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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

128 129 130 131 132

Role of Glycated Albumin during Pregnancy Suzanna Immanuel; Thoeng Ronald; Kanadi Sumapradja; Arini Setiawati3
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the glycated albumin profile during pregnancy with normal glycemic status. Methods: We recruited 60 pregnant women between 21 and 36 weeks of gestation. We conducted several laboratory tests, such as glycated albumin, blood glucose, and albumin. These parameters were compared among four groups of gestational age (21-24 weeks, 25-28 weeks, 29-32 weeks, and 33-36 weeks) using ANOVA or Kruskal-Wallis test continued by Post-hoc test. Results: Glycated albumin was not statistically different among the groups. Albumin level of 33-36 weeks of gestation women (3.6 (SD 0.2) g/dl) was lower than 21-24 weeks of gestation women (3.8 (SD 0.2) g/dl). Conclusion: Glycated albumin level is not affected by gestational age. Therefore, glycated albumin may be used as glycemic status indicator during pregnancy from 21 to 36 weeks. [Indones J Obstet Gynecol 2017; 5-1: 16-18] Keywords: HbA1c, glycated albumin, glycemic status, pregnancy

Acceptor Comment of PostPlacental Copper T380A Intrauterine Device Eka R Gunardi; Adila RA Malik; Febby Oktavianti; Riry Meria,; Fachreza Ardianto; Christina Marian
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To describe the characteristics of subjective complaints reported by post-placental inserted intrauterine device (IUD) acceptor, especially those who used Copper T380A (CU T380A) type of IUD. Methods: Seventy-two-married women whose age ranged from 19 to 44 years old and received post-placental IUD in Dr. Cipto Mangunkusumo Hospital, Jakarta, were included in this study. Subjective complaints regarding the use of CU T380A IUD were evaluated twice including during the puerperium and six months afterwards by a direct interview. Results: Most respondents were 20-35 years old, 50% of whom were primiparous (n=36). There were 42% respondents reporting pain during insertion, 32% respondents reporting abdominal pain during the use, 22% respondents reporting menstrual disorder, 18% respondents reporting vaginal discharge, and 3% respondents complaining of having IUD repulsion. Conclusion: There are variety of subjective complaints reported after post-placental IUD use. However, most of the respondents does not complain anything. [Indones J Obstet Gynecol 2017; 5-1: 19-22] Keywords: complication, contraception, intrauterine device (IUD) post-placental, postpartum

Accuracy of Preoperative Endometrial Sampling for the Detection of Endometrial Pathology: a Retrospective Study Keven P M Tali; Lilli M T Cole
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To investigate the accuracy of endometrial sampling in the diagnosis of endometrial pathology and the need of intraoperative frozen section. Methods: One hundred forty women who underwent endometrial sampling followed by hysterectomy between 2011 and 2014 were included in this study. Data were retrieved from patient files and pathology archives in Department of Obstetrics and Gynecology, Jose R. Reyes Memorial Medical Center, Manila, Philippines. Results: There were 25 patients with malignancy but endometrial sampling detected only 22 of them. The endometrial sampling sensitivity and specificity for detecting cancer were 88% and 100%, respectively with negative and positive predictive values of 97.5% and 100%, respectively. In 3 patients, the endometrial sampling failed to detect malignancy; 1 patient had a preoperative diagnosis of complex hyperplasia with atypia, 1 patient had complex hyperplasia without atypia and 1 patient had adenofibroma. A total of eighty patients had benign findings. There were fifty-three cases with finding of proliferative endometrium and twenty-seven were secretory. Twenty-three (55.0%) and 11 (39.0%) cases were confirmed by the hysterectomy specimen, respectively. The sensitivity of endometrial sampling in detecting benign samples was 76.0% and the specificity reached up to 83.0%. The histopathology result of the other fourteen cases were reported of having atrophy, twelve cases were reported of having endometrial hyperplasia, four with basal endometrium, four with endometrial polyp and one with adenomyosis. Conclusion: Outpatient endometrial biopsy has a high overall accuracy in diagnosing endometrial cancer when the specimen obtained is sufficient. A positive test result is more accurate for ruling in disease than a negative test result is for ruling it out. However, the diagnosis should be confirmed by frozen section in patients with complex hyperplasia and adenofibroma. [Indones J Obstet Gynecol 2017; 5-1: 23-29] Keywords: abnormal uterine bleeding, endometrial hyperplasia, endometrial sampling, frozen section, pipelle

