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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
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 1,760 Documents
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Female Sexual Function after Vaginal Delivery with Episiotomy and Cesarean Section Jembawan, I Made W
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 4, October 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.83 KB) | DOI: 10.32771/inajog.v2i4.408

Abstract

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function
Maternal Serum Interleukin6 Level in Correlation with Preterm Delivery Noviyanti, Noviyanti; Tendean, Hermie M M; Kaeng, Juneke J
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 4, October 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.092 KB)

Abstract

Objective: To determine the correlation between maternal serum Interleukin-6 (IL-6) serum level with preterm delivery. Methods: We performed an observational cross-sectional study of 30 pregnant women between 21 to 36 week gestational age with and wthout labour (delivery) in Prof. Dr. RD. Kandou Hospital Manado. Samples were collected with consecutive sampling method. Data was analyzed using Mann-Whitney test with significance level of p
The Degree of Cystocele and Rectocele with Hiatal Area Levator Ani Moegni, Fernandi; Santoso, Hari
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 4, October 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.803 KB) | DOI: 10.32771/inajog.v5i4.566

Abstract

Objective: To investigate the degree of cystocele and rectocele with a maximum of levator hiatal area (AHL) during Valsava. Methods: Secondary data analysis of 90 patients with uterine prolapse January 2012 to November 2013 in the clinic Uroginekologi RSCM, Jakarta. 3D/4D ultrasound measurement and pelvic organ prolapse system Quantification (POP-Q) stage I-IV cystocele and rectocelestage I-IV. All statistical analyses were analyzed using Stata 20 for Windows. Results: Significant difference cystocele stage I-II (n = 25) with stage III-IV (n = 65), the maximum AHL with a difference of 4.33 cm2 (p = 0.040). In rectocele stage I-II (n = 64) and stage III-IV (n = 26) of 3.85 cm2 (p = 0.130). AUC values for stage I-II and III-IV cystocele was 0.607 (IK95% from 0.467 to 0.738), and the ROC for rectocele was 0.603 (IK95% from 0.472 to 0.734). The ROC optimal cut point for cystocele stage I-II with III-IV with the highestsensitivity and specificity is 29 cm2 (0.523 sensitivity, specificity 0.520), the rectocele is 30 cm2 (0.538 sensitivity, specificity 0.584). Conclusion: There is a significant relationship between the degree of cystocele and area of the levator ani muscles when Valsava, but there is no relationship at rectocele. The value of maximum area under the curve (AUC) hiatal area of the levatorani muscle in distinguishing stage I-II and III-IV cystocele are relatively similar to rectocele stage I-II and III-IV. Optimal cut point hiatal area of the levatorani muscle in distinguishing stage I-II and III-IV cystoceleis 29 cm2, while for rectocele is 30 cm2 with sensitivity and specificity values were quite good. Keywords: cystocele, levatorani hiatal area, pelvic organ prolapse, rectocele
Correlation Between Types of Bacteria with Pathology Examination of Chorioamnion from Preterm Birth Drisma, Fita
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.321 KB)

