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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 29 Documents

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Search results for , issue "Volume. 36, No. 2, April 2012" : 29 Documents clear

The Salivary Estriol Level was Higher in Preterm Delivery Compared to that in Preterm Pregnancy Erwin Purba
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To know the difference of salivary estriol level between patients with preterm birth and preterm pregnancy of 32-36 weeks and to determine the correlation between the level of estriol in saliva and the incidence of preterm delivery. Methods: This research was a cross-sectional studies of 80 patients in Dr. Hasan Sadikin Hospital and its networks. The subjects are 40 patients in labor and 40 patients in preterm pregnancy, that met the inclusion criterias during the period September 2011 to November 2011. We took the salivary sample and examine the level of estriol. The data were analyzed by Shapiro-Wilk and Mann Whitney test. Result: The study found that the difference of salivary estriol levels in preterm labor and preterm pregnancy groups was statistically significant (p<0.05). The mean salivary estriol levels in preterm labor group was 3438.75 while the mean value of estriol levels in preterm pregnancy group was 686.10 and ranges of each group is 1188-16338 and 88-1180. Conclusion: The value of salivary estriol levels were higher in preterm labor compared to the level in preterm pregnancy. [Indones J Obstet Gynecol 2012; 36-2: 66-70] Keywords: preterm labor, salivary estriol

Correlation Between Types of Bacteria with Pathology Examination of Chorioamnion from Preterm Birth Fita Drisma
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine whether there is a correlation between the types of bacteria found in amniotic membrane and intrauterine infection causing preterm delivery. Method: This was an experimental study. We studied the amniotic membrane from patients undergoing spontaneous preterm delivery, both with premature rupture of membrane and intact membrane in Dr. Hasan Sadikin Hospital and some district Hospitals around Dr. Hasan Sadikin Hospital that fulfill the inclusions and exclusion criterias. Experiments were performed in Prodia Laboratory and Pathology Department of Dr. Hasan Sadikin Hospital. The amniotic membrane was prepared in Brain Heart Infusion Broth (BHI) and Formalin. The sample prepared in BHI was then transported to the laboratory and cultured for bacteria within 24 hours after the sample was taken, and the other sample prepared in formalin was made into tissue blocks and stained with hematoxylin and eosin. Afterwards, we counted the polymorph nuclear cells and if there were more than 4 cells in view, we concluded that there was an intrauterine infection. Result: Types of bacteria and intrauterine infection found in both groups showed a significant difference (p=0.002) between the groups with PROM and the group with intact amniotic membrane. The most bacteria found in preterm delivery with amnion membrane intact was Eschericia coli (33.3%) and Streptococcus alfa hemolytic (33.3%) in premature rupture of the membrane. Based on Rank Spearman Correlation test shows a significant (p<0.05) positive correlation between intrauterine infection with preterm delivery with amniotic membrane intact and premature rupture of the membrane. Conclusion: There is a correlation between types of bacteria invading the amniotic membrane causing intrauterine infection that initiates preterm delivery. [Indones J Obstet Gynecol 2012; 36-2: 71-4] Keywords: amniotic membrane, bacteria, intrauterine infection, preterm delivery

Multiple Factors Affecting Length of Hospital Postpartal Care in Eclampsia Patients Gita Dianty
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To identify any factors that could cause longer care at hospitals in eclampsia patients. Methods: It was a retrospective, cross sectional study design and conducted in Dr. Mohammad Hoesin Hospital Palembang from January 2005 to December 2009. This research conducted in 176 samples divided into 2 groups namely short-stay group (1-5 days) with 92 patients and longer stay group (â‰¥ 5 days) with 87 patients, with mean length of hospital stay 5.41Â±3.43 days. Results: The most common mode of delivery in the group who stayed â‰¥ 5 days was cesarean section (44.8%), while the most common delivery route in the group who stayed < 5 days was forceps extraction (43.5%). The mean thrombocytes count in the longer stay group was lower than in the short-stay group (213459.77Â±108391.81 vs 258945.65Â±92213.24 mm3), which was significantly different (p=0.003). Ureum and LDH concentration in longer stay group was higher, and statistic test was found to be significantly different (p<0.05), while renal failure complication was mostly experienced by the longer stay group (20.7%). Conclusions: Thrombocytes count, LDH, acute renal failure and ICU has significant difference and greater in postpartal eclampsia group that is longer treated. [Indones J Obstet Gynecol 2012; 36-2: 75-80] Keywords: complication, eclampsia, length of hospital stay

