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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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International Ovarian Tumor Analysis (IOTA) Scoring System to Predict Ovarian Malignancy Preoperatively Feharsal, Yuri; Putra, Andi D
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 (153.498 KB) | DOI: 10.32771/inajog.v4i1.71

Abstract

Objective: To compare diagnostic performance of International Ovarian Tumor Analysis (IOTA) scoring method with Risk of Malignancy Index-4 (RMI-4) and Sassone Morphology Index to predict ovarian malignancy preoperatively. Method: Retrospective study with 119 subject who underwent surgical removal of ovarian tumor and performed histopathological examination at Dr. Cipto Mangunkusumo Hospital on January to December 2013. Demographic status, ultrasound scans, CA-125 level and histopathological result were collected to calculate the score of each method. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated by comparing each score with histopathology result. Comparison of diagnostic performance was analyzed by ROC curve. Result: There were 51.26% subjects with benign tumor and 48.74% subjects with malignant tumor. Result was analyzed with sensitivity test (IOTA simple-rules, IOTA subgroup, RMI-4 and Sassone): 98%, 88%, 86% and 79%; specificity: 74%, 67%, 61% and 89%; positive predictive value: 78%, 72%, 68% and 87%; negative predictive value: 98%, 85%, 82% and 81%; and accuracy: 86%, 77%, 73% and 84%. AUC value for IOTA simple-rules, IOTA subgroup, RMI-4 and Sassone were: 0.86, 0.78, 0.73 and 0.84. Comparison of these results were significant with p = 0.000. Conclusion: IOTA simple-rules had better sensitivity, negative predictive value and accuracy than IOTA subgroup, RMI-4 and Sassone morphology index to predict ovarian malignancy preoperatively. [Indones J Obstet Gynecol 2016; 1: 42-46] Keywords: iota, ovarian neoplasm, risk of malignancy, scoring
The Concept of Gynecologic Oncology Services in Jakarta Related to Academic Health System Purbadi, Sigit
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 2, April 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v5i2.515

Abstract

An Academic Health System (AHS) is a system in partnership among universities and health care providers that focuses on education, training, service, and research. The final outcome of this partnership is to improve health status. Numerous countries have been using this system, since this system is proven to lead to better sustainable outcome.The vision of Faculty of Medicine, University of Indonesia (FMUI) is "to create infinite experience for all through Academic Health System". The third mission of FMUI is to integrate the AHS to Dr. CiptoMangunkusumo Hospital and its other affiliated hospitals.The division of Oncology Department of Obstetrics and Gynecology is a part of Academic Health System that is responsible to create the Gynecologic Oncology services in this system. We create the gynecologiconcology services in preventive approach from primary to tertiary prevention.The sister hospitals of FMUI’s including Dr. Cipto Manungunkusumo, Persahabatan, Fatmawati, Karawang, and Tangerang General Hospital. Ideally, we should have health provider partners from primary, DistrictHospital (Rumah Sakit Umum Kecamatan/RSUK and Rumah Sakit Umum Daerah/RSUD). Another partner in collaborative project of AHS is Organization of Health Care Professions, such as Indonesian Medical Association, Indonesian Obstetrics and Gynecology Society, and Indonesian Gynecologic Oncology Society, and nongovernmental organization such as Female Cancer Program, Indonesian Cancer Foundation and others are part of partnership in AHS. When talking about public health status, it is also necessary to talk about the role of government as the policy maker and The Social Warranty Institution (Badan Penyelenggara Jaminan Sosial Kesehatan, BPJS) as the public health care insurance regulator. Primary health care should be included in the AHS’s partnership members because primary prevention strategy should be conducted in primary health care.The example of this project is Cervical Cancer Surveilance as a pilot project. We would prepare the project in collaborative meeting with all partners to make proposal in gynecologic oncology services in primary,secondary, and tertiary health care, and finally Dr. Cipto Mangunkusumo Hospital as the national referral Hospital. The proposal should talk about concepts of education, training, service, and research. Primary health care can promote cervical prevention and early detection via visual inspection using acetic acid and Pap test.Cervical precancer lesion can be treated using cryotherapy in primary health care. In secondary health care setting, cervical precancer lesion until microinvasive cervical cancer (stage 1A1) can be treated. Invasive cervical cancer should be managed in tertiary health care. We are preparing concepts where all services should follow the Clinical Practice Guideline. All medical patient database should be recorded digitally as long term cohort data. By applying this system, we’ll have a large number of patients’ data from primary to tertiary health care.This is crucial, considering that the process of education, training, and research of medical students, residents, and fellows is the backbone of AHS in improving health care status.
Conformity of Human Papillomavirus between Self-examination of Vaginal Fluid and Cervical Specimen with Fluid-Based Cytology in Precancerous Lesions Anwar, Rahmawaty; Rauf, Syahrul; Moeljono, Eddy R.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.627 KB) | DOI: 10.32771/inajog.v6i4.851

