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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
ISSN : 23386401     EISSN : 23387335     DOI : -
Core Subject : 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
The risk of sensorineural hearing impairment in preeclampsia: Risiko Gangguan Pendengaran Sensorineural pada Pasien Preeklamsia Achmad Taufan; Nuswil Bernolian; Yusuf Efendi; Alba G.E. Bahar
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (56.948 KB) | DOI: 10.32771/inajog.v7i3.585

Abstract

Abstract Objective: To determine the risk of sensorineural hearing impairment in preeclampsia patients and to in Obstetric and Gynecology Department in Dr. Mohammad Hoesin Hospital Palembang. Method: An analytic observational case-control study was held in Dr. Mohammad Hoesin Hospital Palembang from January 1st to December 31st 2016. Subjects were obtained through consecutive sampling. Hypothetical tests used were unpaired t-test, Chi-square test and Fisher test for expected deviation standard <5, significance determined based on p-value if p<0.05. Data progressing and analysis were done using SPSS version 17.0 for windows. Results: Characteristics distribution of the subjects were overall homogenous. With the Chi-square test, no significant difference was found in hearing function examination with OAE and tympanometry in both groups (p>0.05). From unpaired t-test, there was no significant difference between mean Air Conducting (AC) and Bone Conducting (BC) of the right ear in severe preeclampsia group and healthy pregnancy group (p=0.340), as well as mean AC and BC of the left ear in severe preeclampsia group and healthy pregnancy group (p=0.059). Based on the Fisher's Exact test, no significant relation was found between severe preeclampsia and sensorineural hearing impairment (p=0.999). Conclusion:There was no significant relation between severe preeclampsia and sensorineural hearing impairment in Obstetric and Gynecology Department in Dr. Mohammad Hoesin Palembang. Keywords: otoacoustic emission, preeclampsia, sensorineural hearing impairment. Abstrak Tujuan: Mengetahui risiko gangguan pendengaran sensorineural pada pasien dengan preeklamsia di Departemen Obstetri dan Ginekologi RSUP Mohammad Hoesin Palembang. Metode: Penelitian analitik observasional dengan disain kasus kontrol pada wanita hamil di RSMH sejak 1 Januari – 31 Desember 2016. Subjek dipilih secara consecutive sampling. Analisis dengan uji t tak berpasangan, Chi-square, dan uji Fisher untuk ekspektasi sd<5, kemaknaan ditentukan berdasarkan (p) jika p<0.05. Proses mengolah dan analisis data ini dilakukan menggunakan SPSS 17.0 for windows. Hasil: Distribusi karakteristik umum subjek secara keseluruhan adalah homogen. Berdasarkan uji Chi Square, tidak didapatkan perbedaan bermakna hasil pemeriksaan fungsi pendengaran dengan OAE dan Timpanometri pada kedua kelompok (p>0,05). Dengan uji T tidak berpasangan, tidak didapatkan perbedaan bermakna rerata Air Conducting (AC) dan Bone Conducting (BC) telinga kanan kelompok PEB dan kelompok hamil normal (p=0,340), begitu juga dengan rerata Air Conducting (AC) dan Bone Conducting (BC) telinga kiri kelompok PEB dan kelompok hamil normal (p=0,059). Berdasarkan uji statistik Fisher, tidak didapatkan hubungan bermakna antara preeklamsia berat dengan gangguan pendengaran sensorineural (p=0,999). Simpulan:Tidak terdapat hubungan yang bermakna antara preeklamsia berat dengan gangguan pendengaran sensorineural berdasarkan pemeriksaan audiometri di Departemen Obstetrik dan Ginekologi RSUP Dr. Mohammad Hoesin Palembang. Kata kunci: gangguan pendengaran sensorineural, otoacoustic emission, preeklamsia
Factors Affecting the Drop Out Rate of Family Planning Intrauterine Device: Hubungan Faktor-Faktor yang Mempengaruhi Drop Out Peserta Akseptor Keluarga Berencana IUD dengan Tingkat Kepatuhan Mariana Afiati; Azhari Azhari; Firmansyah Basir; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (61.344 KB) | DOI: 10.32771/inajog.v7i3.606

