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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 1,760 Documents
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Prevention of Recurrent Urinary Tract Infections in Postmenopausal Women Fernando, Darrell
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 1, January 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.62 KB)

Abstract

Objective: To determine the most effective and applicable methods to reduce recurrence of urinary tract infections in postmenopausal women. Method: A search was conducted on Pubmed, NEJM, BMJ, and Google. After screening and selection, six articles were considered useful; comprising of two original research articles, one systematic review, and three society guidelines. Result: Society guidelines recommended continuous antimicrobial prophylaxis, with postcoital antimicrobial prophylaxis as an alternative. The first research article found similar results in continous antimicrobial prophylaxis group and intermittent antimicrobial prophylaxis group. The second research article found no significant difference in cranberry and trimethoprim group. The systematic review revealed vaginal estrogens are effective in preventing recurrent UTI, but the type of estrogen is less clear. Oral estrogens are not effective. Conclusion: Prevention of recurrent urinary tract infections in postmenopausal women include risk factor identification, non-antimicrobial prophylaxis with cranberry and vaginal estrogen preparations, and antimicrobial prophylaxis (continuous or intermittent). [Indones J Obstet Gynecol 2014; 2-1: 55-60] Keywords: postmenopausal, prevention, recurrent urinary tract infection.
The Role of Matrix Metalloproteinase9 (MMP9) in Endometriosis Amalia, Amalia; Abdullah, Nusratuddin; Malinta, Umar
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 4, October 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.934 KB) | DOI: 10.32771/inajog.v5i4.559

Abstract

Objective: To investigate the role of MMP-9 expression in endometriosis. Methods: The study was conducted from October 2015 to March 2016, an observational study with cross-sectional design. Samples are all endometriosis patients who underwent laparoscopic surgery in Dr. Wahidin Sudirohusodo Hospital and several other hospitals in Makassar. Samples were stored and fixed in the Grand Medika Histopathology Laboratory Makassar for examination the expression of MMP-9 using immunohistochemical methods. Conducted an analysis of 50 samples, of which 11 samples of stage II, 21 stage III samples, and 18 samples of stage IV. The data obtained and analyzed statistically using Mann Whitney and Chi Square test with a significance level of p <0.05. Results: The results reported rankings mean the expression of MMP-9 in stage I-II = 16.68, stage III-IV 27.99 (p = 0.013). There were differences in the expression of MMP-9 based on the stage. Stage I-II endometriosis had a more positive 2 expression of MMP-9 (45.5%), stage III-IV endometriosis have more positive 3 expression of MMP-9 (59.0%). The results of chi square test (p = 0.043). Conclusion: Higher expression of MMP-9 is significantly associated with higher degree of endometriosis. Keywords: matrix metalloproteinase-9, stages of endometriosis
Level of Education as the Determinant Factor of Obstetric Outpatients’ Knowledge about Intra Uterine Device in Kramat Jati Public Health Center Prabu, Dhika
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 1, January 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.019 KB)

Abstract

Objective: To know the main factor affecting the knowledge of obstetric outpatients about intra uterine device (IUD). Method: This is across sectional study involving 106 subjects who were selected by a consecutive random sampling in obstetric outpatients clinic, Kramat Jati Public Health Center, Jakarta. Data were obtained from guided questionnaire. There are several dependent variables, including the knowledge level of respondents toward IUD. Meanwhile, there are also independent variables, including education level, job, number of children, history of contraception use, and sources of information. The knowledge score >60% is considered good. Afterwards, the data was evaluated with multivariate analysis with binary logistic regression. Result: The study found association between the rate of knowledge with the level of education (p=0.015) and history of contraceptive usage (p=0.022). In multivariate analysis, it appeared that education level was the determinant factor, with the rate of low knowledge 2.6 times higher in the low education group. Conclusion: Level of education are the determinant factor of obstetric outpatients’ knowledge about intra uterine device in Kramat Jati Public Health Center. [Indones J Obstet Gynecol 2012; 36-1:43-7] Keywords: IUD, knowledge, level of education
Stimulasi ovarium dan hubungannya dengan usia terjadinya menopause NINGSIH, E.; AFFANDI, B.
Indonesian Journal of Obstetrics and Gynecology Volume. 32, No. 4, October 2008
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.591 KB)

