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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.

Arjuna Subject : -

Articles 1,731 Documents

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The Recommended Time Interval of Decision to Incision in Caesarean Section is not Achieved in Daily Practice Novia Guntur
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the mean time for decision-to-incision interval for emergency caesarean section, the contributing factors for delay and the outcome at Department of Obstetrics and Gynecology Dr. Moh. Hoesin Hospital, Palembang. Methods: The study was conducted on 555 patients who met our study inclusion criteria at our maternity unit. There was 1748 deliveries in six months and the rate of caesarean section was approximately 37.9% (6.1% elective). An emergency caesarean section was defined as non-elective or non-scheduled cases. Result: In this study, there was 355 emergency caesarean sections, and the mean time from decision-to-incision was 83.9Â±41.6 minutes. The time interval reached 30 minutes in only 8 women (2.2%). Most cases have time interval 61-90 minutes (41.1%). The main sources of delay were patientâ€™s preparations, transfer of women to the operating theatre, operating theatre preparations and the start of anesthesia administration. The most common indication for emergency caesarean sections were dystocia, bleeding from placenta previa or placental abruption, premature rupture of membrane and fetal distress. There were significant differences in the proportion of babies born with 1 minute Apgar score <7.5 minute Apgar score <7 and admssion to special care. There were no significant differences in the proportion of women who were admitted to special care and the length of postpartum stay. Conclusion: The current recommendations for the interval between decision-to-incision is achieved in routine practice. Reasons for delay were interval for patient preparation and operating room preparation. Failure to meet the recommendation does not seem to increase neonatal and maternal morbidity. [Indones J Obstet Gynecol 2103; 37-1: 12-6] Keywords: emergency caesarean section, outcomes, reasons for delay, time decision-to-incision

Higher Cortisol Level Would Increase the Risk of Spontaneous Abortion Christian Sastra
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To understand the correlation between cortisol level and spontaneous abortion in normal pregnancy with gestational age less than 20 weeks. Method: The study design was a correlative analytic prospective study with cross sectional observational approach. This study started from June 2012 until the number of participant sufficiently from Prof. Dr. R.D. Kandou General Hospital. The data then processed SPSS version 2.0, ROC and logistic regression equation model (chance model). Result: The study included 50 cases consisted of 25 spontaneous abortion cases and 25 normal pregnancies with gestational age less than 20 weeks, and got result if cortisol level for 18.52 Î¼g/dl so spontaneously abortion chance for 35.7% and if cortisol level for 24.0 Î¼g/dl would chance for spontaneous abortion for 99.3%. Conclusion: In this study, there was a significant difference in cortisol level in women with spontaneous abortion and < 20 weeks normal pregnancy. Higher cortisol level would increase spontaneous abortion risk. The mean cortisol level in spontaneous abortion was 27.28892 Î¼g/dl. While the mean cortisol level in women with normal pregnancy was 11.7660 Î¼g/dl. Analysis of the correlation between cortisol level and spontaneous abortion gave a cut off point for cortisol level of 19.1 Î¼g/dl with sensitivity of 92% and specificity of 92%. [Indones J Obstet Gynecol 2013; 37-1: 17-20] Keywords: cortisol level, normal pregnancy, spontaneous abortion

Betamethasone was more Effective than N-acetylcysteine for Lung Maturation Fatmah Oktaviani
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare the effectivity of N-acetylcysteine with Betamethasone in fetal lung maturation. Methods: This research was a double blind randomized clinical trials in women threatened by preterm delivery (28 to 34 weeks of gestation). Results: There were 90 subjects randomly assigned to N-acetylcysteine group (n=30), betamethasone group (n=30), and the control group (who had not been given a tocolytic, n=30). Fetal lung maturation was assessed with the p. The values for lung maturation at random were 5 foams. After being tested with the Tapp, there were significant differences between the 3 groups of this study based on analysis of variance (ANOVA) (p = 0.001). The average foam on the N-acetylcysteine was 4.8 Â± 1.3 while in the group Betamethasone, was 3.2 Â± 1.0, and the average amount of foam in the control group was 5.5 Â± 1.6. The end point of the Tapp were mature and immature, which in the N-acetylcysteine group there were 21 subjects (70.0%) with mature lung, Betamethasone groups 28 subjects (93.3%) with mature lungs, whereas in the control group, there were 15 subjects (50.0%) with mature lung. Conclusion: Betamethasone was more effective than N-acetylcysteine for lung maturation in women threatened with preterm delivery. [Indones J Obstet Gynecol 2013; 37-1: 21-5] Keywords: betamethasone, fetal lung maturation, N-acetylcysteine

