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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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Feasibility Profile of Endometrial Nodule Resection in the Uterosacral and Rectovaginal Ligament Wirawan, Florencia; Marwali, Luky S
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.148 KB) | DOI: 10.32771/inajog.v5i1.464

Abstract

Objective: To know the feasibility of uterosacral and rectovaginal nodule resection in endometriosis patients who underwent laparoscopy surgery in Fatmawati Hospital. Methods: Observational study was done by involving trained and experienced laparoscopist who performed deep infiltrating endometriosis (DIE) nodule resection laparoscopy on uterosacral and rectovaginal ligament. We observed on 35 patients which were histologically proven of DIE. We recorded the total procedure time, surgical complications occurred intra-operative, postoperative, and length-of-stay. The data were described descriptively. Results: Mean (SD) of total laparoscopic procedure time including nodule resection was 200 (SD 52) minutes. There were two procedures (5.7%) with intra-operative complications, one (2.9%) with bowel injury which was converted to laparotomy, and the other one (29%) with intra-operative bleeding so that the operator cancelled nodules resection. Mean (SD) on length of stay after the procedures was 2.5 (2.1) days. On follow up observation, there was not any postoperative complication. Conclusion: Laparoscopic uterosacral and rectovaginal nodules resection in endometriosis patient is feasible to be done by trained and experienced laparoscopic surgeon. [Indones J Obstet Gynecol 2017; 5-1: 42-45] Keywords: endometriosis, laparoscopy, nodule resection
Hubungan antara interleukin-10 (IL-10) dan interferon-y (IFN-y) pada jaringan trofoblas dan sel sitotrofoblas: dengan kegagalan proses diferensiasi, invasi, dan pseudovaskulogenesis trofoblas pada patogenesis preeklampsia KEMAN, K.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 2, April 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1604.219 KB)

Abstract

Tujuan: Menganalisis hubungan antara IL-10 dan IFN-γ pada jaringan trofoblas dan sel sitotrofoblas, dengan proses diferensiasi, invasi dan pseudovaskulogenesis sel sitotrofoblas, pada patogenesis preeklampsia. Rancangan/rumusan data: Studi potong lintang menggunakan sampel biopsi trofoblas plasenta dari persalinan preeklampsia ringan, preeklampsia berat dan eklampsia, dibandingkan dengan kontrol persalinan normal. Bahan dan cara kerja: Tahap I: Preparasi histokimia, imunohistokimia, isolasi sel sitotrofoblas, imunositokimia sel sitotrofoblas, uji dot blot, SDS-Page, dan Western bloting protein IL-10, IFN-γ, MMP-9, HLA-G, dan VE-Cadherin dari isolat sitotrofoblas plasenta normal, preeklampsia ringan, preeklampsia berat, dan eklampsia. Tahap II dan III: Imunohistokimia jaringan trofoblas dan ELISA untuk pengukuran IL-10, IFN-γ, HLA-G, MMP-9, dan VE-Cadherin; dari isolat sitotrofoblas plasenta normal, preeklampsia ringan, preeklampsia berat, dan eklampsia. Hasil: Distribusi IL-10, IFN-γ, HLA-G, MMP-9, dan VE-Cadherin, pada jaringan trofoblas normal = 44,80 ± 8,28 sel/μm2, 41,60 ± 4,38 sel/μm2, 43,40 ± 5,46 sel/μm2, 46,30 ± 5,08 sel/μm2, dan 28,40 ± 3,31 sel/μm2; preeklampsia ringan = 31,40 ± 2,99 sel/μm2, 25,90 ± 3,87 sel/μm2, 43,40 ± 5,46 sel/μm2, 28,60 ± 2,37 sel/μm2, dan 17,90 ± 3,11 sel/μm2; preeklampsia berat = 18,30 ± 4,40 sel/μm2, 32,10 ± 3,63 sel/μm2, 34,90 ± 3,31 sel/μm2, 22,50 ± 3,87 sel/μm2, dan 12,80 ± 1,40 sel/μm2, dan eklampsia = 12,50 ± 2,95 sel/μm2, 41,60 ± 4,38 sel/μm2, 8,70 ± 2,87 sel/μm2, 12,10 ± 2,92 sel/μm2, dan 6,50 ± 1,72 sel/μm2. Konsentrasi IL-10, IFN-γ, HLA-G, MMP-9, dan VE-Cadherin, pada isolat sitotrofoblas normal = 206,07 ± 3,55 pg/ml, 85,21 ± 0,80 pg/ml, 3,58 ± 0,25 pg/ml, 23,70 ± 0,15 pg/ml, dan 5,74 ± 0,38 pg/ml; preeklampsia ringan = 192,59 ± 6,07 pg/ml, 87,35 ± 2,27 pg/ml, 3,58 ± 0,25 pg/ml, 22,99 ± 0,43 pg/ml, dan 5,24 ± 0,34 pg/ml preeklampsia berat = 186,25 ± 9,05 pg/ml, 87,62 ± 2,66 pg/ml, 2,82 ± 0,24 pg/ml, 22,93 ± 0,17 pg/ml, dan 4,96 ± 0,32 pg/ml; dan eklampsia = 183,64 ± 3,34 pg/ml, 89,64 ± 1,94 pg/ml, 2,57 ± 0,29 pg/ml, 22,71 ± 0,58 pg/ml, dan 4,89 ± 0,52 pg/ml. Kesimpulan: Makin tinggi distribusi dan konsentrasi IL-10; makin rendah distribusi dan konsentrasi IFN-γ pada jaringan trofoblas dan sel sitotrofoblas; makin ringan penyakit preeklampsia. Makin rendah distribusi dan konsentrasi IL-10; makin tinggi distribusi dan konsentrasi IFN-γ pada jaringan trofoblas dan intrasel sitotrofoblas; makin rendah diferensiasi, invasi dan pseudovaskulogenesis sel sitotrofoblas; makin berat penyakit preeklampsia. [Maj Obstet Ginekol Indones 2007; 31-2: 92-115] Kata kunci: IL-10, IFN-γ, trofoblas, patogenesis preeklampsia
Motivation is the Strongest Influence in Choosing Delivery Place Astuti, Indria
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 3, July 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19.045 KB)

