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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 1,760 Documents

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Prevalence of Postpartum Anxiety and Depression after Intrapartum Oxytocin Valentine, Grace; Kayika, I Putu G
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To know the prevalence of postpartum anxiety and depression in patients who received intrapartum oxytocin. Method: Across-sectional observational study was conducted in Dr. Cipto Mangunkusumo hospital. Observation used Edinburgh Postnatal Depression scale and Beck Anxiety Inventory before delivery day, on the first and fourteenth day of postpartum. Result: Of 112 patients, we found the prevalence of mild and moderate anxiety were 94.6% and 5.4%. There were no anxiety women before delivery and on the first day of postpartum. The prevalence of mild and moderate anxiety on the fourteenth day of postpartum were 83% and 16.9%. There was no severe anxiety found at those time. On the other hand, the prevalence of postpartum depression on the first and fourteenth day of postpartum were 31.3% and 32.1%. There was no association between exogenous oxytocin and postpartum anxiety also depression. In multivariate analysis, we found that women with low self image were more prone to postpartum anxiety (OR 0.16, 95% CI 0.06-0.46). Meanwhile, postpartum depression was associated significantly to self image (OR 0.17, 95% CI 0.07-0.83), low income (OR 10.35, 95% CI 1.72-62.45) and pregnancy plan (OR 0.17, 95% CI 0.06-0.53) Conclusion: The patients who received intrapartum oxytocin are more prevalent to have mild anxiety. The prevalence of depression before delivery day, on the first and fourteenth day of postpartum are similar. In statistic, there is no relationship between intrapartum oxytocin administration and postpartum anxiety or depression. [Indones J Obstet Gynecol 2016; 4-2: 59-63] Keywords: anxiety, depression, oxytocin intrapartum, postpartum

Oral versus Vaginal Misoprostol for Labour Induction : A Comparative Study Mahacakri, Eke P; Bernolian, Nuswil; Pangemanan, Wim T; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 2 April 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare the efficacy and safety of hourly titrated oralmisoprostol in solution (OMS) with vaginal misoprostol (PV) forlabor induction.Methods: Randomized Controlled Trial (RCT), double blind-add onthe study was conducted from January-November 2016 in deliveryward of Moh. Hoesin general hospital. Women 30 weeks of gestationwith an unfavorable cervix (Bishop score 6) and an indicationfor labor induction were randomly assigned to receive titrated oralor vaginal misoprostol. The OMS group received a basal unit of20 ml misoprostol solution (1 g/ml) every 1 hour for four dosesand then were titrated against individual uterine response. In theabsence of regular uterine contractions, the dose was increased to40 ml hourly for four doses and then 60 ml for four doses. Thevaginal group received 25 g every 4 hours until attaining a morefavorable cervix for three doses. All the subjects received amylumplacebo. In labor within 12 hours was the primary outcome.Results: A total of 30 women were enrolled in this study. One subjectin the OMS group was dropped out due to eclamptic seizure. Theaverage interval from induction until in labour in OMS group was5.753.14 hour and 6.604.46 hour in PV group (p = 0.56). In labourstage was achieved within 12 hours in 14 women (100%) in OMSgroup and 14 women (93.3%) in PV group (p = 1.00). Vaginaldelivery was achieved within 24 hours in 13 women (92.9%) inOMS group and 15 women (100%) in PV group. The incidence ofuterine hyperstimulation/ tachysystolic was 7.1% in OMS groupcompared with 13.3% in PV group. Fetal distress was found only 1case (7.1%) in OMS group. There was no difference in the maternaland neonatal outcome of labor in both the groups.Conclusion: Oral titrated in solution, and vaginal route ofadministration of misoprostol for induction of labour areequally effective and safe.[Indones J Obstet Gynecol 2018; 6-2: 89-97]Keywords: hourly titrated oral misoprostol in solution, oral misoprostol,randomized controlled trial, vaginal misoprostol