The Risk of Expulsion is Higher in IUD-Endometrium Distance of More than 10 mm Teguh Senjaya
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To acknowledge the rate of expulsion in post placental IUD CuT-380A insertion after vaginal delivery. Method: Postplacental IUD Cu T-380A insertion was performed at least 10 minutes after the placenta has been delivered by inserting IUD Cu T-380A in uterine cavity using index finger, and positioned the IUD in uterine cavity and pushed as high as possible directly to the uterine fundus. Then the IUD-endometrium distances were checked using transvaginal USG on the seventh and forty second day after IUD insertion. Result: From May and August 2012 has been done post placental IUD Cu T-380A set in 38 women, found that average of women age was â‰¥ 30 years old (34.21%), multi parities (63.16%), and gestation age for 37-42 weeks (100%). In this study found that three expulsion cases. Totally expulsion found in 2 cases, each found in days of 16 with averages distances of IUD and endometrium for 16.8 mm and in days of 19 with average distances of IUD-ED for 13.5 mm after IUD set. While partially expulsion found in 1 case, occurred in days of 11 after IUD set with average distance IUD-ED for 13.2 mm. Conclusion: IUD Cu T-380A set after vaginal delivery that observed for 42 days found that 3 (7.89%) peoples have expulsion. There is significant correlation the distance between IUD and ED in expulsion occurrences. [Indones J Obstet Gynecol 2013; 37-1: 26-31] Keywords: expulsion, post placental IUD Cu T-380A

Telomerase Expression Increased the Risk of Borderline Ovarian Tumors Mila Maidarti
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare the expression of telomerase in benign ovarian tumors and borderline ovarian tumors. Methods: Thirteen samples of paraffin blocks of ovarian borderline tumors and benign ovarian tumors were taken from patients who underwent surgery from January 2006 to December 2011. In all samples, we performed immunohistochemical staining to the paraffin blocks. Semi quantitative determination of the expression of telomerase is done by an Anatomic Pathology specialist and Gynecologist, which already had the same perception about assessing the standardization sample. We used Fisherâ€™s test to analyze the data. Results: There were significant relationship in the moderate expression of telomerase in the nucleus and cytoplasm between benign and borderline ovarian tumors, with an odds ratio of moderate telomerase expression in the cytoplasm and nucleus of 19.3 (95% CI: 1.4 - 943) and 26 (95% CI : 2.3 - 1211). This means that the risk of borderline ovarian tumors in the expression of moderate telomerase in the cytoplasm was 3.19 times compared to the negative expression, whereas in the nucleus it became 26-fold. There is no significant relationship among menopause, age, and telomerase expression in the nucleus and cytoplasm. Conclusion: There are significant differences in the expression of moderate strength telomerase in nucleus and cytoplasm between benign and borderline ovarian tumors. [Indones J Obstet Gynecol 2013; 37-1: 32-40] Keywords: benign ovarian tumor, borderline ovarian tumor, telomerase expression

Profile of Women with Late Menstrual Period Eka R. Gunardi
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To know the profile of women with late menstrual period in Raden Saleh Clinic Jakarta in 2008 - 2011. Method: This was a descriptive study with 400 samples from medical records, choosen by random sampling. The data of age, education, occupation, marital status, residence, religion, parity, age of the youngest kid, cause of pregnancy, attempt to abort, referral, reason to end pregnancy, and contraceptive method post menstrual induction were collected. Result: The majority of women who underwent menstrual induction were 18 - 35 years old (57.25%), followed by women aged more than 35 years old (40.5%) and below 18 years old (2.25%). Most women were graduated from middle school (51.25%), unemployed (65.25%), and married (90.8%). They mostly came from Jakarta and satellite cities such as Depok, Bogor, Tangerang, and Bekasi, which accounted for 88% clients. Most of them have two children (32.3%) with the youngest kid aged more than 12 months old (60%). The causes of pregnancy were neglecting to use contraception (87.5%), failure of contraception (12%), and sexual assault (0.5%). As much as 44% of the clients had tried to end the pregnancy before they came to Raden Saleh Clinic and 87.5% of all 400 women came without referral. The most common reason was having had enough children in 74% of the women to end the pregnancy, followed by 12.25% of clients who wanted to pursue higher education. After treated by menstrual induction, 75.8% of them used IUD as contraception. Conclusion: Our data showed that mean age of women who were underwent menstrual induction is 32.94 Â± 0.35 years old and the main reason to do menstrual induction in this research is the consideration of having enough children. [Indones J Obstet Gynecol 2013; 37-1: 41-5] Keywords: age, contraception, late menstrual period, menstrual induction