Abstract

Abstract Objective: to assess the association between risk factors related to IUD acceptors' compliance at RSMH Palembang. Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital/Faculty of Medicine Sriwijaya University Palembang since May - December 2017. Subjects were women who use IUD contraceptives in the Department of Obstetrics and Gynecology Dr.MohammadHoesin Hospital Palembang and meet our inclusion and exclusion criteria. Medical counselling, knowledge, and side effects were assessed using a questionnaire. Data were analyzed by Chi-square test using SPSS software version 17. Results: There was a significant relationship between side effects and compliance of IUD use. There was no significant correlation between knowledge and medical counselling with compliance of IUD. Conclusions: Side effects associated with compliance of IUD. Keywords:compliance, contraception, IUD Abstrak Tujuan: mengetahui hubungan faktor-faktor resiko yang bermakna dalam mempengaruhi kepatuhan peserta akseptor IUD di RSMH Palembang. Metode: Penelitian potong lintang ini dilakukan di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang sejak Mei – Desember 2017. Sampel penelitian ini adalah perempuan yang menggunakan kontrasepsi IUD di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang dan memenuhi kriteria inklusi dan eksklusi. Konseling medik, pengetahuan, dan efek samping dinilai dengan menggunakan kuesioner. Data dianalisis dengan uji Chi square menggunakan SPSS versi 17. Hasil: Ada hubungan bermakna antara efek samping IUD dengan kepatuhan pemakaian IUD. Tidak ditemukan hubungan bermakna antara tingkat pengetahuan dan konseling medic dengan kepatuhan akseptor IUD. Kesimpulan: Efek samping IUD mempengaruhi kepatuhan pemakaian IUD. Kata kunci: IUD, kontrasepsi, kepatuhan.
Estradiol Level and Psychosocial Stress in Perimenopausal Women: Kadar Estradiol dan Stres Psikososial pada Perempuan Perimenopause Lucia L Levita; Hadiprodjo Hadiprodjo; Nusratuddin Abdullah; Nugraha U Pelupessy
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (56.946 KB) | DOI: 10.32771/inajog.v7i2.622

Abstract

Objective : To determine the relationship between estradiol levels and psychosocial stress in the perimenopausal women. Methods : Sixty perimenopausal included in a cross-sectional study from July to December 2016. Blood samples obtained from the women to measure the estradiol and the cortisol levels. Stress level measured with visual. Data presented as the mean and standard deviation (mean±SD) with p-value <.05 was considered statistically significant. Results : There was no significant difference between the estradiol levels and the stress level (p=0.27) during perimenopause period. The estradiol levels were higher compared with the cortisol levels. The non parametrik correlations analysis show the estradiol levels were not correlated with the cortisol levels (p=0.352). However, the cortisol levels were correlated with the stress levels (p<0.05). Conclusion : Estradiol does not cause psychosocial stress during perimenopause period in our study population Keywords : Estradiol, psychosocial stress, perimenopause
Factors Associated with Reproductive Age Couples’ Selection of Sterilization in the Era of the National Health Insurance Program: Faktor – Faktor yang Berhubungan dengan Pemilihan Kontrasepsi Mantap pada Pasangan Usia Subur pada Era Program Jaminan Kesehatan Nasional Achmadi S Nugroho; Azhari Azhari; Awan Nurtjahyo; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (69.777 KB) | DOI: 10.32771/inajog.v7i2.626