Abstract

Abstract Objective: To determine the conformity of human papillomavirus between self-examination of vaginal specimen and cervical specimen with fluid-based cytology in precancerous lesions. Methods: A cross-sectional study performed on cervical and vaginal fluid from 90 pre-cancerous lesions patients from April to September 2016. Cytological examination performed with self-examination and liquid-based cytology technique. HPV genotyping performed with PCR technique. Data were analyzed with SPSS. Results: Most of the women aged >35 years (89%), 78% (71/90) multiparity and 74.4% (67/90) do not know about HPV screening. High risk type found in both vaginal and cervical fluid was type 16, 18, 33 and 45 whereas type 35 found only in vaginal fluid. The most prevalent high-risk HPV for both specimens were type 16 and 18. HPV type 42 and 53 were the low risk HPV found in the vaginal and cervical specimens (table 2). Cohen’s kappa for inter-test agreement shows a strong correlation (r=0.864). Conclusion: The HPV self-examination method can be used as a primary examination of cervical cancer lesions detection in addition to fluid-based cytology with the similar results. Keywords: Human papillomavirus, self-examination, fluid-based cytology, cervical cancer   Abstrak Tujuan: Untuk mengetahui tingkat kesesuaian antara pemeriksaan HPV mandiri dari spesimen vagina dan hasil pemeriksaan sitologi berbasis cairan dari spesimen serviks. Metode: Penelitian cross-sectional dilakukan pada cairan serviks dan vagina dari 90 pasien lesi pra-kanker pada April sampai September 2016. Pemeriksaan sitologi dilakukan dengan pemeriksaan diri dan teknik sitologi berbasis cairan. Pemeriksaan genotip HPV dilakukan dengan teknik PCR. Data dianalisis dengan SPSS. Hasil: Sebagian besar wanita dalam penelitian iniaberusia >35 tahun (89%), 78% (71/90) multiparitas dan 74,4% (67/90) tidak mengetahui tentang skrining HPV. Tipe HPV risiko tinggi yang ditemukan pada cairan vagina dan serviks adalah tipe 16, 18, 33 dan 45 sedangkan tipe 35 hanya ditemukan pada cairan vagina. Tipe HPV risiko tinggi yang dominan untuk kedua spesimen adalah tipe 16 dan 18. HPV tipe 42 dan 53 adalah HPV risiko rendah yang ditemukan pada baik spesimen vagina maupun serviks. Kappa Cohen untuk tingkat kesesuaian antara pemeriksaan mandiri dan sitologi berbasis cairan menunjukkan korelasi kuat (r = 0,864). Kesimpulan: Metode pemeriksaan HPV secara mandiri sendiri dapat digunakan sebagai pemeriksaan primer deteksi lesi kanker serviks selain sitologi berbasis cairan dengan hasil yang sama.
The Prevalence and Outcome of Teenage Pregnancies in a Tertiary Care Teaching Hospital Kayika, I Putu G; Lidyasna, Farrah
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.857 KB) | DOI: 10.32771/inajog.v6i4.842