Abstract

Tujuan: Diketahuinya hubungan antara stimulasi ovarium dengan usia terjadinya menopause. Tempat: Poliklinik Ginekologi RSUPN Dr. Cipto Mangunkusumo dan Klinik Melati RSAB Harapan Kita, di Jakarta. Rancangan/rumusan data: Analisis potong lintang dengan membandingkan usia terjadinya menopause pada perempuan yang pernah mendapat stimulasi ovarium dengan usia menopause pada perempuan yang tidak pernah mendapat stimulasi ovarium di populasi. Bahan dan cara kerja: Dilakukan wawancara pada pasien yang telah menopause di poliklinik ginekologi RSUPN CM. Untuk kasus data diambil dari pasien yang telah mendapatkan stimulasi ovarium dan dilakukan wawancara. Hasil: Didapatkan 267 subjek penelitian yang sesuai dengan kriteria penerimaan dan kriteria penolakan. Pada kelompok kasus didapatkan usia rata-rata subjek 51,45 tahun. Rata-rata usia menopause pada kelompok kasus adalah 48,04 tahun dengan 27 subjek (19,42 %) mengalami menopause. Pada kelompok kontrol didapatkan usia rata-rata subjek 54,58 tahun. Rata-rata usia menopause kelompok kontrol 49,12 tahun. Menopause dini pada kelompok kontrol sebanyak 13 subjek (10,16%). Dari uji statistik didapatkan bahwa stimulasi ovarium memiliki hubungan yang bermakna dengan timbulnya menopause (p = 0,034), rasio prevalensi didapatkan RP= 2,13 (95% IK 1,04-4,34). Kesimpulan: Stimulasi ovarium merupakan salah satu faktor yang berhubungan dengan terjadinya menopause dini dengan rasio prevalensi sebesar 2,13 (IK 95% 1,04-4,34). [Maj Obstet Ginekol Indones 2008; 32-4: 242-9] Kata kunci: usia menopause, menopause dini, stimulasi ovarium, fertilisasi in vitro.
Contraception for Women with Diabetes Mellitus Hadisaputra, Wachyu
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 4, October 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.102 KB) | DOI: 10.32771/inajog.v2i4.414

Abstract

use in women with diabetes mellitus. Method: Literature review. Result: Women in the reproductive age who are affected by a wide range of chronic medical conditions, one of which is diabetes mellitus (DM), may experience adverse health effects pre-conception and in pregnancy. This condition will influence outcome of pregnancy and contraceptive choice after delivery. Planning the use of contraception for women with DM who would experience high-risk pregnancy is a necessity, and counseling must consider the safety of different types of contraception that in comparison to the risk of pregnancy. WHO has provided a guideline on choosing contraception, which is available from the UK Medical Eligibility Criteria for Contraceptive Use (UKMEC), as the basis for contraception selection for women with DM. For DM patients without complication any type of contraception can be used in consideration for the advantages and disadvantages of each type of contraception. For diabetics with complications or multiple risk factors, in the selection of contraceptive, hormonal contraception (especially for combined hormonal contraception (CHC) pill and injection method) requires proper consideration and consultation with health care providers. [Indones J Obstet Gynecol 2014; 4: 226-231] Keywords: complications, contraception, diabetes mellitus, hormonal, pregnancy
Factors Related to the Number of Antral Follicles on InVitro Fertilization (IVF) Raharja, Fransiskus C; Suwiyoga, Ketut; Wardhiana, IPG
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.67 KB) | DOI: 10.32771/inajog.v4i2.79

