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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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Perbedaan prevalensi anemia defisiensi besi pada perempuan hamil di daerah pantai dan pegunungan di wilayah Semarang SINATRA, M.T.
Indonesian Journal of Obstetrics and Gynecology Volume. 33, No. 2, April 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (39.136 KB)

Abstract

Tujuan: Mengetahui karakteristik prevalensi anemia defisiensi besi pada perempuan hamil di daerah pantai dan pegunungan di wilayah Semarang serta membuktikan perbedaan prevalensi anemia defisiensi besi pada perempuan hamil di daerah pantai dan pegunungan di wilayah Semarang. Rancangan/rumusan data: Studi potong lintang yang melibatkan 50 perempuan hamil trimester kedua di daerah pantai dan 50 perempuan hamil trimester kedua di daerah pegunungan di 7 Puskesmas Semarang Kota dan 5 Puskesmas Kabupaten Semarang pada kurun waktu bulan April - Juni 2008. Bahan dan cara kerja: 50 perempuan hamil trimester kedua di daerah pantai dan 50 perempuan hamil trimester kedua di daerah pegunungan dilakukan pengambilan darah untuk kemudian dilakukan pemeriksaan hemoglobin dan leukosit dengan metode spektrofotometer menggunakan alat Nihon Cohden, serta serum feritin dengan metode Ellisa menggunakan alat Elx 800 Universal Microplate Reader di laboratorium Gaky RS. Dokter Kariadi Semarang. Hasil laboratorium didapatkanprevalensi anemia defisiensi besi pada perempuan hamil trimester kedua di dearah pantai dan pegunungan kemudian dilakukan analisis. Analisis statistik yang dilakukan berupa analisis univariat untuk menyajikan distribusi frekuensi berupa rerata dan simpang baku, serta analisis bivariat dengan melakukan uji beda X2, uji t dan uji Mann-Whitney. Hasil: Rerata kadar hemoglobin perempuan hamil trimester kedua di daerah pegunungan (11,3 mg/dl) lebih tinggi dibanding dengan daerah pantai (10,6 mg/dl), dan secara statistik bermakna (p = 0,009). Rerata kadar serum feritin di daerah pegunungan (13,6 ng/dl) cenderung lebih tinggi dibanding dengan daerah pantai (11,9 ng/dl) namun secara statistik tidak bermakna. Prevalensi anemia di daerah pegunungan (24%) lebih rendah dibanding daerah pantai (52%), dan secara statistik bermakna (p = 0,007). Prevalensi anemia defisiensi besi di daerah pegunungan (18%) lebih rendah dibanding dengan daerah pantai (42%), dan secara statistik bermakna (p = 0,016). Kesimpulan: Prevalensi anemia defisiensi besi pada perempuan hamil trimester kedua di daerah pantai lebih tinggi dibandingkan daerah pegunungan di wilayah Semarang, berturur-turut 42% dan 18%. [Maj Obstet Ginekol Indones 2009; 33-2: 87-92] Kata kunci: daerah pantai, daerah pegunungan, anemia defisiensi besi.
Maternal and Fetal Outcome on Pregnancy in Advanced Maternal Age Dewi, Sianty; Ferry, Ferry; Toynbee, Eddy; Prayudhana, Sandhy
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.874 KB) | DOI: 10.32771/inajog.v4i3.432