Abstract

Abstract Objectives: To examine the prevalence as well as maternal and perinatal outcome of teenage pregnancies. Methods: For analyzing the prevalence of the teenage mothers, we used cross-sectional study design by evaluating the medical records of all pregnant mothers who went to the obstetric clinic of Cipto Mangunkusumo Hospital, Jakarta, Indonesia, during January 2014 until December 2016. For the outcome of the teenage mothers, we used retrospective study design by analyzing medical records of teenage mothers who had delivery at the delivery ward of Cipto Mangunkusumo Hospital during January 2014 until December 2016. We compared their outcomes to outcomes of pregnant women aged 20 to 30 years old delivered at the same hospital in the same period. Maternal outcomes that were measured include preeclampsia, methods of delivery, anemia, and postpartum hemorrhage, as well as perinatal outcomes including preterm delivery, and low birthweight. Results: Among 3.578 outpatients at Obstetric Clinic, RSUPN Cipto Mangunkusumo, we got 503 pregnant subjects, 16 (3.2%) were teenagers. Among 520 subjects who had delivery, 78 (15%) subjects were ≤ 19 years old. Teenage pregnancy was significantly associated with anemia (p < 0.05, adjusted OR = 2,08) and low birthweight (p < 0.05, adjusted OR = 1.83). Teenage pregnancy was not significantly associated with preeclampsia, methods of delivery, postpartum hemorrhage, and preterm delivery. Conclusion: The prevalence of teenage pregnancy at Cipto Mangunkusumo Hospital is 3.2% and teenage mothers who had delivery is 15%. Teenage mothers are at increased risk of anemia and delivering low birth weight babies. Keywords: maternal outcome, perinatal outcome, prevalence,teenage pregnancies   Abstrak Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi kehamilan remaja serta luarannya. Metode: Untuk menganalisis prevalensi ibu remaja, kami menggunakan desain studi potong lintang dengan mengeavaluasi rekam medis dari seluruh ibu hamil yang berobat ke klinik obstetri RSUPN Cipto Mangunkusumo pada periode Januari 2014 sampai Desember 2016. Pada luaran ibu hamil, kami menggunakan desain studi retrospektif dengan menganalisis rekam medis ibu remaja yang bersalin di RSUPN Cipto Mangunkusumo pada periode yang sama. Luaran ibu remaja dibandingkan dengan ibu yang bersalin yang berusia 20-30 tahun. Luaran ibu yang kami ukur meliputi preeklampsia, metode persalinan, anemia, perdarahan pasca persalinan, sedangkan luaran perinatal yang kami ukur meliputi kelahiran prematur dan BBLR. Hasil: Dari seluruh 3.578 pasien di Poliklinik Obstetri RSUPN Dr. Cipto Mangunkusumo, diperoleh 503 subjek yang hamil,sebanyak 16 (3.2%) subjek adalah remaja. Dari seluruh 520 subjek yang bersalin, 78 (15%) subjek adalah remaja. Kehamilan remaja berhubungan signifikan dengan anemia (p < 0.05, adjusted OR = 2.08) dam BBLR (p < 0.05, adjusted OR = 1.83).  Kehamilan remaja tidak berhubungan signifikan dengan preeklamsia, metode persalinan, perdarahan pascapersalinan, dan kelahiran prematur. Kesimpulan: Prevalensi kehamilan remaja di RSUPN Dr. Cipto Mangunkusumo adalah 3.2% dan persalinan remaja di RSUPN Dr. Cipto Mangunkusumo adalah 15%. Ibu remaja berada pada peningkatan risiko anemia dan melahirkan bayi BBLR. Kata kunci: kehamilan remaja, luaran ibu, luaran perinatal, prevalensi,
Identification of microorganisms in vaginal swab and peritoneal fluid of women with endometriosis Gunardi, Eka R; Hadisaputra, Wachyu; Judio, Johny
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.325 KB) | DOI: 10.32771/inajog.v6i4.847

