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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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User Profile and Factors Correlating to Duration of Intrauterine Device Use Gunardi, Eka R; Fadli, Fadli
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 (109.436 KB) | DOI: 10.32771/inajog.v3i2.32

Abstract

Objective: To determine the demographic and clinical profile of intrauterine device (IUD) users and factors correlating to duration of IUD use. Method: We conducted a prospective observational study of 867 patients who underwent IUD insertion in Raden Saleh Outpatient Clinic during the period of January - December 2011. All patients were followed for 1 year to ascertain any complaint of discharge after insertion. Spearman correlation test was conducted to inves- tigate the strength of correlation and significance between age, parity, and discharge, with duration of IUD use. Result: During year 2011, 867 patients (median of age=34 [range=14-49]; median parity=2 [range=0-7]) underwent IUD insertion in Raden Saleh Clinic. The majority of subjects were aged between 31-35 years old and were willing to use IUD for 4 years. Bivariate analysis revealed a significant correlation between age, parity, and vaginal discharge with duration of IUD use. The strongest correlation was identified between age and duration of use (r=0.25, p0.002 for parity and duration of use; r=0.05 p=0.045 for discharge and duration of use). Conclusion: Most IUD users were aged 31-35 years, who were willing to use IUD for 4 years. Factors that correlated with duration of IUD use were age, parity, and vaginal discharge. Keywords: contraceptive, duration of use, family planning, intrauterine device
Tenage Pregnancy Soejoenoes, Ariawan
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 (62.463 KB) | DOI: 10.32771/inajog.v5i3.533

Abstract

Sexual activity among teenagers has been increasing over the past decade, accompanied by younger age at first intercourse which is associated with inconsistent or nonuse of contraception. Problems become more complex because the onset of puberty is earlier than before and sociocultural and religious norm are less stringent, leading to greater opportunities to have pre-marital sex.1 Between 2011 and 2020, more than 140 million girls will become child brides, according to the United Nations Population Fund (UNFPA).2 If current levels of child marriages hold, 39.000 girls daily will marry too young.1 "Complication of pregnancy and childbirth are the leading cause of death in young women aged 15 - 19. Young girls who marry later and delay pregnancy beyond their adolescence have more chance to stay healthy, get higher education, and build a better life.", says Flavia Bustreo, MD, the Assistant Director-General for Family, Women and Children’s. The prevalence of teenage pregnancy in industrialized differs in developing countries. In developed regions, teen parents tend to be unmarried, and adolescent pregnancy is seen as a social issue. By contrast, teenage parents in developing countries, such as in the WHO SEARO regions and in S.E. Asia countries, including Indonesia, are often married and their pregnancy maybe welcomed by family and society. However, in these societies, early pregnancy is usually accompanied by malnutrition and poor health care to cause medical problems.3 A report by Save the Children found that 13 million children are born to women under 20 worldwide each year, more than 90% of these births occur to women living in developing countries. The complications of pregnancy and childbirth are the leading causes of mortality among women between the age of 15 and 19.4 Resources about teenage pregnancy in Indonesia are scarce. The following data were derived from a keynote speech by the Minister of Health of the Republic of Indonesia, at the Annual Scientific Meeting of HOGSI, in Banjarmasin 2015: 38.5% and 18.4% of 22.136.584 teenage women with protein energy deficiency were pregnant and anemic, respectively. Furthermore, the pregnancy rate was 48 per 1000, the total life birth was approximately 4.809.304, and 40% of teenage mothers ended their education. Further reports have identified that premarital sex is uncommon in India, but early marriage often occurs, which means that the rate of adolescent pregnancy is high in that country. The rate of teenage pregnancy in rural regions are higher than in urbanized areas such as South Korea and Singapore. In these areas, marriage before age 20 is rare. Although the occurrence of sexual intercourse before marriage has risen, the rate of adolescent child bearing are low, approximately 4 to 8 per 1000. In Indonesia, the rate of early marriage and pregnancy has decreased sharply; however, it remains high compared to the rest of Asia. According to the World Health Organization, in several Asian countries including Bangladesh and Indonesia, maternal causes contributed a large proportion (26 - 37 %) of death among female adolescents.5   The Importance of Prevention Teenage pregnancy and childbearing bring substantial social and economic burden through immediate and long term impact on teenage parents and their children.6 Pregnancy and birth are significant contributors to high school drop outs rates among girls, only about 50% of teen mothers receive a high school diploma by 22 year of age, where as approximately 90% of woman who do not give birth, during adolescent graduate from high school.   Adolescent pregnancy (i.e., in females 13 to 19 years of age) is associated with an increased risk of maternal complications during pregnancy and delivery as well as an increased risk to the fetus. Complications that are associated with adolescent pregnancy include preterm delivery, low birth weight, and infant mortality. The complications are usually are associated with behavioral, psychosocial, and economic factors. Therefore, psychosocial risk factors should be the main focus of care.7 In general, focus priorities should be given to young adolescents before the age of 15, in which relatively high proportion of young boys and girls already have sexual intercourse, and childbearing in some cases. Teenage pregnancy is one of the causes of the failure, making the goals United National Millenium Development Goals 4 and 5 failed to be accomplished. Adolescent pregnancy is a high risk, and has considerable impact in both physical and psychosocial aspects. Youth - friendly services with sensitive counseling, high quality obstetric and antenatal care, as well as a range of safe and affordable contraceptive methods should be available.
Vitamin C Level in Pregnant Women with Premature Rupture of the Membrane (PROM) and in Women with Normal Pregnancy Rizka, Sarah
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 4, October 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (26.884 KB)