Abstract

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District. Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture, educational), contextual (income, transportation, distance, availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple logistic regression was used to determine the strongest correlating factors. Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35- 19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < n0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72). Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to the mothers’ decision to deliver at public health center. [Indones J Obstet Gynecol 2013; 1-4:173-8] Keywords: characteristics of demand, contextual, delivery place, socio-demographic
Postoperative Urinary Retention in Total Vaginal and Abdominal Hysterectomy in Benign Gynecological Disorders Triarani, Hertia; Priyatini, Tyas
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.607 KB) | DOI: 10.32771/inajog.v3i1.25

Abstract

Objective: To assess and compare the incidence of urinary retention in patients post‐vaginal and abdominal total hysterectomy for benign gynecological disorders. Method: This is a comparative analytical study with prospective and retrospective cohort design, which was conducted in Dr. Cipto Mangunkusumo Hospital and Persahabatan Hospital from June 2012 to February 2014. Result: We recruited thirty‐eight research subjects who underwent abdominal hysterectomy, and 18 subjects who underwent vaginal hysterectomy. The majority of cases underwent the procedure for abnormal uterine myoma (55.5%) and adenomyosis (28.9%). Incidence of urinary retention post‐hysterectomy was 33.3% for vaginal hysterectomy, and 31.6% for abdominal hysterectomy. The comparison of the incidence of urinary retention showed no difference between vaginal and abdominal hysterectomies (RR=1.056). Conclusion: Vaginal hysterectomy does not increase the incidence of postoperative urinary retention. However, this study suggests the need for further research with a larger sample size, employing prospective cohort design, with preoperative measurement of postvoiding urine volume (PVR). Keywords: abdominal hysterectomy, urinary retention, vaginal hysterectomy
The Efficacy of Monoplant® and Indoplant® as Contraceptive Methods: A Comparative Study Gunardi, Eka R; Ballo, Frista
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 2, April 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.583 KB) | DOI: 10.32771/inajog.v5i2.526

