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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 1,731 Documents
 161   162   163   164   165 
Antibiotic Use in Caesarean Section among Obstetricians and Gynaecologists in the Second Largest City in Indonesia: Penggunaan Antibiotik pada Operasi Sesar oleh Dokter Obstetri dan Ginekologi di Kota Terbesar Kedua di Indonesia Muhammad I. A. Akbar; Renata A. Ulhaq; Indra Yuliati; Muhammad Yusuf; Budi Prasetyo; Brahmana A. Tjokroprawiro
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 2 April 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i2.1888

Abstract

Objective: To evaluate the pattern of antibiotic use incesarean section `by obstetricians in Surabaya, Indonesia.Methods: This was a descriptive observational study witha cross-sectional method. Study data were obtained fromonline interviews using electronic forms. This study useda total sampling method taken from obstetricians andgynecologists in Surabaya, Indonesia. The primary outcomeof this study was a pattern of antibiotic use, includingprophylactic use, selection of antibiotics, the timing ofadministration, additional antibiotics during and aftersurgery, and consideration of choice.Results: The majority of antibiotics used in CS are in linewith the guidelines. The types of prophylactic antibiotics(iv) used are varied; the majority were cefazoline (74.5%),ceftriaxone (14.5%), and cefotaxime (11.6%). Most antibioticswere administered <30 minutes before surgery. 2.5% ofobstetricians routinely added antibiotics during a cesarean,while 33% were based on a particular condition such asprolonged surgery, massive bleeding, or risk of infections.The selection of antibiotics by obstetricians was based onprotocols followed in the hospital (44.5%).Conclusion: This study demonstrates that most obstetriciansutilized antibiotic prophylaxis appropriately and followedguidelines for Cesarean Section.Keywords: antibiotic, cesarean section, maternal health,obstetricians.AbstrakTujuan: Untuk mengevaluasi pola penggunaan antibiotikpada seksio sesarea oleh dokter kandungan di Surabaya,Indonesia.Metode: Ini merupakan studi deskriptif observasionaldengan metode pengambilan data potong lintang. Datastudi diperoleh dari wawancara online dengan menggunakanformulir elektronik. Studi ini menggunakan total samplingdari dokter obstetri dan ginekologi di Surabaya, Indonesia.Hasil utama dari penelitian ini adalah pola penggunaanantibiotik, termasuk penggunaan profi laksis, pemilihanantibiotik, waktu pemberian, antibiotik tambahan selamadan setelah operasi, dan pertimbangan pilihan antibiotiktersebut.Hasil: Mayoritas antibiotik yang digunakan pada seksiosesarea sesuai dengan pedoman. Jenis antibiotik profi laksis(iv) yang digunakan bervariasi, mayoritas adalah cefazoline(74,5%), ceftriaxone (14,5%), dan cefotaxime (11,6%).Sebagian besar antibiotik diberikan <30 menit sebelumoperasi. 2,5% dokter kandungan rutin menambahkanantibiotik saat operasi sesar, sedangkan 33% didasarkanpada kondisi tertentu seperti operasi yang berkepanjangan,perdarahan masif, atau risiko infeksi. Pemilihan antibiotikoleh dokter kandungan berdasarkan protokol yang diikutidi rumah sakit (44,5%).Kesimpulan: Studi ini menunjukkan bahwa sebagian besardokter kandungan menggunakan profi laksis antibiotikdengan tepat dan mengikuti pedoman untuk operasi seksiosesaria.Kata kunci: antibiotik, dokter kandungan, kesehatan ibu,operasi sesar.
Qualitative Study on Maternal and Perinatal Health Services in Primary Health Care Facility in Banten Province: Kajian Mutu Pelayanan Kesehatan Maternal Perinatal Fasilitas Kesehatan Tingkat Primer di Provinsi Banten Omo Abdul Madjid; Simon Fongana; Dwiana Ocviyanti; Junita Indarti; Seno Adjie; IPG Kayika; Arietta Pusponegoro; Siti R. F. Harun
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 2 April 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i2.1892