Abstract

Objective: To determine whether there is a correlation between the types of bacteria found in amniotic membrane and intrauterine infection causing preterm delivery. Method: This was an experimental study. We studied the amniotic membrane from patients undergoing spontaneous preterm delivery, both with premature rupture of membrane and intact membrane in Dr. Hasan Sadikin Hospital and some district Hospitals around Dr. Hasan Sadikin Hospital that fulfill the inclusions and exclusion criterias. Experiments were performed in Prodia Laboratory and Pathology Department of Dr. Hasan Sadikin Hospital. The amniotic membrane was prepared in Brain Heart Infusion Broth (BHI) and Formalin. The sample prepared in BHI was then transported to the laboratory and cultured for bacteria within 24 hours after the sample was taken, and the other sample prepared in formalin was made into tissue blocks and stained with hematoxylin and eosin. Afterwards, we counted the polymorph nuclear cells and if there were more than 4 cells in view, we concluded that there was an intrauterine infection. Result: Types of bacteria and intrauterine infection found in both groups showed a significant difference (p=0.002) between the groups with PROM and the group with intact amniotic membrane. The most bacteria found in preterm delivery with amnion membrane intact was Eschericia coli (33.3%) and Streptococcus alfa hemolytic (33.3%) in premature rupture of the membrane. Based on Rank Spearman Correlation test shows a significant (p
Efektivitas Insecticide Treated Nets (ITNs) dan Intermitten Preventive Treatment (IPT) pada pencegahan malaria dalam kehamilan SINAGA, R.S.H.
Indonesian Journal of Obstetrics and Gynecology Volume. 33, No. 1, January 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Mengetahui efektivitas Insecticide Treated Nets (ITNs) dan Intermitten Preventive Treatment (IPT) pada pencegahan malaria dalam kehamilan. Bahan dan cara kerja: Literature review sejumlah kepustakaan dan jurnal yang meneliti tentang efektivitas ITNs dan IPT dalam pencegahan malaria dalam kehamilan. Hasil: Dilakukan penelaahan terhadap 16 buah kepustakaan dan jurnal mengenai malaria dalam kehamilan dan penelitian-penelitian mengenai penggunaan ITNs dan IPT dalam pencegahan malaria dalam kehamilan. Dari semua metode mencegah gigitan nyamuk, tidur dengan ITNs kemungkinan adalah yang paling efektif. Studi yang telah dilakukan menunjukkan bahwa di antara gravida 1 - 4 penggunaan ITNs, menurunkan kejadian parasitemia sebanyak 38% dan anemia berat sebanyak 47%. Pada saat persalinan, rata-rata kadar hemoglobin 0,6 g/dl lebih tinggi, dan prevalensi malaria plasental dan maternal diturunkan sebanyak 35%. Sedangkan bayi baru lahir, ITNs membantu dengan cara menurunkan insiden berat lahir rendah (prevalensi berat lahir rendah diturunkan sebanyak 28% pada gravida 1 - 4), menurunkan risiko anemia pada bayi baru lahir, menurunkan risiko kematian bayi baru lahir, meningkatkan pertumbuhan dan perkembangan selama kehamilan dan minggu-minggu pertama usia kelahiran. Untuk IPT, studi juga menunjukkan strategi ini efektif dalam pencegahan malaria dalam kehamilan karena dapat menurunkan risiko anemia berat pada primigravida yang tinggal di area malaria. Bahkan perempuan yang baru mendapat dosis satu kali oleh karena terlambat memeriksakan kehamilannya, secara signifikan mendapat manfaat dari intervensi ini. Kesimpulan: Perempuan hamil termasuk grup penduduk yang paling be-risiko terkena infeksi malaria. Oleh karena beratnya komplikasi yang bisa terjadi pada malaria dalam kehamilan dan banyak perempuan hamil yang tidak memiliki akses pada intervensi yang efektif maka pencegahan malaria dalam kehamilan merupakan hal yang sangat penting. Malaria dalam kehamilan dapat dicegah dengan cukup efektif menggunakan ITNs dan pemberian IPT. Bila terjadi infeksi malaria dalam kehamilan, penting untuk menentukan apakah tanpa atau dengan komplikasi karena yang tanpa komplikasi dapat diobati dengan mudah, sedangkan yang dengan komplikasi perlu manajemen yang spesialistik di tempat pelayanan tersier. [Maj Obstet Ginekol Indones 2009; 33-1: 28-34] Kata kunci: kelambu, Intermitten Preventive Treatment (IPT)
Changes of Body Mass Index and Lipid Profile in Injectable Depot Medroxyprogesterone Acetate and Levonorgestrel Implant Acceptors Daido, Irwan
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the comparison of body mass index (BMI) among acceptors of injectable depot medroxyprogesterone acetate (DMPA) with levonorgestrel implant acceptors for 1 year and comparison of lipid profiles between depot medroxyprogesterone acetate acceptors with levonorgestrel implants for 1 year. Method: This study was conducted at dr. Wahidin Sudirohusodo hospital, Makassar and its satellite hospitals as well as family planning social service cooperation between the National Family Planning Coordinating Board with the Department of Obstetrics and Gynecology Hasanuddin University. Result: The results showed the increase in BMI of levonorgestrel implant acceptors (1.25 kg/m2) was greater than DMPA acceptors (0.74 kg/m2). HDL cholesterol and triglycerides did not change significantly in either groups. LDL cholesterol was increased in DMPA acceptors (9.63 mg/dl) and decreased in implant acceptors (1.62 mg/dl). Total cholesterol increased in DMPA acceptors at 8.67 mg/dl) while in the levonorgestrel implant acceptors it was decreased by 5.37 mg/dl. Conclusion: Weight gain occured among acceptors of DMPA and implant however the weight gain is more profound among the implant acceptors. [Indones J Obstet Gynecol 2014; 3: 121-126] Keywords: body mass index, DMPA, levonorgestrel implant, lipid profile
The Serum Level of Vascular Endothelial Growth Factor (VEGF) is Declined after Paclitaxel-Carboplatin Combined Chemotherapy Treatment on Epithelial Ovarian Cancer Abdullah, Amelia
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 3, July 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.129 KB)

