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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
ISSN : 23386401     EISSN : 23387335     DOI : -
Core Subject : 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
Current Trends in Contraceptive Use and Fertility Concerns Among Women of Reproductive Age in Indonesia Muharam Natadisastra, Raden; Christopher Yo, Edward; Nurdya Irzanti, Alisha; Sumapraja, Kanadi; Kemal Harzif, Achmad; Pratama, Gita; Maidarti, Mila; Hari Kurniawan, Riyan; Wiweko, Budi; Hestiantoro, Andon
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2508

Abstract

Abstract Background Family planning remains a key intervention in reducing maternal mortality and creating prosperous families. Assessing the unmet need for family planning allows insight into the progress of family planning programs. On the other hand, there has been much less attention given to the declining fertility rate in Indonesia. To address both the unmet need and declining fertility rate in Indonesia, this study aimed to investigate the most recent trends in contraceptive use in Indonesia as well as evaluate fertility concerns and access to reproductive healthcare service. Methods Women of reproductive age in Indonesia were asked to fill in an online questionnaire. They were asked about sociodemographic characteristics, marital status, pregnancy history, perception towards fertility, and access to healthcare service and information. Descriptive statistics and independent t-test were performed. Results Of 370 women, more than half (57.8%) had used some form of contraception. The most frequently used contraceptive method was natural family planning (30.3%), followed by condom (20%). Women with no prior sexual history, had never been pregnant before, and had not been married cared more about having a child in the future. Internet and social media represented the most popular information source for family planning. Conclusions Many Indonesian women still prefer traditional contraceptive methods over the more effective modern contraceptive methods. Numerous socio-cultural factors are likely to influence the behaviour of reproductive-age women regarding contraceptive use and childbearing in the future. More effort should be put into raising awareness about modern contraceptive methods and addressing fertility concerns. Keywords: contraception; fertility; family planning; awareness; reproduction
Midwifery Students' Experiences in Learning Pelvic Anatomy and Childbirth Mechanisms: A Phenomenological Study Nelly, Nelly Karlinah; Irianti, Berliana; Maita, Liva; Sari, Ria Harnita; Israyati, Nur; Setiawati, Sandy; Ridha, Muhammad
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2557

Abstract

Objectives: To determine students' competence in pelvic anatomy and labor mechanisms through multimedia-based learning media at University Hangtuah Pekanbaru and Helvetia Health Institute Pekanbaru Methods: The design of this study is a qualitative study with a descriptive phenomenological approach using the framework standards for reporting qualitative research a synthesis of recommendations approach. The number of informants in this study was 10 people, consisting of 8 midwifery students, 2 lecturers. Recruitment of informants in this study used purposive sampling. Analysis of research data using the Collaizi's framework, namely first familiarization, identifying related statements, formulating meaning, grouping themes, developing in-depth descriptions, creating basic structures of statements and final validation. Results: The results of the analysis obtained two themes, namely the parts of the pelvic bone and the process of childbirth. Informants revealed that during the learning process they got a method of the process of childbirth so that it made it easier for students to practice in the field Conclusion: Learning methods can be accessed not only during learning but also when outside the classroom or in the field Keywords: Pelvic Anatomy, Labor Mechanism, Midwifery Curriculum, Learning Media, Multimedia
Effectiveness of Long Bean Leaf Green Noodles in Enhancing Prolactin Levels in Breastfeeding Mothers Nurhidayah, Siti; E.U Djami, Moudy; Estiyanti, Erni; Ayunita Sabilla, Wulan
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2569

Abstract

Abstract Breastfeeding plays an important role in meeting the nutritional needs of infants and is useful in preventing malnutrition in children. However, insufficient breast milk is one of the obstacles in this process. Interventions that can be done to increase breast milk can be done pharmacologically using Domperidone. On the other hand, the drug can trigger side effects, then the use of herbs is recommended. Long bean leaves (Vigna sinensis L.) are plants that are rich in nutrients and can stimulate prolactin through the phytocemichal contents(1)(2)(3). Objectives: The aims of the research to be carried out is to formulate and analyze the effectiveness of Green Noodles based on long bean leaves (Vigna sinensis L.) to help increase prolactin of breasfeed mother. Methods: The research method used is a quasi-experimental with a Nonrandomized Control Group Pretest-Postest Design consisting of an experimental group (given green noodles) and a control group (given plain Noodles). The intervention was carried out for 14 days by giving green noodles 2 times a day for 14 days. Results: Green noodles contain 4 times higher levels of polyphenols than white noodles with amounts of 384.55 mg/kg and 85.39 mg/kg respectively. Based on the results of pre and post interventions in both intervention and control groups, it was found that breastfeeding mothers who consumed Green Noodles experienced an increase in prolactin levels (p value 0.004) and mothers who consumed White Noodles did not experience a significant increase in prolactin levels (p value 0.283). Conclusion: Green noodles is rich in polyphenols which can help increasing prolactin hormone on breastfeed mother. Keywords: Breastmilk; Long Bean Leaves; Breastfeeding; Prolactin; Vigna sinensis L.
Precision of Ultrasound During Peripartum for Predicting and Diagnosing Obstetric Anal Sphincter injuries Dalia Samir ZoElfakar; Niven Abu Al-Foutouh Shaban; Shaker, Ahmed; Sherif Mohamed Negm; Mohamed Fikry kasem
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2575