Abstract

Objective:To assess factors associated withselection of contraceptive sterilization in reproductive age couples in Dr. Mohammad Hoesin Palembang hospital in the era of BPJS. Methods: This cross sectional study was conducted between January - December 2017. Study sample was reproductive age couples (RAC) who were married and came to P2 UGD, maternity room and midwifery ward of Dr. Mohammad Hoesin Palembang hospital and metour inclusion criteria. All study participants were given a questionnaire to assess factors that influence selection of contraceptive methods in women. Data were analyzed using SPSS software version 17. Results: We found a significant relationship between number of children (PR = 3,988; p = 0.016), knowledge level (PR = 3,893; p = 0,024) and husband support (PR = 5,233; p = 0.009) with sterilization contraceptive selection. In addition, there were no significant correlation between age (PR = 2,311, p = 0,210), education level (PR = 1,893, p = 0,331), woman attitude (PR = 1,567, p = 0,758), availability of contraception ( (PR = 1,969, p = 0,342), officer attitude (PR = 1,088, p = 0,000) and information given by officer (PR = 1,378; p = 0,719) 1,310; p = 0.802) with selection of sterilization. With logistic regression test, we found that husband support was the most important factor to selection of sterilization contraception (PR = 4,266, p = 0,040) followed by knowledge (PR = 3,620, p = 0,041). Conclusion:Sterilization selection in reproductive age couples at Dr. Mohammad Hoesin Palembang Hospitalis influenced by female knowledge and husband support. Keywords:sterilization, tubal ligation, vasectomy, reproductive age couple
Knowledge of Midwives as a Healthcare Provider About Hypertensive Disorders During Pregnancy: Tingkat Pengetahuan Bidan sebagai Petugas Layanan Kesehatan terhadap Tekanan Darah Tinggi dalam Kehamilan Junita Indarti; Sandy Prasetyo
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.569 KB) | DOI: 10.32771/inajog.v7i1.638

Abstract

Objective: To investigate the knowledge of midwives about hypertensive disorders during pregnancy. Methods: The study design is cross-sectional by evaluating the knowledge of midwives regarding hypertensive disorders during pregnancy by using questionnaire. This study was conducted in Jakarta during the period between September and October 2017. The subject is a midwife member of Indonesian Midwives Association (IBI) practicing in DKI Jakarta, Indonesia. Results: Total respondents were 639 practicing midwives in Central, South, West and North Jakarta. A total of 323 (50.5%) of the respondents had a sufficient level of knowledge about the basic science of high blood pressure in pregnancy, 372 (58.2%) of respondents had a good level of knowledge related to clinical examination and early diagnosis of high blood pressure in pregnancy, and 385 (60.3%) of respondents had a good level of knowledge about the management of high blood pressure in pregnancy. The location of the clinic, physician attendance, the number of patients treated by the midwives, and the number of midwives attending the clinic had significant association with the knowledge level of the subjects (all P values < 0,05) Conclusion: The lowest knowledge level was about the basic science of hypertensive disorders during pregnancy. Factors affecting the knowledge levels of the midwives were location of the clinic, physician attendance, the number of patients treated by the midwives, and the number of midwives attending the clinic Keywords: knowledge, midwive, hypertensive disorders, pregnancy, preeclampsia
Knowlegde, Atittude and Behaviour of Midwifes torwards Emergency Contraception: Tingkat Pengetahuan, Sikap dan Perilaku Bidan terhadap Kontrasepsi Darurat Eka R. Gunardi; Leonanta M. Ginting
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.315 KB) | DOI: 10.32771/inajog.v7i3.641

