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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

122 123 124 125 126

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

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). Keywords: postmenopausal, prevention, recurrent urinary tract infection.

The Age, Education, and Occupation Characteristics is not Associated with Human Immunodeficiency Virus (HIV) Infection in Pregnant Mothers Kade Y. Saspriyana; Â Ketut Suwiyoga; I Made Darmayasa
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To know the relation ship between age, education and occupation on the pregnant women and the HIVstatus of the husband against the risk of being infected with HIV. Method: This was an unpaired case cont rol study perform ed in the Obstetrics and Gynecology Department of Sanglah Hospital, Denpasar, from October to November 2011. The subjects were pregnant women who were willing to particip ate in the research, which were grouped into HIV-infected case and control group. Diagnosis of HIV was based on rapid test The data was analyzed using ChiSquar e test with the help of SPSS version 17.0 Result: There was fifty subjects consisting of 25 subjects in the case group and 25 subjects in contr ol group we obtained that the risk of HIV-infected pregnant women in the old vs young age, low vs higher education, and occupations at risk vs not at risk is not significant in the two groups. Each Odds ratio is 0.35 (CI =95% 0.08-1.55; P = 0.16),0.85 (CI=95% 0.28-2.59; P =0.77), and 2.09 (CI=95% 0.1824.62; P =1.00). Meanwhile, the odds ratio of the husband HIV status was 12.67 (CI =95% 3.31-48.50; P =0.01). Conclusion: Husband s infected with HIVincreases the risk of HIV in pregnant women 12 times greater than if the husband was not infected with HIV. Wher eas, age, education, and th e occupation of mothers is not a risk factor for the occurrence of HIV infection in pregnant women. Keywords: age, education, husband HIV statu s, occupation and pregnant women infected with HIV.

Heat Shock Protein 70 (Hsp70) Level is Lower in Premature Rupture of Membrane Muhammad RA Radam; Soetrisno Soetrisno; Supriyadi H Respati
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

AbstractObjective: To prove wheth er the levels of Heat Shock Protein 70 (Hsp70) was lower in women experiencing premature rupture of membranes than in women with normal aterm pregnancy in order to explain occurrence of pregnancy premature rupture of membranes at termin biomolecular (Hsp70). Method: This was an obse rvational resear ch and the study design was a cross-sectional study. The number of all samples was 60 women, divided into 2 groups and each group contained 30 women. Independ ent var iable: Heat Shock Protein 70 level, Depend ent var iable: Premature Rupture of Membrane. Data was analyzed by t test Result: Based on matern al character istic on both groups, the mean levels of Hsp70 in serum of pr egnant women with PROM lower (0.36) compared to normal pregnant group (3.94) and this difference was statistically significant (p<O.OOl). Diagnostic valu e of the power levels of Hsp 70 in th e PROM compared with norm al pregnancies analysis using Receiver Operating Characteristic curve (ROC) in SPSS17.0 for Windows for by 0.833 or 83.3%, it can be concluded that the diagnostic value of the PROM Hsp70 levels were good (>50%). Conclusion: Theme an levels of Hsp 70 in premature rupture of membranes obtained lower levels than in normal full-term pregnancy and this difference was sta tistically significant. Keywords: Heat Shock Protein 70, maternal stress, PROM

Soluble Endoglin Serum Level is Higher in Preeclampsia Compared to Molar and Normal Pregnancy Maya K. Puspitasari; Anita D. Anwar; Firman F. Wirakusumah
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To analyze th e differences of maternal serum soluble endoglin level in pr eeclampsia, molar pregnan cy, and normal pregnancy, and to analyze th e correlation between maternal serum soluble endoglin level with gestational age. Method: This is a cros s-sectional compara tive analytic study involving 18 preeclamps ia cases, 18 molar pr egnan cies, and 18 normal pregnancies. The sample were obtained from Dr. Hasan Sad ikin hospital and six satellite hospitals from January until Mar ch 2013. The comparison of mean seng se rum level of th e preeclampsia,molar pregnancy, and normal pregnancy gro up was calculated using Kruskal Wallis, and the corr elation we re calculated using Rank Spearman. Result: The mean level of seng se rum in pr eeclamp sia gro up was higher (168.79 ngjml) than in molar pr egnan cy (43.47 ngjml) and normal pregnancy (32.38 ngjml). Ther e is no significant difference of se rum seng level be tween molar and norm al pregnan cy, with p value of 0.393 (p>0.05). There is significant differ ences of seng serum level between pr eeclampsia gro up and molar pr egnancy (p=O.OOO), but no significant differ ences between molar and normal pregnancy, p value=0.393 (p >0.05). Ther e is positive correlati on between seng se rum level of norm al pregnancy with gestational age (rs=0 .647 ; p<0.001). Conclusion: Mat ern al se rum seng level in preeclampsia is higher than th e level of which in molar pre gnan cy and norm al pregnancy. Keywords: molar pregnancy, norm al pr egnancy, pr eeclamp sia, soluble endoglin level