Abstract

Abstract Objectives: To assess the accuracy of transperineal ultrasound (TPUS) in diagnosing obstetric anal sphincter injuries (OASIs) in primiparous women between 37 and 41 weeks of gestation. Design: Cohort observational study. Setting: Kasr Alainy Hospital, Cairo University. Subjects: 697 nulliparous women with singleton pregnancies between 37 and 41 weeks' gestation. Outcome Measures: Ano-vaginal distance (AVD), body mass index (BMI), fetal parameters (biparietal diameter [BPD], head circumference [HC]), and anal sphincter contraction. Results: Significant differences were found between women with and without OASIs in BMI, fetal parameters, and AVD. The AVD's area under the ROC curve (AUC) was 0.659, showing moderate predictive value for OASIs. Multivariate analysis revealed that AVD and second-stage labor duration were the strongest predictors of OASIs. Conclusions: TPUS is a valuable tool in identifying women at risk of OASIs and may improve detection when combined with clinical examination. Keywords: Obstetric Anal Sphincter Injuries (OASIs), Transperineal Ultrasound (TPUS), Ano-Vaginal Distance (AVD), Vaginal Delivery, Primiparous Women, Diagnostic Accuracy.
Comparison of Pulsatility Index and Notching of Uterine Artery Doppler on Normotensive Pregnancy and Established Pre-eclampsia Utomo, Muhammad Wahyu; Nurdiati, Detty Siti; Rachman, Irwan Taufiqur; Kusuma, Raden Aditya
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2579

Abstract

Objective: The aim was to assess pulsatility index of uterine artery (Ut-A PI) of normotensive pregnancy and preeclampsia between 28-40 weeks of gestation. Methods: This cross-sectional study was conducted at Dr. Sardjito Hospital and Harapan Kita Maternal Children Hospital as a tertiary referral hospital. The study included 220 women high risk pregnancies. Result: There were 188 pregnant women normotensive pregnancy (85.5%) and 32 preeclampsia cases (14.5%). Weight, Body Mass Index, blood pressure, Mean Arterial Pressure, chronic hypertension, history of preeclampsia, and baby weight showed an significant association with preeclampsia. Pulsatility index of uterine artery had a sensitivity of 87.50% and a specificity of 98.94% whereas the notching had a sensitivity of 46.88% and a specificity of 87.23%. Conclusion: The UtA PI is a complementary tool with good performance for the diagnosis of overall and severe preeclampsia with high sensitivity and specificity. UtA PI has better performance the notching. Keywords: Pulsatility index, notching, normotensive, preeclampsia
Impact of Attending Prenatal Yoga Classes on Prepartum Maternal Mental Health : A Quasi-Experimental StudyI: Prenatal Yoga Classes on Maternal Mental Health Fitri, Imelda; Herlina, Sara; Nasution, Itto Nesyia; Fridons, Aurelia; Utami, Riski Dwi
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2581

Abstract

INTRODUCTION Anxiety from the imagination of childbirth pain and fear of childbirth in pregnant mothers. Fear of childbirth has been associated with prolonged labor, childbirth complications that increased postpartum depression. OBJECTIVE : This study aimed to determine the effect of prenatal classes on mental health. METHODS The research design was a quasi-experiment of two groups with pre-test and post-test design. The sample was pregnant women who met the inclusion and exclusion criteria. A total of 106 participants were divided into two groups: intervention, and control group. The research instrument was a questionnaire. The ANOVA test was used to analyze the data. RESULT The average mental health score of the intervention group was higher (84.04) than that of the control group (67.32), with a p-value <0.001. CONCLUSIONS This study concludes that yoga prenatal classes improve positive mental health status Keywords: Pregnant Women; Yoga Prenatal Class; Mental Health INTRODUCTION Anxiety from the imagination of childbirth pain and fear of childbirth in pregnant mothers. Fear of childbirth has been associated with prolonged labor, childbirth complications that increased postpartum depression. OBJECTIVE : This study aimed to determine the effect of prenatal classes on mental health. METHODS The research design was a quasi-experiment of two groups with pre-test and post-test design. The sample was pregnant women who met the inclusion and exclusion criteria. A total of 106 participants were divided into two groups: intervention, and control group. The research instrument was a questionnaire. The ANOVA test was used to analyze the data. RESULT The average mental health score of the intervention group was higher (84.04) than that of the control group (67.32), with a p-value <0.001. CONCLUSIONS This study concludes that yoga prenatal classes improve positive mental health status Keywords: Pregnant Women; Yoga Prenatal Class; Mental Health
Screening of Preeclampsia for the Reduction of Maternal Morbidity and Mortality in Indonesia Mose, Johanes C
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2615