The Association between Periodontal Disease on Pregnancy and the Incidence of Preterm Labor Andoharman Damanik
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the association between periodontal disease on pregnancy and the incidence of preterm labor. Method: This was a cross sectional study. We enrolled sixty subjects, which then divided into two groups. One group comparised of thirty pregnant women preterm delivery and thirty women with preterm pregnancy. Subjects were chosen by consecutive sampling method. The subjectâ€™s teeth except Molar III were evaluated for probing depth, bleeding on probing, calculus, and the results were interpreted according to CPITN (WHO,1997). Evaluation were conducted at Dental and Oral Health Clinic at Sanglah Hospital and Gianyar Hospital. Results: The subjects characteristic was not different between the two groups, hence its influence could be avoided. Using Chi-Square test, we found that periodontal disease on pregnant women was associated with preterm birth, with prevalence ratio of 2.30 (CI 95% 1.69-3.13, p=0.011). Conclusion: Diseases on pregnant mother is associated with the incidence of preterm labor. Periodontal diseases is found twice as many in women with preterm labor compared to pregnant woman who did not experienced any signs of preterm labor. [Indones J Obstet Gynecol 2012; 36-2: 85-9] Keywords: periodontal disease, preterm birth

Factors Influencing Maternal Mortality from Severe Preeclampsia and Eclampsia Denny Khusen
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To analyze risk factor, both clinical and laboratory findings, associated with maternal mortality from severe preeclampsia and eclampsia in Atma Jaya Hospital. Methods: This was a retrospective case control study. All medical records of maternal death associated with severe preeclampsia and eclampsia between 1st January 2009 and 31st December 2011 were obtained and then information about risk factors were collected and tabulated. Risk factor analyzed were maternal age, gestational age, parity, coexisting medical illness (hypertension), antenatal examination status, maternal complications, systolic and diastolic blood pressure at admission, and admission laboratory data. Results: There were 19 maternal deaths associated with severe preeclampsia and eclampsia during period of study (Consisted of 6 cases of eclampsia and 13 cases of severe preeclampsia). Maternal mortality rate for severe preeclampsia and eclampsia were 16.7% and 33.3% respectively. Multivariate analysis identified the following risk factors associated with maternal death: gestation age <32 week, history of hypertension, thrombocyte count < 100.0000/Î¼l, post partum bleeding, acute pulmonary edema, HELLP syndrome, and sepsis. Conclusion: In this study, we found that gestational age, history of hypertension, and platelet count are the cause of maternal mortality. Maternal complications associated with maternal mortality are post partum bleeding, acute pulmonary edema, HELLP syndrome, and sepsis. [Indones J Obstet Gynecol 2012; 36-2: 90-4] Keywords: eclampsia, maternal mortality, preeclampsia

Analysis of Oocyte and Embryo Numbers, and Pregnancy Rate in Patients Undergone In Vitro Fertilization with Long and Short Protocols Nadia Shafira
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objectives: To compare the oocyte count, embryo count, pregnancy rate, and the presence of OHSS in patients undergoing In Vitro Fertilization (IVF) with long and short protocols at Yasmin Clinic, Dr. Cipto Mangunkusumo Hospital, Jakarta. Methods: A cross sectional study was done at Yasmin Reproductive Clinic, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Data was collected from the medical records of 200 infertile women undergoing IVF, 100 women with long protocols and the other 100 with short protocols. Variables compared in these 2 groups are the oocyte count, embryo count, the pregnancy rate, and presence OHSS using Mann-Whitney U Test with SPSS 11 Program. Result: From 200 women undergoing IVF procedure, 45.5% of them aged between 35-40 years old, with the youngest is 22 years old and the oldest is 48 years old (average age=35 years, SD=4.7), and almost half of them (45%) have BMI between 18.01-23.00 kg/m2. 185 women has primary infertility. These subjects came to the clinic mostly due to male factor (23.5%), idiopathic cause (19%), and ovulation disturbance (13%), whilst endometriosis, tubal factor, and other factors take just little percentage. When compared between long and short protocols, the number of oocyte retrieved is significantly different (p=0.007, CI=5.84-7.11), whereas embryo numbers (p=0.054, CI=1.80-2.39) and the pregnancy rate (p=0.525, CI=0.21-0.33) found to be not significantly different. There were 2 cases of moderate OHSS developed in the long protocol group. Conclusion: Although the number of embryo produced and the pregnancy rate are found to be not significantly different between the two groups, long protocol of IVF is found to produce more oocyte to be retrieved and develop more OHSS events compared to short protocol. Due to this result, GnRH antagonist can be considered when planning an IVF procedure. However, a longitudinal multicenter study with larger sample size is needed to validate the current data. [Indones J Obstet Gynecol 2012; 36-2: 95-9] Keywords: in vitro fertilization, long protocol, pregnancy rate, short protocol

Depo Medroxyprogesterone Acetate Injection was Associated with a Greater Risk of Diabetes Mellitus: a Study at East Jakarta Public Health Centres Edwin Bonaville
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To study the relationship between the history of contraceptive injection depo medroxyprogesterone acetate (DMPA) exposure with incidence of diabetes mellitus and the associated risk factors. Methods: This is a case-control study conducted in 6 Public Health Centers in East Jakarta involving 30 cases of diabetes mellitus and 61 controls. Body mass index (BMI), parity, type of contraception, duration of contraceptive use, history of gestational diabetes and breastfeeding were assessed in each group. Data were analyzed with Chi Square or Fisherâ€™s test, and logistic regression. Results: The mean age of the subjects was 45.00 (35-67) years, with a median number of parity of 3.00 (0-7), and the median of BMI was 27.31 (15.24 to 40.27). The number of DMPA injections users was 31.9% and the mean duration of contraception usage was 5.36 Â± 4.42 years. There was a correlation between the history of DMPA injections with incidence of diabetes mellitus, with an odds ratio of 3.36 95% CI [1.098 to 10.469]. The risk persisted after adjustment of age and BMI. Conclusion: DMPA exposure was associated with a greater risk of diabetes mellitus. Risk was associated with length of use and persisted after adjusment with age and BMI. [Indones J Obstet Gynecol 2012; 36-2: 100-4 Keywords: depo medroxyprogesterone acetate (DMPA), diabetes mellitus

The Role of Oxidative Stress in adverse uterine environment: The new explanation on developmental origin of adult diseases Andon Hestiantoro
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v36i2.1480

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Transvaginal Ultrasound Assessment of Cervical Length in Threatened Preterm Labor Prasila Ekaputri
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v36i2.1481

Objectives: To determine the cut off point of cervical length usingtransvaginal ultrasonography to predict the actual occurrence ofpreterm labor in women with threatened preterm labor. Methods: A cross sectional study with consecutive random samplingmethod. We examined 80 women with singleton pregnancycomplaining of regular, painful uterine contraction and rupturedmembrane at 24-36 weeks of gestation. Women in active labor, definedby the presence of cervical dilatation less than or equal 3 cm, and having complicationwere excluded. When the patient was admitted, a transvaginalscan was performed to measure the cervical length. Parenteralmagnesium sulfate was given as the subsequent management.The primary outcome was delivery within 24 hours of presentation.Results: We found that the optimal cut off values for cervical lengthwas 2.65 cm with sensitivity 94.4 Percent, specificity 65.4Percent, positive predictivevalue 75.4 Percent and negative predictive value 81.8 Percent. In 69cases, the cervical length was more than or 2.65 cm, with 52 patients successfullycontinued their pregnancy until more than 24 hours. In the 11cases with cervical length less than or equal 2.65 cm, delivery within 24 hours occurredin 9 cases (81,8 Percent). Conclusion: The findings of this study suggest that in women withthreatened preterm labor, cervical length more than or equal 2.65 cm may help predictthe actual occurrence of preterm labor. Keywords: cervical length, threatened preterm labor, transvaginalultrasonography

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Contact Name
eko subaktiansyah

Contact Email
eko.subaktiansyah@gmail.com

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support@inajog.com

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Kota adm. jakarta pusat,

Dki jakarta

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