Abstract

Objective: To compare vitamin C level in term pregnant women with PROM and in women with normal pregnancy. Method: This is a cross sectional study, research from July 2010 until June 2011. Inclusion criteria are full term pregnant women with and without PROM. After the diagnosis is confirmed as PROM, mothers blood was taken from mediana cubiti venous to check the vitamin C level and leucocytes in mothers serum. Pregnancy with complication is the exclusion criteria. Result: There were 52 subjects that fulfilled the acceptance and rejection criteria after divided into 2 groups, the 1st group was with PROM and the 2nd groups were normal. Based on the laboratory examinations, the mean of vitamin C levels in PROM groups is 0.731 ± 0.182 μg/dl and the normal groups is 0.722 ± 0.169 μg/dl, there is no significant difference (p=0.852). Leucocyte examination was done to know whether there was infection or not. The mean value from the PROM groups is 14330.77 ± 6552.90 μg/dl. And from the normal groups is 12973.08 ± 4160.24 μg/dl, there is significant difference (p=0.377). Conclusion: There is no significant difference of Vitamin C level between maternal plasma with PROM and the one without PROM. [Indones J Obstet Gynecol 2011; 35-4:173-5] Keywords: PROM, normal pregnancy, vitamin C
Hubungan variasi musim dengan kejadian preeklampsia di RSUP Dr. Sardjito, Yogyakarta, 1999-2003 ALKAFF, T. R.; HARTINI, T. N.S.; HAKIMI, M.
Indonesian Journal of Obstetrics and Gynecology Volume. 32, No. 3, July 2008
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.617 KB)