Abstract

Objective: To determine the effect of clinical governance in PHCs on maternal and perinatal health in Banten Province, Indonesia.Methods: This was an observational analytic study with cross sectional method performed on the PHCs on Banten Province, Indonesia. All PHCs in Banten Province having maternal and perinatal health services were included in the study. Clinical governance and services were measured using a self-made questionnaire filled by the representative of the PHC. Characteristics analyzed in this study were age, education level, completed training, and occupation. Clinical governance aspects analyzed in this study were leadership, culture, competence, governance, and readiness. The services analyzed in this study were antenatal, pathology, and emergency service. Results: There were 117 PHC representatives who were recruited to the study. The PHC which were categorized as “outstanding” for leadership, culture, competence, governance, and readiness were 23.1%, 41%, 98%, 81.2%, and 83.8%, respectively. The PHC which were categorized as having “good” antenatal, pathology, and emergency services were 92.3%, 51.3%, and 90.6%, respectively. The PHCs with better clinical governance aspects delivered better antenatal, pathology, and emergency services for maternal and perinatal care.Conclusions: Primary health cares with better clinical governance aspects delivered better antenatal, pathology, and emergency services for maternal and perinatal care. Therefore, improving clinical governance is essential to improve maternal and perinatal health services quality in Banten Province, IndonesiaKeywords: clinical governance, health service, maternal health, quality assurance.AbstrakTujuan: Untuk mengetahui pengaruh tata kelola klinik di Puskesmas terhadap kesehatan ibu dan perinatal di Provinsi Banten, Indonesia.Metode: Penelitian observasional analitik dengan metode potong lintang yang dilakukan di Puskesmas di Provinsi Banten, Indonesia. Semua Puskesmas di Provinsi Banten yang memiliki layanan kesehatan ibu dan perinatal diikutsertakan dalam penelitian ini. Tata kelola dan layanan klinis diukur menggunakan kuesioner buatan sendiri yang diisi oleh perwakilan Puskesmas. Karakteristik yang dianalisis dalam penelitian ini adalah usia, tingkat pendidikan, pelatihan yang diselesaikan, dan pekerjaan. Aspek tata kelola klinis yang dianalisis dalam penelitian ini adalah kepemimpinan, budaya, kompetensi, tata kelola, dan kesiapan. Pelayanan yang dianalisis dalam penelitian ini adalah pelayanan antenatal, patologi, dan gawat darurat.Hasil: Terdapat 117 perwakilan Puskesmas yang direkrut untuk penelitian. Puskesmas yang dikategorikan “sangat baik” untuk kepemimpinan, budaya, kompetensi, tata kelola, dan kesiapan masing-masing adalah 23,1%, 41%, 98%, 81,2%, dan 83,8%. Puskesmas yang memiliki pelayanan antenatal, patologi, dan gawat darurat yang tergolong “baik” berturut-turut adalah 92,3%, 51,3%, dan 90,6%. Puskesmas dengan aspek tata kelola klinis yang lebih baik memberikan layanan antenatal, patologi, dan darurat yang lebih baik untuk perawatan ibu dan perinatal.Kesimpulan: Pelayanan kesehatan primer dengan aspek tata kelola klinis yang lebih baik menghasilkan pelayanan antenatal, patologi, dan kegawatdaruratan yang lebih baik untuk pelayanan ibu dan perinatal. Oleh karena itu, peningkatan tata kelola klinis sangat penting untuk meningkatkan kualitas pelayanan kesehatan maternal dan perinatal di Provinsi Banten, IndonesiaKata kunci: kesehatan ibu, pelayanan kesehatan, penjaminan mutu, tata kelola klinik.
The Anxiety Level and Premature Rupture of Membrane Incidence during COVID-19 Pandemic Renasheva Alifia Nugraha; Muhammad Adrianes Bachnas; Istar Yuliadi
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 1 January 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i1.1692

Abstract

Abstract Objective: To determine the association between anxiety level and premature rupture of membrane incidence during COVID-19 pandemic. Methods: This study was a case-control study. The subjects of this study were patients giving birth at RSUD Dr. Moewardi Surakarta Hospital and UNS Sukoharjo Hospital in June - October 2021. Sampling was done by the purposive sampling technique on 70 samples. Data were analyzed using the chi-square test and logistic regression test. Results: Characteristic data of the study samples found that most of the study samples was severe anxiety (40%). There was a significant association between the level of anxiety with PROM incident (p = 0.00), and pregnant women with severe anxiety had a risk of PROM of 3.761 times compared to pregnant women who were not anxious (OR=3.761). In multivariate analysis, it was found that the most influential variable on the incidence of premature rupture of membranes was the level of anxiety (p=0.001) compared to parity (p=0.155), employment status (0.193), and education level (0.576). Conclusion: There was a significant association between anxiety level and premature rupture of membranes incidence during the COVID-19 pandemic, and there was an increased risk of premature rupture of membranes in pregnant women with severe anxiety levels during the COVID-19 pandemic. Keywords: anxiety level; premature rupture of membrane; COVID-19 pandemic.
Effect Knowledge and Attitude with Behaviour of HPV Vaccination in Women of Reproductive Age: Pengaruh Pengetahuan dan Sikap dengan Perilaku Vaksinasi HPV pada Wanita Usia Reproduksi Budi Darmawan; Bismarck J. Laihad; Frank M. M. Wagey
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 1 January 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i1.1736

