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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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Fertilisasi in vitro (Bayi tabung): Dilema kemajuan yang tak kunjung usai BAZIAD, A.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 4, October 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.65 KB)

Abstract

Tujuan: Menelaah perkembangan program Fertilisasi in vitro (FIV) dan hal-hal yang menimbulkan perdebatan dan dilema. Rancangan/rumusan data: Kajian pustaka. Hasil: Teknik Bayi Tabung telah digunakan secara luas di seluruh dunia. Berbagai cara ditempuh oleh praktisi Bayi Tabung untuk mendapatkan angka kehamilan yang tinggi, dengan menggunakan berbagai teknik yang canggih, namun belum juga dapat meningkatkan angka kehamilan. Embrio yang dibekukan, kehamilan multipel, preimplantation genetic diagnosis (diagnosis genetik praimplantasi), riset embrio untuk stem cells telah menimbulkan dilema atau perdebatan di seluruh dunia. Masa depan anak-anak yang dilahirkan dari teknik Bayi Tabung telah menjadi perhatian para sosiolog, psikolog dan ahli hukum. Telah dilaporkan adanya dampak negatif terhadap ibu maupun anak dari penggunaan obat-obat pemicu ovulasi yang digunakan pada proses Bayi Tabung. Telah dikembangkan cara baru yang lebih sedikit berdampak negatif terhadap ibu dan anak di kemudian hari, yaitu in vitro maturation (IVM). Banyaknya klinik-klinik Bayi Tabung yang bermunculan di seluruh dunia, telah menimbulkan kekuatiran terhadap munculnya wisata reproduksi. Kesimpulan: Kemajuan yang begitu pesat dalam teknik Bayi Tabung untuk membantu pasutri ternyata telah menimbulkan dilema etik, moral, sosial, psikologik dan hukum, yang perlu segera dicari jalan keluarnya. [Maj Obstet Ginekol Indones 2007; 31-4: 231-5] Kata kunci: fertilisasi in vitro, embrio
The Level of Heat Shock Protein 70 is Lower in Postterm Pregnancy Soetrisno, Soetrisno
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 1, January 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.219 KB)

Abstract

Objective: To analyze whether there are differences between the levels of HSP70 of Postterm pregnancy and aterm pregnancy in Dr. Moewardi Hospital, Surakarta, Central Java. Method: This was a cross-sectional study. The independent variable was the level of Heat Shock Protein 70 (HSP70), and the dependent variable was the incidence of postterm pregnancy. The data was then analyzed by t test. Result: The subjects were 45 women, who were divided into 2 groups of women with postterm pregnancies (15 women) and aterm pregnancies (30 women). The mean levels of HSP70 in the serum of women with postterm pregnancy is lower (0.40 ng/ml) compared to the level of the normal pregnant group (3.94 ng/ml) and this difference was statistically significant (p
Diagnostic Value of IGFBP-1 Rapid Test and Combined IGFBP-1-AFP in Vaginal Fluid from Premature Rupture of Amniotic Membranes Aryati, Aryati; Kusumawati, Lulut; Sulistyono, Agus
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 (100.265 KB) | DOI: 10.32771/inajog.v3i3.42

Abstract

Objective: To compare the diagnostic value of IGFBP-1 and combined IGFBP-1-AFP rapid tests in diagnosing premature rupture of membranes (PROM). Method: This study was conducted in Dr. Soetomo Hospital in Surabaya from July to November 2013. The subjects were 52 pregnant women with presumed PROM diagnosis, which was recorded by clinical data and sampling of vaginal discharge swab. The diagnostic value was obtained by comparing the results of IGFBP-1 and combinated IGFBP-1-AFP rapid tests by standard PROM examination namely vaginal pooling, litmus paper test and ferning test. Result: A difference between the diagnostic value of IGFBP-1 and combined IGFBP-1-AFP rapid tests in diagnosing PROM was shown, where the sensitivity and specificity of IGFBP-1 rapid test was 85% and 95%, compared to combined IGFBP-1-AFP rapid test, which was 91% and 95%. The correlation coefficient of combined IGFBP-1-AFP rapid test with standard PROM examination (r=0.841, p=0.000) was higher than the correlation coefficient of IGFBP-1-AFP rapid test with standard PROM examination (r=0.772, p=0.000). Conclusion: Combined IGFBP-1-AFP rapid test has a better diagnostic value than IGFBP-1 rapid test alone. Keywords: combined IGFBP-1-AFP, IGFBP-1, PROM
Sensitivity and Specificity of the SelfAdministered HPV Testing in Detecting Precancerous Conditions of the Cervix and Cervical Cancer Nyngsi, Erny M; Rauf, Syahrul; Moeljono, Eddy
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 (96.84 KB) | DOI: 10.32771/inajog.v5i3.547