Abstract

Tujuan: Mengetahui hubungan antara variasi musim dengan kejadian preeklampsia dan mengetahui faktor usia, paritas, dan jenis kehamilan merupakan faktor risiko terjadinya preeklampsia. Rancangan/rumusan data: Studi potong lintang. Tempat: Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta. Bahan dan cara kerja: Data-data ibu bersalin diperoleh dari catatan medik elektronik, buku register, dan buku catatan kamar bersalin di RS Dr. Sardjito tahun 1999-2003. Analisis yang digunakan variat, bivariat (chi-square), serta multivariat untuk mengetahui pengaruh musim terhadap preeklampsia dengan usia paritas dikontrol. Hasil: Diperoleh sebanyak 6.726 persalinan, dengan kasus preeklampsia sebanyak 926 (13,77%) ibu dari seluruh persalinan. Kejadian preeklampsia yang terendah terjadi pada bulan Januari (11,97%) dan tertinggi pada bulan Agustus (15,30%). Rerata usia adalah 31,0 ± 5,9 tahun, 81,1% ibu berusia 20-35 tahun. Usia ibu risiko tinggi (< 20 tahun dan > 35 tahun) meningkatkan risiko 1,65 kali dibanding dengan usia 20-35 tahun. Primigravida berisiko preeklampsia 0,96 kali dibanding multigravida. Kehamilan ganda meningkat risiko preeklampsia 2,36 kali dibandingkan dengan kehamilan tunggal (p=0,000). Musim terbukti secara statistik tidak berhubungan dengan kejadian preeklampsia (OR= 0,96; p=0,53). Kesimpulan: Musim tidak terbukti berhubungan dengan kejadian preeklampsia. Faktor risiko terhadap kejadian preeklampsia adalah usia ibu dan paritas. [Maj Obstet Ginekol Indones 2008; 32-3: 139-42] Kata kunci: preeklampsia, musim, usia ibu, primigravida.
Prevalence of High-Risk Human Papillomavirus (HPV) among Negative Visual Inspection of Acetic Acid (VIA) Utami, Tofan W
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 3, July 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.835 KB) | DOI: 10.32771/inajog.v2i3.398

Abstract

Objective: Persistence of high-risk HPV infection is known to be the major cause of cervical cancer. It is important to differentiate the genotype of HPV infection, whether it is high, intermediate or low risk. The aim of this study was to assess the prevalence of high-risk HPV types among Indonesian women with negative VIA. Method: We analyzed cervical swabs from 1,214 patients with negative VIA. By using INNO-Lipa HPV DNA test, we detected the HPV DNA and its genotype. Result: From the 1,214 women with negative VIA, 48 (3.95%) samples were confirmed to have positive HPV DNA by using PCR and electrophoresis. However, hybridization test were not able to detect HPV genotypes in 9 samples. These 9 samples were tested again with PCR and electrophoresis and resulted in negative HPV DNA. Among the remaining 39 samples (3.21%), we detected 19 types of HPV, consisting of 13 types of high-risk HPV, 5 types of low-risk HPV, and 1 type of unknown HPV (type X). Conclusion: Among patients with negative VIA, 3.21% was found to be positive for HPV DNA. From this percentage, the prevalence of high-risk HPV is higher than the low-risk and unknown HPV. Therefore we cannot ignore results of negative VIA, particularly in highrisk group, because there is a slight possibility that presence of HPV can be identified, especially the high risk ones which have a tendency to be persistent. We support the importance of HPV DNA test as cervical cancer screening method. [Indones J Obstet Gynecol 2014; 3: 153-156] Keywords: cervical cancer, high-risk HPV, negative VIA
Assistance Influence on Labor Pain Level Seno Adjie, JM; Putri, Ruth WR
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 (148.763 KB) | DOI: 10.32771/inajog.v4i1.64

Abstract

Objective: To assess assistance influence on labor pain level. Method: This study was a randomized-clinical, unmasked trial with concealment by measuring labor pain level in two patients group: with and without assistance during labor; each group consisted of 36 subjects. Pain intensity were measured using Faces Pain Rating Scale. Mann-Whitney analysis was done to assess significance of pain level between two groups. Result: Majority of patient who were in non-assisted group had very painful score 50% with mean of VAS 7.38±2.12, meanwhile most of assisted group complained painful score 44.44%, with mean of VAS 6.11±1.90. Conclusion: There was significance level of painful score between non-assisted and assisted subjects x(p
Pregnancy Outcome in Infertility Patient with Endometriosis Cyst after Laparoscopic Cystectomy Gunardi, Eka R; Tritama, Duta A; Satria, Luky; Situmorang, Herbert
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.334 KB) | DOI: 10.32771/inajog.v6i1.755