Abstract

To observe the association between knowledgeand attitude towards HPV vaccination with the behaviortowards HPV vaccination on reproductive woman inIndonesia.Methods: We conducted observational analytic studywith cross-sectional design. The study was conducted inobstetric and gynecologic outpatient clinic in Prof. Dr. R.D. Kandou General Hospital, Manado Indonesia throughJuly and August 2021. Reproductively active woman wereincluded as the subject. Univariate and bivariate analysiswere conducted in this study.Results: We included 364 reproductive woman. The majorityof the subject were 20-35 year-old woman (50.8%) and weremarried (61.3%). The majority of the subject (72.8%) havereceived information about HPV vaccination. We foundsignificant association between knowledge and attitudewith the OR of 5.57 (p=0.00). Knowledge and attitudeshowed significant association with eagerness towards HPVvaccination. However, knowledge and behavior did notshow any significant association towards HPV vaccinationbehavior.Conclusion: There is a significant association betweenknowledge and attitude of HPV vaccination with eagernesstoward HPV vaccination in reproductive women in Indonesia.Keywords: behavior, HPV vaccination, knowledge,reproductive women. Keywords: behavior, HPV vaccination, knowledge,reproductive women. AbstrakTujuan: Untuk mengetahui hubungan pengetahuan dansikap terhadap perilaku vaksinasi HPV pada perempuan usiareproduktif di RSUP Prof. DR. R. D. Kandou, Manado.Metode: Penelitian ini merupakan penelitian analitikobservasional dengan pengambilan subjek potong lintang.Penelitian dilakukan di unit pelayanan bagian Obstetri danGinekologi RSUP Prof. Dr. R. D. Kandou Manado pada Juli-Agustus 2021. Subjek penelitian merupakan perempuanusia reproduktif yang bersedia untuk mengikuti penelitianini. Analisis data akan dilakukan secara univariat dan bivariatserta dilaporkan pada penelitian ini.Hasil: Penelitian ini mencakup 364 perempuan dengan usiaproduktif. Mayoritas subjek merupakan perempuan denganusia 20-35 tahun (50,8%) dan sudah menikah (61,3%).Mayoritas subjek (72,8%) pernah mendapatkan informasivaksinasi HPV sebelumnya. Hubungan antara pengetahuandan sikap terhadap vaksinasi menunjukkan hasil yangsignifikan (p=0,00) dengan OR 5,57. Pengetahuan dansikap juga menunjukkan hubungan yang signifikan dengankesediaan vaksin (p<0,05). Pengetahuan dan sikap tidakmenunjukkan hubungan yang bermakna terhadap perilakuvaksin (p>0,05).Kesimpulan: Terdapat hubungan yang bermakna antarapengetahuan dan sikap dengan perilaku keinginan vaksinasiHPV pada perempuan usia reproduktif.Kata kunci: pengetahuan, perempuan usia reproduktif,sikap, Vaksinasi HPV.
Preoperative Platelet-Lymphocyte Ratio as a Prognostic Factor of Epithelial Ovarian Cancer Johan Winata; Bismarck Joel Laihad; Frank Mitchell Marvel Wagey
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 1 January 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i1.1738

Abstract

Objective: To determine whether platelet-lymphocyte ratio can be a prognostic factor for epithelial ovarian cancer. Methods: This study was a retrospective cohort with analytical design, conducted in the Department of Obstetrics and Gynecology of Prof. Dr. R.D. Kandou Manado General Hospital from January – November 2020. The subjects were all patients with epithelial ovarian cancer who met the inclusion and exclusion criteria. Data analysis was conducted with Chi-square test.Results: 35 subjects were included in this study. Most subjects were 40-50 years and had a platelet-lymphocyte ratio of above 200. The mean platelet-lymphocyte ratio of the subjects with epithelial ovarian cancer was 244.663 +- 130.0234. Chi-square test showed a significant association between platelet-lymphocyte ratio and the ovarian cancer relapse (X2 = 14.464 p = 0.000) with RR=4.0Conclusion: There was a significant difference between platelet-lymphocyte ratio and the ovarian cancer relapse.Keywords: epithelial ovarian cancer, inflammatory marker, platelet-lymphocyte ratio, prognosis.
9vHPV (Nonavalent) Vaccine Policy in Indonesia Yudi M. Hidayat; Gerry N. Reynaldi
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 2 April 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i2.1982

Abstract

The Effect of Mannihot Esculenta on Prolactin Hormone Levels and Breast Milk Production in Breastfeeding Mothers: Efek Mannihot Esculenta pada Tingkat Hormon Prolaktin dan Produksi Susu Ibu pada Ibu Menyusui Sherin Sausan Wulandari; Krisdiana Wijayanti; Lanny Sunarjo
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1814

Abstract

Objective: To prove the effect of cassava leaves jerky(Mannihot Esculennta) on prolactin hormone levels andbreast milk production in breastfeeding mothers in theWorking Area of the Rejosari Health Center of PekanbaruCity.Methods: This study used True Experiment Design with apretest and posttest design with the control group, usinga simple random sampling with a total of 28 breastfeedingmothers, 14 intervention group respondents, and 14 controlgroup respondents. The intervention group was givencassava leaves jerky 60 gr/day, and the control group wasgiven jerky without cassava leaves 20 gr/day for 2 weeks.Both groups were observed 3 times by weighing the baby'sweight and checking the level of the hormone prolactin afteradministering the intervention using the ELISA method. Dataanalysis using Mann-Whitney, TIndependent, RepeatedANOVA test.Results: There was a difference in the average differenceof prolactin hormone levels in the intervention group andcontrol group with a p-value of 0.000 (<0.05)Conclusion: Giving jerky cassava leaves breast milk boosteraffects the hormone prolactin and breast milk production inbreastfeeding mothers.Keywords: breast milk production, cassava leaves, mannihotesculenta, prolactin.Abstrak Tujuan: Untuk Membuktikan dendeng daun singkong(Mannihot Esculennta) terhadap kadar hormon prolaktindan produksi ASI pada ibu menyusui di Wilayah KerjaPuskesmas Rejosari Kota Pekanbaru.Metode: Penelitian ini menggunakan rancangan percobaanyang sebenarnya dengan desain pretest and posttest onlywith control group, sampling menggunakan sampel acaksederhana dengan jumlah 28 responden ibu menyusui,14 responden kelompok intervensi, dan 14 respondenkelompok kontrol. Kelompok intervensi diberi dendeng daunsingkong 60 gr/hari, dan kelompok kontrol diberi dendengtanpa daun singkong 20 gr/hari selama 2 minggu. Keduakelompok diamati sebanyak 3 kali dengan menimbangberat badan bayi dan pemeriksaan kadar hormon prolaktinsetelah pemberian intervensi dengan metode ELISA. Analisisdata menggunakan uji Mann-Whitney, TIndependent,Repeated ANOVA.Hasil: Terdapat perbedaan rata-rata selisih kadar hormonprolaktin pada kelompok intervensi 376,5 ng/ml, kelompokkontrol 103,5 ng/ml dengan p-value 0,000 (<0,05)Kesimpulan: Pemberian dendeng penambah ASI daunsingkong berpengaruh terhadap hormon prolaktin danproduksi ASI pada ibu menyusui.Kata kunci: daun singkong, mannihot esculenta, produksiASI, prolaktin.
Roma Index and Adnex Model: which is more Superior in Predicting Epithelial Ovarian Malignancy? Index Roma dan Model Adnex: Manakah yang Lebih Unggul dalam Memprediksi Keganasan Ovarium Epitelial? Feibyg Lumandung; Suzanna P. Mongan; Bismarck J. Laihad
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1819

