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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
Pereira Suture: an Alternative Compression Suture to Treat Uterine Atony Setiyono, Agung B; Aziz, Alamsyah; Sulistyono, Agus; Mose, Johanes C
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.717 KB) | DOI: 10.32771/inajog.v3i3.50

Abstract

Objective: To evaluate the use of Pereira suture as a conservative surgical management in postpartum hemorrhage due to uterine atony. Methods: The study was performed in the Department of Obstetrics and Gynecology, Temanggung General Hospital, Central Java, Indonesia. Data was retrieved retrospectively from medical records, from January 2011 until December 2013. Results: Pereira suture was done in four cases of uterine atony with failed conservative management, and the procedure was found to be successful in all cases. Conclusion: Pereira suture is an alternative surgical procedure for the treatment of uterine atony after failed conservative management. [Indones J Obstet Gynecol 2015; 3: 177-182] Keywords: pereira suture, postpartum hemorrhage, uterine atony
Postplacental IUCD CuT380A: Acceptability, Effectivity and Side Effects Situmorang, Herbert; Setijanto, Ivanna T; Affandi, Biran
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 4, October 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (105.123 KB) | DOI: 10.32771/inajog.v5i4.563

Abstract

Objective: To evaluate the acceptability, effectivity and side effects of Postplacental IUCD after vaginal delivery at Dr. Cipto Mangunkusumo Hospital (RSCM) after 6 month of insertion. Methods: A prospective study was conducted at RSCM Jakarta during the period of August to October 2012. Postplacental IUCD was inserted into the subjects’ uterus until it reached the fundus. Follow up was done at 40-42 days and 6 months after delivery.  Results: A total of 234 women were recruited in this study, with 19.2% loss of follow up. No significant difference on subjects characteristics who came and loss of follow up in this study. Expulsion was experienced by 5.1% subjects (total expulsion 4.1% and partial 1%) at the first visit on 40-42 days and 7.5% subjects (total expulsion 0.6% and partial 6.9%) at the second visit, after 6 months. 9.3% subjects had the IUCD removed at the first and second visit. Among all of the subjects who had the IUCD removed by request or had the expulsion, 61% were willing to do reinsertion. The effectivity of IUCD was 100%, with 68.9% subjects was still breastfeeding. The side effects were vaginal discharge (23%), dysmenorrhea (4-21%), and spotting (2-10%).  Conclusion: The acceptability and effectivity of postplacental IUCD after 6 months were 86.8% and 100%. Cummulative expulsion rate were 12.6%, and the most common side effects were vaginal discharge, dysmenorea, and spotting. Keywords: acceptability, effectivity, expulsion rate, IUD, postplacenta
Factors Influencing the Knowledge Level of Pap Smear Examination in Cervical Cancer Patients Soemardji, Wulan M.
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.113 KB)

Abstract

Objective: To describe the level of knowledge of Pap smear examination and its influencing factors in cervical cancer patients. Methods: Patients meeting the inclusion criteria were asked to fill questionnaire. Acquired data will then be processed and analyzed statistically. Result: This study was performed to 45 cervical cancer patients. We found that the majority of subjects was in the 41-45 years age groups (36%), housewife (87%), graduated junior high school (51%), and lived in Manado city (53.3%). Thirty one patients (69%) had a lacking knowledge about Pap smear examination. Among 25 respondents (56%) who had received the information before, only 13 respondents (52%) had already had their Pap smear examination. This unwillingness to participate in the examination was caused by fear (75%), laziness (8%), no complaint (8%), and no support from the husband (8%). The information factor had the greatest influence on the level of knowledge about Pap smear examination. Conclusion: The knowledge level of Pap smear is still low and the most influencing factor for this result is the lack of information (p < 0.05). [Indones J Obstet Gynecol 2012; 36-2: 61-5] Keywords: cervical cancer patients, information, knowledge, Pap smear
Faktor risiko infeksi saluran kemih pada pertolongan persalinan spontan di RS Moh. Hoesin Palembang AZIZ, A.; FAUZI, A.; THEODORUS, R. SANIF
Indonesian Journal of Obstetrics and Gynecology Volume. 33, No. 1, January 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (73.162 KB)

