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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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Pengaruh pemberian preparat sitrulin-malat terhadap konsentrasi asam laktat ibu bersalin LESTARI, S.; WIKNJOSASTRO, G. H.; PRASMUSINTO, D.; PRIHARTONO, J
Indonesian Journal of Obstetrics and Gynecology Volume. 32, No. 4, October 2008
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Melihat perubahan konsentrasi asam laktat saat persalinan dan masa pemulihan ibu bersalin dengan pemberian preparat sitrulinmalat. Tempat: RSB. Budi Kemuliaan, Jakarta. Rancangan/rumusan data: Uji klinis dengan randomisasi. Bahan dan cara kerja: Penelitian dilakukan pada 44 pasien. Pada kelompok perlakuan (sitrulin-malat) pasien diberi minuman mengandung preparat sitrulin malat 1 gr kemudian diulang tiap 3 jam. Intervensi secara single blind. Pemeriksaan serial konsentrasi asam laktat, yaitu pada saat pasien masuk rumah sakit (PK I aktif) diulang setiap 4 jam, PK II, tali pusat dan 30’ setelah PK II. Pemantauan kemajuan persalinan dengan menggunakan partograf. Hasil: Pasca–pemberian sitrulin-malat, luaran persalinan yaitu lama persalinan, mobilisasi, risiko HPP, dan luaran neonatus tidak didapat perbedaan hasil yang secara statistik bermakna pada kedua kelompok. Pada pengukuran konsentrasi asam laktat yang diambil dari tali pusat tidak didapat perbedaan nilai rata-rata yang bermakna begitu juga pada nilai skoring apgar. Tidak didapat perbedaan nilai konsentrasi asam laktat PK II dan 30 menit postpartum pada kedua kelompok. Namun nilai konsentrasi asam laktat rata-rata yang diukur pada 30 menit pascapersalinan yaitu pada kelompok sitrulin-malat didapat lebih rendah. Peningkatan konsentrasi asam laktat pada PK I hingga PK II didapat lebih rendah pada kelompok sitrulin-malat. Sedangkan pada saat PK II hingga 30 menit postpartum tampak bahwa penurunan konsentrasi asam laktat pada kelompok sitrulin-malat lebih besar daripada kelompok kontrol. Kesimpulan: Pemberian sitrulin-malat pada ibu bersalin dapat mengurangi perubahan konsentrasi asam laktat secara bermakna pada persalinan dan pemberian sitrulin-malat pada ibu bersalin mempunyai potensi mengurangi kejadian asidosis laktat yang dapat menyebabkan kelelahan ibu pada masa pemulihan. [Maj Obstet Ginekol Indones 2008; 32-4: 185-92] Kata kunci: sitrulin-malat, konsentrasi asam laktat, persalinan.
Urinary Incontinence in Women Living in Nursing Homes: Prevalence and Risk Factors Rijal, Chairul
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 4, October 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.479 KB) | DOI: 10.32771/inajog.v2i4.406

Abstract

Objective: To identify the prevalence of urinary incontinence, the distribution of the type of urinary incontinence and related risk factors in women older than 50 years. Method: This is a descriptive study with cross sectional design. Two hundred and seventy eight women older than 50 years old living in nursing home were interviewed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) that has been translated and validated. The prevalence will be presented in the form of percentage; while the relationship between risk factors and the incidence or urinary incontinence will be analyzed using Chi square test or Fisher’s exact test, as appropriate, and multivariate analysis. Result: Of 278 research subjects, we obtained 95 subjects (34.2%) suffering from urinary incontinence. Moreover, the distribution of the type is 67 subjects (70.5%) with mixed urinary incontinence, 17 (17.9%) with stress incontinence and 11 subjects (11.6%) with urge incontinence. Body mass index (BMI) showing overweight and obesity are not related with the prevalence of urinary incontinence (p>0.05), which may be caused by the low number of subjects with overweight and obesity. Meanwhile, factors related to urinary incontinence are age older than 60 years (OR=7.79, p=0.021), menopause 10 years (OR=5.08, p=0.004) and multiparity (OR=1.82, p=0.019). Based on multivariate analysis, the risk factor of age older than 60 years is no longer related to urinary incontinence (p>0.05). Thus it can be inferred that age older than 60 years is not a singular factor causing urinary incontinence but rather a part of a multifactorial model. Conclusion: This study shows that the prevalence of urinary incontinence in women living in nursing home is 34.2%; while the distribution of the urinary incontinence is 67 subjects (70.5%) with mixed urinary incontinence, 17 subjects with stress incontinence (17.9%) and 11 subjects (11.6%) with urge incontinence. Risk factors for urinary incontinence are menopause 10 years and multiparity. [Indones J Obstet Gynecol 2014; 4: 193-198 Keywords: mixed urinary incontinence, menopause, multiparity, prevalence, stress incontinence, urge incontinence, urinary incontinence, Questionnaire for Urinary Incontinence Diagnosis (QUID)
Theurapeutic Response of Neoadjuvant Chemotherapy between Platinum and Ifosfamide Combination and Platinum, Vincristine and Bleomycin Combination in Cervical Carcinoma Stage IB2 Nuryanto, Kartiwa H; Purbadi, Sigit
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 1, January 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.068 KB) | DOI: 10.32771/inajog.v4i1.72