Parity and Duration of Labor Affects the Risk of Urinary Retention in post C-Section Patients Yulia I. Nurullah
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the rate of urinary retention cases and contributing risk factors in Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital (RSMH), Palembang. Methods: The study conducted on 111 patients who met our study criteria. After CS, urinary catheter were inserted for 24 hours, and then it was opened for 6 hour, after that patients were asked to urinate spontaneously, then we examined the residual urine volume with transvaginal ultrasound. If residual urine volume post CS was >200 ml, it categorized as urinary retention. Result: During the follow up we found that the rate of urinary retention after CS was 3.6% (4 subject). All subject has a covert urinary retention. Factors contribute to post CS urinary retention was duration of labor and parity. The mean of labor duration in group with urinary retention is 8.75Â±13.04 hour, and 7.55Â±7.28 hour in the normal group (p = 0.003 RP= 106.00 CI 95%= 6.587-1705.778). All case with urinary retention were primipara (p = 0.045). Conclusion: Our study found that the rate of post CS urinary retention was 3.6%. Risk factors for post CS urinary retention were duration of labor more than 24 hours and primipara. [Indones J Obstet Gynecol 2013; 37-1: 46-50] Keyword: caesarean section, residual urine, urinary retention

Selective Termination for Fetal Anomaly in Twin Pregnancy Putri Mirani
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To discussed the ethical aspects, the technique, optimal timing and the possible outcome of selective termination in anomalous twin pregnancy. Case description: A 28-year old primigravida, 21 weeks twin gestation, with giant hygroma coli in one fetus. The normal fetus was compressed by the anomalous fetus with oligohydramnios. The parent decided to undergo selective termination of the abnormal fetus. The procedure perform was intracardiac injection of potassium chloride (KCl). Eight milliliters of KCl were injected into fetal cardiac, followed by bradicardia and asystole of the anomalous twin. A week after the procedure, the normal fetus also died and delivered spontaneously after induction. Conclusion: Selective termination for fetal anomaly in twin pregnancy have some aspects to be considered. Keywords: selective feticide, selective termination

Avulsion of the Levator Ani at First Pregnancy Denny Khusen
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To investigate whether demographic and obstetric risk factors are associated with avulsion of the levator ani at first pregnancy. Methods: A series of case was undertaken on 4 pregnant nulliparous women seen with a gestational age of more than 37 weeks. We analyzed with 3D/4D translabial ultrasound and digital assessment data of 4 women seen in a tertiary Urogynecological clinic. The use of 3D/4D ultrasound as a means of detection of trauma to the levator ani. Result: We had 4 women who had levator ani avulsion. Diagnosis of levator trauma (avulsion) on tomographic ultrasound was correlated with predelivery demographic variables and ultrasound parameters. Conclusion: With a greater understanding on the function of pelvic floor muscles, risk factors for trauma and damage as a result of pregnancy and birth, healthcare professionals will have better ability to meet the needs of women in the childbearing year. This study utilized a scoring system that can be used to predict the occurrence of levator ani muscle damage. In the end, the decline in quality of life for women, especially after a birth, can be prevented. [Indones J Obstet Gynecol 2013; 37-1: 51-6] Keywords: 3D/4D translabial ultrasound, demographic, levator ani avulsion, obstetric risk factors

Age, Low Education and Unemployment are Associated with Intimate Partner Violence among Women Mila Maidarti
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To describe the prevalence of violence in women visiting Puskesmas Kecamatan Makassar by their partners and their association with socio-demographic factors and gender role perception. Methods: A cross-sectional study using validated WHO questionnaires was conducted on 141 women visiting Puskesmas Makassar in December 2011 to identify presence of physical, sexual or emotional abuse and womenâ€™s perception of gender roles. The data was then analyzed using a combination of univariate analysis and Chisquare test. Results: Our study showed that the lifetime prevalence of female abuse in Puskesmas Makassar population was 21.3%, with physical violence constituting 5.7%, sexual violence 6.4% and emotional abuse 17.0% among the subjects. Violence was associated with the wifeâ€™s demographic factor (age >35 years, education <9 years) and her partnerâ€™s sociodemographic factors (age >35 years and unemployment). Womenâ€™s perception of gender role was not significantly associated with prevalence of abuse Conclusion: A womanâ€™s age and her partnerâ€™s age of more than 35 years, an education level of less than nine years, and unemployed partner, were all significantly associated with the lifetime prevalence of female abuse, and was not consistent with gender role beliefs. [Indones J Obstet Gynecol 2013; 37-2: 63-70] Keywords: gender role perception, intimate partner violence, Puskesmas Makassar

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Contact Name
eko subaktiansyah

Contact Email
eko.subaktiansyah@gmail.com

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Journal Mail Official
support@inajog.com

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Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA