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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.

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Articles 1,731 Documents

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Post-menopausal Women: The Tip of an Iceberg R Muharam Natadisastr R. Muharam Natadisastra
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 1, January 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v2i1.1086

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The 45o Mediolateral Episiotomy: Does it Reduce to the Incidence of Extended Laceration Incidence and Postlabour Pain? Episiotomi Mediolateral 45 Derajat terhadap Kejadian Perluasan Cedera dan Nyeri Pascasalin pada Primigravida Frans Yauwena; David Lotisna; Deviana S. Riu; Isharyah Sunarno; Nugraha U. Pellupessy
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To see the relation between 45 and 60 degrees mediolateral episiotomy to extended laceration incidence and post labor pain in primigravida.Method: The research used simple randomization design which was conducted in the Department of Obstetrics and Gynecology, Teaching Hospital, Faculty of Medicine, Universitas Hasanuddin from April 2018 to September 2018. There were 80 samples for the 45 degrees mediolateral episiotomy group and 80 samples for the 60 degrees group.Result: After the Chi-Square correlation test has been carried out, the research result indicates that there is higher incidence in 60 degrees mediolateral episiotomy group in extended perineal laceration (p=0.002), and Fisher Exact test shows that post labor pain (p=0.000) higher in the same group compared to the 45 degrees group.Conclusion: Mediolateral episiotomy 45 degrees has lower extended perineal laceration and post labor pain compared to the 60 degrees group.Key Words: episiotomy, mediolateral 45, mediolateral 60, perineal laceration, postlabor pain, primigravida Abstrak Tujuan: mengetahui hubungan episiotomi mediolateral 45 dan 60 derajat terhadap kejadian perluasan cedera dan nyeri pasca salin pada primigravida.Metode: simple randomization. Penelitian dilaksanakan di Rumah Sakit Pendidikan Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Hasanuddin periode April 2018â€“September 2018. Total sampel yang diperoleh adalah 80 untuk kelompok 45 derajat dan 80 sampel untuk kelompok 60 derajat.Hasil: setelah dilakukan uji hubungan dengan Chi Square terdapat hubungan yang signifikan pada episiotomi 60 derajat dengan kejadian perluasan cedera (p=0.002) dan uji Fisher menyatakan hubungan bermakna nyeri pasca salin pada kelompok yang sama (p=0,000) dibandingkan episiotomi 45 derajat. Episiotomi mediolateral 45 derajat memiliki luaran lebih sedikit menyebabkan kejadian perluasan cedera dan nyeri pasca salin dibandingkan episiotomi 60 derajat.Kata kunci: episiotomi, mediolateral 45, mediolateral 60, ruptur perineum, nyeri pasca salin, primigravida

The Role of Gynecologists in Managing Endometrial Cancer Sigit Purbadi
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 3 July 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Case Series: Cryotherapy versus Cold Coagulation as Cervical Pre-Cancer Lesion Treatment Laila Nuranna; Nessyah Fatahan; Alfu Laily
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: Elaborating the results and comparison of cryotherapy and cold coagulation for cervical pre-cancer lesion cases in West Cakung Primary Health Center, Jakarta, Indonesia. Methods: Observation were conducted from cervical pre-cancer lesion cases which was found by visual inspection with acetic acid (VIA) method. Those cases were directed into cryotherapy or cold coagulation based on randomization sampling. After 6-months post therapy, the lesions were assessed. This study was administered on Cakung Barat Health Center, Jakarta, Indonesia on April-December 2018. Of 10 cases, 5 were treated using cryotherapy and the rest with cold coagulation. Result: After 6 months follow up, 1 of 5 patients from each therapies still has VIA positive result. The side effect in form of spotting after 1 month of cryotherapy and cold coagulation were 1/5 and 3/5, respectively. There were no other side effects reported during the 6-months follow up for both treatments. Conclusion: The result of both treatments are relatively same in converting VIA positive into negative, proved with each therapies have turned 4 for 5 patients with prior VIA positive into negative. The side effects endured by respondents were minimal in 1 month post therapy, while there were no significant side effects after 6 months post therapy. Kata Kunci : cervix, cold coagulation, cryotherapy, pre cancer lesion.

Incidence of Positive Human Papillomavirus High Risk in Negative Cytology Result: Insidensi Kejadian Human Papillomavirus RisikoTinggi Positif pada Hasil Sitologi Negatif Junita Indarti; Darrell Fernando; Finish Fernando; Ribkhi A. Putri; Anggara Mahardika; Muhammad Ikhsan
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: This research aim is to report the incidence of positive HPV high risk in negative cytology result. Method: We collected 83 women underwent liquid-based cytology (LBC) and HPV DNA examination at the same time. We were using DiagCor GenoFlow Human Papillomavirus Array Test (GenoFlow), a novel HPV test based on PCR and "Flow-through" hybridization that can identify 33 HPV subtypes: 18 types of High risk HPV such as 16, 18, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68, 73, 81 and 82 Result: We grouped the subjects based on age below or equal to 30 years old (n=6) and above 30 years old (n=77). We found a significant difference in HPV DNA result within this group (P = 0.034), with 19.3% had HPV DNA type 16 and 18 in a group of age above 30 years old. Our study showed that 27 women (32.5%) underwent screening for cervical cancer having negative LBC result but showed positive HPV DNA positive. Conclusion: We found a significant difference in HPV DNA test result among women above 30 years old. Co-testing of Pap and HPV DNA is needed, especially if HPV DNA type 16 and 18 were found among negative Pap results. Keywords: Cervical cancer, HPV DNA, incidence, LBC, screening Abstrak Tujuan: Penelitian ini bertujuan melaporkan insidensi dari HPV risiko tinggi yang positif pada hasil sitologi negatif. Metode: Kami mengumpulkan 83 wanita yang menjalani liquid based cytology (LBV) dan pemeriksaan HPV DNA pada waktu yang bersamaan. Dengan menggunakan DiagCor GenoFlow Human Papilloma Virus Array Test (GenoFlow), yaitu sebuah uji HPV terbaru yang berbasis PCR dan â€œFlow-througâ€ hybridization dapat mengidentifikasi 33 subtipe HPV: 18 tipe HPV risiko tinggi seperti 16, 18, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68, 73, 81 dan 82. Hasil: Kami mengelompokkan subjek berdasarkan usia dibawah atau setara 30 tahun dan diatas 30 tahun (n=77). Kami menemukan perbedaansignifikan dari hasil HPV DNA dalam kelompok ini (P=0.034), dengan 19.3% memiliki HPV DNA tipe 16 dan 18 dalam kelompok usia diatas 30 tahun. Penelitian ini menunjukkan 27 perempuan (32.5%) menjalani skrining kanker serviks memiliki hasil LBC yang negatif namun menunjukkan HPV DNA positif. Kesimpulan: Terdapat perbedaan signifikan dari uji HPV DNA pada wanita usia diatas 30 tahun. Pemeriksaan bersamaan antara Pap dan HPV DNA dibutuhkan terutama ketika HPV DNA tipe 16 dan 18 ditemuka pada hasil Pap negatif. Kata kunci: HPV DNA, insidensi, kanker serviks, LBC, skrining

Improving Quality of Maternal Health Services Through Research and Improvement of Health System in Indonesia Dwiana Ocviyanti
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Maternal Referral at Kalabahi General Hospital : A Descriptive Study: Rujukan Maternal di Rumah Sakit Daerah Kalabahi : Sebuah Studi Deskriptif Fuad Saddam; Putu A. A. Purbawa
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 1 January 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To find out the profile of cesarean section in dr. Zainoel Abidin Hospital since the BPJS era.Methods: This study was a descriptive-observational with retrospective design. The data were obtained in March-April 2017. We collected 3656 data from medical record period January 1st, 2014 - December 31st, 2016.Results: The finding showed there were 1,669 vaginal deliveries (45.65%) and 1,987 cesarean sections (54.35%). The most frequent causes to cesarean sections were induction failure (49.77%), cephalopelvic disproportion (14.33%), pregnancy-induced hypertension (11.21%), malpresentation (8.91), and antepartum haemorrhage (4.33%).Conclusions: The incidence of cesarean sections in dr. Zainoel Abidin Hospital since the BPJS era was 54.35%, increased by 13.29% than the year of 2011-2013 (41.06%) with the most frequent cause is induction failure (49.77%).Keywords: antepartum haemorrhage, BPJS, cesarean section, induction failure, pregnancy-induced hypertension, tertiary referral hospital. Abstrak Tujuan: Mengetahui profil persalinan seksio sesarea di RSUD dr. Zainoel Abidin Banda Aceh pada era BPJS.Metode: Penelitian deskriptif-observasional dengan desain studi retrospektif. Pengambilan data dimulai dari bulan Maret-April 2017. Sebanyak 3656 data dikumpulkan dari rekam medik periode 1 Januari 2014 - 31 Desember 2016.Hasil: Terdapat 1.669 kasus persalinan pervaginam (45,65%) dan 1.987 kasus seksio sesarea (54,35%). Indikasi terbanyak yang menyertai seksio sesarea adalah gagal induksi (49,77%), cephalopelvic disproportion (14,33%), hipertensi dalam kehamilan (11,21%), malpresentasi (8,91%), dan perdarahan antepartum (4,33%).Kesimpulan: Angka seksio sesarea di RSUD dr. Zainoel Abidin meningkat 13,29% sejak berlakunya BPJS (1 Januari 2014-31 Desember 2016) mencapai 54,35% dibandingkan tahun 2011-2013 (41,07%) dengan indikasi terbanyak gagal induksi (49,77%).Kata kunci: BPJS, gagal Induksi, hipertensi dalam kehamilan, perdarahan antepartum, RS rujukan tersier, seksio sesarea.

The Outcome of Percutaneous Mitral Balloon Commissurotomy (PMBC) in Pregnant Women with Mitral Stenosis: An Evidence Based Study: Luaran Komisurotomi Balon Mitral Perkutan pada Perempuan Hamil Suskhan Djusad; Surahman Hakim; Raymond Surya; Hansens Yansah; Ali Sungkar
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 1 January 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To review the outcome of percutaneous mitral balloon commissurotomy (PMBC) both to maternal and neonatal. Methods: The search was conducted on PubmedÂ®, Cochrane LibraryÂ®, and OvidÂ® using MeSH. Critical appraisal determining the validity, importance, and applicability (VIA) was conducted by two independent authors. Results: Several studies showed that performing the PMBC had good outcome for pregnant women functional class based on NYHA. Most of them decreased from NYHA III/IV to I/II. For delivery outcome, all studies concluded that more than 80% pregnant women with mitral stenosis undergoing PMBC delivered at term, and no congenital anomalies found. Conclusion: Percutaneous mitral balloon commissurotomy for pregnant women with severe MS is safe during pregnancy. Keywords: mitral stenosis, outcome, percutaneous mitral balloon commissurotomy, pregnancy, Abstrak Tujuan: Mengulas luaran komisurotomi balon mitral perkutan (KBMP) baik pada maternal maupun neonatus. Metode: Pencarian dilakukan melalui PubmedÂ®, Cochrane LibraryÂ®, dan OvidÂ® menggunakan MeSH. Telaah kristis dilakukan oleh 2 penulis independen berdasarkan validitas, kepentingan, dan aplikabilitas. Hasil: Beberapa studi memperlihatkan KBMP memiliki luaran yang baik di kalangan perempuan hamil berdasarkan kelas fungsional NYHA. Kebanyakan mereka mengalami penurunan NYHA dari III/IV menjadi I/II. Untuk luaran persalinan, seluruh studi menyimpulkan lebih dari 80% perempuan dengan mitral stenosis yang menjalani pembedahan KBMP melahirkan pada usia term dan tidak ditemukan kelainan. Kesimpulan: KBMP aman dilakukan pada perempuan hamil dengan mitral stenosis berat. Kata kunci: kehamilan, komisurotomibalon mitral perkutan, luaran, stenosis mitral

Profile Changes in Weight and Body Mass Index of Single Rod Levonorgestrel Implant Acceptor (MonoplantÂ®): Profil Perubahan Berat Badan dan Indeks Masssa Tubuh Akseptor Implan Levonorgestrel Satu Batang (MonoplantÂ®) Eka R. Gunardi; Jimmy T. Sitorus
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 1 January 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