Abstract

Objective: To determine factors which are related to the number of antral follicles on infertile patients. Method: This cross sectional study was conducted in In-Vitro Fertilization (IVF) clinic of Graha Tunjung, Sanglah hospital, Bali. All fertile patients following the IVF program were calculated the number of antral follicles in both ovarian using transgene USG. This sample was recruited by random sampling from April 1st, 2001 to April 30th, 2011. We analyzed the data using Chi square test through SPSS for Windows 17.0 version. Result: Of 102 samples, the mean of patients’ age was 32.9% (SD 4.6) years old. From 72 patients (70.6%) experienced above 3 years of infertile period, the primary infertile was on 69 patients (67.7%). There was a relationship between patients’ age and the number of antral follicles significantly (prevalence ratio (PR) 1.41; 95% CI 1.11- 1.79). Meanwhile, the number of antral follicles and type of infertile (PR 1.02; 95% CI 0.76-1.37) also infertile period (PR 0.95; 95% CI 0.72-1.27) were not associated significantly. Conclusion: Patients’ age has an association with the number of antral follicles on IVF. [Indones J Obstet Gynecol 2016; 4-2: 75-77] Keywords: age, infertile, infertile period, number of antral follicles and type of infertile
Effect of Postpartum Pelvic Floor Muscles Training in Pelvic Floor Muscles Strength on Postpartum Women with Stress Urinary Incontinence Tarukallo, Jerisatrio S; Lotisna, David; Pelupessy, Nugraha U
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 2 April 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.064 KB) | DOI: 10.32771/inajog.v6i2.772

Abstract

Objective: To evaluate the effect of pelvic floor training (Kegelexercise) on pelvic floor muscle strength in postpartum womenwith SUI.Methods: Thirty-five birth vaginally postpartum women with SUIwere experimentally enrolled. After four weeks of postpartumobservation, the diagnosis of SUI confirmed, and all of these womenwere asked to complete the International Consultation onIncontinence Questionnaire-Sort Form (ICIQ-SF) questionnaire.The strength of the pelvic floor muscle measured with perineometerevery once in 3 weeks for 12 weeks of Kegel exercise. SUI severityassessed with ICIQ-SF after completing the Kegel exercise. A pairedt-test was used to compare measurement results between ICIQ-SFquestionnaire and perineometer and multiple linear regressionmodels was used for multivariate analysis. A p value of less than 0.05was taken to be statistically significant.Results: Findings show a significant difference between clinicalvariables (parity, neonates birth weight, perineal tear grade, BMI)and the improvement of pelvic floor muscles before and afterperformed the Kegel exercise (all p<0.05). The pelvic floormuscles strength significantly improved (p=0.000) after Kegelexercise both in ICIQ-SF questionnaire and perineometermeasurement.Conclusion: Pelvic muscles floor training or Kegel exercise improvepelvic muscles floor strength in postpartum women with SUI.[Indones J Obstet Gynecol 2018; 6-2: 114-118]Keywords: pelvic muscles floor training, postpartum, stress urinaryincontinence
Peran polimorfisme gen Collagen type 1 alpha 1 (COL1α1) terhadap penurunan densitas mineral tulang vertebra lumbal akseptor KB suntik DMPA TAHIR, A.M.
Indonesian Journal of Obstetrics and Gynecology Volume. 33, No. 3, July 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.768 KB)