Abstract

Abstract Objective: To investigatethe level of knowledge, attitude, and behaviour of midwives to emergency contraception in Indonesia. Methods: This study used a cross-sectional design. Subjects were midwives who worked in the District CipondohTangerang, Banten, Indonesia until the number of subjects is met at least 100 people. The data were collected by using written questionnaires made by researchers based on previous studies with similar themes. The data obtained will be reported descriptively for categorical variables. The analysis results are presented in the form of sum (n) and percentage (%) (proportion). Results: Of the 100 respondents who answered the questionnaire, 83% of the midwives had a good knowledge of the condition. Good midwife attitude toward EC in public health care and private practices were 84.62% and 85.06%, respectively. Accordingly, the good behaviour shown by midwives in public health care and private practice is 100% and 94.25%. However, from the question qualitatively the level of knowledge, attitude and behaviour of midwives is still classified as less. Conclusion: The level of knowledge, attitude and behaviour of midwives towards emergency contraception is said to be lacking. Training on EC on midwives is still needed for practical use in the community. Keywords: emergency contraception, midwife, unwanted pregnancy, uterine contraception Abstrak Tujuan:Mengetahui tingkat pengetahuan, sikap, dan perilaku bidan terhadap kondar di Indonesia. Metode:Penelitian ini menggunakan desain potong lintang dengan pengambilan sampel berturut-turut. Peneliti mengambil semua subjek yaitu bidan yang bekerja di wilayah Kecamatan Cipondoh Kabupaten Tangerang sampai jumlah subjek minimal terpenuhi sebanyak 100orang. Pengambilan data dilakukan dengan menggunakan kuesioner tertulis yang dibuat oleh peneliti berdasarkan penelitian-penelitian terdahulu dengan tema serupa. Data yang diperoleh akan dilaporkan secara deskriptif untuk variable kategorik. Hasil analisis disajikan dalam bentuk jumlah (n) dan persentase (%) (proporsi). Hasil: Dari 100 responden, 83% bidan mempunyai pengetahuan yang baik terhadap kontraspsi darurat. Sikap bidan yang baik terhadap kondar di puskesmas dan di praktik swasta adalah 84,62% dan 85,06%, berturut-turut. Sejalan dengan itu, perilaku yang baik ditunjukkan oleh bidan di puskesmas dan di praktik swasta adalah sebesar 100% dan 94,25%. Namun dari pertanyaan secara kualitatif tingkat pengetahuan , sikap dan prilaku bidan masih tergolong kurang. Kesimpulan:Tingkat pengetahuan, sikap dan perilaku bidan terhadap kontrasepsi darurat dikatakan masih kurang. Masih dibutuhkan pelatihan tentang kondar pada bidan agar penggunaannya efektif di masyarakat. Kata kunci: alat kontrasepsi dalam rahim, bidan, kehamilan tidak diinginkan, kontrasepsi darurat.
Effectiveness of Oral Probiotics as Adjuvant Therapy in Reproductive Aged Women with Vaginal Discharge Junita Indarti; Utomo Budidarmo
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (473.481 KB) | DOI: 10.32771/inajog.v6i1.663

Abstract

Objective: To investigate the efficacy of oral proboiotics and prove the high proportion of cure and satisfaction levels of post-treatment patients with a combination of antimicrobial-probiotic oral Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 compared to a combination of antimicrobial-placebo in the treatment of reproductive aged patients with vaginal discharge in the outpatient obstetrics and gynecologic clinic in Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia and Arifin Achmad Regional Hospital Pekanbaru, Riau, Indonesia. Methods:This was a randomized, double-blind, placebo-controlled trial involving50 subjects consisting of reproductive aged women. Data were collected using syndromic approach, probiotics were given as an adjuvant for standard antimicrobial therapy versus placebo as control, response was recorded 4 weeks later, for cure proportion and satisfaction level. Statistical analysis was performed to assess the variables. Interim analysis with conditional power assesment and futility testing were performed at midway due to insufficient sample size. Research was approved by Ethics Commitee for Health Researches Faculty of Medicine University of Indonesia-Dr. Cipto Mangunkusumo Hospital in March 2016. Results: A total of 50 subjects participated in this study. and analyzed (25 subjects in each group), cure proportion 56%(14) of the treatment and 60%(15)on the control group, with relative risk of 1.1, Chi-square test p value (0.77, 95% CI; 0.57 to 2 , 11). High satisfaction level (score ≥67) was higher in the placebo (52,6%, 10 subjects) compared to probiotic group (47,4%, 9 subjects), p value 0,65 (≥0,05). Conditional power and futility testing curve, revealed Z = -0.2865, conditional power 0.11 to 0.13, and futility index of 0.87 to 0.88, equals to low possibility of statistical significance with full sample size (84). Conclusion: There was no clinical and statistical difference in the proportion of cure rate and the level of satisfaction in patients of probiotics vs placebo groups after treatment for 4 weeks. The initial hypothesis of higher proportion of the cure ratein the treatment group still cannot be excluded, due to insufficient samples. Keywords: bacterial vaginosis, , lactobacillus reuteri RC-14, lactobacillus rhamnosus GR-1, randomized double blind controlled trial, trichomoniasis , vaginal discharge, vulvovaginal candidiasis.
Old Perineal Rupture - From Diagnosis to Reparation: Ruptur Perineum Lama: Diagnosis sampai Perbaikan Budi I. Santoso; Nadir Chan; Leonardo Leonardo
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.549 KB) | DOI: 10.32771/inajog.v7i3.664

Abstract

Abstract Objective: To describe and discuss the technique to diagnose, preparing the reparation and postoperative management in old perineal rupture case.Methods: A 28-year-old primipara woman was referred to YPK Mandiri Hospital after having incontinence to flatus, to urinate and passive soiling. Three months before admission, she had her first child through vaginal delivery.Discussion: She was diagnosed with a third-degree obstetric anal sphincter injury (OASIS). Rectal examination with digital palpation (pill-rolling motion) and ultrasound examination, revealed a distinct gap anteriorly (10 – 2 o'clock). End to end technique was preferred to repair the defect.Conclusion: A good understanding of perineal and anal sphincter anatomy is essential to diagnose OASIS. The aim of reconstructive surgery is to restore the continuity of both the external and internal anal sphincters. Ideally, the repair should be performed as soon as possible after the injury.Keywords:obstetric anal sphincter injuries, OASIS, third-degree tear, perineum, perineal trauma. Abstrak Tujuan:Untuk mendeskripsikan dan diskusi tentang tehnik dalam mendiagnosa, mempersiapkan operasi reparasi dan manajemen pasca operasi pada kasus rupture perineum lama.Metode:Sebuah laporan kasus yang diambil dari pasien perrempuan 28 tahun primipara yang dirujuk ke RS YPK Mandiri setelah mengeluhkan inkontinensia flatus, urin, dan keluarnya feses tanpa disadari. Tiga bulan sebelumnya, pasien melahirkan anak pertama melalui persalinan pervaginam.Diskusi: Diagnosa pasien adalah cedera sfingter ani obstetrik derajat tiga. Pemeriksaan rektal dengan palpasi digital (gerakan pill-rolling) dan pemeriksaan ultrasonografi, memperlihatkan adanya penipisan di daerah anterior (arah jam 10 – 2). Teknik end to end dipilih untuk memperbaiki defek.Kesimpulan:Pengetahuan yang baik mengenai anatomi perineum dan sfingter ani penting untuk mendiagnosis OASIS. Tujuan utama dari operasi rekonstruksi adalah untuk memperbaiki kontinuitas dari sfingter ani eksternal dan internal. Idealnya, reparasi dilakukan secepat mungkin setelah terjadinya cedera. Kata kunci: cedera sfingter ani obstetrik, OASIS, perineum, trauma perineum, robekan derajat tiga
Urinary Tract Infection as a Risk Factor for Preterm Delivery: A Tertiary Hospital-Based Study: Infeksi Saluran Kemih (ISK) sebagai Faktor Risiko Persalinan Preterm: Penelitian Berbasis Rumah Sakit Tersier Nuring Pangastuti; Lathifa N Indraswari; Shinta Prawitasari
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.177 KB) | DOI: 10.32771/inajog.v7i2.667

Abstract

ABSTRACT Background: Preterm delivery is the leading cause of perinatal morbidity and mortality in developing countries. Urinary tract infection is one of the infectious diseases that often occur in pregnant women. Despite, the correlation between bacteriuria, either symptomatic or asymptomatic, and preterm delivery is still controversial. Purpose: To investigate the correlation between the incidence of UTI and preterm delivery. Methods: We conducted a cohort retrospective research using patients medical records. We analyzed the incidence of UTI and preterm delivery from January to December 2015, in Dr. Sardjito Hospital, Yogyakarta. Results: The sample of this study covers medical records of 45 patients with preterm delivery. From total sampel, only 25 patients (55.6%) underwent urinalysis. Of these 25 patients, 15 (60%) had UTIs and all of them had preterm delivery. The result showed 13 (86.7%) of 15 patients with bacteriuria were asymptomatic. Bacteriuria that was found in 15 subjects was not statistically significant when compared to preterm delivery indicated with relative ratio of 1,083 (p = 0,581 > 0,05). Multivariate logistic regression analysis showed that preterm delivery were not directly related to UTI (p = 0.704), gestational age (p = 0.274), symptom of UTI (0.699), history of UTI (p=0.999), and history of coitus (p = 0.872). Conclusion: The study revealed that preterm delivery was not related to UTI. Other causes should be considered. However, the discovery of asymptomatic bacteriuria in patients with preterm delivery indicated that this might be one of the risk factors for preterm delivery. Routine urinalysis test for pregnant woman considered for the prevention. Keywords: UTIs, preterm delivery, bacteriuria
Postoperative Catheterization after Total Vaginal Hysterectomy: Six versus Twenty Four Hours. A Randomized Controlled Trial: Kateterisasi Pascaoperasi Total Vaginal Histerektomi: Enam Jam versus Dua Puluh Empat Jam. Sebuah Penelitian Randomisasi Terkontrol Suskhan Djusad; Abraham A.L. Maukar; Surahman Hakim; Tyas Priyatini; Budi I. Santoso; Leonardo Leonardo
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (51.599 KB) | DOI: 10.32771/inajog.v7i4.677

Abstract

Abstracts Objective: To find out whether urinary bladder catheterization after total vaginal hysterectomy is more advantageous.Methods: Forty-six subjects were included. Subjects were divided into two groups. In one group (n = 24), a transurethral catheter was removed after six hours post-surgery. In the other group (n = 24), the catheter was removed after twenty-four hours. A few hours after removal of the catheter, patients were asked to urinate. Then residual volumes were measured by measuring cylinder, using 12F catheter. Pain was measured using visual analogue scale (VAS) score. Patients’ length of stay was also compared. Data were analyzed using Student T-test if distributed normally or Mann-Whitney Rank if data was abnormal.Results: Mean age for each group was 63,21 ± 8,73 and 62,38 ± 7,52 (6 hours, 24 hours respectively). Median score for 6 hours group was 50,00 (range 5 - 80) and for 24 hours was 100 (range 30 - 250) (P = 0,000). Pain perception and hospital stay were not statistically different in both group (P = 0,134 and P = 0,377)Conclusion:In this study, difference in postoperative catheterization time is associated with residual volume. Keywords: bladder catheterization, postoperative catheterization, residual volume, total vaginal hysterectomy. Abstrak Tujuan: Untuk membandingkan lama waktu pemasangan kateter paskaoperasi total vaginal histerektomi yang lebih menguntungkan.Metode: Empat puluh enam pasien ikut serta dalam penelitian. Secara acak dibagi menjadi 2 kelompok. Pada grup I (n = 24), pelepasan kateter dilakukan setelah enam jam pascaoperasi. Pada grup II (n = 24), kateter dilepas setelah dua puluh empat jam. Beberapa jam setelah pelepasan kateter, pasien diminta untuk buang air kecil. Lalu residu urin diukur setelahnya menggunakan gelas ukur, memakai kateter no. 12 F. Skor nyeri menggunakan skor Visual Analogue Scale (VAS). Lama rawat inap juga dibandingkan. Analisis data menggunakan student's T-test. Jika terdistribusi tidak normal, analisis memakai Mann-Whitney Rank.Hasil: Rerata usia untuk tiap grup adalah 63,21 ± 8,73 dan 62,38 ± 7,52 (6 jam, 24 jam, secara berurutan). Skor median untuk grup 6 jam adalah 50,00 (range 5 – 80) dan grup 24 jam adalah 100 (range 30 – 250) (P = 0,000). Tidak ada perbedaan signifikan secara statistic pada rasa skor nyeri dan lama rawat inap (P = 0,134 dan P = 0,377).Kesimpulan: Pada penelitian ini, perbedaan waktu pemasangan kateter pascaoperasi memiliki hubungan dengan volume sisa urine.Kata kunci: kateterisasi urine, kateterisasi pascaoperasi, volume sisa urine, total vaginal histerektomi.

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