Anti MÃ¼llerian Hormone (AMH) Level as Ovarian Reserve Marker before and after Cystectomy Laparotomy Rosdiana Sahabuddin; Nusratuddin Abdullah; IMS Murah Manoe
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To investigate the comparison of the Anti-Mullerian Hormone (AMH) as the ovarian reserve marker before and after cystectomy. Methods: This study used prospective cohort design which included all women with the ovarian cyst who underwent cystectomy laparotomy. The subjects were examined AMH level before and after the procedure. Data were analyzed using one- way Anova, T- paired test, and T-independent test with p value

Incidence and Audit of Treatment on Third and Fourth Grade Perineal Tear Budi I Santoso,; Satriyo Pamungkas
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To describe the incidence of 3rd and 4th grade perineal tear in Dr. Cipto Mangunkusumo hospital on the period of 2011 - 2014 and its compatibility of treatment based on RCOG guidelines. Methods: Data were collected through medical records on women who had vaginal delivery in Dr. Cipto Mangunkusumo hospital from January 2011 to December 2014. This was a descriptive study with cross sectional design. Results: The incidence of 3rd and 4th grade perineal tear each year were 3.55%, 4.35%, 3.95%, and 1.77% consecutively. About 100% treatment were accompanied by consultant; 3.5% performed in operating theatre; 90.7% were given postoperative antibiotic; 42.2% were given urinal catheter in 1x24 hour postoperative; 100% were given analgesic. About 61.4% of procedures were not compatible with RCOG guidelines. Conclusion: The study showed that the incidence of 3rd and 4th grade of perineal tear was 3.66% for 4 years and the compliance to RCOG standard was 38.6%. [Indones J Obstet Gynecol 2017; 5-1: 35-41] Keywords: incidence, RCOG, third and fourth grade of perineal tear, treatment

Feasibility Profile of Endometrial Nodule Resection in the Uterosacral and Rectovaginal Ligament Florencia Wirawan; Luky S Marwali
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To know the feasibility of uterosacral and rectovaginal nodule resection in endometriosis patients who underwent laparoscopy surgery in Fatmawati Hospital. Methods: Observational study was done by involving trained and experienced laparoscopist who performed deep infiltrating endometriosis (DIE) nodule resection laparoscopy on uterosacral and rectovaginal ligament. We observed on 35 patients which were histologically proven of DIE. We recorded the total procedure time, surgical complications occurred intra-operative, postoperative, and length-of-stay. The data were described descriptively. Results: Mean (SD) of total laparoscopic procedure time including nodule resection was 200 (SD 52) minutes. There were two procedures (5.7%) with intra-operative complications, one (2.9%) with bowel injury which was converted to laparotomy, and the other one (29%) with intra-operative bleeding so that the operator cancelled nodules resection. Mean (SD) on length of stay after the procedures was 2.5 (2.1) days. On follow up observation, there was not any postoperative complication. Conclusion: Laparoscopic uterosacral and rectovaginal nodules resection in endometriosis patient is feasible to be done by trained and experienced laparoscopic surgeon. [Indones J Obstet Gynecol 2017; 5-1: 42-45] Keywords: endometriosis, laparoscopy, nodule resection