Abstract

Objective: To compare the accuracy of ROMA index andADNEX model in predicting the risk of malignancy in ovariantumour.Methods: This was a prospective analytic study. A total of 37samples were acquired from women of all ages diagnosedwith an ovarian cystic tumour in the Central General HospitalProf. Dr. R. D. Kandou. A CA-125 marker, HE4 marker,menopausal status and ultrasonography (USG) examinationwere obtained, and subsequently compared with the fi nalhistopathological results. The data were analysed by usingthe SPSS statistics software.Results: Thirty-seven women participated in this study. Themean age of participants was 43 years old. The Area UnderCurve (AUC) of the ADNEX was 0.979 with a sensitivity of90.0%, specifi city of 88.2%, negative predictive value of89.8%, and positive predictive value of 80.5%. The AUC ofthe ROMA model was 0.734 with the sensitivity, specifi city,negative predictive value, and positive predictive value of65.0%, 64.7%, 64.8%, and 64.8%, respectively. Both modelsshowed AUC values > 0.50 (p-value < 0.05).Conclusions: The IOTA ADNEX had better accuracy than theROMA model in predicting ovarian epithelial malignancy.The ADNEX model had higher sensitivity and specifi city thanthe ROMA model.Keywords: ADNEX, CA-125, HE4, Ovarian tumour, ROMAAbstrakTujuan: Untuk membandingkan akurasi indeks ROMAdan ADNEX model dalam memprediksi keganasan tumorovariumMetode: Penelitian ini merupakan studi analitik prospektif.Total 37 sampel penelitian didapatkan dari wanita yangdidiagnosa tumor ovarium kistik di RSUP Prof. Dr. R. D.Kandou. CA-125, HE4, status menopause dan pemeriksaanUSG dilakukan, dan dibandingkan dengan hasil histopatologi.Data kemudian dianalisa menggunakan program statistikSPSS.Hasil: Tiga puluh tujuh perempuan yang berpartisipasidalam penelitian ini. Dengan rerata usia 43 tahun. TotalArea Under Curve (AUC) dari IOTA ADNEX adalah 0,979dengan sensitivitas 90,0%, spesifi sitas 88,2%, nilai prediksinegatif 89,8%, dan nilai prediksi positif 80,5%. AUC darimodel ROMA adalah 0,734 dengan sensitivitas, spesifi sitas,nilai prediktif negatif dan nilai predikitif positif 65.0%, 64.7%,64.8%, dan 64.8% berturut-turut. Kedua model menunjukkannilai AUC > 0,50 (nilai p <0,05).Kesimpulan: IOTA ADNEX memiliki akurasi yang lebih baikdibandingkan model ROMA dalam memprediksi keganasanovarium epithelial. ADNEX model memiliki sensitivitas danspesifi sitas lebih tinggi dibandingkan model ROMAKata kunci: ADNEX, CA-125, HE4, ROMA, Tumor Ovarium.
Leiomyoma Ablation with Transvaginal Ultrasonography-Guided Radiofrequency: A Report of Four Cases : Ablasi Mioma dengan Radiofrekuensi Terpandu Ultrasonografi Transvaginal: Laporan Empat Kasus Doddy Sutanto; Ery Surya Sevriana; Rukmono Siswishanto; Lydia Olivia; Rahmalina
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1834

Abstract

Abstract Objective : To perform transvaginal ultrasound-guided radiofrequency ablation (RFA) to four women with symptomatic subserous and intramural leiomyomas using standard protocols. Methods : A report of four cases. Case : This article reports three of four women with leiomyomas had heavy menstruation bleeding. The first case was a premenopausal woman with pelvic discomfort. In the second case, the patient underwent curettage after being diagnosed with a blighted ovum, the third case with non-cyclic pain and irregular cycles, and the fourth case with 14-year-old infertility and repeated IVF failure. No significant side effects or complications occurred after treatment and during observation. Monitoring uterine leiomyoma size for one week and three months showed an average reduction of 56.9%, indicating a significant reduction in myoma volume. The reported symptoms also improved. Conclusion : Transvaginal ultrasound-guided radiofrequency ablation is an effective, non-invasive therapy with minimal side effects, so it may be the primary choice for leiomyoma therapy. Keywords : Leiomyoma, RFA, transvaginal ultrasonography Abstrak Objektif : Untuk melakukan radiofrekuensi ablasi (RFA) terpandu ultrasonografi transvaginal pada empat wanita dengan mioma intramural dan suberosa bergejala dengan menggunakan protokol yang standar. Metode : Laporan empat kasus. Kasus : Melaporkan tigas dari empat wanita dengan mioma uteri mengalami perdarahan menstruasi yang banyak. Kasus pertama adalah seorang wanita premenopause dengan keluhan rasa tidak nyaman pada panggul. Pada kasus kedua, pasien menjalani kuretase setelah didiagnosis dengan blighted ovum, kasus ketiga dengan nyeri non-siklus dan siklus tidak teratur, dan kasus keempat adalah infertilitas 14 tahun dan kegagalan IVF berulang. Tidak ada efek samping yang berarti atau komplikasi yang terjadi setelah tindakan dan selama pemantauan. Pemantauan ukuran mioma uteri selama satu minggu dan tiga bulan menunjukkan penurunan rata-rata sebesar 56,9%, menunjukkan penurunan volume mioma yang signifikan. Gejala-gejala yang dilaporkan juga mengalami perbaikan. Kesimpulan : Radiofrekuensi ablasi terpandu ultrasonografi transvaginal merupakan terapi non-invasif yang efektif dengan efek samping minimal, sehingga dapat menjadi pilihan utama untuk terapi mioma uteri. Kata kunci : Mioma, RFA, ultrasonografi transvaginal
Friedman Curve Positively Correlates with Cesarean Section and Oxytocin Augmentation in Active Phase Delivery as Compared to Partograph: Kurva Friedman Berkorelasi Positif dengan Seksio Sesarea dan Augmentasi Oksitosin pada Fase Aktif Persalinan dibandingkan Partograf Anak Agung Ngurah Anantasika; I Wayan Artana Putra; Ida Bagus Putra Adnyana; I Wayan Megadhana; Ryan Saktika Mulyana; Agustinus Darmawan Hariyanto
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1867