Postradical Hysterectomy Survival Rate in Early Stage Cervical Cancer Patients Yeremia, Wesley; Rarung, Max; Laihad, Bismarck J
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: Determining the survival rate of early stage cervical cancer patients after radical hysterectomy. Method: A retrospective cohort study was conducted on 24 earlystage cervical cancer patients who had performed radical hysterectomy in Prof. dr. R.D. Kandou Hospital Manado during the period between January 2008 and December 2010. We used Kaplan-Meier methods to observe the survival rate. Result: The mean age of patients in this study was 47.8 (33-63) years old with a median of 45 years old. The largest proportion was less than 50 years old (66.7%) and stage IIA cervical cancer (66.7%) as the severity of cancer. Most histopathology type was the squamous cell carcinoma (50.0%). About 70.8% patients did not have lymph nodes metastasis and 62.5% patients did not receive adjuvant therapy. This study revealed that 1-year, 2-year, 3-year, 4-year, and 5-year survival rate were 100.0%, 100.0%, 95.8%, 83.0%, 70.8%; respectively. Conclusion: The survival rate of early stage cervical cancer afte[Indones J Obstet Gynecol 2016; 4-3: 164-169] Keywords: cervical cancer, radical hysterectomy, survival rate

Pengaruh Isoflavon Terhadap Profil Lipid pada Perempuan Menopause/pascamenopause LASMINI, P. S.; HESTIANTORO, A.; RACHMAN, I. A.
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 3, July 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.261 KB)

Tujuan: Untuk menentukan efek perubahan profil lipid pada perempuan menopause/pascamenopause yang diberi fitoestrogen (isoflavon). Tempat: Poliklinik Menopause RSCM/FKUI Jakarta. Rancangan/rumusan data: Uji klinis cara tersamar ganda dengan desain paralel tanpa matching. Bahan dan cara kerja: Selama kurun waktu April 2005 - September 2005, terkumpul 48 orang perempuan menopause/pascamenopause berusia < 65 tahun yang sehat, telah mengalami henti haid minimal selama 1 tahun dengan kadar FSH â¥ 30 mIU/L. Setelah dilakukan randomisasi sederhana dengan tabel random dan tersamar ganda, subjek penelitian dibagi dua kelompok, kelompok pertama diberi obat fitoestrogen isoflavon oral 100 mg/hari (2 x 50 mg), kelompok kedua diberi plasebo oral. Sebelum minum obat, diperiksa kadar lipid serum berupa kolesterol total, LDL kolesterol, HDL kolesterol dan trigliserida. Pemeriksaan kadar lipid serum kedua diperiksa setelah minum obat selama 12 minggu untuk melihat perubahan profil lipid setelah minum obat. Hasil: Dari 48 orang yang ikut penelitian, 2 orang dikeluarkan dari penelitian. Ditemukan kenaikan rerata kadar kolesterol total serum setelah 12 minggu pada kelompok obat sebesar -17,21 mg/dl (8,1%), tetapi secara statistik tidak bermakna. Pada kelompok plasebo sebesar -33,04 mg/dl (15%), secara statistik tidak bermakna. Pada kelompok obat ditemukan kenaikan kadar LDL sebesar -20,43 mg/dl, lebih sedikit dibanding kelompok plasebo sebesar -30,92 dan secara statistik bermakna setelah minum obat. Ditemukan penurunan kadar rerata HDL sebesar 3,99 mg/dl, secara statistik tidak bermakna pada kelompok obat setelah 12 minggu. Pada kelompok plasebo ditemukan kenaikan sebesar 1,40 dan tidak bermakna secara statistik. Pada kedua kelompok obat dan plasebo terdapat kenaikan rerata kadar trigliserida (secara statistik tidak bermakna) yaitu berturut-turut sebesar 3,54 mg/dl dan 4,16 mg/dl. Kesimpulan: Tidak ditemukan perubahan profil lipid pada pemberian isoflavon 100 mg/hari selama 12 minggu pada perempuan menopause/ pascamenopause yang sehat. [Maj Obstet Ginekol Indones 2006; 30-3: 156-63] Kata kunci: profil lipid, perempuan menopause/pascamenopause, isoflavon.