Level of Retinol Deposit and Cervical Cancer Tofan W Utami; Fera Ibrahim; Gatot Purwoto; Wely L Tiffani; Muhammad F Aziz; Andrijono Andrijono
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To analyze level of retinol deposit sufficiency in the natural history of cervical cancer. Methods: Serum retinol level was measured by ELISA from peripheral blood of subjects with normal cervix, cleared and persistent high risk human papilloma virus (HR-HPV) subclinical infection, and cervical cancer who fulfilled the inclusion and exclusion criteria. The study was held in Dr. Cipto Mangunkusumo and Fatmawati Hospital, Jakarta, within 2 years (August 2013- 2015). Blood was taken twice, consisting of post-8-hour fasting blood and 2 hours after 6000 IU retinyl palmitate oral administration. Results: Of 47 total samples, sufficient level of retinol deposit in normal cervix, cleared and persistent HR-HPV subclinical infection, and cervical cancer group was 85.0% (reference), 75.0% (OR 1.89), 33.3% (OR 11.33), and 75% (OR 1.89); respectively. Statistically, there was no significant difference from sufficiency level of retinol deposit between normal cervix and clearance HR-HPV subclinical infection (p=0.628), normal cervix and persistent HR-HPV subclinical infection (p=0.078), normal cervix and cervical cancer (p=0.433), cervical cancer and clearance HR-HPV subclinical infection (p=1.000), cervical cancer and persistent HR-HPV subclinical infection (p=0.430), persistent and clearance HR-HPV subclinical infection group (p=0.740). Conclusion: This study proves that normal cervix group has the highest level of retinol deposit sufficiency; however, it cannot be stated that cervical cancer group has less sufficiency level. Persistent HR-HPV subclinical infection group has the lowest level of retinol deposit (OR 11.33). There is no association between sufficient level of retinol deposit and clearance of HR-HPV. [Indones J Obstet Gynecol 2017; 5-1: 46-54] Keywords: cervical cancer, HR-HPV clearance, retinol deposit

Neutrophil and Platelet to Lmphocyte Ratio in Ovarian Malignancy Francesca Utama; Hermie Tendean; Bismarck J Laihad
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the sensitivity and specificity of neutrophil - lymphocyte ratio compared with platelet - lymphocyte ratio in predicting ovarian malignancies. Methods: This was an observational analytic study with diagnostic test design on 37 ovarian tumor patients who were planned to perform laparotomy in Prof. Dr. R.D. Kandou Hospital Manado and network hospitals in Manado from March to May 2016. We took blood samples to assess the complete blood count. Results: During the period, we obtained the mean age of 28.1 years old (range 18-71 years old). A total of 13 samples showed malignancy which the cystadenocarcinoma mucinosum (27.0%) as the most common histopathological types. Sensitivity and specificity value of neutrophil - lymphocyte ratio were 92.3% and 95.8% with 2.47 as the cut-off point. Meanwhile, the sensitivity and specificity of platelet - lymphocyte ratio were 61.5% and 75.0% with 152.86 as cut-off point. Conclusion: Both neutrophil - lymphocyte ratio and platelet - lymphocyte ratio are associated with ovarian malignancy. The sensitivity and specificity of neutrophil - platelet ratio show better prediction for ovarian malignancies. [Indones J Obstet Gynecol 2017; 5-1: 55-59] Keywords: neutrophil - lymphocyte ratio, ovarian cancer, platelet - lymphocyte ratio