Expression Collagen I and III in Anterior Vaginal Women with and without Pelvic Organ Prolapse Basyar Basyar; Trika Irianta; Syahrul Rauf
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To find out the expression of collagen [ and III in the anterior vaginal wall of women with and without pelvic organ prolapse (POP). Method: The research was a cross sect ional study, conducted in Dr. Wahidin Sudiro Husodo hospital and its networks from January 1, 2011 to April 1, 2012. The case group consisted of 35 women with POPlevel III and IV.The contro l group consisted of35 women without POP. The expression of collagen I and III were examined by immunohistochemical test with the stain ing of antibody of collagen I (mouse monoclonal collagen lab 90395 ) and the antibody collagen III (Mu167 4i).The data was then analyzed by using a computer statistic program with a significance level of 0.05. Result: It was found that in the group of women with POP, there were 28 cases of expression collagen III (84%), which is significantly higher than in women without POP, found in only 20 cases (58.8%), with p=0.02. Meanwhile, in the group of POP, 9.1% of subjects showed moderate expre ssion of collagen I, significantly less compared to the expressio n in the contro l group (35.3%), with p=0.007. For the ratio of collagen I and III, the result was weak in women with POP(58.5% ) while in the control group, the result was high (85.7%). Conclu sion: In terms of collagen I and III expression, there was no significant difference between the two groups. Keywords: collagen I, collagen III, pelvic organ prolapse, vaginal wall

Primipara Undergoing Episiotomy had Lower Postpartum Sexual Function Irwan Irwan; Efendi Lukas; Nusratuddin Abdullah
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare postpartum sexual functions between primipara with episiotomy and without episiotomy. Method: The research was conducted in public service section of Dr. Wahidin Sudiro Husodo hospital and a number of educational hospitals obstetrics and gynecology of Faculty of Medicine of Hasanuddin University, started from February to May 2012. The research evaluated the sexual function of postpartum with episiotomy in 171 primipara, and 150 primipara postpartum without episiotomy. Sexual function was measured by Female Sexual Function Index (FSFI) questionnaire which had been validated in various countries. The research was conducted with cross sectional approach. Samples were withdrawn with consecutive sampling method. The data was processed with SPSS version 17, with chi-square test, and significant level of 0.05. Result: Indicated that either the episiotomy or non-episiotomy group has undisturbed sexual function score (>28.5), however, higher score was indicated in non-episiotomy group (65.477) compared to the episiotomy group (59.70), (p<0.05). Conclusion: Primipara with episiotomy and breastfeeding has lower sexual functions compared to the non-breastfeeding group, however, it was statistically insignificant (p>0.05). Keywords: episiotomy, FSFI, primipara, sexual functions

Kegelâ€™s Exercise could Reduce the Incidence of Postpartum Urinary Stress Incontinence Nusratuddin Abdullah; Eddy Arsyad
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To investigate the cause of postpartum urin ary incontinence in primi gravida women and to determin e the relationship between stress urinary incontinence and kegel's exercise. Method: This was an observational study with cross sectional method , perform ed in instituti onal hospitals in Makassar. Thirty primigravida women who performed kegel's exercise were compared with 30 primi gravida women who did not perform kegel's exercise. Data were analyzed with independent-t sta tistical analysis. Result: Urinary incontinence were significantly lower in primigravida women who performed kegel's exercise (P=O.OOO). Conclusion: Kegel's exercise may reduce the incidence of postpartum stress urinary incontinence. Keywords: kegel's exercise, primigravida, urinary Incontinence.