Parity and Duration of Labor Affects the Risk of Urinary Retention in post C-Section Patients Nurullah, Yulia I.
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To determine the rate of urinary retention cases and contributing risk factors in Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital (RSMH), Palembang. Methods: The study conducted on 111 patients who met our study criteria. After CS, urinary catheter were inserted for 24 hours, and then it was opened for 6 hour, after that patients were asked to urinate spontaneously, then we examined the residual urine volume with transvaginal ultrasound. If residual urine volume post CS was >200 ml, it categorized as urinary retention. Result: During the follow up we found that the rate of urinary retention after CS was 3.6% (4 subject). All subject has a covert urinary retention. Factors contribute to post CS urinary retention was duration of labor and parity. The mean of labor duration in group with urinary retention is 8.75Â±13.04 hour, and 7.55Â±7.28 hour in the normal group (p = 0.003 RP= 106.00 CI 95%= 6.587-1705.778). All case with urinary retention were primipara (p = 0.045). Conclusion: Our study found that the rate of post CS urinary retention was 3.6%. Risk factors for post CS urinary retention were duration of labor more than 24 hours and primipara. [Indones J Obstet Gynecol 2013; 37-1: 46-50] Keyword: caesarean section, residual urine, urinary retention

Measurement of Glucose/Insulin Fasting Ratio (G:I Ratio) for Insulin Resistance Identification on Polycystic Ovary Syndrome Patients Siregar, Fidel G.
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 2, April 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To identify insulin resistance on PCOs patients and to know characteristics and clinical differences between PCOs patients with and without insulin resistance in Gynecologic Outpatient Clinic of H. Adam Malik Hospital, Clinic of Prof. Delfi Lutan, Clinic of Prof. Thamrin Tanjung and Clinic of Halim Fertility Center in Medan. Method: This descriptive cross sectional study conducted from July 2008 - June 2009, diagnosis of PCOs based on Rotterdamâs criteria was drawn for 5 ml blood samples, from mediana cubiti vein, after 10 - 12 hours fasting for determination of fasting glucose, fasting insulin, LH, FSH, prolactin and testosterone. Insulin resistance was determined by glucose/insulin fasting ratio < 4.5. Result: From sixty one patients were divided into PCOs without insulin resistance (50 patients; 82%) and PCOs with insulin resistance (11 patients; 18%) group. No significant differences in clinico-biochemical characteristics, fasting glucose mean level, menstrual pattern, ovary volume, follicle number and reproductive hormone profile of two groups, except in BMI value, fasting insulin level and G:I ratio (p < 0.05). Conclusion: There was significant correlation between fasting insulin level and insulin resistance with mean of fasting insulin level of 24.882 Î¼U/ml. Insulin resistance was frequent on overweight group study according to WHO criteria (BMI 25 - 29.9 kg/m2). [Indones J Obstet Gynecol 2011; 35-2: 74-8] Keywords: insulin resistance, polycystic ovary syndrome, G:I ratio

Efusi Pleura Unilateral pada penderita Sindroma Hiperstimulasi Ovarium dalam Program Fertilisasi Invitro (Laporan Kasus) NATAPRAWIRA, D.S.; PERMADI, W.; DJUWANTONO, T.; HARLIANTO, H.; BAYUAJI, H.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 3, July 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Tujuan: Melaporkan kasus efusi pleura unilateral pada penderita OHSS. Rancangan/rumusan data: Laporan kasus. Tempat: Klinik fertilitas rumah sakit rujukan tersier. Hasil: Seorang wanita usia 32 tahun yang menderita OHSS. Faktor risiko pada kasus ini adalah ovarium polikistik, usia 4300 pg/mL. Saat diketahui respons ovarium yang berlebih, dilakukan penurunan dosis FSH. Terjadi efusi pleura unilateral dan asites minimal 11 hari pasca penyuntikan r-hCG, sehingga perlu dilakukan perawatan intensif dan pemasangan water-sealed drainage (WSD). Dilakukan pemberian albumin intravena yang disesuaikan dengan perkembangan kadar albumin darah harian. Setelah dirawat selama 15 hari pasien dipulangkan dalam keadaan baik. Kesimpulan: Pada kasus ini telah dilakukan monitoring stimulasi secara hormonal dan ultrasonografi serta upaya-upaya pencegahan lain. Namun demikian, OHSS tetap terjadi sehingga diperlukan kombinasi terapi suportif dan bedah. [Maj Obstet Ginekol Indones 2007; 31-3: 174-9] Kata kunci: fertilisasi invitro, sindroma hiperstimulasi ovarium, efusi pleura unilateral