Abstract

Objective: To investigate about the rate of pregnancy in womenwho had undergone laparoscopic cystectomy.Methods: This was a retrospective study. Data were taken from themedical records of patients with infertility in Fatmawati Hospital,Jakarta, Indonesia. Data then analyze to know is there anyassociation between age, infertility duration, bilaterality of the cyst,tubal patensy, r-AFS stage with pregnancy rate.Results: A total of 64 subjects were recruited in this study. Therewere 23 subjects (35.9%) that got pregnant within one year afterundergoing laparoscopic procedure. Those who were 35 years oldor less had a greater chance to get pregnant (p = 0.01, OR = 6.75),duration of infertility  3 years had a greater chance to getpregnant with OR = 3.2 and p value = 0.032, r-AFS stage II and IIIhad a greater chance to get pregnant to with (p = 0.04, OR = 3.25and 4.25).Conclusion: The pregnancy rate after laparoscopic procedure is35.9% in this study. There are correlation between age, durationof infertility, and r-AFS staging with pregnancy rate.[Indones J Obstet Gynecol 2018; 6-1: 34-38]Keywords: endometriosis, infertility, laparoscopy, pregnancy
IL-10 Serum Concentration was Observed Higher in Threatened Preterm Labor Afriana, Nurul
Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 4, October 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.827 KB)

Abstract

Objective: To determine the serum concentration of Th-1 and Th-2 cytokine in threatened preterm labor compared to that in normal pregnancy. Method: The design was analytical cross-sectional, comparing the serum levels of TNF-α, IL-2, IL-10, TNF-α to IL-10 ratio and IL-2 to IL-10 ratio between 29 subjects with threatened preterm labor and 29 normal pregnant women. The cytokine concentration was measured with ELISA. T test and Mann-Whitney U test was used for statistical analysis. Results: The mean concentration of TNF-α and IL-2 in both groups did not reveal any difference (p = 0.188 and p = 0.493). Median of IL-10 serum concentration in the threatened preterm labor (PTL) group was observed higher than that observed in the normal pregnancy group (p = 0.001). Compared to normal pregnancy group, the TNF-α to IL-10 ratio in the PTL group was observed lower (p = 0.009). Both groups did not show any difference in the IL-2 to IL-10 ratio (p = 0.057). Conclusion: The IL-10 serum concentration was increased in threatened preterm labor. There was no difference observed in the Th-1 to Th-2 cytokines serum ratio in threatened preterm labor as compared to normal pregnancy. [Indones J Obstet Gynecol 2010; 34-4: 191-4] Keywords: IL-10, preterm labor, Th-1 and Th-2 cytokines
Profil flora vagina dan tingkat keasaman vagina perempuan Indonesia OCVIYANTI, D.
Indonesian Journal of Obstetrics and Gynecology Volume. 33, No. 2, April 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Mendapatkan data profil flora vagina dan tingkat keasaman vagina pada perempuan Indonesia. Tempat: Puskesmas di Kabupaten Karawang, Balai Kesehatan Batalyon 201 Cijantung, dan Laboratorium Mikrobiologi Fakultas Kedokteran Universitas Indonesia (FKUI). Bahan dan cara kerja: Penelitian ini merupakan studi deskriptif. Populasi adalah semua perempuan Indonesia berusia 15-50 tahun. Populasi terjangkau adalah semua perempuan Indonesia berusia 15-50 tahun yang datang memeriksakan diri ke beberapa Puskesmas di Kabupaten Karawang, Balai Kesehatan Batalyon 201 Cijantung dan Laboratorium Mikrobiologi FKUI pada periode Mei 2008 - Februari 2009. Dilakukan wawancara dan pengisian kuesioner untuk mendapatkan data demografik dan karakteristik medik, pemeriksaan tingkat keasaman (pH) vagina dengan tes celup (Merck@), pemeriksaan Gram untuk mencari morfotipe flora vagina, serta deteksi bakterial vaginosis (BV) menggunakan tes Whiff dan kriteria Nugent. Hasil: Jumlah subjek penelitian adalah 492 orang, rata-rata umur 30,9 tahun dengan jumlah terbanyak pada kelompok umur 26 - 40 tahun (59,1%). Kelompok menikah adalah yang terbanyak (76,4%). Sebagian besar subjek adalah ibu rumah tangga (69,1%). Sebagian besar subjek berpendidikan setingkat SMU (46,3%). Rata-rata pH vagina yang didapatkan pada penelitian ini adalah 4,8. Didapatkan subjek dengan pH ≤ 5 sebesar 65,4%, sisanya sebesar 36,6% mempunyai pH > 5. Pada tiap kelompok umur lebih banyak yang mempunyai pH ≤ 5 dibandingkan pH > 5, dan tampak jelas perbedaannya pada kelompok umur 15-19 tahun di mana 89,1% mempunyai pH ≤ 5 dan 10,9% mempunyai pH > 5 (ratarata 4,6; median 4,5). Terdapat perkecualian untuk kelompok umur 41- 45 tahun di mana subjek yang mempunyai pH ≤ 5 lebih sedikit (46,7%) dibandingkan subjek yang mempunyai pH > 5 (53,3%). Dari pemeriksaan Gram didapatkan prevalensi Lactobacillus sp sebesar 63%, Gardnerella sp. sebesar 51,4%, Coccus gram positif sebesar 48,7%, dan Candida sp. sebesar 4,6%. Terdapat perbedaan yang cukup besar pada prevalensi BV berdasarkan pemeriksaan dengan tes Whiff dan skor Nugent, masing-masing sebesar 5,7% dan 30,7%. Kesimpulan: Rata-rata pH vagina yang didapatkan pada penelitian ini pada kelompok umur < 20 (15-19) tahun, 20-40 tahun dan 41-50 tahun berturut-turut adalah 4,6; 5,3 dan 5,6 dengan rata-rata keseluruhan 4,8. Prevalensi Lactobacillus sp, Gardnerella Sp, Coccus gram positif pada penelitian ini sebesar 63%, 51,4%, 48,7%. Prevalensi kandidiasis adalah 4,7%. Prevalensi bakterial vaginosis (BV) dengan kriteria Nugent adalah 30,7%. [Maj Obstet Ginekol Indones 2009; 33-2: 124-31] Kata kunci: flora vagina, tingkat keasaman (pH) vagina, bakterial vaginosis (BV)
Hubungan penguasaan kompetensi Asuhan Persalinan Normal (APN) dengan pengetahuan dan sikap bidan dalam pelaksanaan pertolongan persalinan normal di Kabupaten Jombang, Jawa Timur NAWANGSARI, H.
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 (33.699 KB)