Abstract

Objective: To determine the sensitivity and specificity of selfadministered Human Papilloma virus (HPV) test in detecting pre-cancerous lesions and high degree cervical cancer. Methods: A case control study design was used in this study. This study was conducted at Dr. Wahidin Sudirohusodo Hospital and its affiliate hospitals during the period of October 2014 to May 2015. Measurement data using HPV self test grant from the Dutch School Netherlands, Evalyn Brush. Collecting data used questionnaires before and after doing HPV self test. Laboratory tests are carried out in Kalbe Genomic using HPV Genotyping capable detect 35 types of the HPV virus. Results: A total of 101 subjects were involved in this study. The subjects were divided into two groups, the case and the controls (n = 50/51). Level of sensitivity and specificity were obtained for HPV self test (56% vs 98%). The level of acceptance of new tests by 62.37% (63 out of 101 respondents) of them admitted that the new test is simple / easy enough to do. The acuracy rate of diagnostic test of this examination is 79%. Conclusion: Self-administered HPV test could be used as an alternative or primary screening for cervical cancer. [Indones J Obstet Gynecol 2017; 5-3: 173-179] Keywords: HPV, self, specificity, the sensitivity
The Identification of Placental Alpha Micro Globulin-1 (Amnisure®) as a Method to Identify Rupture of Membrane Wirawan, Jimmy P.
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 1, January 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.446 KB)

Abstract

Objective: We aimed to do a study in the use of the identification of Placental Alpha Micro Globulin-1 or PAMG-1, in the form of Amnisure ® test, as a method to diagnose rupture of membrane (ROM), compared with other conventional method (direct visualization and nitrazine test). Method: We used a cross-sectional design. Every pregnant woman who came to our hospital with gestational age of 14 to 42 weeks complaining of membrane rupture was recruited. Sterile speculum examination and nitrazine test was performed for every patient. Amnisure ® was utilized, using vaginal swab from posterior fornices. Data analysis was performed with SPSS version 17. Results: We recruited 20 patients to join our study. Mean age, parity and gestational age was 28.5 years, parity one and 35.5 ± 3.4 weeks of gestation. Amnisure® test was positive in 14 patients. With nitrazine as standard for ROM diagnosis, the sensitivity for Amnisure® was 85% and the specificity was 83.3%. The positive predictive value was 92.3% and negative predictive value was 71.4%. Conclusion: For every positive vaginal pooling, nitrazine and Amnisure ® will be tested positive. Several studies using Amnisure® have shown similar results. Role of Amnisure® seemed evident in cases of uncertainty such as chronic ROM and severe oligohydramnios due to ROM. Positive results in presence of intact membranes which suggested micro-perforations of the membrane still need further research. Much still needed to be done before implementing Amnisure® in our country, especially in the matter of cost effectiveness. [Indones J Obstet Gynecol 2012; 36-1:20-3] Keywords: amnisure®, PAMG-1, ROM
Efektivitas bladder training terhadap fungsi eliminasi Buang Air Kecil (BAK) pada ibu postpartum spontan ERMIATI, ERMIATI; RUSTINI, Y.; RACHMAWATI, I. N.; SABRI, L.
Indonesian Journal of Obstetrics and Gynecology Volume. 32, No. 4, October 2008
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (38.604 KB)

Abstract

Tujuan: Mengetahui efektivitas bladder training terhadap fungsi eliminasi buang air kecil (BAK) spontan pada ibu postpartum. Rancangan/rumusan data: Penelitian ini menggunakan disain kuasi eksperimen post test only dengan kelompok kontrol. Tempat: (1) IGD Lt. III RS Dr. Cipto Mangunkusumo (RSCM), (2) IRNA A Lt. II kanan RSCM. Bahan dan cara kerja: Penelitian ini dilakukan selama kurang lebih dua minggu pada tahun 2007 dengan jumlah sampel 70 responden. Kelompok kontrol sejumlah 36 responden dan pada 34 orang responden kelompok intervensi mendapat perlakuan bladder training. Kedua kelompok dinilai kemampuan BAK spontan setiap 2 jam sampai 6 jam postpartum. Untuk menguji hubungan karakteristik yang juga merupakan variabel counfonding dengan kemampuan eliminasi BAK, uji yang digunakan korelasi, t test, dan Anova. Hasil: Bladder training mempengaruhi waktu terjadinya BAK pada ibu postpartum. Tidak ada perbedaan bermakna terjadinya eliminasi BAK spontan dengan karakteristik umur, berat badan bayi, dan lama kala II. Ada perbedaan bermakna terjadinya eliminasi BAK spontan antara kelompok kontrol dan intervensi dengan paritas dan keadaan perineum. Sedangkan faktor yang mempengaruhi kemampuan eliminasi BAK spontan pada ibu postpartum adalah primipara dan keadaan perineum yang tidak utuh. Kesimpulan: Bladder training dapat dilakukan mulai 2 jam postpartum dan hasilnya efektif untuk mengembalikan fungsi eliminasi BAK spontan pada ibu postpartum, sehingga disarankan agar intervensi ini dapat diterapkan. [Maj Obstet Ginekol Indones 2008; 32-4: 206-11] Kata kunci: bladder training, eliminasi buang air kecil (BAK), postpartum spontan.
Pop-Q Components Comparison among Multiparous and Nulliparous Women Lisa, Lucy
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 (124.88 KB) | DOI: 10.32771/inajog.v2i4.409