Abstract

Tujuan: Untuk menilai dampak pemakaian kontrasepsi suntik DMPA pada densitas mineral tulang Vertebrata Lumbal (VL.1-4) pada akseptor jangka panjang (≥ 5 tahun), dengan alat Dual Energy X-ray Absorptiometry (DEXA), sekaligus melihat apakah ada peranan faktor genetik dalam hal ini polimorfisme gen Collagen type 1 Alpha 1 (COL1α1) terhadap penurunan DMT pada akseptor KB suntik DMPA tersebut dengan teknik Polymerase Chain Reaction (PCR). Tempat: Penelitian dilakukan di Makassar antara Januari 2007 - Maret 2007 pada 31 orang akseptor suntik DMPA jangka panjang (≥ 5 tahun). Rancangan/rumusan data: Studi potong lintang. Hasil: Karakteristik sampel berdasarkan usia terbanyak: 30-35 tahun. Pendidikan SLTA (61,3%), Berat badan 40-45 kg (77,4%), Tinggi badan: 145-149 cm (38,7%), Indeks Massa Tubuh (IMT): 20,0-25,0 kg/m2 (87,1%). Ditemukan 19 orang (61,3%), dengan DMT V. Lumbal normal dan 12 orang (38,7%) dengan DMT V.L-4 dibanding V.L-1 dan V.L-2. Prevalensi polimorfisme gen COL1α1 pada penelitian ini 45,2% (32,3% G/T dan 12,9% T/T). Kejadian osteopeni lebih banyak ditemukan pada subjek yang memiliki gen heterozigot (G/T atau S/s) daripada subjek yang mempunyai gen homozigot normal (G/G atau S/S) = (p=< 0,05), dan tidak ditemukan kejadian osteopenia pada subjek yang memiliki polimorfisme gen homozigot (T/T atau s/s). Kesimpulan: Akseptor yang memiliki polimorfisme gen heterozigot (G/T atau S/s) memiliki kecenderungan untuk menderita osteopeni lebih tinggi daripada yang memiliki gen normal (G/G atau S/S). Di pihak lain, akseptor yang memiliki polimorfisme gen homozigot (T/T atau s/s) justru cenderung tidak menderita osteopeni. [Maj Obstet Ginekol Indones 2009; 33-3: 176-84] Kata kunci: DMT, DMPA, polimorfisme gen COL1α1
Heat Shock Protein 70 (HSP 70) Level in Threatened Abortion Mamengko, Linda M; Utomo, Bram M; Suparman, Eddy
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the level of Heat Shock Protein 70 (HSP 70) in threatened abortion compared with normal pregnancy. Method: This was a cross-sectional analytic study design conducted to examine the HSP 70 level on 25 subjects of pregnant women with
Translokasi AKDR ke dalam Vesika Urinaria Disertai dengan Vesikolithiasis (Laporan Kasus) HADISAPUTRA, W.; KASMARA, E.; SUSKHAN, SUSKHAN; ROCHANI, ROCHANI
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 3, July 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.639 KB)

Abstract

Tujuan: Melaporkan satu kasus translokasi alat kontrasepsi dalam rahim (AKDR) ke dalam vesika urinaria disertai dengan pembentukan batu intravesika. Tempat: Klinik Kesehatan Reproduksi Raden Saleh Jakarta, Departemen Obstetri dan Ginekologi FKUI/RSCM, Jakarta dan Kamar Operasi Khusus Departemen Urologi FKUI/RSCM, Jakarta. Bahan dan cara kerja: Laporan satu kasus, seorang wanita, 43 tahun, P4A1 dengan translokasi AKDR ke dalam vesika urinaria selama 10 tahun disertai dengan pembentukan batu vesika. Hasil: Pasien dirujuk oleh SpOG dengan keterangan translokasi AKDR, disertai keluhan nyeri saat buang air kecil sejak 3 tahun lalu. Pasien memiliki riwayat dipasang AKDR 10 tahun lalu. Delapan bulan pasca pemasangan AKDR, uji kehamilan positif dan ia menjalani induksi haid dan mendapatkan pemasangan AKDR kedua. Saat itu tidak ditemukan AKDR pertama. AKDR kedua telah dilepaskan 2 tahun yang lalu. Dari pemeriksaan ultrasonografi tidak didapatkan AKDR intrauterin. Pemeriksaan foto polos abdomen menunjukkan AKDR di pelvis minor, 10 cm di anterior promontorium dengan bayangan massa kalsifikasi. Foto polos pelvis dengan marker menunjukkan AKDR kedua terletak agak jauh dari AKDR pertama, yang overlapping dengan bayangan kalsifikasi. Eksplorasi per laparoskopi tidak menemukan AKDR di rongga pelvis. Dari pemeriksaan sistoskopi tampak AKDR intravesika yang diselubungi batu. Pasien menjalani litotripsi dan pengambilan AKDR intravesika dengan sistoskopi. Pasien dirawat selama satu hari dan pulang dalam keadaan baik. Kesimpulan: Translokasi AKDR ke dalam vesika merupakan hal yang jarang dijumpai. AKDR dalam vesika menjadi sarang infeksi dan proses pembentukan batu. Adanya AKDR intravesika haruslah dipikirkan jika seorang wanita dengan riwayat pemasangan AKDR mengalami infeksi saluran kemih berulang dan/atau pembentukan batu vesika. AKDR intravesika dapat dikeluarkan dengan sistotomi suprapubik atau sistoskopi. [Maj Obstet Ginekol Indones 2006; 30-3: 186-90] Kata kunci: translokasi AKDR, AKDR intravesika, batu vesika

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