HE4 has a High Diagnostic Value to Detect Epithelial Ovarian Cancer Laihad, Bismarck J.
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To find out the diagnostic value of CA125 and HE4 as a tumor marker, and also RMI and ROMA as a malignancy predictor in patients with ovarian tumors. Methods: This study was a diagnostic study using cross-sectional design.This study was performed in Jakarta from November 2010 to May 2011. One hundred and twenty eight serum samples of patients diagnosed with ovarian tumors were collected before undergoing surgery in Dr. Cipto Mangunkusumo General Hospital. The CA125 and HE4 levels were then examined. The histopathological examination of tissue specimens were performed in Department of Pathology Anatomy in RSCM. For statistical analysis, we used a 2x2 table to produce ROC-AUC curve. Results: The median value of HE4 and CA125 serum concentrations was higher and more significant on patients with ovarian malignancy than patients with benign ovarian tumor (p

Factors Affecting Selection of Contraceptive Methods and Its Length of Use Astato, Erdiyan; Djajadilaga, Djajadilaga
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the factors related to the selection of contraceptive methods and length of use on acceptors in Raden Saleh Clinic and Fatmawati General Hospital. Method: The study was a prospective observational study designs. The factors that we observed include the family planning factor (wife age, number of desired children and infertility), subjective factors (side effect experience of contraception, support from the husband/ family, and religion), objective factors (medical disorders, person helping to select contraception, family planning service centre and availability of contraceptives) and the level of motivation (level of education). All the clients who will receive contraception and meet the criteria for the research were interviewed and given questionnaires until the desired sample size is achieved. The study was conducted at the Raden Saleh Clinic and Fatmawati General Hospital. We then conducted follow-up at 3 and 6 months after the use of the contraceptive methods to assess the length of use. Result: The total number of subjects was 151 people. The average age of respondents was 31 years old, with the contraception options being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable contraception (3.9%), and oral contraception (3.9%). From all the factors studied, only the number of desired children were found to affect the selection of contraceptive methods significantly (p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors did not affect the selection of contraceptive method (p>0.05). We also found that all of these factors do not have a significant relationship to the length of contraceptive use (p>0.05). There were 6.6% of subjects (n=10) who switched the type of contraception. From all of them, there was a trend of switching from oral contraceptive to injectable method (33.3%) and from IUD to injectable method (66.7%). Conclusion: Only the number of desired children has an effect on the selection of contraceptive methods in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors studied do not affect in selection of contraceptive methods. Family planning factors, subjective factors, objective factors and motivation levels have no effect on the length of contraceptive use by clients at Raden Saleh Clinic and Fatmawati General Hospital. Keywords: contraception methods, factors, length of use, selection

Effect of Artesunate on Peripheral Parasitaemia in Pregnant Women with Plasmodium Falciparum Infection Saragih, Susi W; T. Chalid, St. Maisuri; Malinta, Umar; Wahid, Isra
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 3, July 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the effect of artesunate on peripheral parasitaemia in pregnant women with Plasmodium falciparum infection. Methods: Pregnant women in second and third trimester with Plasmodium falciparum infection and their newborns were included in cohort prospective study in Sorong West Papua from September 2015 to February 2016. All pregnant women received 200 mg orally artesunate monotherapy for 7 days. Their newborns examined for weight at delivery and parasitaemia in placenta and cord blood. Parasitaemia diagnosis by Rapid Diagnostic Test and blood smear microscopy. Results: After artesunatemonotherapy, 82.5% (33/40) malariainfected pregnant women had negative parasitaemia (p=0.000) although 17.5% (7/40) of the pregnant women had positive parasitaemia. Parasitaemia also found in 10% (4/40) of placenta and 7.5% (3/40) of umbilical cord from newborns of malaria-infected pregnant women treated with artesunate. 70% (28/40) of the newborns in this study had normal weight. Conclusion: Artesunate reduces peripheral parasitaemia in the second and third trimester of pregnancy, and is associated with normal birth weight. [Indones J Obstet Gynecol 2017; 5-3: 135-138] Keywords: artesunate, low birth weight, peripheral parasitaemia

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eko subaktiansyah

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