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Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)

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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.

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Articles 1,760 Documents

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Female Sexual Function after Vaginal Delivery with Episiotomy and Cesarean Section Jembawan, I Made W
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function

Progesterone Receptor Gene Polymorphism Promoter Region +331G/A Increases Risk of Endometriosis Alkaf, Syifa; Chakra, Aerul; Said, Usman; Saleh, Irsan
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 1, January 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To identify relationship between progesterone receptor gene polymorphism promoter region +331G/A with the risk of endometriosis. Method: An observational case-control study. Population are women with endometriosis and/or adenomyosis who have been performed laparotomy/laparoscopy at Obstetrics and Gynecology Department Dr. Mohammad Hoesin General Hospital Palembang, January-November 2013. Subjects fulfilled inclusion criteria, given informed consent and performed blood sampling continued by PCRRFLP. Results were divided into A/A genotype (homozygote mutant), G/A (heterozygote mutant), and G/G (homozygote wild type). Data were analyzed by SPSS 21.0 version. Result: PCR-RFLP results for+331G/A genotype were 26 (54.1%) in case group and 14 (26.4%) in control. +331A/A genotype was not found in both groups. There was significant increase risk of endometriosis in women carrying genotype +331G/A to those with genotype +331G/G with OR 3.29 (p

Levels of 25 Hydroxyvitamin D in Normotensive Pregnancy and Severe Preeclampsia Palinoan, Meynita; Kaeng, Juneke J; Suparman, Erna
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 2 April 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

  Objective: To determine the ratio of 25-hydroxyvitamin D levels innormotensive pregnancy and severe preeclampsia.   Methods: This study was an analytic cross-sectional study witht-test. The subject of this study consists of 17 samples normotensivepregnancy and 17 samples severe preeclampsia. This study wasconducted and evaluated from August 2016 until December 2016 atDepartment of Obstetrics and Gynecology Faculty of MedicineUniversitas Sam Ratulangi Prof. Dr. R.D. Kandou Hospital Manadoand satellite hospital in Manado. Samples were taken from serumas much as 5 ccs and were analyzed using CLIA at Prodia clinicallaboratory. Data were analyzed with SPSS version 20.0.   Results: By using the t- test, there were significant differences in25-hydroxyvitamin D levels between normotensive pregnancygroup (24.771  6.9567ng/ml) and severe preeclamptic group(17.712  3.7513ng/ml), p = 0.001.   Conclusion: Levels of 25-hydroxyvitamin D in normotensive pregnancysignificantly higher compared to severe preeclampsia so it canbe concluded that the levels of 25-hydroxyvitamin D were associatedwith preeclampsia.   Keywords: 25-hydroxyvitamin D, normotensive, severe preeclampsia

The Prevalence and Risk Factors of Stress Urinary Incontinence in Postpartum Pratiwi, Renny; Suparman, Eddy; Lengkong, Rudy A
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To know the incidence of stress urinary incontinence in postpartum and determine the relationship among age, parity, infant birth weight, mode of delivery, episiotomy and perineum rupture. Method: This study used cross sectional analytic design. Qualified subjects from inclusion criteria were interviewed by researchers using pre-defined MESA questioner. Subjects with stress urinary incontinence were found from the questionnaire result. The acquired data was measured and analyzed using SPSS v. 22.0 software and discussed using available literature. Result: From 162 subjects, 36 cases (22.22%) had stress urinary incontinence, 47.22% aging ? 35 years old, 72.22% had multiple pregnancies, 88.89% had per vaginal delivery. Using multivariate logistic regression test, we found there was a relationship between stress urinary incontinence with age and parity (p 35 years old and multiple parities. Keywords: multiple parities, post-partum, stress urinary incontinence

Uji Mutu Papsmear Sediaan Kering Sebagai Altenatif Pembuatan Sediaan Sitologi Serviks SITUMORANG, H.; INDARTI, J.; KUSUMA, F.; WIKNJOSASTRO, G. H.
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 3, July 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Tujuan: Menguji mutu sediaan papsmear yang dibuat dengan metode "sediaan kering". Bahan dan cara kerja: Penelitian dilakukan di laboratorium sitologi Departemen Obstetri dan Ginekologi FKUI-RSCM Jakarta. Dibuat dua buah slide papsmear dari setiap pasien yang datang untuk melakukan pemeriksaan papsmear. Pada kelompok pertama sediaan diproses secara konvensional menggunakan alkohol 95% sebagai larutan fiksasi, sedangkan kelompok kedua sediaan papsmear dikeringkan di udara terbuka kemudian dilakukan rehidrasi menggunakan NaCl 0,9% sebelum dilakukan pewarnaan. Dilakukan perbandingan mutu sediaan ditinjau dari segi densitas seluler, adanya artefak akibat pengeringan di udara terbuka, serta ada tidaknya gangguan akibat latar belakang eritrosit dan latar belakang sel radang. Hasil: Didapatkan 210 pasang sediaan yang dapat dievaluasi. Teknik kering mempunyai adekuasi sediaan yang sama baiknya dengan teknik konvensional. Tidak didapatkan perbedaan bermakna pada kedua kelompok ditinjau dari segi densitas seluler, adanya artefak akibat pengeringan di udara terbuka, serta ada tidaknya gangguan akibat latar belakang eritrosit dan latar belakang sel radang. Kesimpulan: Papsmear sediaan kering dapat dipakai sebagai alternatif pembuatan sediaan sitologi serviks saat larutan alkohol 95% tidak tersedia sebagai larutan fiksasi. [Maj Obstet Ginekol Indones 2006; 30-2: 145-51] Kata kunci: papsmear sediaan kering, rehidrasi, adekuasi sediaan.

