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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
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 20 Documents
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Search results for , issue "Volume. 34, No. 4, October 2010" : 20 Documents clear
Prevalence of Sexual Dysfunction Based on Female Sexual Function Index and Perception of Newly Bride in Jati Village and Its Related Factors Suryadi, Angga J.
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To found prevalence of female sexual dysfunction based on FSFI and perception of newly bride in Jati Village and its related factors. Method: A cross-sectional study was conducted in 33 newlybrides in Jati Village, East Jakarta, who got married for the first time within less than 6 months and did not have severe disease. We translated and validated the Female Sexual Function Index (FSFI) and added items on sexual dysfunction perception. The questionnaires were self-administered by the respondents. Results: Almost half (42.4%) of the participants were 26 - 30 years old. The most frequent sexual dysfunction domains were sexual arousal disorder and sexual pain. Frequency of sexual intercourse was significantly associated with sexual dysfunction based on FSFI. Marital age and frequency of sexual intercourse were significantly associated with sexual dysfunction based on participants’ perception. Agreement between FSFI score and sexual dysfunction perception was substantial (Kappa = 0.615, p < 0.001). Conclusion: The sexual dysfunction prevalence based on FSFI was 15.2% and based on perception was 12.1%. Participants age and frequency of sexual intercourse had a significant relationship with sexual dysfunction. Most of participants who felt that they had sexual dysfunction did not seek for medical services. [Indones J Obstet Gynecol 2010; 34-4: 170-4] Keywords: FSFI, newly bride, prevalence, sexual dysfunction
The use of B-Lynch Technique and Lasso-Budiman Technique to Control Postpartum Hemorrhage in Uterine Atony Rahman, Muhammad Nurhadi
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To evaluate the use of B-Lynch Technique and Lasso Budiman Technique as conservative way to control post partum hemorrhage due to uterine atony. Method: The cross-sectional retrospective study in Department of Obstetrics and Gynecology, Tangerang General Hospital, Banten, year 2005 - 2008 and Department of Obstetrics and Gynecology, Wonosobo General Hospital, Central Java, year 2003 - 2008. Results: Total 38 post partum hemorrhage cases managed conservatively using B-Lynch technique and Lasso-Budiman technique. Twenty-six cases were done at Wonosobo General Hospital using B-Lynch technique, with 1 failure case and hysterectomy was done with good result. No complications has been reported for the rest 25 successful cases. Twelve cases were done at Tangerang General Hospital, using Lasso-Budiman technique, 1 failure reported, continue to hysterectomy. Among 11 successful cases, 2 complications were found. Ssecondary amenorrhea after performing Lasso-Budiman technique due to uterine sinechia were reported. Conclusion: The B-Lynch technique and Lasso-Budiman technique, both are simple, easy, and effective to control post partum hemorrhage due to uterine atony. If failed, hysterectomy is the last choice. These techniques are also effective methods to conserve uterus and fertility. [Indones J Obstet Gynecol 2010; 34-4: 195-8] Keywords: postpartum hemorrhage, conservative methode, BLynch technique, Lasso-Budiman technique
Embryo Quality: The Most Critical Factor for Pregnancy Rates after day-2, day-3, and day-5 of Embryo Transfer Djuwantono, Tono
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the most critical factor on day-2, day-3, and day-5 of embryo transfer in correlation with pregnancy rates. Method: This research is a retrospective study in Aster Fertility Clinic, IVF program- Dr. Hasan Sadikin Hospital, Bandung, Indonesia. One hundred ninety five women enrolled in an IVF program conducted from March 2006 through November 2009 at the Aster Fertility Clinic. Effect of embryo-transfer day and any other factors (including quality of embryo, oocyte quantity, difficulty of embryo transfer technique, and blood or mucus contamination on the catheter) on pregnancy rate in IVF. Results: The mean age of the pregnant group was 34.65 (SD = 3.91), and the mean of the infertility period was 7.25 years (SD = 3.54). There were no siginificant differences in pregnancy rates in the day-2, day-3, and day-5 groups. The most critical factor influencing pregnancy was the total score for the quality of embryos [p = 0.001; OR (CI 95%) = 1.94 (0.91 - 4.08)]. Otherwise, the day of embryo transfer, oocyte quantity, and difficulties in embryo transfer did not affect the pregnancy rate (p > 0.05). Conclusion: Our study suggests that the total score for the quality of the embryos was the most critical factor for the success rate of pregnancy rather than the day of embryo transfer, oocyte quantity, difficulty of embryo transfer technique, or contamination of blood and mucus on the catheter. [Indones J Obstet Gynecol 2010; 34-4: 175-9] Keywords: day of embryo transfer, in vitro fertilization, quality of embryo total score, oocytes quantity, catheter contamination
Management Therapy in Chronic Ectopic Pregnancy Pradana, Aryando
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: Improving skill in making a diagnosis and management therapy in chronic ectopic pregnancy. Method: Case Report. Conclusion: Diagnosis of chronic EP is difficult to establish before surgery. Conservative treatment using medication (methotrexate) can not be applied to chronic EP because the β-hCG level is difficult to be detected. [Indones J Obstet Gynecol 2010; 34-4: 199-203] Keywords: ectopic pregnancy, chronic ectopic pregnancy
Predictive Factors for Pregnancy in IVF: An Analysis of 348 Cycles Wiweko, Budi
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine predictive factors for pregnancy after IVF. Method: The subject of this study were three hundred and forty eight IVF cycles in 266 couples who underwent controlled ovarian hyperstimulation in IVF cycles between January 2005 and March 2010. Categorical variables were compared using Chi Square test and continuous variables were analyzed using Independent t-test, p < 0.05 was considered statistically significant. Multivariate logistic regression analysis was done to test correlations between clinical variables and the occurrence of pregnancy. Results: The women’s age significantly influenced pregnancy rate since women under 35 years old has the best chance for pregnancy (56.4%). Endometrial thickness on the day of hCG administration also significantly influenced pregnancy in IVF (p < 0.001) because 64.1% of pregnancy occurred if endometrial thickness ≥ 10.95 mm. Serum FSH on 3rd day of period that can predict ovarian reserve also has significance on pregnancy. On the other hand, 61.5% pregnancy occurred if more than 6 mature oocytes were retrieved (p < 0.001). Among 92 patients of 348 cycles we found strong correlation between AMH level with number of mature oocytes retrieved (p < 0.001; r 0.659). Logistic regression done revealed the couple with best chance of pregnancy can be described as follows: women with endometrial thickness ≥ 10.95 mm, number of mature oocytes > 6 and age under 35 years old. Conclusion: This study enabled the characterization of many prognostic factors for pregnancy. [Indones J Obstet Gynecol 2010; 34-4: 180-4] Keywords: in vitro fertilization, clinical pregnancy, age, mature oocytes, endometrial thickness
Adhesion Prevention in Operative Laparoscopy Hadisaputra, Wachyu
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To know the modalities used for prevention of adhesion formation in operative laparoscopy. Method: Literature study. Results: Methods of prevention of adhesion in laparoscopy include: modification of surgical technique, anti-inflammatory agents, peritoneal instillates and barrier adjuvants. Modification of surgical techniques such as adherence to basic principles of microsurgery, the use of electrothermal bipolar vessel sealer, liberal irigation of the abdominal cavity and instillation of a large amount of Ringer’s lactate at the completion of the procedure. This technique alone, eventhough seems effective, is insufficient. The anti-inflammatory agents used are the NSAIDs, corticosteroids, antihistamines, progestogens, GnRH agonists and calcium channel blocker. But none of them demonstrated to be significantly effective. Barrier adjuvants consist of: oxidized regenerated cellulose (ORC) and expanded polytetrafluoroethylene (ePTFE) and peritoneal instillates are the crystalloids, icodextrin, hyaluronic acid (HA), solution of HA, viscoelastic gel, hydrogel, and fibrin sealent. There is insufficient evidence data regarding the methods above for the prevention of adhesiogenesis in laparoscopy. But one study evaluating the use of viscoelastic gel did significantly reduce adnexal adhesion in laparoscopy. Conclusion: Laparoscopy does not trully eliminate the adhesiogenesis problem. No single therapy is effective for prevention of adhesion formation. The multimodal methods shall be used to increase the successful rate in adhesion prevention. [Indones J Obstet Gynecol 2010; 34-4: 204-7] Keywords: laparoscopy, adhesion, microsurgery, anti-inflammatory, peritoneal instillates, barrier adjuvants
Effect of Administering Enteral Nutrition pre Caesarean Section Towards High Sensitivity C-Reactive Protein Levels Rahmadi, Taufik
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the effect of enteral nutrition pre caesarean section (CS) on high sensitivity C-Reactive Protein (hsCRP) serum levels post CS. Method: This clinical trial study on elective CS patients with lumbal anesthesia, was done to compare hsCRP levels two hours pre and 48 hours post CS between the treatment group (P) who was given 200 ml enteral nutrition per oral and control group (K) received 200 ml sweet tea two hours pre CS. The study was already approved by the Ethical Clearance Research Committee of Faculty of Medicine University of Indonesia. Results: Twenty seven elective CS patients in Rumah Sakit Umum Daerah (RSUD) Bekasi were selected using certain criteria and divided into two groups using block randomization. Data collected included age, gestational age, nutritional status, indication, of CS total blood volume, and duration of CS, as well as energy intake of energy and protein. Laboratory hsCRP serum levels were examined two hours pre and 48 hours post CS. Statistical analysis were performed using t-test and Mann-Whitney, with 5% level of significancy. Twelve subjects in each P and K group, completed the study respectively. The mean of age was 30.08 ± 4.01 years. The nutritional status based on upper mid arm circumference in both groups was normal, while using kartu menuju sehat (KMS) in all of subjects were classified as overweight. The characteristic of the two groups closely matched at base line (p > 0.05). There was increased hsCRP serum at post CS which was higher in the K group and statistically significant (p = 0.00). Conclusion: Administration of 200 ml enteral nutrition two hours pre CS is associated with a reduction of 48 hours post CS hsCRP serum level compared with sweet tea. [Indones J Obstet Gynecol 2010; 34-4: 159-63] Keywords: elective CS, enteral nutrition pre CS, hsCRP serum concentration
The Influence of Low HLA-G Protein Expression on Hsp-70 and VCAM-1 Profile in Preeclampsia Sulistyowati, Sri
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To analyze HLA-G, Hsp-70, and VCAM-1 proteins expression on trophoblast in women with preeclampsia and women with normal pregnancy, and to assess causality relationship between low HLA-G expression and the increased Hsp-70 and VCAM-1 expression in preeclampsia. Method: Observational analytic study with cross sectional design. Results: Trophoblastic HLA-G expression in pregnant women with preeclampsia is lower (p = 0.01) than its expression in women with normal pregnancy. The expressions of Hsp-70 (p = 0.02) and VCAM-1 (p = 0.00) in preeclampsia are higher, compared to normal pregnancy. Regression analysis showed that low HLA-G is a predictor for the increase of trophoblastic Hsp-70 and VCAM-1. Conclusion: Low trophoblastic HLA-G in is a predictor for endothelial dysfunction in women with preeclampsia. [Indones J Obstet Gynecol 2010; 34-4: 185-90] Keywords: preeclampsia, HLA-G, Hsp-70, VCAM-1, endothelial dysfunction
Evaluation of Obstetric Emergency Referral Cases at Dr. Cipto Mangunkusumo Hospital January - December 2008 Purnama, Dian Indah
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To have description and evaluation about obstetric emergency referral cases at obstetric emergency room of Dr. Cipto Mangunkusumo Hospital (RSCM) from January until December 2008. Method: This is a cross-sectional descriptive-analytic study with 458 secondary data samples from simple random sampling performed to all obstetric referral cases at obstetric emergency room of RSCM from January until December 2008. The data were pro-cessed for frequencies and bivariate analysis, and then further analyzed with multivariate analysis. Results: Patients’ age varied between 16 to 47 years old (27.78 ± 6.51). Grandemultiparous women had 51.9% morbidity/mortality (p = 0.024). Midwives were the majority of referee (73.1%), but 71.1% main obstetric emergency cases were referred by Ob/Gyn. There were 260 cases corresponded to main obstetric emergency with 88 cases diagnosed as hypertension. Most of the cases were referred due to threatened preterm labor (22.5%), with 74.7% reasons for referral were ’lack of facility’. Most of the cases had no complete referral record (91% cases had no referral time and 12.4% cases had no initial assessment). Our hospital’s mean response time was 8 minutes. From multivariate analysis, referee (OR for doctors and Obstetricians 2.751; 95% CI 1.475 - 5.129) and delivery method (OR for spontaneous delivery 0.412; 95% CI 0.227 - 0.750) were two most influent variables for obstetric emergency referral cases outcome. The MMR for this study was 253.2/100.000. Conclusion: Our referral system is still not efficient. It needs improvement and continuous input and facility fulfillment. [Indones J Obstet Gynecol 2010; 34-4: 164-9] Keywords: referral system, maternal mortality ratio, referral time, response time
IL-10 Serum Concentration was Observed Higher in Threatened Preterm Labor Afriana, Nurul
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the serum concentration of Th-1 and Th-2 cytokine in threatened preterm labor compared to that in normal pregnancy. Method: The design was analytical cross-sectional, comparing the serum levels of TNF-α, IL-2, IL-10, TNF-α to IL-10 ratio and IL-2 to IL-10 ratio between 29 subjects with threatened preterm labor and 29 normal pregnant women. The cytokine concentration was measured with ELISA. T test and Mann-Whitney U test was used for statistical analysis. Results: The mean concentration of TNF-α and IL-2 in both groups did not reveal any difference (p = 0.188 and p = 0.493). Median of IL-10 serum concentration in the threatened preterm labor (PTL) group was observed higher than that observed in the normal pregnancy group (p = 0.001). Compared to normal pregnancy group, the TNF-α to IL-10 ratio in the PTL group was observed lower (p = 0.009). Both groups did not show any difference in the IL-2 to IL-10 ratio (p = 0.057). Conclusion: The IL-10 serum concentration was increased in threatened preterm labor. There was no difference observed in the Th-1 to Th-2 cytokines serum ratio in threatened preterm labor as compared to normal pregnancy. [Indones J Obstet Gynecol 2010; 34-4: 191-4] Keywords: IL-10, preterm labor, Th-1 and Th-2 cytokines

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