Abstract

Objective: Pregnancy in advanced maternal age (AMA) was classified as high risk. The study aims to provide a better description of pregnancy outcome in AMA. Method: The cross sectional study was to review the demography, medical and obstetrics problems, mode of delivery, maternal and fetal outcome in Tangerang General Hospital as a referral center in Banten. The data were taken from medical records of 35-year-old and above women age who delivered on the period of January to December 2014. Result: The total number of delivery and live birth was 6,107 and 5,926 respectively, including 1,548 (25.36%) pregnancies in AMA. The prevalence of grandmultiparities was 11.4%. The average education level was mostly elementary. The prevalence of hypertension in pregnancy was 34.6%. There was increasing trend of miscarriages from 10.8% in 35-40-year-old group to 25% in above 45- year-old group. Pregnancy complications were higher consisting of 3.2% multifetal, 16.6% malpresentation, and 7.1% placenta previa. Cesarean section rate was 33.6%. Maternal near-missed cases were 56 of 1000 and the maternal mortality rate (MMR) was 932 of 100,000 live births. The prevalence of stillbirth and perinatal mortality were 5.3% and 12.9%; respectively. Conclusion: Adverse maternal and fetal outcome were higher in AMA as it takes special attention and multidiscipline-approached care started from preconception, antenatal, preparation of delivery, and also postpartum care. Keywords: advanced maternal age (AMA), fetal outcome, maternal outcome, pregnancy
One Point Technique of Intracutaneous Sterile Water Injection is as Effective as Four Points Technique in the Management of Labor Pain Ismail, Taufik
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 3, July 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To compare the score of VAS (visual analog scale), length of labor, and APGAR score in intracutaneous sterile water injection between one point technique and four points technique at Michaelis Rhomboid area in management of labor pain. Method: This is an experimental study, subjects were included by blinded controlled randomized study on 50 women with term pregnancy stage I active phase and were planned for spontaneous delivery. Subjects were divided into 2 groups randomly, 25 women with 0.5 ml sterile water intracutaneous injection on 4 points and 25 women with that on 1 point injection at one site at the painful area. Result: Reduction of labor pain on 1-point technique could decrease VAS score the most, 85.4 (4.3) into 48.4 (8.5) on minute 10. Length of labor was 11.2 (1.15) on 1 point injection group compared to 11.4 (1.2) on those with 4 point injection. On the other hand, APGAR score of the baby on group having 1-point injection was 7.86 (0.5) on min 1 and 9.68 (0.5) on min 5, compared to that on 4-points injection group, 7.52 (0.7) and 9.56 (0.5), respectively. In addition, 60% felt uncomfortable with 1-point injection whereas 80% of patients felt uncomfortable in 4-points injection. Conclusion: There is no significant difference on reduction of VAS score, duration of labor, and APGAR score of the baby between the group having 1 point injection and 4-point injection. However, injection on 1 point is more comfortable. [Indones J Obstet Gynecol 2012; 36-4: 167-70] Keywords: APGAR , intracutaneous sterile water injection, length of labor, VAS
Increment of placental Caspase 3 expression in preeclampsia and its effect on birth weight and blood pressure Teguh, Mintareja
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 1, January 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the placental apoptosis process in preeclampsia. Methods: This study was an observational analytical study using cross sectional design. This study was performed at Dr. Hasan Sadikin Hospital, during April to June 2008. Immunohistochemical analysis was used to examine the placental expression of kaspase 3. Results: Placental expression kaspase 3 was significantly higher in preeclampsia group (21,9%) than in the normal pregnancies (0) with p=0,006. There was significantly correlation between placental kaspase 3 with birth weight in preeclampsia on the otherhand, there was no significant difference of placental expression kaspase 3 with birth weight in normal pregnancies. There was no significant difference of placental expression kaspase 3 with mother’s blood pressure in the two group. Conclusion: there is a significant increase of placental expression of kaspase 3 in preeclampsias. [Indones J Obstet Gynecol 2010; 34-1:3-6] Keywords: caspase 3, preeclampsia, apoptosis.
Is it time for "Universal Screening" of HIV Infection in Pregnant Women? Saroyo, Yudianto B
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 (59.543 KB) | DOI: 10.32771/inajog.v5i1.455

Abstract

N/A
Ekspresi Protein P53 pada Kanker Ovarium SEPUTRA, H. R.; RAUF, S.; DJUANNA, A.; MASADAH, R.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 1, January 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Mencari hubungan antara ekspresi protein P53 dengan stadium, derajat diferensiasi dan jenis histopatologi kanker ovarium. Rancangan penelitian: Penelitian observasional, desain cross sectional pada rumah sakit pendidikan di Makassar. Bahan dan cara kerja: Pasien yang dinyatakan kanker ovarium dengan pemeriksaan histopatologi, dianalisis ekspresi P53-nya dengan teknik imunohistokimia. Hasil: Diperoleh 39 sampel antara 15 Oktober 2005 - 31 Mei 2006. Karakteristik terbanyak pada kelompok umur ≤ 45 tahun (53,8%), pendidikan SD (38,4%), tidak bekerja (74,4%), pernah melahirkan (56,4%), dan tanpa riwayat pemakaian kontrasepsi hormonal (79,5%). Berdasarkan pemeriksaan histopatologi ditemukan 9 sampel bukan ganas dan 30 sampel kanker ovarium. Di antara 30 sampel tersebut, ditemukan jenis histologi, stadium dan derajat diferensiasi terbanyak adalah jenis serosum (30,7%), stadium FIGO I (40,0%) dan diferensiasi jelek (70%). Pada penelitian ini juga ditemukan bahwa kejadian kanker ovarium tidak berhubungan dengan umur (p=1,000), paritas (p=0,704) dan riwayat kontrasepsi (p=0,355). Ekspresi protein P53 tidak ditemukan pada 33,3% kasus, sedangkan ekspresi derajat I dan IV ditemukan pada 23,3% kasus. Di samping itu ditemukan bahwa ekspresi protein P53 tidak berhubungan dengan jenis histologi (p=0,372), dan derajat diferensiasi (p=0,388), namun berhubungan dengan stadium klinis FIGO (r=0,550; p=0,002). Kesimpulan: Ekspresi protein P53 ditemukan pada sebagian besar penderita kanker ovarium di mana derajat ekspresi P53 tersebut berhubungan secara linear dengan stadium klinis FIGO, namun tidak berhubungan dengan jenis histologi dan derajat diferensiasi kanker ovarium. [Maj Obstet Ginekol Indones 2007; 31-1: 26-32] Kata kunci: P53, kanker ovarium, imunohistokimia
Total Testosterone Level is Lower in Women Consuming Combined Oral Contraception with Impaired Sexual Function Amra, Yuniarty
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 3, July 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objectives: The aim of this research was to assess the relationship between total testosterone level and female sexual function based on Female Sexual Function Index (FSFI) among the acceptors of combined oral contraceptive pill. Methods: The research was conducted in BLU of Dr. Wahidin Sudirohusodo Hospital and several teaching hospitals in obstetrics and gynecology sections of Medical faculty, Hasanuddin University from October to December 2012. This study assessed sexual function among 60 women as the acceptors of combined oral contraceptive pill. Sexual function was assessed using FSFI questionnaire which had been validated in several countries. This research used cross sectional design and the sample was selected using consecutive sampling method. The data were processed using SPSS with independent t test of the significant level of 0.05. Results: The results of the research reveal that total testosterone level among the acceptors of combined oral contraceptive pill who have impaired sexual function is low. The result of the correlation test between testosterone level and FSFI score indicates a significant level (p
Paradigma baru mengenai Miomektomi pada saat seksio sesarea* DJUANNA, A.
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 2, April 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tindakan miomektomi saat seksio sesarea tetap merupakan prosedur yang mudah dan aman apabila dilakukan secara tepat. Upaya untuk meningkatkan keamanan dilakukan dengan melakukan hemostasis, enukleasi secara tajam serta mendekatkan miometrium dengan baik agar tidak terbentuk rongga mati (dead space) yang dapat menimbulkan hematoma. Teknik "double circle stitching" bila dikombinasi dengan uterotonika dapat lebih memperkecil jumlah perdarahan yang mungkin terjadi.
Level of Retinol Deposit and Cervical Cancer Utami, Tofan W; Ibrahim, Fera; Purwoto, Gatot; Tiffani, Wely L; Aziz, Muhammad F; Andrijono, Andrijono
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 (131.483 KB) | DOI: 10.32771/inajog.v5i1.465