Abstract

Objective: To assess the effect of Paclitaxel-Carboplatin combination on epithelial ovarian cancer by studying the changes in VEGF serum levels after receiving 3 series of chemotherapy. Methods: This was a cohort study conducted at several teaching hospitals in Obstetrics and Gynecology Department of the Faculty of Medicine, Hasanuddin University from April 2011 to March 2012. The subjects were patients with ovarian cancer who met the inclusion criteria and had undergone surgery. The clinical staging was determined with 2009 FIGO criteria. They went through histopathology examination to determine the histological type and cell differentiation of the lesion. They also went through combined chemotherapy of Paclitaxel and Carboplatin. The data were analyzed with paired t-test. Results: The study reveals that out of 30 cases of ovarian cancer who received a combination chemotherapy, most were < 45 years of age (53.33%), nulliparous (46.7%), serosum type (53.3%), with moderate differentiation (36.7%), and in advanced stage (73.3%). The VEGF serum level after 3 series of chemotherapy was lower than before (the average value: 294.67 vs 572.77 ng/ml). There was a significant change in VEGF serum level after receiving chemotherapy (p=0.000). The VEGF serum level of advanced-stage and early stage epithelial ovarian cancer after chemotherapy decreases significantly (p=0.000 and p=0.011). The advanced-stage cases showed more responses to chemotherapy than the early-stage did. There was a tendency that adenocarcinoma serosum type was more responsive to the therapy than mucinosum type (p=0.000 vs 0.003). Conclusion: There is no difference in VEGF serum level based on cell differentiation but there is a tendency that well and moderate differentiated cells have a greater change than the poor differentiated cells (p=0.003, p=0.003 vs p=0.019). [Indones J Obstet Gynecol 2012; 36-3: 135-9] Keywords: carboplatin, epithelial ovarian cancer, paclitaxel, VEGF
Effectiveness of psychoeducation of postpartum depression (a study in health services in subprovince Nias, North Sumatra) Nazara, Yafeti
Indonesian Journal of Obstetrics and Gynecology Volume. 33. No. 4, October 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.473 KB)

Abstract

Objective: To evaluate the effectiveness of psycho-education intervention which is given to postpartum mothers in preventing the existence of postpartum depression and its relation to age, parity, occupation, education and family support. Methods: This research used a quasi experimental with post test only design. Research was implemented at public hospital of Gunung Sitoli and five community health centres in Sub-Province of Nias taken by random on since May - July 2006. There were 85 mothers with normal childbirth as samples. They were accompanied by their husband, condition of mothers and their babies were healthy without any complication. This research used an Edinburg Pascasalin Depression Scale questionnaire as instrument and psycho- education intervention was given with a booklet as media. Results: 85 subjects were included, 40 were intervention group and 45 control group. This research showed that psycho-education intervention was effective significantly (p= 0,001), Odds Ratio (OR): 5,924 (95 % CI : 2,081-16,868) to prevent the postpartum depression occurrence. The most dominant variable in effectiveness of psycho-education intervention is family support variable with pvalue is p = 0,001, OR : 80 (95 % CI : 6,069-1054,570). Conclusion: Psycho-education intervention is very effective for preventing the postpartum depression occurrence after controlled by family support factor. [Indones J Obstet Gynecol 2009;33-4:216-23] Keyword: psycho-education, postpartum depression, family support.
Comparison of the Levator Hiatal Area Juniarto, Muhammad E; Moegni, Fernandi
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.867 KB) | DOI: 10.32771/inajog.v4i4.450

Abstract

Objective: To determine the relationship of the levator hiatal area among nulliparous, primiparous, and multiparous women so that we can assess the prevalence of avulsion. Method: A cross-sectional study design was used by evaluating the transperineal ultrasound results of all nulliparous, primiparous, and multiparous women in the Obstetrics and Gynecology Clinic of Dr. Cipto Mangunkusumo hospital from May to December 2015. We analyzed the data through SPSS using one way ANOVA to compare the levator hiatal dimension among the groups of women during Valsava maneuver and at rest. Result: There were significant differences in levator hiatal area among nulliparous, primiparous, and multiparous women during Valsalva maneuver and at rest, which the mean (SD) was 22.26 (5.45) cm2 (p=0.028) and 10.70 (2.26) cm2 (p=0.012), respectively. Levator ani muscle avulsion was occurred in 1 out of 46 (2.2%) women from the primiparous and multiparous group. onclusion: There are significant differences in levator hiatal area during Valsalva and at rest among the groups. [Indones J Obstet Gynecol 2016; 4-4: 208-211] Keywords: avulsion, levator hiatal area, multiparous, nulliparous, primiparous
Preliminary Study: Comparation Study between Parecoxib 40 mg iv and Morphine 5 mg iv As Postoperative Analgesics Following Gynecologic Laparatomy Surgery SATOTO, D.; FIRDAUS, R.
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 4, October 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.427 KB)

Abstract

Tujuan: Membandingkan efektivitas Parecoxib 40 mg iv dengan Morfin 5 mg iv dalam 24 jam pertama pascaoperasi laparotomi ginekologi. Bahan dan cara kerja: Penelitian pendahuluan ini yang berupa penelitian acak tersusun dilakukan pada 20 pasien di RSCM, dibagi dalam kelompok eksperimen (40 mg iv Parecoxib) dan kelompok kelola (Morfin 5 mg iv). Pemantauan dilakukan selama 24 jam. Efektivitas diukur dengan t test dengan variabel VAS (Visual Analog Scale), MAP, denyut jantung, efek samping, dan dosis penanggulangan yang diperlukan pada efek samping. Hasil: Tidak terdapat perbedaan bermakna antara kedua kelompok yang berhubungan dengan VAS, MAP, denyut jantung, nausea muntah, dan pethidin tang diperlukan. Kesimpulan: Tidak terdapat perbedaan bermakna antara kelompok Parecoxib 40 mg iv dan Morfin 5 mg iv sebagai analgesik pascabedah pada laparotomi ginekologi. [Maj Obstet Ginekol Indones 2006; 30-4: 223-8] Kata kunci: ginekologi, laparotomi, analgesia, terapi

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