Telomerase Expression Increased the Risk of Borderline Ovarian Tumors Maidarti, Mila
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To compare the expression of telomerase in benign ovarian tumors and borderline ovarian tumors. Methods: Thirteen samples of paraffin blocks of ovarian borderline tumors and benign ovarian tumors were taken from patients who underwent surgery from January 2006 to December 2011. In all samples, we performed immunohistochemical staining to the paraffin blocks. Semi quantitative determination of the expression of telomerase is done by an Anatomic Pathology specialist and Gynecologist, which already had the same perception about assessing the standardization sample. We used Fisherâs test to analyze the data. Results: There were significant relationship in the moderate expression of telomerase in the nucleus and cytoplasm between benign and borderline ovarian tumors, with an odds ratio of moderate telomerase expression in the cytoplasm and nucleus of 19.3 (95% CI: 1.4 - 943) and 26 (95% CI : 2.3 - 1211). This means that the risk of borderline ovarian tumors in the expression of moderate telomerase in the cytoplasm was 3.19 times compared to the negative expression, whereas in the nucleus it became 26-fold. There is no significant relationship among menopause, age, and telomerase expression in the nucleus and cytoplasm. Conclusion: There are significant differences in the expression of moderate strength telomerase in nucleus and cytoplasm between benign and borderline ovarian tumors. [Indones J Obstet Gynecol 2013; 37-1: 32-40] Keywords: benign ovarian tumor, borderline ovarian tumor, telomerase expression

The Unique Presentation of Massive Ascites Complicating Severe Preeclampsia and HELLP syndrome Wirawan, Jimmy P.
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 2, April 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To describe a rare case of massive ascites complicating severe preeclampsia and HELLP syndrome. Method: Reporting a case experienced and taken care in our hospital. Result: We report a case of Mrs L, 29 years old, gravid 1, admitted at 35th week gestation, with preeclampsia, HELLP syndrome (thrombocyte 49000/ul, LDH 888 U/l), and IUFD. We found ascites pre-operatively. Cesarean section was conducted. As much as 1.5 litre of ascites was evident during CS. We put intra-abdominal drain and ascites was about 4300 ml, 3800 ml and 1200 ml on 1st, 2nd and 3th day. Patient was discharged after five days of care. One week follow up, patient came with good condition and controlled blood pressure and clinically no evident ascites. Conclusion: Preeclampsia is one of the major causes of maternal mortality and morbidity in the world. Manifestation of preeclampsia can range from mild preeclampsia to full blown eclamptic condition. Herein we presented a case of massive ascites complicating severe preeclampsia and HELLP syndrome. [Indones J Obstet Gynecol 2011; 35-2: 67-9] Keywords: massive ascites, preeclampsia, HELLP syndrome

Behavior study about teenage pregnancy and related factors in female junior and senior high school students in Jakarta Tunggadewi, Shirley Anggraini
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: To get data about female teenage behavior in their sexual changes, unwanted teenage pregnancy and their negative consequences, contraception, and the relation between factors which are related to female teenage behavior. Method: Cross-sectional study at five Government Junior High Schools and five Government Senior High Schools in five regions in Jakarta. Two hundred female teenage respondents, aged between 11-17 years old, came from five Government Junior High Schools and five Government Senior High Schools in Jakarta who were picked by cluster random sampling, 20 students from each grade of school. The respondents were given questionnaires which have been validated before, and then we did scoring and statistical measurement with SPSS 13th version. Result: The respondentsâ knowledge about their sexual organ changes and sexual behavior is moderate (46%), unwanted teenage pregnancy and their consequences is poor (79.5%), contraception is poor (62%) and scoring result of knowledge is poor (71%). Knowledge scoring among respondents aged between 11-14 years old is poor (85.9%), and also in age group 15-17 years old (60%). Respondentsâ attitude about their sexual organ changes and sexual behavior is good (40.5%), unwanted teenage pregnancy and their consequences is good (42.5%), while contraception is poor (73.5%), and scoring result of attitude is poor (56.5%). Attitude scoring in age group 11-14 years old is poor (68.2%), and in group 15-17 years old is also poor (47.8%). Respondentsâ behavior about their sexual organ changes and sexual behavior is poor (51%), unwanted teenage pregnancy and their consequences is good (66%), contraception is moderate (49%), and scoring result of behavior is moderate (49%). Attitude scoring age between 11-14 years old is moderate (55.3%), between 15-17 years old is moderate and poor (each 44.3%). The relation between behavior and the greatest impression of information source which is significant is from teacher/school (p=0.001). The relation between behavior and knowledge is only significant in age group 15-17 years old (p=0.014). There is significant relationship between behavior and attitude in age group 11-14 years old (p=0.013) and 15-17 years old (p=0.000). Determinant factor contributing to this behavior level is the information taken from their teacher/school (p=0.010). Conclusion: Respondentsâ behavior about their sexual organ changes and sexual behavior is poor (51%), about unwanted teenage pregnancy and their consequences is good (66%), about contraception is moderate (49%) and scoring result of behavior is moderate (49%). Attitude scoring in age group 11- 14 years old is slightly better than in group 15-17 years old. [Indones J Obstet Gynecol 2010; 34-2: 51-8] Keywords: teenage pregnancy, unwanted pregnancy, sexual behavior, contraception