Abstract

Objective: To evaluate the theurapeutic response and acute toxicity of neoadjuvant chemotherapy between the combination of Platinum and Ifosfamide, and the combination of Platinum, Vincristine and Bleomycin in Cervical Carcinoma Stage IB2 and then continued with radical hysterectomy and pelvic lymphadenectomy. Method: Thirteen samples received neoadjuvant chemotherapy of Platinum and Ifosfamide and 17 samples received neoadjuvant chemotherapy of Platinum, Vincristine and Bleomycin, after receiving the neoadjuvant chemotherapy, clinically complete response samples underwent radical hysterectomy and pelvic lymphadenectomy (PI VS PVB = 3 VS 1). Histopathology examination was performed to evaluate the presence of malignant viable cells at the cervix, pelvic lymph node metastasis and parametrium metastasis. Acute toxicity evaluation was performed based on gastrointestinal, genitourinarius and hematology sign and symptom. Result: Theurapeutic response of PI is 1.12 higher than PVB (p>0.05). Subanalysis of group response of PI is 1.962 higher than PVB. PI and PVB have the same risk to have pelvic lymph node metastasis, but not parametrial metastasis. There were no differences in terms of the risk of gastrointestinal, genitourinarius and hematologic toxicity between PI and PVB. Conclusion: There was no statistical difference in clinical and pathological response, and also in acute toxicity between the two combination (p>0.05). [Indones J Obstet Gynecol 2016; 1: 47-51] Keywords: acute toxicity, cervical carcinoma stage IB2, neoadjuvant chemotherapy, response
How Long is the Safest InterDelivery Interval in Women with Previous History of Cesarean Delivery? Santoso, Budi I; Surya, Raymond; Firdaus, Karina K; Hakim, Surahman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 2 April 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.652 KB) | DOI: 10.32771/inajog.v6i2.764

Abstract

  Objective: To investigate the association between interdelivery interval and uterine rupture in women with previous CD.   Methods: The formulation question was how long is the safest interdeliveryinterval to minimalize the risk of uterine rupture. Theauthors investigated in three databases including Pubmed,Cochrane, and Embase database. Inclusion criteria wereabstract answering the clinical question, written in Englishlanguage, and full-text paper availability.   Results: One systematic review, six cohort studies, and 1 casecontrolstudy were collected to compare the inter-pregnancyinterval to the risk of uterine rupture. The author retrievedseven articles suitable to the inclusion criteria after excluding tenarticles screened by the abstract and language. Then, the authoradded one article used in the systematic review. Hence, the criticalappraisal based on Validity, Importance, and Applicability (VIA)was performed for eight articles.   Conclusion: The inter-delivery interval 18 months is the safest time to avoid uterine rupture. Prostaglandin analogue induction should be avoided and for patients with a history of past cesarean using a single-layer closure to be educated about the increased risk. Keywords: cesarean delivery, inter-delivery interval, uterine rupture,vaginal birth after cesarean delivery
Incidence of PostOperative Urinary Retention after Pelvic Organ Prolapse Reconstruction Elisia, Elisia; Priyatini, Tyas
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Abstract Objective: To determine the incidence of post-operative urinary retention after pelvic organ prolapse reconstruction and associated factors. Method: This was a prospective cohort study conducted in Dr. Cipto Mangunkusumo and another associate hospital. We recruited women planned for pelvic organ prolapse reconstruction from April 2013 to April 2015. Inclusion and exclusion criteria were women with pelvic organ prolapse (2nd, 3rd and 4th degree) without prior urinary retention, drugs affecting bladder function, and history of bladder injury. After surgery, urinary catheter was applied for 24 hours. Six hours apart from urinary catheter released, residual urine was measured. Urinary retention was defined as residual urine more than 100 ml. Result: Of 200 subjects, 59 of them (29.5%) classified as having urinary retention. No association found between age, body mass index (BMI), degree of prolapse, degree of cystocele and urinary tract infection toward urinary retention. Total vagina hysterectomy + anterior colporaphy + colpoperineoraphy + sacrospinous fixation and reconstruction duration more than 130 minutes were associated with urinary retention (relative risk (RR) 3.66; 95% CI 2.91-4.60; p
Manajemen Risiko Klinik UTAMI, T. W.; ANDRIJONO, ANDRIJONO; KAMPONO, N.; JUNIZAF, JUNIZAF
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 (143.159 KB)

Abstract

Tujuan: Memberi pemahaman tentang manajemen risiko klinik. Bahan dan cara kerja: Kajian literatur. Hasil: Manajemen risiko klinik merupakan proses yang terencana dan sistematik untuk menurunkan dan atau mengendalikan kemungkinan kerugian akibat segala risiko yang ada dalam manajemen pasien. Manajemen risiko melibatkan kultural, proses, dan struktur yang ditujukan ke arah manajemen efektif dan pengendalian efek samping. Prinsipnya adalah identifikasi akar permasalahan, mengarah pada penilaian risiko medik dalam situasi klinik untuk dapat mengambil langkah yang rasional dalam rangka mengontrol risiko. Tahap-tahap manajemen risiko terdiri dari identifikasi, analisa, pengendalian, evaluasi risiko, yang ditujukan untuk menurunkan risiko serta morbiditas dan mortalitas. Pada dasarnya, tahapan tersebut berlaku dalam setiap kasus medik, namun pada situasi gawat darurat diperlukan kecepatan dan kecermatan yang tinggi untuk memecahkan masalah klinik serta menentukan tindakan dan terapi yang tepat dalam situasi yang terbatas. Kesimpulan: Manajemen risiko klinik merupakan suatu metode untuk mengidentifikasi, mengontrol, memonitor, serta meminimalisasi semua aspek risiko melalui proses yang terencana dan sistematik untuk menurunkan dan atau mengendalikan kemungkinan kerugian akibat risiko yang ada dalam manajemen pasien sehingga terwujud sistem pelayanan medik yang aman, efektif, dan berkualitas. Dalam menjalankan praktik kedokteran harus senantiasa berdasarkan pedoman pelayanan yang berlaku serta pokok-pokok etika kedokteran sesuai dengan Kode Etik Kedokteran Indonesia. [Maj Obstet Ginekol Indones 2006; 30-3: 141-4] Kata kunci: manajemen risiko klinik.
The Risk of Expulsion is Higher in IUD-Endometrium Distance of More than 10 mm Senjaya, Teguh
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To acknowledge the rate of expulsion in post placental IUD CuT-380A insertion after vaginal delivery. Method: Postplacental IUD Cu T-380A insertion was performed at least 10 minutes after the placenta has been delivered by inserting IUD Cu T-380A in uterine cavity using index finger, and positioned the IUD in uterine cavity and pushed as high as possible directly to the uterine fundus. Then the IUD-endometrium distances were checked using transvaginal USG on the seventh and forty second day after IUD insertion. Result: From May and August 2012 has been done post placental IUD Cu T-380A set in 38 women, found that average of women age was ≥ 30 years old (34.21%), multi parities (63.16%), and gestation age for 37-42 weeks (100%). In this study found that three expulsion cases. Totally expulsion found in 2 cases, each found in days of 16 with averages distances of IUD and endometrium for 16.8 mm and in days of 19 with average distances of IUD-ED for 13.5 mm after IUD set. While partially expulsion found in 1 case, occurred in days of 11 after IUD set with average distance IUD-ED for 13.2 mm. Conclusion: IUD Cu T-380A set after vaginal delivery that observed for 42 days found that 3 (7.89%) peoples have expulsion. There is significant correlation the distance between IUD and ED in expulsion occurrences. [Indones J Obstet Gynecol 2013; 37-1: 26-31] Keywords: expulsion, post placental IUD Cu T-380A