Abstract

Tujuan: Menilai pengaruh kateterisasi urin, colok vagina dan keluarnya feses saat mengedan pada pertolongan persalinan spontan terhadap kejadian infeksi saluran kemih. Tempat: Bagian Kebidanan dan Kandungan Universitas Sriwijaya, Rumah Sakit Umum Mohammad Hoesin, Palembang - Indonesia. Bahan dan cara kerja: Penelitian ini merupakan cross sectional study. 100 orang penderita yang partus spontan diambil secara consecutive sampling. Dilakukan pengisian kuesioner yang memasukkan data mengenai berapa kali kateterisasi dan colok vagina dilakukan, apakah ada kontaminasi feses pada kala II, dan urin diambil menggunakan kateter steril pada mid stream. Urin lalu diperiksa dengan strip nitrit urin. Hasil: Dari hasil penelitian didapatkan bahwa responden yang positif infeksi saluran kemih ada 10 responden (10%). Hubungan faktor risiko dengan infeksi saluran kemih yang meliputi kateterisasi, colok vagina dan kontaminasi feses saat mengedan tidak menunjukkan hasil yang bermakna secara statistik, namun setelah dilakukan uji regresi logistik dan dilakukan penyesuaian didapatkan bahwa colok vagina mempunyai hubungan bermakna dengan infeksi saluran kemih (r 0,544; p 0,019). Kesimpulan: Angka kejadian infeksi saluran kemih pada persalinan spontan di rumah sakit Mohammad Hoesin sebesar 10%. Frekuensi colok vagina memiliki hubungan bermakna dengan kejadian infeksi saluran kemih. [Maj Obstet Ginekol Indones 2009; 33-1: 14-9] Kata kunci: infeksi saluran kemih, kateterisasi urin, colok vagina
Progressive Ovarian Cancer with Trocar Site Metastases Resulted from Inadequate Laparoscopy Damayanti, Ina
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: Discuss the complications of laparoscopic ovarian cystic neoplasms. Method: Case report. A-52 year old female with 2 parities, complained of a lump at anterior abdominal wall during chemotherapy for clear cell ovarian adenocarcinoma after total hysterectomy and bilateral salphingooophorectomy by laparoscopy. The indication was suspected ovarian cancer from solid parts found during ultrasound and CA125 level 169. During previous laparoscopy, the cyst was ruptured, left in abdominal cavity with high CO2 pressure for five hours and retrieved without a bag. The frozen section examination of the cyst wall were diagnosed as endometriosis. The physician assured her that the lump was only scar and did not need further evaluation. CA125 level was 557 IU after chemotherapy. PET scan confirmed a 2 cm-diameter mass superior to peritoneum and multiple implants intra abdominally. Result: A debulking laparotomy was done. Omental cake was found with one part adhered to the right previous trocar insertion site. It was connected to tumor implant size 3x4 cm until fat tissue of abdomen wall. Another implant was also found at left paracolical area. Conclusion: Laparoscopy offers advantages such as less bleeding, better visualisation, and enhanced recovery. Some controversies exist in cases with suspicion of malignancy. Pneumoperitoneum might cause seeding of tumor cells. This could be prevented by using low pressure, avoidance of exsuflation of gas through trocar opening, or by using bags to retrieve operative specimens. Preoperative evaluation of clinical findings, ultrasound, and tumor markers are important to prevent improper surgical management. [Indones J Obstet Gynecol 2014; 2: 110-113] Keywords: complication, laparoscopy, metastases, ovarian cancer, trocar site.
Impact of Ethinyl Estradiol to Human Telomerase Reverse Transcriptase Activity on Complete Hydatidiform Mole Culture Nurseta, Tatit; Wijasa, Arsana; Sitompul, Barlian
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.508 KB) | DOI: 10.32771/inajog.v4i2.82

Abstract

Objective: To prove the effect of ethinyl estradiol as an activator on human Telomerase Reverse Transcriptase (hTERT). Method: The experimental study was conducted in vitro by using culture of complete hydatidiform mole trophoblast cell. We exposed the culture to ethinyl estradiol in varied doses and measured the concentration of hTERT through RT-PCR quantitative. There were 40 specimens as control group and 20 specimens exposed to ethinyl estradiol in different doses (10, 20, 40 and 80 mcg) as experimental group. The activity of hTERT was measured by RT-PCR and the concentration of it was assessed by ELISA. We analyzed the variables using ANOVA, Turkey post hoc and Pearson correlation test. Result: In control group, the concentration of hTERT was not detected. Meanwhile, the concentration among different doses of ethynil estradiol (10, 20, 40, 80 mcg) was 113,117.5; 114,507.6; 102,193.9; 127.546.1 amoles/ml, respectively. Among experimental group, they were significantly different both using F test (ANOVA) (p=0.001) and Turkey post hoc test (p=0.005). The correlation among group was 0.84 which meant higher level of ethinyl estradiol was correlated with higher activity of hTERT. Conclusion: Ethinyl estradiol impacts to the increase of hTERT activity on complete hydatidiform mole cell culture. [Indones J Obstet Gynecol 2016; 4-2: 93-96] Keywords: complete hydatidiform mole, ethinyl estradiol, human Telomerase Reverse Transcriptase (hTERT)
Factors Affecting the Development of Anxiety in Postmenopausal Women: A CrossSectional Study in Coastal Areas Saimin, Juminten; Wicaksono, Satrio; Junuda, Junuda; Minarti, Minarti
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.747 KB) | DOI: 10.32771/inajog.v6i3.775