Abstract

N/A
Incidence of Melasma, Breast Pain, and Depression in Users of Combination Hormonal and Progesterone-Only Contraceptives Wardana, Aisyah Puspa; Budihastuti, Uki Retno; Munawaroh, Siti
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 2 April 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i2.1816

Abstract

Objective : To find out if there is a difference in the incidence of melasma, breast pain, and depression between a combination hormonal contraceptive (CHC) acceptors and a progesterone-only contraceptive. Methods : This was a comparative analytical observational research with cross-sectional research design at Pakem Health Center, Yogyakarta. One hundred twenty subjects consisted of 60 progesterone-only contraceptive acceptors and 60 CHC acceptors aged 15-49 years, duration of use of hormonal contraceptives >6 months. Measurements on melasma were clinically determined, breast pain using a Visual Analogue Scale (VAS) score, and depression using the Montgomery Asberg Depression Rating Scale (MADRS) questionnaire. Results: Chi-square test results and logistic regression in CHC acceptors are likely to experience melasma (b=1.55; CI 95%=0.08-0.55; p=0.002), breast pain (b=2.32; CI 95%=0.02-0.34; p=<0.001), and depression (b=-1.02; CI 95%=1.15-6.74; p=0.023). Conclusion : There were significant differences in the incidence of melasma, breast pain, and depression in CHC acceptors and progesterone-only contraceptives. Incidence of melasma and breast pain was higher in CHC acceptors, while depression was higher in progesterone-only contraceptive acceptors.
Clinical Characteristics and Management of Adolescent Ovarian Cysts Retnowati, Sulistiari; Wahyuni, Alfaina; Tritia Widiantara, I Nyoman; Nisrina, Hana
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 2 April 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i2.2169

Abstract

Objective : The aim of this study to give clinical characteristic of ovarian cysts in adolescent patient and comprehend the delineation of the management protocol implemented in patients diagnosed with ovarian cysts Methods : This study used a retrospective method conducted by reviewing patient medical records. This study was conducted by collecting medical record data retrospectively for 5 years at PKU Muhammadiyah Gamping Hospital and Panembahan Senopati Bantul Hospital. All data of outpatients, and inpatients diagnosed with ovarian cysts from January 2018 to July 2023 aged 11-21 years were taken to be included in the study. Results: A total of 56 adolescent patients were identified with ovarian cysts. Researchers found most patients with adolescent age group 18-21 years (n=43). Patients presented with a chief complaint of abdominal pain and the cyst was unilateral. Conclusion :. The patients exhibited a primary concern of pain, and the cyst was found to be located on one side only. Efforts to save the ovary were deemed vital owing to the relatively low probability of cyst malignancy. In this study also found that there were no correlation between clinical symtopms (abdoment pain, nausea and menstrual disorder) with size of cyst. Keywords: adolescents, clinical characteristic, ovarian cyst, management
Large Epignathus Teratoma: A Rare Case with Ominous Prognosis Razianti, Cut; Alamsyah, Muhammad; Setiawan, Dani
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 2 April 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i2.2175

Abstract

Introduction: The prevalence of epignathus teratomas is found to be less than 1% of all congenital teratomas. Incidence of female fetuses compared to male fetuses (ratio 3:1). Method : This case study was conducted at Dr. Hasan Sadikin General Hospital Bandung between September - December 2022. Case Report : We presented three cases of large epignathus teratoma with different complications each, with the same outcome, 2 cases of large epignathus teratoma were likely caused due to risk factors of poor environmental influence. The first case, large epignathus teratoma was referred with a suspicion of conjoined twin, the second case was accompanied by pulmonary tuberculosis with intracranial expansion, the third case was large epignathus teratoma with A Umbilical revered of end-diastolic flow and MCA absent end diastolic flow accompanied by scalp edema. Conclusion: These three cases are very rare, describing large epignathus teratomas with a poor prognosis based on size and their location associated with perinatal complications. The establishment of the diagnosis is enough to carry out an ultrasound examination. It is important to determine the time and type of labor to be chosen. Inform consent parents is important, especially to know the outcome of the baby and the recurrence in the next pregnancy

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