Review of Preterm Labour Cases at Dr. Cipto Mangunkusumo Hospital January – December 2009 Fatimah, Andi
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 2, April 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To describe and to evaluate preterm labour cases and management at obstetric emergency room of Dr. Cipto Mangunkusumo Hospital (RSCM) from January until December 2009. Method: This is a cross-sectional study with 202 secondary data samples from stratified random sampling performed to all preterm labour cases at obstetric emergency room of RSCM from January until December 2009. The data were processed for frequencies and bivariate analysis, and then further analyzed with multivariate analysis. Result: Most of the patient’s age were between 17 to 35 years old (82.7%). Most of them belonged to preterm group or gestational age between 32 weeks to less than 37 weeks (69.8%). Fifty three percent of the preterm labour was caused by premature rupture of the membrane. About 47% of the babies had perinatal morbidity and the most morbidity cases was respiratory distress with septic condition (47.7%). Perinatal mortality only happened to 5.9% babies. From bivariate analysis, low socioeconomic level (p = 0.032), gestational age (extreme preterm p = 0.000, very preterm p = 0.000), APGAR Score minute 1 < 7 (p = 0.000), APGAR Score minute 5 < 7 (p = 0.000) and preterm baby status (Small for Gestational Age p = 0.048) were the variable which influenced the perinatal morbidity in our hospital. Perinatal mortality was influenced by low socioeconomic level (p = 0.048), gestational age (extreme preterm p = 0.000, very preterm p = 0.063), APGAR Score minute 1 < 7 (p = 0.000), APGAR Score minute 5 < 7 (p = 0.000) and also morbidity of the preterm baby (p = 0.000). In this study, we found there was significant relation between cases of membrane rupture and perinatal sepsis (p = 0.000; RR 5.98; 95% CI 2.72 - 13.39) but there was no significant relation between cases with or without membrane rupture compared to active or expectant management to the perinatal morbidity and mortality. From multivariate analysis, APGAR score minute 5 < 7 had the greatest influence to the perinatal morbidity and preterm baby morbidity had the greatest influence to perinatal mortality. Conclusion: Perinatal morbidity and mortality caused by preterm labour in Dr. Cipto Mangunkusumo Hospital were influenced by several factors which are socioeconomic status, APGAR score, preterm baby status and also morbidity of the baby. Therefore we need to do comprehensive prevention in biologic and socioeconomic condition of the patients. Expectant management in preterm labour cases should be made on many consideration since expectant management was proven had no correlation with good perinatal morbidity and mortality outcome. [Indones J Obstet Gynecol 2011; 35-2: 61-6] Keywords: preterm labour, risk factor, perinatal morbidity, perinatal mortality
Early Experience of Laparoscopic Radical Hysterectomy and Lymphadenectomy Aziz, Mohammad Farid
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 1, January 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