Abstract

&nbsp; Objective: To analyze factors associated with anxiety in postmenopausal women. &nbsp; Methods: This study was descriptive analytic with cross-sectional approach conducted in 228 postmenopausal women that aged 50-64 years old in coastal areas of Kendari City. Samples were taken by simple random sampling. The technique of collecting data used questionnaires and the Taylor Manifest Anxiety Scale (T-MAS). Data were analyzed using Chi-square test with a significance value p  0.05. &nbsp; Results: The results showed that 188 respondents (82.4%) had. anxiety. Its most experienced anxiety was aged 50-54 years old (37.7%), low education (96.0%), as housewife (62.7%), low income (91.2%) and lived with a partner (54.4%). There was correlation between anxiety with age (p=0.016), education level (p = 0.009), income (p = 0.011), and residence status (p = 0.029). There was no correlation between anxiety with occupation (p = 0.351). &nbsp; Conclusion: There was a correlation between anxiety in postmenopausal women in coastal areas with age, education level, income, and residence status. &nbsp; Keywords: age, anxiety, education level, income, postmenopausal women, residence status
Letrozole 2.5 mg Shows Higher Endometrial Thickness Compared to 5 mg Letrozole in Ovulation Induction Tobing, Anita
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 3, July 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.754 KB)

Abstract

Objective: To compare the effects of ovulation induction with 2.5 mg letrozole to 5 mg letrozole by the number of mature follicles, endometrial morphology and endometrium thickness during the late follicular phase in infertility patient who successfully became pregnant. Method: This was a cross sectional study. We collected the data of infertility patient who successfully became pregnant after receiving ovulation induction regiment of 2.5 mg and 5 mg letrozole. Result: There mean number of follicles with diameter ≥ 18 mm was higher in group receiving 5 mg letrozole (1.64 SD ± 0.91) compared to group receiving 2.5 mg letrozole (1.37 SD ± 0.56) but statistically, there was no significant difference (p = 0.134). Endometrial thickness, which was measured by transvaginal ultrasound on the twelfth day of menstrual cycle, showed a significant difference (p = 0.023) between the groups. The endometrium was thicker in patients receiving 2.5 mg letrozole (7.83 mm SD ± 0.87) compared to patients receiving 5 mg letrozole (7.6 mm SD ± 1.10). The most common endometrium morphology found was triple line endometrium, both in group receiving 2.5 mg letrozole (65%) and in group receiving 5 mg letrozole (50%). Conclusion: There was a significant difference in endometrial thickness between the pregnant patients who had received 5 mg of letrozole and 2.5 mg of letrozole for ovulation induction and the most common endometrium morphology and description was triple line endometrium in both research groups. But there was no significant difference between the number of ≥ 18 mm follicles on 2.5 mg doses and 5 mg doses of letrozole. [Indones J Obstet Gynecol 2012; 36-3: 130-4] Keywords: endometrium morphology, endometrium thickness, infertility, letrozole, ovarium follicles
Hubungan pengetahuan dan sikap bidan tentang rujukan kasus obstetri dengan ketepatan rujukan: suatu studi analisis verifikatif di Kabupaten Bantul, Yogyakarta Wahyuningsih, Heni Puji
Indonesian Journal of Obstetrics and Gynecology Volume. 33. No. 4, October 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (36.658 KB)

Abstract

Tujuan: Memperoleh informasi mengenai ketepatan rujukan kasus obstetri oleh bidan di Kabupaten Bantul, Yogyakarta. Metode: Rancangan penelitian ini menggunakan metode survei eksplanatoris terhadap pengetahuan dan sikap bidan tentang rujukan kasus obstetri dengan ketepatan rujukannya. Data dikumpulkan secara potong silang, dengan rancangan retrospektif (kasus-kontrol). Subjek penelitian 109 responden. Analisis data menggunakan prosedur analisis uji t, Mann-Whitney, uji Chi-Kuadrat, uji korelasi VCramer dan analisis regresi logistik ganda. Hasil: Pada penelitian ini didapatkan bahwa terdapat perbedaan skor pengetahuan berdasarkan rujukan tepat vs tidak tepat (81,2 vs 63,6; p
The Outcome on Conservative Surgical Treatment of Adenomyosis Wiweko, Budi; Legiantuko, Ario; Kemal, Achmad; Pratama, Gita; Situmorang, Herbert; Sumapraja, Kanadi; Natadisastra, Muharam; Hestiantoro, Andon
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 (87.501 KB) | DOI: 10.32771/inajog.v4i4.448

Abstract

Objective: To understand the outcome on conservative surgical treatment of adenomyosis. Methods: A retrospective cohort study followed for 2 years from 2010 to 2012 of women with adenomyosis were diagnosed by transvaginal sonography and confirmed histologically. Subjects divided into women who were treated by adenomyosis resection (with/without Osada’s technique) and who were underwent hysterectomy. Results: After the surgery, as many as 40 patients (81.63%) did not feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the fertility outcome, we had 8 patients (20.51%) getting pregnant naturally without any fertility intervention. Two patients (5.13%) had successfully conceived by IVF. According to the type of surgery, from 8 natural pregnancy, 7 patients (87.50%) was underwent conventional resection of adenomyosis and 1 patients (12.50%) underwent Osada’s procedures. Two patients who were conceived by IVF, both of them were underwent Osada’s resection. Conclusion: Adenomyosis resection both conservative or Osada’s procedures actually has a better outcome for relieving pain; therefore, some patients can still have a child. Keywords: adenomyosis resection, conventional resection, infertility, Osada’s procedure

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