvant chemotherapy, radical hysterectomy

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Contact Name
eko subaktiansyah

Contact Email
eko.subaktiansyah@gmail.com

Phone
-

Journal Mail Official
support@inajog.com

Editorial Address
-

Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA