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eko subaktiansyah
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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 1,760 Documents
Family Planning Problem in Indonesia Gunardi, Eka R
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.117 KB) | DOI: 10.32771/inajog.v4i4.443

Abstract

N/A
Pergeseran Kausa Kematian Ibu Bersalin di RSU Sanglah Denpasar, Selama Lima Tahun, 1996 - 2000 KARKATA, M. K.; SEPIDIARTA, SEPIDIARTA
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 3, July 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Untuk mengetahui pergeseran kausa kematian maternal di RSU Sanglah dalam periode 1996 - 2000 dibandingkan dengan hasilhasil penelitian sebelumnya. Rancangan/rumusan data: Penelitian dilakukan secara deskriptif. Data yang didapat ditabulasi dan ditampilkan dalam bentuk tabel dan narasi dan diberikan bahasan sesuai dengan keperluannya. Tempat: Bagian Obstetri dan Ginekologi RSU Sanglah Denpasar. Bahan dan cara kerja: Data sekunder seluruh kematian ibu yang dibahas dalam audit kematian ibu, laporan mingguan serta hasil rekapitulasi data di Bagian Obstetri dan Ginekologi RSU Sanglah yang terjadi antara 1 Januari 1996 sampai dengan 31 Desember 2000 dan dibandingkan dengan hasil penelitian sebelumnya. Hasil: Didapatkan 48 kasus kematian dari 28.872 persalinan (170/100.000). Dari jumlah itu 33,33% oleh karena perdarahan, 12,5% oleh karena infeksi dan 35,42% karena preeklampsia/eklampsia dan 18,75% karena kelainan medis lain. Telah terjadi pergeseran kausa kematian ibu dibandingkan dengan tahun-tahun sebelumnya. Kematian ibu karena perdarahan telah bergeser dari 68,5% (1969 - 1971) menjadi 47,62% (1972 - 1974), 51,61% (1975 - 1977), 28,6% (1988 - 1990), menurun tajam menjadi 7,14% (1993 - 1995). Kematian karena infeksi mengalami naik turun dari 14,8% (1969 - 1971) menjadi 38,09% (1972 - 1974), 12,9% (1975 - 1977), 14,3% (1988 - 1990) dan 7,14% (1993 - 1995). Yang menyolok adalah pergeseran kematian karena preeklampsia/ eklampsia yang meningkat dari 10,8% (1969 - 1971), 22,59% (1975 - 1977), 38,1% (1988 - 1990) dan tertinggi 78,57% (1993 - 1995). Kelainan medis yang menyertai ibu hamil mulai meningkat sebagai penyebab kematian sebesar 10,4% (1969 - 1971), 12,9% (1975 - 1977), 19,1% (1988 - 1990) dan menjadi 18,75% (1996 - 2000). Penyakit medis tersebut misalnya penyakit jantung, gagal ginjal, penyakit hati, stroke, anemia hemolitik dan peritonitis. [Maj Obstet Ginekol Indones 2006; 30-3: 175-8] Kata kunci: angka kematian ibu, penyebab kematian.
Avulsion of the Levator Ani at First Pregnancy Khusen, Denny
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 investigate whether demographic and obstetric risk factors are associated with avulsion of the levator ani at first pregnancy. Methods: A series of case was undertaken on 4 pregnant nulliparous women seen with a gestational age of more than 37 weeks. We analyzed with 3D/4D translabial ultrasound and digital assessment data of 4 women seen in a tertiary Urogynecological clinic. The use of 3D/4D ultrasound as a means of detection of trauma to the levator ani. Result: We had 4 women who had levator ani avulsion. Diagnosis of levator trauma (avulsion) on tomographic ultrasound was correlated with predelivery demographic variables and ultrasound parameters. Conclusion: With a greater understanding on the function of pelvic floor muscles, risk factors for trauma and damage as a result of pregnancy and birth, healthcare professionals will have better ability to meet the needs of women in the childbearing year. This study utilized a scoring system that can be used to predict the occurrence of levator ani muscle damage. In the end, the decline in quality of life for women, especially after a birth, can be prevented. [Indones J Obstet Gynecol 2013; 37-1: 51-6] Keywords: 3D/4D translabial ultrasound, demographic, levator ani avulsion, obstetric risk factors
Correlation of Anti-Müllerian Hormone Level with Ki-67 Expression in Patients with Ovarian Cancer Waskito, Annisa
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: This research was carried out to discover the correlation between the AMH serum in patients with malignant ovarian tumor of epithelial type with the Ki-67 expression as a marker of proliferation, therefore it was expected through the research to know the role of AMH in the inhibition of proliferation and growth of malignant ovarian tumor of epithelial type. Method: The study design was cross-sectional, with data obtained retrospectively from 24 medical records of patients with malignant ovarian of epithelial type, who had been examined for AMH levels in 2009, along with the sample in the form of preparation of paraffin embedded tissue of malignant ovarian tumor patients, who fulfilled the inclusion criteria. Furthermore examination of Ki-67 expression was performed with the statistical analysis using the rank Spearman analysis. Result: There was a negative correlation between AMH levels and Ki-67 expression in patients with malignant ovarian tumors of epithelial (r = -0.652, p < 0.05). Conclusion: These data indicate a significant negative correlation between serum AMH levels and Ki-67 expression in epithelial ovarian cancer patients. [Indones J Obstet Gynecol 2011; 35-2: 87-90] Keywords: anti-müllerian hormone, epithelial ovarian cancer, Ki-67, Müllerian inhibiting substance
Effect of clomiphene citrate on the quality of cervical mucus in infertile women Jusuf, Elizabeth Catherine
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To describe the effect of clomiphene citrate on the quality of cervical mucus in infertile women. Method: This study is a non-randomized clinical trial. The study was carried out at several education hospitals in Makassar from March 2008 to April 2009. The subjects of the study were infertile women who fulfilled the inclusion criteria with intervention study. The statistical analysis was performed using Wilcoxon Sign-ed Rank Test with α 5%. Result: There were 36 cases found, and most were in the range of 26 - 30 years old (38.9%), university level education (50%), civil servant (47.2%), normal nutritionals status (55.5%), regular menstruation cycle (94.4%), marriage length 1 - 5 years (52.8%), and previously treated (61.1%). There was a significant difference of the cervical mucus quality in the infertile women before and after the administration of clomiphene citrate which tend to become worse (p = 0.012). At previously CC-treated group, it was found that after the administration of clomiphene citrate, the quality of cervical mucus tend to be worse (100%). Conclusion: The administration of clomiphene citrate tends to have declining effect on cervical-mucus quality of infertile women. [Indones J Obstet Gynecol 2010; 34-2: 73-6] Keywords: clomiphene citrate, quality of cervical mucus, infertile women
Perawatan Antenatal dan Peranan Asam Folat dalam Upaya Meningkatkan Kesejahteraan Ibu Hamil dan Janin HANAFIAH, T. M.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 4, October 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