Higher Preoperative Endometrial Cancer Risk Showed More Advanced Stage Jasmine Iskandar; Gregorius Tanamas; Tofan W. Utami; Tricia D. Anggraeni,; Â Kartiwa H. Nuryanto
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the pr eoperative endo metria l cancer risk as a guida nce to choose th e typ e of surg ical approach based on European Society for Medical Oncology guideline (200 9). Method: Cross-sectional study involved 73 endometrial cancer patients of Dr. Cipto Mangunkusumo Hospital, from january 200 6 to December 2012 whi ch obt ain ed from medical record. The inclusion criteria wer e endometr ial cancer pati ents with compl ete D&C, ultr asonographic, and postoperative histopathological rep orts. Endometrial cancer risk of recurren ce was classified acco rding to ESMO 2009 and final diagno sis and stage based on FIGO. Result: From 40 5 patients, only 73 patients had compl ete reports. Most of the them were postmenopaus al (54.8 %), non-nulliparity (79 .9%), and obese (49.5%) women.According to risk of recurren cestratification, low, intermediate and high risk were found in 12 patients, 27 patients, and 34 pati ents. Based on FIGO, there were 60.2% early and 39.8% advanced sta ge. In high risk gro up, rates of advan ced stage wer e prominent compar ed to othe r gro ups. There were 38.3% patients with postoper ativ e positive lymph nod es metastases. Conclusion: Most of th e endometrial cancer patients we re pr eoperatively diagnosed as high risk. The commones t stage after surgical examination were me. High risk of recurrence showed more positive lymph node compared to low or intermediat e risk. Result of preoperative histopathological and myometrial invasion compared to postoper ative results wer e showed to be inconsistent Pat ients with =1/2 myometrial invasion had more positive lymph nodes metastases. Endometrial cancer risks compared to FIGO stage showed the higher the risk, th e more advanced the stage were. Keywords: endometrial cancer, FIGO stage, high risk, histol ogical type, intermediate risk , low risk, lymph node.

Social Support and Postpartum Depression in Human Immuno Deficiency Virus (HIV) Patients: Hubungan Dukungan Sosial terhadap Depresi Pascapersalinan pada Pasien Human Immuno Deficiency Virus (HIV) Wahyudi Wahyudi; Yudianto B Saroyo; Jose MS Adjie; Sylvia D Elvira
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the relationship between social support given to HIV patients with the incidence of postpartum depression. Method: All HIV patients who had delivery in Dr. Cipto Mangunkusumo hospital and Prof. dr. Sulianti Saroso hospital during the period of October 2012 to March 2013 were enrolled as research subjects. We performed depression screening with the Edinburgh Postnatal Depression Scale (EPDS) and to measure the social support provided by Social Support Questionnaire/Kuesioner Dukungan Sosial (KDS). Statistical analysis was done using Fisherâ€™s exact test, Chi-square and unpaired t-test. Result: We found a total of 34.1% of subjects who experienced postpartum depression, in which 40% did not received proper social support. Considering the demographic characteristics of the subjects who experienced depression, 70% was in age group 20-35 years, 56.7% of subjects had low education level and 70% was primiparous. Conclusion: Social support has a protective effect towards postpartum depression in HIV patients. Keywords: Edinburgh postnatal depression scale, HIV, (kuesioner dukungan sosial), postpartum depression, social support

Changes of Body Mass Index and Lipid Profile in Injectable Depot Medroxyprogesterone Acetate and Levonorgestrel Implant Acceptors: Perubahan Indeks Massa Tubuh dan Profil Lipid pada Akseptor KB Suntik Depot Medroksi Progesteron Asetat dan Implan Levonorgestrel Irwan Daido; Andi M Tahir; St Maisuri T Chalid
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the comparison of body mass index (BMI) among acceptors of injectable depot medroxyprogesterone acetate (DMPA) with levonorgestrel implant acceptors for 1 year and comparison of lipid profiles between depot medroxyprogesterone acetate acceptors with levonorgestrel implants for 1 year. Method: This study was conducted at dr. Wahidin Sudirohusodo hospital, Makassar and its satellite hospitals as well as family planning social service cooperation between the National Family Planning Coordinating Board with the Department of Obstetrics and Gynecology Hasanuddin University. Result: The results showed the increase in BMI of levonorgestrel implant acceptors (1.25 kg/m2) was greater than DMPA acceptors (0.74 kg/m2). HDL cholesterol and triglycerides did not change significantly in either groups. LDL cholesterol was increased in DMPA acceptors (9.63 mg/dl) and decreased in implant acceptors (1.62 mg/dl). Total cholesterol increased in DMPA acceptors at 8.67 mg/dl) while in the levonorgestrel implant acceptors it was decreased by 5.37 mg/dl. Conclusion: Weight gain occured among acceptors of DMPA and implant however the weight gain is more profound among the implant acceptors. Keywords: body mass index, DMPA, levonorgestrel implant, lipid profile

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eko subaktiansyah

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