Abstract

Objective: To determine the effectiveness, safety, and time of insertion between Monoplant® with Indoplant® to prevent pregnancy. Methods: Data were collected from November 2015 until May 2016 in Raden Saleh Clinic. A total of 153 patients met the inclusion and exclusion criteria for the study and were divided into 77 patients who received Monoplant® and 76 patients received Indoplant®. The study period was 6 months. Results: The data obtained showed no significant difference in the effectiveness of both contraceptive methods. In addition, side effects such as menstrual disorders and weight gain did not differ significantly in those study groups. However, the time of insertion between Monoplant® and Indoplant® was siginificantly different (162.91 + 197.04 + 49.81 seconds versus 44.96 seconds, p&lt;0.001). For complications such as skin irritation, inflammation, there are no differences between Monoplant® (0.0%) and Indoplant® users (0.0%). Conclusion: There are no significant differences in efficacy and side effects using Monoplant® and Indoplant® during the 6-month follow-up. However, the insertion time of Monoplant® is shorter compared to Indoplant®’s. Monoplant® can be considered for use as contraception with the effectiveness and side effects are almost the same, but with shorter time of insertion compared to Indoplant ®. [Indones J Obstet Gynecol 2017; 5-2: 94-98] Keywords: contraception, implant, indoplant®, monoplant®
Laparoscopic Robotic Surgery in Gynecology Hadisaputra, Wachyu
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 3, July 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.006 KB)

Abstract

Objective: To know the development and application of robot assisted laparoscopy in gynecology. Method: Literature review. Result: Laparoscopy procedure has been widely used since the last three decades where minimally invasive surgery cases and demands increase in urology, cardiac surgery, general surgery, and particularly, gynecology. To date, laparoscopy has developed into robot-assisted laparoscopy due to needs of precise dissection of delicate structures, procedures which requires sophisticated technique, and surgeon’s fatigue through the laparoscopy procedure. There are three robotic system which are commercialized and had been approved by FDA: AESOP, ZEUS, and Da Vinci, the latest robotic system which is used worldwide nowadays. There are advantages of robotic systems and conventional laparoscopy to open surgery laparotomy, such as diminished morbidity rate; less esthetical incisions; decreased post and intra operative blood loss, postoperative pain, use of pain medication, less cosmetic problems, and shorter length of hospital stay. Advantages of robotic surgery compared to conventional laparoscopy and laparotomy; include improved dexterity, more precise and accurate articulation, reduced tremor and surgeon’s fatigue, and better visualization of the operating field because of 3D image. Robotic system has drawbacks such as limited area of surgery field in trocar-placing to avoid collision of the robotic arms, longer operative time, and a higher cost. Conclusion: The major drawback of robot-assisted laparoscopy is in the term of cost; because of the high cost of robotic system; which could be overcome by a lower morbidity rate, less incisional aesthetic problem, less total intra operative blood loss, decreased demand of analgesics post operative, and shorter length of hospitalization stay and recovery time; as compensation of the high cost of robotic system. Further researches to study about the learning curve of robotic laparoscopy to achieve a faster operative time are needed. A longer operative time in robotic system can be anticipated with accurate simulation training in robotic system. There is also a need for further researches to discuss the total peri-operative cost. [Indones J Obstet Gynecol 2011; 35-3: 146-50] Keywords: laparoscopy, robotic system, robot-assisted, Da Vinci system, learning curve, gynecology
Social Support and Postpartum Depression in Human Immuno Deficiency Virus (HIV) Patients Wahyudi, Wahyudi; Saroyo, Yudianto B; Adjie, Jose MS; Elvira, Sylvia D
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.503 KB) | DOI: 10.32771/inajog.v2i3.392