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Managing Gallstone during Pregnancy Lalisang, Toar JM
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Transient physiological changes in the biliary system during pregnancy increased the risk of gallbladder diseases. Nonoperative management of symptomatic cholelithiasis increases the risk of complications of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct stones with or without cholangitisb and biliary pancreatitis raise maternal mortality. Delay in definitive surgical treatment of biliary diseases during pregnancy increases the likelihood acute biliary pancreatitis which impact on preterm delivery until fetal lost. Laparoscopic cholesystectomy during pregnancy has advantages for the mother in that it speeds up her recovery, giving her less pain and facilitated natural birth without a cesarean section. On the fetus side, laparoscopic cholecystectomy is safe since it does not induce preterm delivery or abortion. Identification of gallbladder stone during pregnancy warrant a preventive laparoscopic cholesystectomy or endoscopic CBD exploration, both of which promise good outcomes. [Indones J Obstet Gynecol 2013; 1-4: 219-21] Keywords: adult choledochal cyst, biliary cyst, biliary dilatation, mixed type
Clinical Evaluation of Neoadjuvant Chemotherapy Followed by Radical Hysterectomy in the Management of Cervical Cancer Stage IIB Sanif, Rizal
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.629 KB) | DOI: 10.32771/inajog.v3i2.36

Abstract

Objective: To evaluate the clinical efficacy, operability, radicality, toxicity, and incidence of recurrences of neoadjuvant chemotherapy (NAC) followed by radical hysterectomy (RH) among patients with stage IIB cervical cancer. Method: This is an observational clinical study at Dr. Moh. Hoesin Hospital, Palembang. Data were analyzed from 27 patients who matched the inclusion criteria and underwent 3 cycles of neoadjuvant chemotherapy (NAC) with Paclitaxel (75 mg/m2) in combination with Cisplatin (50 mg/m2) and Docetaxel (75 mg/m2) combined with Carboplatin (300 mg/m2) according to AUC 6, followed by radical hysterectomy from January 2012 until December 2013. Result: The operability rate after NAC was 96.4%. Lymph node metastases were negative in 75% of patients, and we found bilateral lymph node metastases in 14.3% of patients. Parametric infiltrations were negative in 85.7% of the patients, and positive in 14.3% of patients. No vaginal infiltrations were found. As much as 89.3% of the patients did not experience any side effect, while anemia and thrombocytopenia were found in 10.8% of the patients. We found that 7.1% of patients had recurrences within 6 months interval. Conclusion: NAC followed by radical hysterectomy showed significant advantages for patients with stage IIB cervical cancer, with fewer side effects. However, long-term evaluation and a larger number of patients are required to confirm this result. Keywords: cervical cancer, neoadjuvant chemotherapy, radical hysterectomy
The Role of HLAC and NK Cells in Fetal Growth Restriction Sulistyawati, Sri; Trimulya, Didon M; Respati, Supriyadi H; Soetrisno, Soetrisno
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 3, July 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.898 KB) | DOI: 10.32771/inajog.v5i3.539

Abstract

Objective: To determine the role of HLA-C and NK cell expressions in fetal growth restriction (FGR). Methods: A cross sectional study design was used. This study was conducted at the Obstetrics and Gynecology Department of Dr. Moewardi General Hospital, Surakarta, its affiliated hospitals, and at the Pathological Anatomy Laboratory of the Faculty of Medicine, University of Sebelas Maret Surakarta. A total of 40 samples were included in this study. The samples consisted of 20 normal pregnancies and 20 pregnancies with FGR. HLA-C expression in the trophoblast and NK cells in decidua of the subjects who met the inclusion and exclusion criteria were examined using immunohistochemical method and statistical analysis with T test. Results: The mean expression of HLA-C in the trophoblast in the pregnant group with FGR was 9.021.30, normal pregnancy was 7.96 ± 0.97, p=0.01 (p&lt;0.05). The mean expression of NK cells in decidua of pregnancy with FGR was 10.59 ± 2.11, normal pregnancy was 0.91 ± 8.18, with p=0.00 (p&lt;0.05). Conclusion: The expressions of HLA-C in trophoblast and NK cells in decidua of pregnancy with FGR were higher compared with those of normal pregnancy. [Indones J Obstet Gynecol 2017; 5-3: 142-148] Keywords: fetal growth restriction, HLA-C, NK cells
Prenatal Diagnosis and Postnatal Management of Meconium Peritonitis Maidarti, Mila
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 4, October 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To present two cases of fetal meconium peritonitis with perforated ileum and without a definite intestinal obstructive lesion. Case report: Two patients who presented prenatally with ultrasound findings of meconium peritonitis and postnatally were found to have perforation of the terminal ileum and meconium peritonitis. In both cases, the diagnosis of meconium peritonitis was suspected prenatally based on the ultrasound findings which were hyperechogenic bowel and abdominal free fluid with increased echogenicity. Both babies were delivered by c-section due to obstetrical indication. After delivery the babies were admitted to the intensive care unit because of a distended abdomen and respiratory distress. An explorative laparotomy revealed perforations of the ileum, and the pediatric surgeon performed adhesiolysis and ileostomy. The infant recovered well after the operation and was fed uneventfully. Conclusions: Echogenic intraabdominal free fluid was the most common ultrasound findings in meconium peritonitis. Early detection of meconium peritonitis was not indicative of poor neonatal outcomes, and selective termination was not necessary, unless indicated for other reasons. [Indones J Obstet Gynecol 2011; 35-4:191-8] Keywords: prenatal diagnosis, postnatal management, meconium peritonitis

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