AbstractObjective: To finding out the change of weight and body mass index (BMI) of single rodlevonorgestrel implant acceptor (Monoplant®).Methods: A cross-sectional descriptive study was conductedusing data changes of weight and BMI obtained from series of measurement which is recorded in patients’ medical record in three years of Monoplant® placement in Raden Saleh Clinic, Jakarta. This method is the part of a research of a bigger phase two in clinical test.Results: From 21 subjects of this research, the average weight and BMI before and after 3 years of Monoplant® placement is gained, i.e. 53.1 (SD 11,0) kg and 22.4 (SD 4.5) kg/m2, and 54.8 (SD 9.4) kg and 23.1 (SD 3.9) kg/m2. Despite the tendency of increasing, statistically the increasing of weight and BMI, however, is meaningless (p=0.09) and (p=0.08). There is a difference of weight in series of measurement, particularly after the 12th month (Repeated test ANOVA p=0.024). Even though there is no difference in BMI average, there is a difference in subject's proportion based on BMI categories before and after Monoplant® placement (Marginal homogeneity test p=0.046). The increasing of levonorgestrel level occurs in the 6th month and subsequently followed by the increase of BMI in the 12th month.Conclusions: There is a tendency of increasing weight and BMI in Monoplant® users, specifically after one year despite statistically insignificant.Keywords: levonorgestrel, monoplant®, weight, body mass index. AbstrakTujuan: Untuk mengetahui perubahan berat badan dan indeks massa tubuh pada akseptor implan levonorgestrel satu batang (Monoplant®).Metode: Studi deskriptif dengan desain potong lintang mengambil data perubahan BB dan IMT diperoleh dari pengukuran serial yang tercatat dalam rekam medis pasien selama tiga tahun pemasangan Monoplant® di Klinik Raden Saleh, Jakarta. Penelitian ini merupakan bagian dari suatu penelitian uji klinis fase 2 yang lebih besar.Hasil: Dari 21 subjek penelitian ini, didapatkan rerata BB dan IMT sebelum dan setelah 3 tahun pemasangan Monoplant®yakni 53,1 (SB 11,0) kg dan 22,4 (SB 4,5) kg/m2, serta 54,8 (SB 9,4) kg dan 23,1 (SB 3,9) kg/m2. Meskipun ada kecenderungan naik, tetapi secara statistik kenaikan BB dan IMT tersebut tidak bermakna (p=0,09) dan (p=0,08). Terdapat perbedaan berat badan dalam pengukuran serial, terutama setelah bulan ke-12 (Uji repeated ANOVA p=0,024). Walaupun tidak terdapat perbedaan rerata IMT, terdapat perbedaan proporsi subjek berdasarkan kategori IMT sebelum dan setelah pemasangan Monoplant® (Uji Marginal homogeinity p=0,046). Peningkatan kadar levonorgestrel terjadi pada bulan ke-6 yang kemudian diikuti oleh kenaikan IMT pada bulan ke-12.Kesimpulan: Terdapat kecenderungan peningkatan BB dan IMT pengguna Monoplant®, khususnya setelah satu tahunmeskipun secara statistik tidak bermakna.Kata kunci: berat badan, indeks massa tubuh, levonorgestrel, monoplant®.

Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients: Akurasi Pelvic Organ Prolapse Quantifi cation untuk Diagnosis Elongasio Serviks pada Pasien Prolaps Organ Panggul Tyas Priyatini; Finish Fernando; Lucky S. Widyakusuma; shirley T. Anggraeni; Kukuh W. Kustarto
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 1 January 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v8i1.1006

Abstract Objective: To know sensitivity, specificity and accuracy of Pelvic Organ Prolapse Quantification (POP-Q) to measure cervical length for cervical elongation diagnose in Pelvic Organ Prolapse (POP) patients with gold standard was the anatomical cervical length from hysterectomy result. Methods: Diagnosis research, cross-sectional, consecutive sampling. POP-Q was taken before the operation and the anatomical cervical length was from hysterectomy result Results: Sixty six subject, 1.5% 2nd stage POP, 45.5% 3rd stage POP, and 53.0 % 4th stage POP. Mean (± sd) age and body mass index consecutively59.88 years (± 9.347) and 24.41 (± 3.67) kg/m2. Median (min-max) cervical length POP-Q and anatomy consecutively 4 cm (1-12) and 5 cm (3-10). Sensitivity, Specificity dan Accuracy POP-Q consecutively 79%, 58% dan 68% Conclusion: POP-Q has good specificity (79%) but with less sensitivity (58%) with accuracy 68% to diagnose cervical elongation in POP Keywords: accuracy, cervical elongation, cervical length, pelvic organ prolapse, pelvic organ prolapse quantification (POP-Q), sensitivity, specificity. Abstrak Tujuan: Untuk mengetahui nilai sensitivitas, spesifisitas dan akurasi Pelvic Organ Prolapse Quantification (POP-Q) untuk menilai panjang serviks sebagai diagnosis elongasio serviks pada pasien POP dengan baku emas pengukuran anatomi serviks dari hasil histerektomi. Metode: Uji diagnosis, potong lintang, consecutive sampling. Data diambil dari pemeriksaan POP-Q dan pengukuran anatomi serviks dari hasil histerektomi. Hasil : Enam puluh enam subjek, 1,5% POP derajat 2, 45,5% POP derajat 3 dan 53,0 % POP derajat 4. Rerata(± sb)usia dan Indeks Massa Tubuh (IMT) berturut – turut 59,88 tahun (± 9,347) dan 24,41 (± 3,67) kg/m2. Median (min-maks) panjang serviks POP-Q dan anatomi berturut – turut 4 cm (1-12) dan 5 cm (3-10). Sensitivitas, spesifisitas, dan akurasi POP-Q berturut – turut 79%, 58% dan 68% Kesimpulan : Pemeriksaan POP-Q memiliki spesifitas yang baik (79%) tetapi dengan sensitivitas yang kurang baik (58%) dan akurasi 68% untuk diagnosis elongasio serviks pada prolaps organ panggul. Kata kunci: akurasi, elongasio serviks, panjang serviks, prolaps organ panggul, pelvic organ prolapse quantification (POP-Q), sensitivitas, spesifisitas

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