Luka bakar pada perempuan hamil PERDANAKUSUMA, D.S.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 3, July 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Tujuan: Mengetahui gambaran kasus luka bakar pada perempuan hamil yang dirawat di Unit Luka Bakar RSU Dr. Soetomo. Bahan dan cara kerja: Seluruh kasus luka bakar pada perempuan hamil yang dirawat di Unit Luka Bakar RSU Dr. Soetomo mulai tanggal 1 Januari 2000 sampai 31 Desember 2006. Data diperoleh dari catatan medik penderita meliputi umur, tempat tinggal, paritas, usia kehamilan, penyebab luka bakar, luas luka bakar, lokasi tubuh yang terkena luka bakar serta outcome. Hasil: Selama kurun waktu 7 tahun didapatkan 8 kasus luka bakar pada perempuan hamil, sekitar 0,96% dari seluruh kasus luka bakar yang dirawat atau 4,8% dari perempuan usia reproduktif yang menderita luka bakar. Usia penderita berkisar 18-35 tahun, asal penderita 87,5% dari kota Surabaya dan 12,5% rujukan dari luar kota. Paritas: 75% anak pertama dan 25% anak ketiga dan keempat. Usia kehamilan trimester pertama 25%, trimester kedua 50% dan trimester ketiga 25%. Penyebab luka bakar seluruhnya adalah api di mana 75% merupakan kecelakaan rumah tangga dan 25% kasus upaya bunuh diri. Luas luka bakar kurang dari 25% diderita pada 25% kasus, luas luka bakar 25%-50% sebesar 25% dan yang menderita luka bakar dengan luas lebih dari 50% diderita pada 50% kasus. Lokasi tubuh yang terkena luka bakar terbanyak mengenai daerah dada-perut dan kepala-leher yaitu 26% dan 23%. Secara keseluruhan didapatkan Outcome 62,5% kematian maternal dan 75% kematian janin. Pada luka bakar yang mengenai tubuh lebih dari 25% luas permukaan tubuh didapatkan 83,33% kematian maternal dan 100% kematian janin. Pada usia kehamilan trimester pertama didapatkan 100% kematian janin, trimester kedua didapatkan 75% kematian janin dan pada usia kehamilan trimester ketiga didapatkan 50% kematian janin. Kesimpulan: Luka bakar pada perempuan hamil jumlahnya relatif kecil tetapi sering berakibat fatal. Luas permukaan tubuh yang terkena luka bakar pada maternal dan usia kehamilan berperan pada outcome. Diperlukan penanganan multidisiplin untuk dapat mengurangi kematian maternal maupun janin. [Maj Obstet Ginekol Indones 2007; 31-3: 148-54] Kata kunci: luka bakar, kehamilan, kematian maternal, kematian janin

Expression of Tenascin in the Uterosacral Ligament is Stronger in Women with Pelvic Organ Prolapse Lusiadewi, Eny
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Objective: This study aimed to compare the expression of tenascin uterosacral ligament in women with and without pelvic organ prolapsen (POP). Methods: The research was carried out in Dr. Wahidin Sudirohusodo Hospital and other educational hospitals of obstetrics and gynecology division UNHAS Faculty of Medicine, which began on January 1st, 2011 until April 2012. This study assessed the expression of tenascin in 35 women with POP levels III and IV, and the controls were 35 women without POP. Tenascin expression was assessed by immunohistochemical examination using tenascin antibody staining (mouse monoclonal antibody Novacastra tenascin C, code NCL-Tenas C). The research was carried out cross sectional. Sampling was done by consecutive sampling. Data processed by the chi-square. The significance level used was 0.05. Results: The results showed that the characteristics of research subjects based on age, education, parity, labor history, history of big babies, not statistically significant. This indicates that the variable does not affect the calculation of the research data. While the characteristics of menopausal status and body mass index (BMI), from the analysis of risk factors for POP is associated significantly with a higher intensity of tenascin in post-menopausal status and BMI> 25 (overweight) (p

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eko subaktiansyah

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