Single vs Multiple Dose of Cefazolin Prophylaxis in Elective Cesarean Section Sigit Purbadi; Muhamad Fadli
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Introduction: Caesarean section (CS) is one of port dâ€™ entrÃ©e from infection in women and it is related to maternal morbidity during puerpureal period. Until now, there is still lack of consensus regarding prophylactic antibiotic protocol before CS procedure. This study aims to determine the comparative efficacy between single dose and multiple doses of cefazolin prior incision toward the incidence of maternal infection. Methods: This was a single-blind, randomized, clinical trial study with two methods of intervention including 2-gram single dose cefazolin at 30 minutesâ€™ prior incision and 2-gram single dose cefazolin at 30 minutesâ€™ prior incision continued 1-gram cefazolin after 8 hours of procedure. We recruited women undergone elective CS at Fatmawati and Anna Hospital, Jakarta from January to March 2016. The primary outcomes were surgical site infection, urinary tract infection, and endometritis based on clinical findings during 30 days of follow-up period. Results: A total of 46 subjects were recruited which 23 of them were in single dose cefazolin group and the other 23 subjects were in multiple dose of cefazolin group. There were 9 subjects having infection (19.6%). There was no statistical difference in the incidence of infection between two groups (p=1.00; relative risk 0.80, 95% CI 0.25-2.61). Conclusion: Single dose of cefazolin shows similar rates of infection incidence to multiple dose. Therefore, single dose of cefazolin can be a protocol in CS based on its efficacy and efficiency. [Indones J Obstet Gynecol 2017; 5-1: 60-65] Keywords: cefazolin, maternal infection, multipe dose, single dose

The Concept of Gynecologic Oncology Services in Jakarta Related to Academic Health System Sigit Purbadi
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 2, April 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v5i2.515

An Academic Health System (AHS) is a system in partnership among universities and health care providers that focuses on education, training, service, and research. The final outcome of this partnership is to improve health status. Numerous countries have been using this system, since this system is proven to lead to better sustainable outcome.The vision of Faculty of Medicine, University of Indonesia (FMUI) is "to create infinite experience for all through Academic Health System". The third mission of FMUI is to integrate the AHS to Dr. CiptoMangunkusumo Hospital and its other affiliated hospitals.The division of Oncology Department of Obstetrics and Gynecology is a part of Academic Health System that is responsible to create the Gynecologic Oncology services in this system. We create the gynecologiconcology services in preventive approach from primary to tertiary prevention.The sister hospitals of FMUIâ€™s including Dr. Cipto Manungunkusumo, Persahabatan, Fatmawati, Karawang, and Tangerang General Hospital. Ideally, we should have health provider partners from primary, DistrictHospital (Rumah Sakit Umum Kecamatan/RSUK and Rumah Sakit Umum Daerah/RSUD). Another partner in collaborative project of AHS is Organization of Health Care Professions, such as Indonesian Medical Association, Indonesian Obstetrics and Gynecology Society, and Indonesian Gynecologic Oncology Society, and nongovernmental organization such as Female Cancer Program, Indonesian Cancer Foundation and others are part of partnership in AHS. When talking about public health status, it is also necessary to talk about the role of government as the policy maker and The Social Warranty Institution (Badan Penyelenggara Jaminan Sosial Kesehatan, BPJS) as the public health care insurance regulator. Primary health care should be included in the AHSâ€™s partnership members because primary prevention strategy should be conducted in primary health care.The example of this project is Cervical Cancer Surveilance as a pilot project. We would prepare the project in collaborative meeting with all partners to make proposal in gynecologic oncology services in primary,secondary, and tertiary health care, and finally Dr. Cipto Mangunkusumo Hospital as the national referral Hospital. The proposal should talk about concepts of education, training, service, and research. Primary health care can promote cervical prevention and early detection via visual inspection using acetic acid and Pap test.Cervical precancer lesion can be treated using cryotherapy in primary health care. In secondary health care setting, cervical precancer lesion until microinvasive cervical cancer (stage 1A1) can be treated. Invasive cervical cancer should be managed in tertiary health care. We are preparing concepts where all services should follow the Clinical Practice Guideline. All medical patient database should be recorded digitally as long term cohort data. By applying this system, weâ€™ll have a large number of patientsâ€™ data from primary to tertiary health care.This is crucial, considering that the process of education, training, and research of medical students, residents, and fellows is the backbone of AHS in improving health care status.

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Contact Name
eko subaktiansyah

Contact Email
eko.subaktiansyah@gmail.com

Phone
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Journal Mail Official
support@inajog.com

Editorial Address
-

Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA