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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

138 139 140 141 142

Relationship of Serum Cortisol Levels with Postpartum Blues on Dystocia Labor: Hubungan Kadar Kortisol Serum dengan Kejadian Postpartum Blues pada Persalinan Distosia Andree Hartanto; John J. E. Wantania; Joice M.M. Sondakh
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To determine the relationship of elevated serum cortisol levels in the mother with dystocia labor Methods :this study was a prospective cohort, with mother who had dystocia labor as case group and mother with normal delivery as control group at RSUP Prof.DR.RD Kandou, and affiliation hospitals from October 2016 until March 2017. Data were analyzed With SPSS version 2.0 to see the significancy level. Results: from 32 cases, 16 cases with dysocystia labor and 16 cases with normal delivery. Of all cases with abnormal postpartum serum cortisol levels, the most were housewives with 14 cases (70%), based on educational level, most of whom below bachelor degree were 18 cases (90%). While cases with EPDS(Edinburgh postpartum depresson scale) score â‰¥10, found the most patients who underwent a cesarean section as many as 11 cases (68.75%). In the Mann-Whitney statistical test, it showed that serum cortisol levels (p=0.007) and EPDS score (p=0.001) had a significant relationship for risk of postpartum blues in dystocia labor. Conclusions: there was a significant relationship between serum cortisol levels and EPDS score with risk of postpartum blues on dystocia labor. Keywords: dystocia labor, EPDS score, postpartum blues, serum cortisol level. Abstrak Tujuan : mengetahui adanya hubungan peningkatan kadar kortisol serum pada ibu dengan persalinan distosia. Metode : penelitian ini adalah jenis kohort prospektif (cohort prospective), dengan kelompok ibu yang melahirkan dengan persalinan distosia sebagai kelompok kasusdan ibu yang melahirkan tanpa komplikasi persalinan sebagai kelompok kontrol di Bagian Kebidanan dan Kandungan Rumah Sakit Umum Pusat (RSUP) Prof.DR.R.D Kandou, dan RS jejaring mulai Oktober 2016 sampai Maret 2017.Data dianalisa dengan SPSS versi 2.0 untuk melihat tingkat kemaknaannya. Hasil : dari 32 subjek penelitian, 16 subjek dengan persalinan distosia dan 16 subjek dengan persalinan normal. Dari seluruh subjek penelitian yang mempunyai kadar kortisol serum postpartum abnormal,berdasarkan jenis pekerjaan, paling banyak adalah ibu rumah tangga dengan 14 subjek (70 %).Berdasarkan tingkat pendidikan, didapatkan paling banyak adalah SD,SMP,SMA sebanyak 18 subjek (90%). Sedangkan subjek yang mempunyai skor EPDS â‰¥ 10, ditemukan paling banyak subjek yang menjalani prosedur bedah sesar sebanyak 11 pasien (68,75%). Dalam uji statistik Mann-Whitney, menunjukkan bahwa kadar kortisol serum .(p=0.007) dan skor EPDS (p=0.001) mempunyai hubungan yang kuat untuk terjadinya postpartum blues pada persalinan distosia. Kesimpulan : terdapat hubungan bermakna kadar kortisol serum dan skor EPDS dengan postpartum blues pada persalinan distosia. Kata kunci : kadar kortisol serum, persalinan distosia, postpartum blues, skor EPDS.

Relationship of the Role of Counselor, Knowledge, Trust, Values, and Social Relationship in Contraception Acceptorsâ€™ Decision of Using Intrauterine Device (IUD): Hubungan Faktor Peran Konselor, Pengetahuan, Kepercayaan, Nilai, dan Kekerabatan terhadap Keputusan Akseptor KB untuk Menggunakan Kontrasepsi Intrauterine Device (IUD) Robby P. Sulbahri; Azhari Azhari; Firmansyah Basir; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: to assess the relationship of the role of counselor, knowledge, trust, values, and social relationship regarding acceptorsâ€™ decision in using intrauterine device at Dr. Mohammad Hoesin Hospital Palembang. Method: An observational analytical cross-sectional research carried out on June 2017 until September 2017 in the Department of Obstetrics and Gynecology Dr. Mohammad Hoesin General Hospital. 40 subjects were included. The frequency and distribution data were described in table form, bivariate analysis was performed to assess the relationship between independent and dependent variables statistically using Chi-square/Fisher Exact test. Multivariate analysis using logistic regression test was performed to assess which independent variable affects acceptorsâ€™ decision the most. Data analysis was performed using SPSS 18.0 version. Results: There were no statistically differences in age, duration of marriage, parity, number of children born alive, abortion, education, and jobs between the two groups (p<0.05). There was statistically significant relationship between knowledge, social relationship, and the role of counselor with contraception acceptorsâ€™ decision (p<0.005), but there was no significant relationship between trust and values with contraception acceptorsâ€™ decision (p>0.05). Meanwhile, the logistic regression analysis showed that the role of counselor significantly affects contraception acceptorsâ€™ decision (PR=108.989, p value=0.002). Concluson: The role of counselor is a factor that affects contraception acceptorsâ€™ decision in using IUD. Keywords: IUD, role of counselor, social relationship, trust, values, knowledge Abstrak Tujuan: untuk mengetahui hubungan faktor peran konselor, pengetahuan, kepercayaan, nilai, dan kekerabatan terhadap keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD di Rumah Sakit Mohammad Hoesin Palembang. Metode: Penelitian analitik observasional rancangan cross sectional ini dilakukan di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang sejak bulan Juni sampai September 2017. Didapatkan sampel sebanyak 40 wanita melahirkan memenuhi kriteria inklusi. Frekuensi dan distribusi data dijelaskan dalam bentuk tabel, analisa bivariat untuk mengetahui ada tidaknya hubungan secara statistik antara variabel bebas dan dengan variabel terikat menggunakan uji Chi Square/Fisher Exact dan analisis multivariat untuk mengetahui variabel independen mana yang paling besar pengaruhnya terhadap keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD menggunakan uji Regresi Logistik. Analisa data menggunakan SPSS versi 18.0. Hasil: Tidak terdapat perbedaan karakteristik pasien baik usia, lama pernikahan, paritas, jumlah anak hidup, abortus, pendidikan dan pekerjaan antara kedua kelompok (p<0,05). Terdapat hubungan yang signifikan antara pengetahuan, kekerabatan, dan peran konselor dengan keputusan akspetor KB IUD (p<0,05), namun tidak terdapat hubungan yang signifikan antara kepercayaan dan nilai dengan keputusan akspetor KB IUD (p > 0,05). Pada analisis regresi logistik didapatkan hasil peran konselor berpengaruh secara signifikan terhadap keputusan akseptor KB IUD (PR = 108,989, p value = 0,002). Keimpulan: Peran konselor merupakan faktor yang mempengaruhi keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD. Kata Kunci: IUD, Peran Konselor, Kekerabatan, Kepercayaan Nilai, Pengetahuan.

The Association of Acceptance Family Planning Acceptor to Contraceptive Tools Interest Usage in the Uterine (IUD): Hubungan Penerimaan Akseptor KB terhadap Minat Penggunaan Alat Kontrasepsi Dalam Rahim (AKDR) Rajuddin Rajuddin; Fauzan Fauzan
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective:to determine acceptance of family planning acceptors from age, numbers ofparity, mother education, spouseâ€™s support, mother's culture and religion, maternalknowledge, gestational age, family income and number of living children to the IUD usage interest in dr. Zainoel Abidin General Hospital (RSUDZA) Banda Aceh. Method: This research wasa correlative design with analytical survey method with cross sectional approach. 286 respondents were interviewed and filled out a questionnaire that has been prepared, consist ofpatients in the clinic, Emergency Unit, and Delivery Room Hospital RSUDZA Banda Aceh. The data taken related tofactors influencing the acceptance of the family planning acceptors against the IUD usage interests. This study was conducted duringSeptember 18 th to October 18 th 2017. Results: The chi-square test result showed that there was a significant correlation between family planning acceptor from previous pregnancy distance and IUD usageinterest in RSUDZA Banda Aceh where p-value (0.088) <Î± (0.1). There was a significant correlation between maternalknowledgeand IUD usage interest in RSUDZA Banda Aceh where p-value (0.067) <Î± (0.1). Conclusion: Bivariate analysis results showed there was a strong relationship between previous pregnancy distance and maternal knowledgetoIUD usage interest in RSUDZA Banda Aceh. Keywords:acceptor family planning, acceptance factor, IUD Abstrak Tujuan:untuk mengetahui hubungan penerimaan akseptor KB dari faktor usia, jumlah paritas, pendidikan ibu, izin suami, budaya dan agama ibu, pengetahuan ibu, jarak usia kehamilan, pendapatan keluarga dan jumlah anak hidup terhadap minat penggunaan AKDR di Rumah Sakit Umum dr. Zainoel Abidin (RSUDZA) Banda Aceh. Metode:Penelitian ini menggunakan desain korelatif dengan metode penelitian survei analitik dengan pendekatan cross sectional. Terdapat 286 responden yang telah diwawancarai dan mengisi kuisioner yang telah disediakan, terdiri dari pasien-pasien di poliklinik, Instalasi Gawat Darurat, dan kamar bersalin RSUDZA Banda Aceh. Data yang diambil mengenai faktor- faktor yang mempengaruhi peneriman akseptor KB terhadap minat penggunaan AKDR. Penelitian ini dilakukan dalam kurun periode tanggal 18 September sampai 18 Oktober 2017. Hasil: uji chi-square menunjukkan terdapat hubungan secara signifikan penerimaan akseptor KB dari faktor jarak kehamilan ibu sebelumnya terhadap minat penggunaan AKDRdimana p-value (0,088) <Î± (0,1). Terdapat hubungan pengetahuan ibu dengan terhadap minat penggunaan AKDRdi RSUDZA Banda Aceh dengan nilai p-value (0,067) <Î± (0,1) Kesimpulan: Hasil analisis bivariat didapatkan terdapat hubungan yang kuat antara jarak kehamilan ibu dan pengetahuan ibu terhadap minat penggunaan AKDR di RSUDZA Banda Aceh. Kata kunci: akseptor KB, AKDR, faktor penerimaan

Risk factors for stress urinary incontinence following vaginal and caesarean delivery: Faktor-faktor risiko stres inkontinensia urin setelah persalinan pervaginam dan perabdominam Nur Waqiah; David Lotisna; Nusratuddin Abdullah
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Background: Most of the stress urinary incontinence (SUI) occurs after first delivery and related to the mode of delivery. Objective: To determine the factors that affects the incidence of stress urinary incontinence post partum Methods: Women experienced with stress urinary incontinence 3 months after birth vaginally or section caesarean were enrolled in the present cross sectional study. The strength of the pelvic floor muscle measured with perineometer. All of women were assessed for SUI using Sandvix Severity Index (SSI) dan The three incontinence question (3IQ) questionnaire. A person chi-square test was used to analysis with p value <0.05 was considered significant. Results: Eighty-four women with stress urinary incontinence (SUI) after vaginal delivery or caesarean section enrolled in the study. There was a significant difference between mode of delivery and SUI following delivery (p<0.05). Perineal tear (grade 1-2), BMI, newborn weight and circumference significantly affect the SUI after vaginal or caesarean section. Perineal tear increase SUI after delivery 7-fold compared to other factors (OR=7.367; 95% CI=1.815-29.904). Conclusion : SUI after delivery affected by Mode of delivery, pelvic muscle floor weakness, perineal tear, BMI, newborn weight and head circumference. Keywords: stress urinary incontinence, mode of delivery Abstrak Latar belakang: Sebagian besar kasus stress inkontinensia urin terjadi setelah partus pertama kali dan berhubungan dengan metode persalinan. Tujuan: Untuk mengetahui faktor-faktor yang mempengaruhi terjadinya stress inkontinensia urin post partum Metode: Wanita yang mengalami stres inkontinensia urin 3 bulan postpartum normal atau seksio dilibatkan dalam penelitian cross sectional ini. Kekuatan otot dasar panggul diukur dengan perineometer. Penilaian SUI dilakuakn dengan menggunakan kuesioner Sandvix Severity Index (SSI) dan The three incontinence question (3IQ). Data dianalisis dengan uji Chi-square dengan tingkat kemaknaan p<0,05. Hasil: Delapan puluh empat wanita dengan SIU postpartum per vaginam atau operasi caesar dilibatkan dalam penelitian ini. Terdapat perbedaan signifikan antara cara persalinan dan SIU setelah postpartum (p<0,05). Ruptur perineum (grade 1-2), IMT, berat bayi lahir dan lingkar kepala secara signifikan mempengaruhi SIU postpartum. Ruptur perineum meningkatkan SUI postpartum 7 kali lipat dibandingkan dengan faktor-faktor lainnya (OR = 7,367; 95% CI = 1,815-29,904). Kesimpulan: SIU postpartum dipengaruhi oleh cara persalinan, kelemahan dasar otot panggul, robekan perineum, IMT, berat bayi lahir dan lingkar kepala. Kata kunci : stress inkontinensia urin, metode persalinan

The Association between Endometriosis Appearance during Laparoscopic Surgery and Pain Characteristic in Pelvic Endometriosis: HubunganTampilan Susukan Endometriosis pada saat Pembedahan Laparoskopik dengan Karakteristik Nyeri pada Endometriosis Pelvik Herbert Situmorang; Renny Lestari; Eka R Gunardi
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To evaluate the correlation between the American Society of Reproductive Medicine (ASRM) score in endometriosis and severity pelvic pain in a group of women with endometriosis. Method: A total of 131 patients with pelvic pain who: conduct laparoscopy for diagnosis and therapy of endometriosis, have pain symptoms>3 months, and absence of pelvic anomalies. Dysmenorrhea, deep dyspareunia, dyschezia, dysuria, and chronic pelvic pain were evaluated using a 10-point visual analogue scale. The data was collected by assessing the medical record, and retrospective analysis was performed. Disease stage according to the American Society of Reproductive Medicine, the presence of adhesion, lesion type (Deep Infiltrating Endometriosis (DIE) or without DIE), and severity of pain symptoms were analysed by Spearman analysis. Different VAS between DIE vs non DIE group was analysed by Mann-Whitney analysis. Result: Stage IV endometriosis accounts for 79.4%. Based on the macroscopic appearance, ovarian endometriosis accounts for 92.4%, peritoneal endometriosis 82.4%, DIE was 40.5%, and adenomyosis was 19.1%. There was significant correlation between total ASRM, ovarian endometriosis, peritoneal lesion, Douglas pouch obliteration, adnexal adhesion score and VAS dysmenorrhea (r=0.303; 0,187; 0,203; 0,278; 0,266, p<0.05). There was significant VAS difference of DIE vs non DIE group; the difference was on dyspareunia (5.18Â±2.4 and 4.58Â±1.0, p<0.001] and dyschezia [5.28Â±2.2 and 4.86Â±0.7,p<0.001] Conclusion: There was a positive correlation between ovarian endometriosis score and severity of dysmenorrhea. There was also a difference in the degree of endometriosis-associated pain between DIE and non DIE group. Keywords: endometriosis, deep infiltrating endometriosis, dysmenorrhea, dyspareunia, dyschezia Abstrak Tujuan: untuk mencari hubungan antara skor endometriosis ASRM dan karakteristik nyeri pelvik pada pasien endometriosis Metode: Sebanyak 131 pasien dengan nyeri pelvik yang menjalani laparoskopi untuk diagnosis dan terapi endometriosis, memiliki nyeri > 3 bulan, dan tidak mengalami kelainan organ pelvis. Dilakukan evaluasi terhadap dismenorea, dyspareunia dalam, diskezia, dysuria, dan nyeri pelvic kronik dengan menggunakan nilai 1-10 dari skala analog visual. Penelitian ini dilakukan di Rumah Sakit Umum Pusat Rujukan Nasional Dr. Cipto Mangunkusumo, Jakarta. Stadium endometriosis berdasarkan American Society of Reproductive Medicine, kejadian adhesi, jenis lesi (ada Endometriosis Susukan Dalam/ESD atau tanpa ESD), dan derajat keparahan nyeri dianalisis dengan analisis Spearman. Perbedaan skala nyeri antara ESD dan non ESD dianalisis dengan metode Mann-Whitney. Hasil: Sebanyak 79,4% pasien tergolong ke dalam endometriosis stadium IV. Berdasarkan tampilan makroskopik, endometriosis ovarium terdapat pada 92,4%, endometriosis peritoneal 82,4%, ESD 40,5%, dan adenomiosis pada 19,1%. Terdapat korelasi positif bermakna antara skor ASRM total, sub-skorkista endometriosis, endometriosis superfisial, obliterasi kavum douglas, dan adhesia dneksa dengan VAS dismenorea (r=0,303; 0,187; 0,203; 0,278; 0,266, p<0,05). Pada kelompok ESD dan tanpa ESD, didapatkan perbedaan VAS dismenorea, dispareunia dalam, diskezia, dan nyeri pelvic kronik yang bermakna (6,13Â±1.7 dan 5,95Â±1,7, p = 0,560 ; 5,18Â±2.4 dan 4,58Â±1,0, p < 0,001; 5,28Â±2,2 dan 4,86Â±0,7 , p < 0,001; 2,20Â±2,8 dan 0,60Â±1,8, p <0,001) Kesimpulan:Terdapat korelasi positif bermakna antara skor ASRM dengan VAS dismenorea. Terdapat perbedaan VAS dismenorea, dyspareunia dalam, diskezia, dan nyeri pelvic kronik pada kelompok ESD dan tanpa ESD Kata kunci: endometriosis, endometriosis susukan dalam, dismenorea, dispareunia dalam, diskezia

Postpartum Urinary Retention after Vaginal Delivery: Retensi Urine pada Pasien Pascasalin Pervaginam Bonifacius B Erlangga; Rudy A Lengkong; John Wantania
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective:To determine the incidence of postpartum urinary retention (PUR) after vaginal delivery and to specify any obstetric risk factors that contributing PUR. Methods: Case control study. Six hours after vaginal delivery, urethral catheterization was implemented for estimation of post void residual bladder and diagnosis PUR. Patient data, including age, gestational age, body mass index, parity, mode of delivery, labor duration, perineal laceration or episiotomy, and fetal birth weight, were compared between women with and those without PUR to determine which obstetric factors that develops PUR. Results: Of the 365 participants recruited, 38 (10,67%) had PUR: 33 (9,27%) with covert PUR and 5 (1,4%) with overt PUR. Women with perineal laceration or episiotomy (p<0,05), instrument-assisted delivery (p<0,05), first stage duration of labor more than 12 hours (p<0,05), second stage duration of labor more than one hour in multipara (p=0,041), and fetal birth weight more than 3800 grams (p<0,05) more prone to develop PUR. Conclusion: The incidence of PUR were associated with several obstetric risk factors: perineal laceration or episiotomy, instrument-assisted delivery, first stage duration of labor more than twelve hours, second stage duration of labor more than one hour in multipara, and fetal birth weight more than 3800 grams. Key words: vaginal delivery, postpartum urinary retention, risk factor Abstrak Tujuan:Mengetahui angka kejadian retensi urine di kota Manado dan mengetahui faktor risiko obstetri yang berperan dalam terjadinya retensi urine pascasalin pervaginam. Metode:Penelitian kasus kontrol. Dilakukan pemeriksaan residu urine 6 jam pascasalin pervaginam untuk mengetahui kejadian retensi urine. Data pasien yang diambil berupa usia, usia gestasi, indeks massa tubuh, paritas, jenis persalinan, durasi kala I, durasi kala II, laserasi perineum / episiotomi, dan berat badan lahir bayi kemudian dibandingkan antara yang menderita retensi urine dan tanpa retensi urine pasca salin untuk mengetahui faktor risiko obstetri yang berperan. Hasil:Dari 365 sampel penelitian, 38 (10,67%) menderita retensi urine: 33 (9,27%) retensi urine asimptomatis dan 5 (1,4%) retensi urine simptomatis. Pasien dengan laserasi perineum / episiotomi (p<0,05), persalinan dengan bantuan instrumen (p<0,05), durasi persalinan kala I Â³ 12 jam (p<0,05), persalinan kala II Â³ 1 jam pada multipara (p=0,041), dan berat badan lahir bayi Â³ 3800 gram (p<0,05) memiliki risiko lebih tingi menderita retensi urine pascasalin pervaginam. Kesimpulan:Kejadian retensi urine pascasalin pervaginam berhubungan dengan beberapa faktor risiko obstetri yaitu laserasi perineum / episiotomi, persalinan dengan bantuan instrumen, durasi persalinan kala I Â³ 12 jam, persalinan kala II Â³ 1 jam pada multipara, dan berat badan lahir bayi Â³ 3800 gram. Kata kunci: persalinan pervaginam, retensi urine, faktor risik

Pap Smear Cytology Results in Patients Under Visual Inspection of Acetic Acid (VIA) at Primary Health Care: Hasil Sitologi Pap Smear pada Pasien di Bawah Inspeksi Visual Asam Asetat (IVA) di Pusat Perawatan Kesehatan Utama Ivan M. Sondakh; Bismarck J. Laihad; Eddy Suparman
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: we compared the results of Pap Smear and VIA in Primary Healthcare Centres (PHCs). Methods: This was a descriptive study that investigated Pap smear cytology results in patients who underwent visual inspection of acetic acid in PHC for early detection of cervical cancer. This research was done in three PHCs (Tikala Baru, Tuminting and Paniki), which appointed by Manado Health Department as they have certified general practitioner, midwives, and nurse for VIA examination. The Pap smear examination was performed by researchers and VIA performed by certified PHC VIA Team using tools, equipment, available at the PHCs without intervention. Results: Of 55 subjects, 15 and 40 subjects were VIA positive and negative, respectively. Fifteen samples with positive VIA there were only three subjects with dysplasia (LSIL) results in Pap smear, and 40 samples with VIA negative there were two samples with dysplasia (LSIL) results in Pap smear. Conclusion: The result of VIA examination in primary health care with VIA positive was only 20% had dysplasia (LSIL) on pap smears, and negative VIA sample was 5% with dysplasia (LSIL) on Pap smear. Keywords:cervical cancer, pap smear, VIA. Abstrak Tujuan: membandingkan hasil pemeriksaan gambaran sitologi Pap Smear dengan hasilpemeriksaan IVA di Puskesmas. Metode:Penelitian ini merupakan penelitian deskriptif untuk mengetahui hasil sitologi Pap Smear pada pasien yang telah dilakukan pemeriksaan inspeksi visual asam asetat di fasilitas kesehatan tingkat I untuk deteksi dini kanker serviks. Penelitian ini dilakukan di tiga Puskesmas (Puskesmas Tikala Baru, Tuminting, dan Paniki) yang telah diberikan pelatihan IVA yang ditunjuk oleh Dinas Kesehatan Kota Manado. Pemeriksaan Pap Smear dilakukan oleh penelitidan IVA dilakukan oleh petugas kesehatan tingkat I dengan menggunakan alat, perlengkapan, yang tersedia di Puskesmas tanpa intervensi. Hasil :Dari 55 subyek, didapatkan 15 subyek dengan IVA positif, dan 40 subyek dengan IVA negatif. Dari 15 subyek dengan IVA positif hanya terdapat 3 orang diantara dengan hasil displasia pada Pap Smear, dan 40 subyek dengan IVA negatif terdapat 2 orang dengan hasil displasia pada Pap Smear. Kesimpulan: Hasil pemeriksaan IVA di fasilitas kesehatan tingkat I dengan IVA positif hanya 20% memliki gambaran displasia (LSIL) pada hasil Pap smear dan sampel dengan IVA negative terdapat 5% dengan gambaran displasia (LSIL) pada hasil Pap Smear. Kata Kunci: IVA, kanker serviks, pap smear.

Diagnostic Value of Transvaginal Ultrasonography to Determined Degree of Myometrium Invasion in Endometrial Cancer: Nilai Diagnostik Ultrasonografi Transvaginal dalam Menilai Kedalaman Invasi ke Miometrium pada Kanker Endometrium Kartiwa H. Nuryanto; Selly Fransiska
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objectives: To show transvaginal ultrasound accuracy in determining the degree of myometrial invasion of endometrial cancer within five years in RSCM. Also, to know histopathology characteristics of endometrial cancer according to cell type, degree of invasion, and degree of differentiation of endometrial cancer, within the last five years in RSCM. Methods: This study is a cross-sectional study with a sample of 82 subjects in January 2011 â€“ December 2016 at RSCM. The data were collected by total sampling from cancer registry oncology and gynaecology division of Obstetrics and Gynecology FKUI-RSCM. Results: Transvaginal USG diagnostic test in detection invasion has sensitivity, specificity, PPV, and NPV as 78.79%, 50%, 86.67%, 36.36% respectively. For determine degree of myometrial invasion it has sensitivity, specificity, PPV, and NPV as 81.40%, 76.92%, 79.55%, and 78.90% respectively. Conclusions: Transvaginal ultrasound has better accuracy in determining the degree of invasion compared to detecting myometrial invasion in endometrial cancer. In determining the degree of invasion, its sensitivity and specificity are 81.4% and 76.92%. For detecting any invasion its sensitivity and specificity was only 79.41% and 57.14%. Our study showed that transvaginal ultrasound was an efficient diagnostic tool fo determine further treatment and prognosis in endometrial cancer Keywords: accuracy test, HPV DNA, liquid-based cytology, pre-cervical cancer lesion. Abstrak Tujuan : Mengetahui akurasi USG transvaginal dalam menilai invasi miometrium pada kanker endometrium dalam 5 tahun terakhir di RSCM. Serta karakteristik histopatologi berdasarkan tipe, invasi, dan derajat diferensiasi kanker endometrium dalam 5 tahun terakhir di RSCM Metode :Penelitian potong lintang dengan jumlah sampel 82 subjek pada Jan 2011 â€“ Des 2016 di RSCM. Data dikumpulkan secara total sampling dari registrasi kanker divisi Onkologi Ginekologi FKUI RSCM dan dilakukan uji diagnostik Hasil: Uji diagnostik USG transvaginal menilai ada tidaknya invasi memiliki sensitivitas, spesifisitas, NPP, NPN sebesar 78,79%, 50%, 86,67%, 36,36%. Sedangkan hasil uji diagnostik usg transvaginal dalam menilai derajat invasi memiliki sensitivitas, spesifisitas, NPP, NPN sebesar 81.40%, 76.92%, 79.55%, dan 78.90% Kesimpulan :USG transvaginal dalam menilai derajat invasi lebih baik dibanding menentukan ada tidaknya invasi. Sensitivitas, spesifisitasnya 81,4-% dan 76,92% dibanding 79,41% dan 57,14%. Dalam hal ini USG transvaginal dapat digunakan sebagai alat bantu diagnostik efisien dalam menentukan tata laksana dan prognosis kanker endometrium Kata kunci : kanker endometrium, kedalaman invasi, uji diagnostik, USG transvaginal.

Sacrospinosus Fixation Efectivity in Pelvic Organ Prolapse Patient: Efektivitas Fiksasi Sakrospinosus pada Penderita Prolaps Organ Panggul Yulius Andriansyah; Amir F; Firmansyah B; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Background : Pelvic organ prolapse (POP) is a condition in which interna genitalia protrude into vagina, or even out of vagina. This occur due to weaknesses of pelvic muscle, fascia and ligaments support. Sacrospinous ligament fixation (SSF) is an ideal vaginal procedure for POP repair with 90-95% success rate. This study aims to determine the effectiveness of SSF in patients with POP at dr. Mohammad Hoesin hospital (RSMH) Palembang Method: Randomized clinical trial (RCT) was performed at RSMH Palembang from January to September 2017. There were 30 samples of pelvic organ prolapse who met the inclusion criteria. Data frequency and distribution were described in table form and the effectiveness of SSF were analyzed by Wilcoxon / paired t-test while the effectiveness ratio was analyzed by Mann Whitney / independent t-test. Data were analyzed using SPSS version 16.0. Result: There were no differences in patient characteristics (age, parity, body weight, height, and occupation) between the two treatment groups (p <0.05). There were differences of breech pain (proctalgia) before and after 1, 3, and 6 months post operation in SSF group (p <0.05), in which proctalgia was more exquisite after than before surgery. The results showed that SSF was effective in reducing urinary disorders, defecation disorders, vaginal prolapse, cystocele and rectocele, and effectively improving the quality of life of POP patient. In addition, there was a difference of proctalgia and vaginal prolapse 1, 3, and 6 months after surgery between two groups where the adverse outcome of the proctalgia was more significant in SSF group but the vaginal prolapse was more significant in the non-SSF group. There were no differences in bleeding complications (p = 1,000) and infection (p = 1,000) between the two groups. Conclusion: Sacrospinosus Fixation was effectively reduces the vaginal prolapse of pelvic organ prolapse patients. Keywords: Urinary, Defecation, Sacrospinosus Fixation, Quality of Life, Proclatgia, Rectocele, Cystocele. Abstrak Latar Belakang:. Prolapsus organ panggul (POP) merupakan keadaan dimana suatu organ genitalia turun kedalam vagina, bahkan mungkin keluar liang vagina. Hal ini terjadi dikarenakan kelemahan otot, fasia dan ligamen penyokongnya. Sacrospinous ligament fixation (SSF) adalah prosedur vaginal yang ideal untuk perbaikan POP dengan tingkat keberhasilan 90-95%. Penelitian ini bertujuan untuk mengetahui efektivitas SSF pada penderita prolaps organ panggul di rumah sakit dr. Mohammad Hoesin (RSMH) Palembang Metode: Uji klinis acak berpembanding (RCT) dilakukan di RSMH Palembang sejak bulan Januari sampai September 2017. Didapatkan sampel sebanyak 30 penderita prolaps organ panggul yang memenuhi kriteria inklusi. Frekuensi dan distribusi data dijelaskan dalam bentuk table dan efektivitas SSF dianalisis dengan uji Wilcoxon/paired t-test dan perbandingan efektivitas dianalisa dengan uji Mann Whitney/independent t-Test menggunakan SPSS versi 16.0. Hasil: Analisis statistik tidak terdapat perbedaan karakteristik pasien baik umur, paritas, berat badan, tinggi badan, dan pekerjaan antara kedua kelompok perlakuan (p< 0,05). Didapatkan bahwa SSF efektif mengurangi gangguan berkemih, gangguan defekasi, prolaps vagina, sistokel dan rektokel serta meningkatkan kualitas hidup pasien POP, namun terdapat perbedaan nyeri bokong (proktalgia) sebelum dan sesudah 1 bulan, 3 bulan dan 6 bulan operasi pada group SSF (p <0,05). dimana proktalgia lebih dirasakan setelah operasi dibandingkan sebelum operasi. Selain itu terdapat perbedaan proklatgia dan prolaps vagina 1,3 dan 6 bulan setelah operasi antar kedua group dimana proktalgia lebih dirasakan pada kelompok SSF namun prolaps vagina lebih banyak dialami oleh kelompok non SSF. Tidak terdapat perbedaan komplikasi perdarahan (p = 1,000) dan infeksi (p = 1,000) antara kedua kelompok. Simpulan: Fiksasi sakrospinosus efektif mengurangi prolaps vagina pasien prolaps organ panggul. Kata Kunci:. Berkemih, Defekasi, Fiksasi sacrospinosus, Kualitas Hidup, Nyeri Bokong, Rektokel, Sistoke

Comparison of Postpartum Urinary Retention Healing between Groups with Methods of Residual Urine Measurement Four Hours versus Six Hours Post-Delivery: Perbandingan Lama Pemulihan Retensio Urin Pascapersalinan Pervaginam antara Pengukuran Residu Urin Empat dan Enam Jam Fernandi Moegni; Ummu Hani
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To know the difference of recovery time and the urinary residual volume between group of patient with different time of urinary residual collecting. Method: A randomized controlled trial was held at Dr. Cipto Mangunkusumo central general hospital and central Karawang hospital between March and Desember 2017. Postpartum women with urinary retention risks, willing to contribute to the trial, and diagnosed as post partum urinary retention were divided into 2 groups. Urinary residual volume was measured in 4th hour and 6th hour in each group. Patient then treated according to RSCM guideline, and the time of recovery was documented. Result: Both group have similar characteristic. The median length of recovery in the group which the urinary residual was measured in 4th hour was 30 hours, 21 hours shorter than 6th hour group, 51 hours (p< 0.001). The median of urinary residual volume of the 4th hour group was 600 ml, 400 ml lesser than the 6th hour group, 1000 ml (p< 0.001) Conclussion: time of recovery are shorter in the 4th hour group and the urinary residual volume are less in the 4th hour group compared to the 6th hour group. Keywords: post partum urinary retention, urine residual, urinary residual collecting time Abstrak Tujuan: untuk mengetahui lama pemulihan dan volume residu urin pada kelompok pasien dengan retensio urin pascapersalinan dengan beda waktu pengukuran, Metode: Penelitian ini menggunakan desai uji klinis acak di RSUPN Dr. Cipto Mangunkusumo dan RSUD Karawang bulan Maret-Desember 2017. Perermpuan pascasalin dengan risiko retensio urin pasca persalinan, bersedia mengikuti penelitian, dan terdiagnosis retensio urin dibagi menjadi dua kelompok. Kelompok pertama diukur residu urinnya dalam 4 jam, kelompok kedua dalam 6 jam. Pasien lalu diberikan tatalaksana retensio urin sesuai protokol RSUPNCM dan dicatat waktu pulihnya. Hasil: Karakteristik pasien pada kedua kelompok dianggap setara. Median lama pemulihan pasien retensio urin yang diukur residu urin 4 jam adalah 30 jam, berbeda 21 jam dengan pasien yang diukur resiudnya 6 jam, yaitu 51 jam (p<0.001). Median jumlah residu urin pada kelompok pengukuran residu urin 4 jam adalah 600 ml, berbeda 400 ml dengan kelompok pengukuran 6 jam, yaitu 1.000 ml (p<0.001). Kesimpulan: Lama pemulihan lebih singkat pada kelompok pasien dengan waktu pengukuran residu urin 4 jam dibandingkan dengan 6 jam. Jumlah residu urin lebih sedikit pada pengukuran residu 4 jam dibanding 6 jam Kata kunci: retensio urin pasca persalinan, residu urin, waktu pengukuran residu urin

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