Abstract

Objective: To evaluate the relationship between social support given to HIV patients with the incidence of postpartum depression. Method: All HIV patients who had delivery in Dr. Cipto Mangunkusumo hospital and Prof. dr. Sulianti Saroso hospital during the period of October 2012 to March 2013 were enrolled as research subjects. We performed depression screening with the Edinburgh Postnatal Depression Scale (EPDS) and to measure the social support provided by Social Support Questionnaire/Kuesioner Dukungan Sosial (KDS). Statistical analysis was done using Fisher’s exact test, Chi-square and unpaired t-test. Result: We found a total of 34.1% of subjects who experienced postpartum depression, in which 40% did not received proper social support. Considering the demographic characteristics of the subjects who experienced depression, 70% was in age group 20-35 years, 56.7% of subjects had low education level and 70% was primiparous. Conclusion: Social support has a protective effect towards postpartum depression in HIV patients. [Indones J Obstet Gynecol 2014; 3: 117-120] Keywords: Edinburgh postnatal depression scale, HIV, (kuesioner dukungan sosial), postpartum depression, social support
Fascin Expression as Prognostic Factor for Survival in Advanced Epithelial Ovarian Carcinoma Vitantri, Fara; Purbadi, Sigit; Siregar, Budiningsih; Sutrisna, Bambang
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 (333.45 KB) | DOI: 10.32771/inajog.v3i4.58

Abstract

Objective: To evaluate fascin expression as a prognostic factor and its correlation with survival and clinicopathologic factors (degree of differentiation and stage) in epithelial ovarian carcinoma. Methods: This study is prognostic study with historical cohort design. Fascin was analyzed in paraffin block sections of 33 advanced stage ovarian carcinoma patients using immunohistochemistry. Fascin expression was tested for its correlation with overall survival as well as with grade and stage of the cancer. Results: In this study, fascin expression has no correlation with survival. In the period of 17-22 months, samples with high fascin expression had a HR of 1.59 (95% CI=0.38-6.67, p=0.449), but in the period of 17-23 months, both groups had comparable HR. In the period of more than 23 months, samples with high expression of fascin had a better HR of 0.40 (95% CI=0.04-4.38, p=0.449). No significant correlation was found between fascin expression with grade (OR=2.08, 95% CI=0.44-9.84, p=0.442) and stage (OR=2.70, 95% CI=0.39-18.96, p=0.360). Conclusion: In this study, there was no correlation between fascin expression and survival, and also no correlation between fascin, grade and stage. Further study with a larger, more homogenous sample, analyzing confounding factors is needed. [Indones J Obstet Gynecol 2015; 3-4: 222-229] Keywords: advanced stage ovarian carcinoma, fascin, survival
Stress Urinary Incontinence (SUI): Conservative and Surgical Approach Santoso, Budi Iman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.263 KB) | DOI: 10.32771/inajog.v6i1.749

Abstract

N/A
Effect of Administering Enteral Nutrition pre Caesarean Section Towards High Sensitivity C-Reactive Protein Levels Rahmadi, Taufik
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (39.978 KB)

Abstract

Objective: To determine the effect of enteral nutrition pre caesarean section (CS) on high sensitivity C-Reactive Protein (hsCRP) serum levels post CS. Method: This clinical trial study on elective CS patients with lumbal anesthesia, was done to compare hsCRP levels two hours pre and 48 hours post CS between the treatment group (P) who was given 200 ml enteral nutrition per oral and control group (K) received 200 ml sweet tea two hours pre CS. The study was already approved by the Ethical Clearance Research Committee of Faculty of Medicine University of Indonesia. Results: Twenty seven elective CS patients in Rumah Sakit Umum Daerah (RSUD) Bekasi were selected using certain criteria and divided into two groups using block randomization. Data collected included age, gestational age, nutritional status, indication, of CS total blood volume, and duration of CS, as well as energy intake of energy and protein. Laboratory hsCRP serum levels were examined two hours pre and 48 hours post CS. Statistical analysis were performed using t-test and Mann-Whitney, with 5% level of significancy. Twelve subjects in each P and K group, completed the study respectively. The mean of age was 30.08 ± 4.01 years. The nutritional status based on upper mid arm circumference in both groups was normal, while using kartu menuju sehat (KMS) in all of subjects were classified as overweight. The characteristic of the two groups closely matched at base line (p > 0.05). There was increased hsCRP serum at post CS which was higher in the K group and statistically significant (p = 0.00). Conclusion: Administration of 200 ml enteral nutrition two hours pre CS is associated with a reduction of 48 hours post CS hsCRP serum level compared with sweet tea. [Indones J Obstet Gynecol 2010; 34-4: 159-63] Keywords: elective CS, enteral nutrition pre CS, hsCRP serum concentration

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