Abstract

Objective: To analyze level of retinol deposit sufficiency in the natural history of cervical cancer. Methods: Serum retinol level was measured by ELISA from peripheral blood of subjects with normal cervix, cleared and persistent high risk human papilloma virus (HR-HPV) subclinical infection, and cervical cancer who fulfilled the inclusion and exclusion criteria. The study was held in Dr. Cipto Mangunkusumo and Fatmawati Hospital, Jakarta, within 2 years (August 2013- 2015). Blood was taken twice, consisting of post-8-hour fasting blood and 2 hours after 6000 IU retinyl palmitate oral administration. Results: Of 47 total samples, sufficient level of retinol deposit in normal cervix, cleared and persistent HR-HPV subclinical infection, and cervical cancer group was 85.0% (reference), 75.0% (OR 1.89), 33.3% (OR 11.33), and 75% (OR 1.89); respectively. Statistically, there was no significant difference from sufficiency level of retinol deposit between normal cervix and clearance HR-HPV subclinical infection (p=0.628), normal cervix and persistent HR-HPV subclinical infection (p=0.078), normal cervix and cervical cancer (p=0.433), cervical cancer and clearance HR-HPV subclinical infection (p=1.000), cervical cancer and persistent HR-HPV subclinical infection (p=0.430), persistent and clearance HR-HPV subclinical infection group (p=0.740). Conclusion: This study proves that normal cervix group has the highest level of retinol deposit sufficiency; however, it cannot be stated that cervical cancer group has less sufficiency level. Persistent HR-HPV subclinical infection group has the lowest level of retinol deposit (OR 11.33). There is no association between sufficient level of retinol deposit and clearance of HR-HPV. [Indones J Obstet Gynecol 2017; 5-1: 46-54] Keywords: cervical cancer, HR-HPV clearance, retinol deposit
Report Risk of Malignancy Index of Ovarian Cancer Patients in Dr. Sardjito Hospital, Yogyakarta Rachmasari Putri, Henny Meitri Andrie
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 3, July 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To analyse retrospectively the score of the risk of malignancy index (RMI) in determining malignancy in the patients with ovarian mass in Dr. Sardjito Hospital Yogyakarta. Method: Retrospective analysis. Results: Ninety patients with complete medical record and adnexal mass were enrolled in the study from January 2007 to March 2009. Subjects consisted of 70 patients (77.78%) diagnosed with malignant ovarian mass and 20 patients with benign mass (22.22%), More than half of the malignant ovarian mass were serous carcinomas and at advanced stages (51.43% and 51.43% subsequently). Univariate analysis presented significant difference for ultrasound score and serum Ca-125 level in identification of ovarian malignancy, but not with the age or the menopausal status. The performance of RMI (≥ 200 for malignancy) had a sensitivity of 70%, a specificity of 75%, a positive predictive value of 90.74%, and negative predictive value of 41.67%. The serum Ca-125 level had a sensitivity of 81.43%, a specificity of 60%, a positive predictive value of 87.69%, and a negative predictive value of 48%. The ultrasound score had a sensitivity of 65.71%, a specificity of 65%, a positive predictive value of 86.79%, and a negative predictive value of 35.14%. Conclusion: Due to the nature of retrospective study, RMI is reliable for identification of malignant and benign ovarian mass improve the management of ovarian mass including referral system and the decision regarding the approach used during surgery. [Indones J Obstet Gynecol 2010; 34-3: 131-5] Keywords: risk of malignancy index, RMI, ovarian cancer, ovarian malignancies, ovarian carcinomas

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