Abstract

Tujuan: Memperoleh informasi mengenai hasil Pelatihan Asuhan Persalinan Normal (APN) pada bidan di Kabupaten Jombang, Jawa Timur. Rancangan/rumusan data: Rancangan penelitian ini menggunakan metode survei eksplanatoris, terhadap pengetahuan dan sikap bidan dalam pelaksanaan pertolongan persalinan normal. Data dikumpulkan secara potong silang. Subjek penelitian 199 orang responden. Analisis data menggunakan prosedur analisis korelasi rank-Spearman, uji Mann-Whitney dan uji Fisher. Hasil: Pada penelitian ini didapatkan bahwa pengetahuan berkorelasi positif dengan tingkat pendidikan: (r = 0,233; p = 0,01). Sikap berkorelasi positif dengan masa kerja (r = 0,161; p = 0,02) dan pengetahuan bidan (r = 0,3595; p = 0,00). Kompetensi bidan pasca APN berpengaruh secara bermakna terhadap pengetahuan (p < 0,05) dan sikap bidan dalam pelaksanaan pertolongan persalinan normal (p < 0,01). Kesimpulan: Pengaruh APN dalam penguasaan kompetensi terhadap perubahan pengetahuan dan sikap bidan dalam memberikan pelayanan tampak jelas. Perlu penelitian lebih lanjut dengan melihat beberapa faktor lain yang relevan untuk menjawab peran bidan dalam memberikan pelayanan kesehatan ibu dan anak secara umum. [Maj Obstet Ginekol Indones 2009; 33-1: 3-7] Kata kunci: kompetensi bidan, asuhan persalinan normal, pengetahuan dan sikap

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