I have had a basic laparoscopy skill during my residency in the Department of Obstetrics and Gynecology University of Indonesia back in 1974. At that time this procedure only for diagnostic purpose especially to determine the patency of the fallopian tube. Time goes on and laparoscopy now becomes very popular surgical procedure as a minimal invasive surgery in almost all of the surgical procedure not only in gynecologic field but also has expanded to digestive surgery, orthopedic, ENT, thorax surgery. Prof. Joo-Hyun Nam, MD (Prof. Nam) from Korea suggested me to develop this kind of surgery. Gynecologic oncologist should have competency for doing this minimal invasive surgery such radical surgery in cervical cancer, endometrium and early ovarian cancer or just for surgical staging includes paraaortic lymphadenectomy and omentectomy. Before I involved deeply in laparascopic gynecologic oncology surgery, I have learned much form dr. Wachyu Hadisaputra, as the chairman of the gynecologic endoscopy working group from POGI (Indonesian Society of Obstetrician and Gynecology), in laparoscopic gynecologic non oncology surgery. In late 1990 I attended a symposium Laparoscopy in Gynecologic Oncology in Philadelphia organized by the late Prof. Dargent under IGCS (International Gynecology Cancer Society). In 2005 I followed a workshop for radical hysterectomy and lymphadenectomy on unbalmed cadaver (fresh cadaver) in Florida during Annual Meeting Society of Gynecologic Oncology, and I joined for the next year workshop. The trainer came from prominent countries such as USA, Germany and France. Since then I practiced total hysterectomy with laparoscopic surgery, even in small number of cases. In early 2009 I had an opportunity to visit Prof. Nam hospital in Seoul and watched him doing live radical surgery in the operating theatre. In the same year I practiced paraaortic lymphadenectomy on swine in Shanghai. Back from Seoul I and dr Chamim started doing radical surgery at Fatmawati Hospital and months later I followed an unbalmed cadaver Laparoscopic Symposium in Oncology in Taichung Taiwan. Another case done at Omni Hospital to fullfil dr. Boy Busmar’s invitation. From what I had been experienced I can suggest that we have set a solid team which is very important and supported by good equipment such colpotomy device, bipolar dissection, scissor, hormonic and ligaclip are very helpful if possible but if is available enough with bipolar dissection. The first step to assess the internal genital, if there is a massive adhesion it would prolong the surgery time. We then opened or incised the peritoneum between round ligamentum and fimbria and extended medially and laterally to exposed psoas muscle and ureter which cross the common iliac artery. The round ligament should stay intact to ease the surgery and prevent the uterus not to distort. Vesico-uterine fold was opened and we made a space such as paravesical and pararectal spaces. Then the procedure was done medially to extract fat and node ventral to common iliac until the wall of the artery was noted and we did lymphadenectomy along the external iliac artery. By doing this procedure, the iliac vein, internal iliac and uterine artery will be exposed and obturator nerve as well. The nodes was then put in the plastic bag made of plastic drug so it is very cheap instead of special bag sold by the supplier. Ureter was disected and pushed aside and ureteric canal was opened. Vagina was amputated by direction of colpotomy device and top of the vagina sutured through the vagina as suggested by Prof. Nam. By doing this if we think that vagina cut was inadequate, we can cut it more. The beginning of the procedure took more than 4 hours and as mentioned by the literatures that the learning curve will decrease by the amount of surgery. We have done 5 cases, 1 of those with serosal laceration of the sigmoid and repaired the lacerated serosal with few stitches and 1 case with iliac vein and the bleeding could be controlled using ligaclip. I hope that this minimal invasive surgery will enrich our modality in handling the malignancy in gynecologic surgery and we can positioned to the level of developed countries in Asia. The Asian Society of Gynecologic Oncology has planned to train Young Gynecologic Oncologist in this kind of surgery. In July 2010 there will be a workshop laparoscopy in gynecologic Oncology in Seoul and Indonesian Society of Gynecologic Oncology (Himpunan Onkologi Ginekologi Indonesia) is asked to propose candidates. Accommodation and transportation while in Korea will be covered by ASGO. I hope, this invitation can be responded well by our young gynecologic oncologist.
Kejadian kehamilan pascaoperasi miomektomi perlaparoskopi WIRIAWAN, W.; HADISAPUTRA, W.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 3, July 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Untuk mengevaluasi keberhasilan kehamilan pascaoperasi miomektomi perlaparoskopi pada kasus infertilitas. Rancangan/rumusan data: Penelitian deskriptif. Bahan dan cara kerja: Subjek penelitian adalah 26 orang pasien infertilitas dengan sangkaan mioma uteri yang menjalani operasi miomektomi perlaparoskopi dari bulan Januari 2004 sampai dengan Desember 2006 di Klinik Raden Saleh Divisi Kesehatan Reproduksi Departemen Obstetri dan Ginekologi FKUI/RSCM Jakarta. Hasil: Keberhasilan kehamilan pascaoperasi miomektomi perlaparoskopi pada penelitian ini sebesar 53,84%. Sebagian besar kehamilan yang terjadi secara spontan, dengan interval kurang dari satu tahun pascaoperasi. Tidak ada komplikasi yang ditemukan selama masa antenatal atau intrapartum pada semua persalinan dilakukan seksio sesarea. Kesimpulan: Operasi miomektomi perlaparoskopi merupakan terapi pilihan bagi pasien infertilitas. Keberhasilan kehamilan pascalaparoskopi miomektomi mungkin dipengaruhi pula oleh usia pasien, lamanya infertilitas, faktor suami dan beberapa faktor lain yang mempengaruhi penyebab infertilitas. [Maj Obstet Ginekol Indones 2007; 31-3: 143-7] Kata kunci: laparoskopi, miomektomi, infertilitas

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