Abstract

Objective: To compare the measurement of POP-Q components between multiparous and nulliparous women. Method: This study is a cross-sectional research conducted in several hospitals in Makassar during the period of June to October 2012, with 270 women as the subjects. Subjects were divided into three groups: nulliparous, parity 1-2, and parity 3 (multiparous). We analyzed the mean POP-Q components results between 3 groups using t-test, analysis of prolapse based on POP-Q components measurement, and analysis of correlation between risk factors with prolapse was done using Chi-square test. Result: There is a significant difference in POP-Q components measurement between multiparous and nulliparous women, consecutively for: Aa point -2.14 and -2.97 cm, Ba point -2.11 and -2.99 cm, C point -5.69 and -6.86 cm, gh 3.33 and 2.70 cm, pb 2.60 and 3.27 cm, TVL 8.65 and 9.06 cm, Ap point -2.35 and -2.93 cm, Bp point - 2.61 and -2.96 cm, D point -6.61 and -7.42 cm. In multiparous women, points Aa, Ba, C, D, Ap and Bp became more prolapsed, gh became longer, while pb and TVL became shorter. Conclusion: The proportion of prolapse is higher in multiparous women with significant associations with age, body mass index, education level, and history of heavy physical work, delivering a large baby and use of hormonal contraceptives. [Indones J Obstet Gynecol 2014; 4: 204-210] Keywords: multiparous women, nulliparous women, parity, POP-Q
Maternal Age, Abortion and Aneuploidy Hestiantoro, Andon
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 (57.887 KB) | DOI: 10.32771/inajog.v4i2.74

Abstract

N/A
The Prevalence and Risk Factors of Constipation in Pregnancy Hestiantoro, Andon; Baidah, Priska A
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 (98.466 KB) | DOI: 10.32771/inajog.v6i2.766

Abstract

    Objective: To estimate the prevalence of constipation inpregnancy and correlation between gestational age, dietaryfiber intake, water comsumption, and physical activity.   Methods: This study used cross-sectional design with samples of174 healthy pregnant women undergoing antenatal care atObstetrics and Gynecology Outpatient Clinic RSCM during August -October 2016. Data were collected using questionnaire. Diagnosisof constipation was based on ROME III criteria, dietary fiber ismeasured using Food Frequency Questionnaire (FFQ), and physicalactivity was measured using International Physical Activity Questionnaire(IPAQ). Chi-square and Fisher’s exact test were conducted toevaluate the association between variables.   Results: The prevalence of constipation in pregnant womenobserved in this study was 13.2% (95% CI 8.3-18.1). The mostfrequent complaints included straining, incomplete evacuation,and anorectal obstruction. Dietary fiber intake was low in 81.03%subject. with average dietary fiber intake of 18.97 gram/day.There was no significant association between constipation andgestational age (OR 4.36, 95%CI 0.51-37.48 for second trimesterand OR 2.04, 95%CI 0.25-16.7 for third trimester), dietaryfiber intake (OR 0.82, 95%CI 0.28-2.39), water consumption(OR 1.38, 95%CI 0.56-3.41), and physical activity (OR 1.167,95%CI 0.28-4.87).   Conclusion: Prevalence of constipation in pregnant women is13.2%. There is no significant correlation between gestational age,dietary fiber intake, water consumption, and physical activity.   Keywords: constipation, pregnant woman, ROME III
Papsmear Examination for Diagnosing PreCancer Lesion in Invisible SquamoColumnar Junction Nuranna, Laila; Daud, Sulaeman; Purwoto, Gatot; Winarto, Hariyono; Nuryanto, Kartiwa H
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (105.731 KB)

Abstract

Objective: To know the concealed pre-cancer lesion in women with invisible squamo-columnar junction (SCJ) by Papsmear examination. Method: This study was a descriptive cross-sectional design starting from August 2014 to March 2015 at several Public Health Cares in Jakarta. A total of 1,682 subjects were screened by Acetoacetate Visual Inspection (AVI) examination. After the data was collected, the process was continued by verification, editing, and coding. The descriptive analysis showed the percentage of SCJ in age distribution, the percentage of AVI examination based on SCJ, and the percentage of Papsmear examination in invisible SCJ according to negative AVI result. Result: There were 1,484 (88.2%) women with the visible SCJ and 198 (11.8%) women with invisible SCJ. The percentage of invisible SCJ in the menopausal women group was 122 (61,6%); meanwhile, in the non-menopausal women group, it was 76 (38.4%). Almost half of the percentage from visible SCJ was found in menopausal women group 45.8% (103/225 women). The positive AVI result was 4 (7.1%) in the menopausal women group and 52 (92.9%) in non-menopausal women group. The result of Papsmear examination with invisible SCJ were 197 (100%) normal. Conclusion: Almost half of visible SCJ was found in menopausal women group. Most of positive AVI result was found in the nonmenopausal women group. All women with the invisible SCJ have a normal Papsmear result. Keywords: acetoacetate visual inspection, papsmear, pre-cancer lesion, squamo-columnar junction

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