Abstract

Objective: To investigate the correlation between cesareansection and oxytocin augmentation in childbirth monitoredwith the Friedman curve compared to the World HealthOrganization (WHO) partographs.Methods: An analytic cross-sectional study was conductedfrom March to May 2021, involving mothers giving birthwhose delivery process was monitored using either theFriedman curve or the WHO partograph (n=28 for eachgroup) at Wangaya Hospital in Denpasar City. The durationof the active phase until delivery, occurrence of cesareansection, and administration of oxytocin augmentationwere assessed using the Friedman curve and the WHOpartograph. The normality of the data was tested using theKolmogorov-Smirnov test, and the Spearman correlationtest was employed to measure the direction and strengthof the correlation.Results: There was no signifi cant difference between thegroups in terms of monitoring the active phase until deliveryusing the Friedman curve compared to the WHO partograph(p=1.000 > 0.05). Maternal monitoring with the Friedmancurve showed a positive correlation with the occurrenceof cesarean section compared to the WHO partograph(r=0.296, p=0.027). Additionally, monitoring childbirth withthe Friedman curve exhibited a positive correlation with theadministration of oxytocin augmentation compared to theWHO partograph (r=0.298, p=0.026).Conclusion: The fi ndings suggest a stronger positivecorrelation between the incidence of cesarean section andthe administration of oxytocin augmentation in childbirthmonitored with the Friedman curve compared to the WHOpartograph.Keywords: cesarean section, Friedman curve, oxytocinaugmentation, WHO partograph.AbstrakTujuan: Untuk menentukan korelasi antara operasi sesardan augmentasi oksitosin pada persalinan yang dipantaudengan kurva Friedman dibandingkan dengan partografOrganisasi Kesehatan Dunia (WHO).Metode: Desain penelitian analitik potong lintangdilakukan pada Maret-Mei 2021, dengan melibatkan ibubersalin yang proses persalinannya dipantau menggunakankurva Friedman atau Partograf WHO (n=28 untuk setiapkelompok) di ruang bersalin di Rumah Sakit Wangaya,Kota Denpasar. Waktu fase aktif hingga kelahiran bayi,persalinan seksio sesarea, dan augmentasi oksitosin dinilaidengan menggunakan kurva Friedman dan Partograf WHO.Uji normalitas dilakukan dengan uji Kolmogorov-Smirnov,dilanjutkan dengan uji korelasi Spearman untuk mengukurarah dan kekuatan korelasi.Hasil: Pemantauan ibu bersalin dengan kurva Friedmandibandingkan dengan Partograf WHO dalam hal faseaktif-persalinan bayi menunjukkan tidak ada perbedaanyang signifi kan di antara kedua kelompok (p = 0,000 >0,05). Pemantauan ibu dengan kurva Friedman berkorelasipositif dengan kejadian bedah sesar dibandingkandengan Partograf WHO (r = 0,296, p = 0,027). Selain itu,pemantauan persalinan dengan kurva Friedman berkorelasipositif dengan pemberian oksitosin dibandingkan denganpartograf WHO (r = 0,298, p = 0,026).Kesimpulan: Terdapat korelasi positif yang lebih tinggiantara kejadian bedah sesar dan pemberian augmentasioksitosin pada proses persalinan yang dipantau dengankurva Friedman dibandingkan dengan partograf WHO.Kata kunci: augmentasi oksitosin, kurva friedman, partografWHO, seksio sesarea

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