Abstract

Abstract Objective: to discover correlation between microorganisms found in vaginal swab culture and in peritoneal fluid culture from laparoscopy in reproductive age women diagnosed with endometriosis. Methods: This cross sectional study was conducted in Bunda Hospital and YPK Hospital, Central Jakarta. Thirty one subjects was includedby consecutive sampling. Data were analyzed using SPSS 20.0 for Windows. Bivariate analysis was used to identify the correlation between independent and dependent variable. Results: From 31 subjects with mean age 34.42+5.056 years old, 87.1% were infertile. Vaginal swab culture was found positive in 83.9% subjects while peritoneal fluid culture was found positive only in 9.6% subjects. There was moderate correlation between chronic pelvic pain and positive vaginal swab culture (r=0.601; p=0.001), but weak correlation between Ca125 and vaginal swab culture (r=0.440; p=0.010). Peritoneal fluid culture had significant inverse correlation with left tubal patency (r=-0.346; p=0.047). There was weak correlation between vaginal swab culture and peritoneum fluid culture with correlation coefficient of 0.13. Conclusion: Most of bacteria found in vaginal swab culture and peritoneal fluid culture were the ones found in gastrointestinal tract. However, vaginal swab and peritoneal fluid culture were not sufficient to prove the hypothesis that infection has a role in pathogenesis of endometriosis. Therefore, advance and more complete examination such as LPS and PCR might be needed to be done in the future research with cohort study, to overcome the limitation of this study. Keywords: endometriosis, ascending bacterial contamination, vaginal swab, peritoneal fluid, culture   Abstrak Tujuan : Membuktikan adanya korelasi antara mikroorganisme yang ditemukan pada hasil kultur bilasan vagina dengan mikroorganisme yang ditemukan pada cairan peritoneum hasil laparoskopi perempuan usia reproduksi yang terdiagnosis endometriosis Metode :Penelitian ini menggunakan desain penelitian analitik poltong lintang yang bertujuan untuk melihat adanya hubungan korelasi serta mengetahui tingkat korelasi antara mikroorganisme kultur bilasan vagina dengan mikroorganisme pada cairan peritoneum pasien endometriosis. Hasil: Hasil kultur bilasan vagina dari 31 subjek penelitian yang diteliti, mikroorganisme terbanyak adalah Enterococcus faecalis (32.3%), Eschericia coli (29.1%), dengan 16.1 % dengan hasil kultur negatif. Sedangkan dari hasil kultur bilasan peritoneum terdapat 3 subjek (9.6%) dengan hasil positif yaitu dengan jenis bakteri Eschericia coli, Enterococcus faecalis, dan Pseudomonas. Terdapat korelasi lemah antara hasil kultur bilasan vagina dengan kultur bilasan peritoneum (r 0.13). Terdapat korelasi sedang antara kultur positif bilasan vagina dengan nyeri pelvik kronis, korelasi lemah antara kultur positif bilasan vagina dengan nilai Ca 125, dan korelasi lemah antara kultur positif cairan peritoneum dengan tuba kiri yang non paten. Kesimpulan:          Sebagian besar bakteri dari bilasan vagina dan bilasan peritoneum pada pasien endometriosis memiliki hasil bakteri dari organ pencernaan. Terdapat korelasi lemah antara hasil kultur bilasan vagina dengan kultur bilasan peritoneum pada pasien endometriosis. Kata kunci: endometriosis, kontaminasi bakteri asenden, kultur, bilasan vagina, cairan peritoneum
Post-operative Recovery Assessment of Urinary Tract Dysfunction Following Radical Hysterectomy for Cervical Cancer Patients Nuranna, Laila; Kusuma, Sang A F Adi
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.495 KB) | DOI: 10.32771/inajog.v6i4.852

Abstract

Abstract Objectives: To assess the length of recovery phase in urinary tract dysfunction following radical hysterectomy for cervical cancer patients in Ciptomangunkusumo Hospital. Methods: This survey study was conducted in Cipto Mangunkusumo Hospital from September 2016 to May 2017. Subjects were cervical cancer patients from stage IA2 to IIA2 underwent radical hysterectomy. Suprapubic catheter (SPC) was inserted to observe the urine production after procedure. Patients were then directed for bladder training protocol involving clamping and opening SPC. Sensation of bladder fullness followed by spontaneous micturition were recorded. Measurement of post voiding residual (PVR) urine volume after spontaneous micturition until less than 100 mL was considered as resolution of urinary tract dysfunction. The average days of every achieved phase were then calculated. Results: Twenty-nine subjects underwent radical hysterectomy during observation period. But only 21 subjects continued the bladder training protocol and recorded for the recovery phases. The average time needed to obtain sensation of bladder fullness and spontaneous micturition were 7.57 ± 4.78 days (median 5 days, minimum 3 days,  maximum 22 days)and  8 ± 5.21 days (median 6 days, minimum 3 days, maximum 23 days). The objective PVR urine became less than 100mL was obtained after 21.42 ± 18 days (median 18 days, minimum 7 days, maximum 74 days). Conslusion: Following radical hysterectomy, recording the recovery phase of urinary tract dysfuction is essential to ensure complete resolution. Complete resolution of the urinary dysfunction is achieved after 21.42±18 days in average (median 18 days, minimum 7 days, maximum 74 days). Keywords: cervical cancer, radical hysterectomy, urinary tract dysfunction, post voiding residual volume.   Abstrak Tujuan: Menilai masa pemulihan disfungsi saluran kemih setelah histerektomi radikal pada pasien kanker serviks di RSUPN Ciptomangunkusumo. Metode: Studi survei dilakukan di RSUPN Cipto Mangunkusumo dari September 2016 hingga Mei 2017. Subjek penelitian terdiri dari pasien kanker serviks stadium IA2 hingga IIA2 yang menjalani histerektomi radikal. Kateter suprapubik (SPC) digunakan sebagai alat untuk memantau produksi urin pasca operasi. Pasien diinstruksikan untuk mengikuti protokol bladder training yaitu melalui prosedur menutup dan membuka kateter. Rasa sensasi ingin berkemih dan berkemih spontan. Pengukuran residu volume urin pasca berkemih dibawah 100mL dianggap merupakan indikator pemulihan disfungsi saluran kemih. Rata-rata hari dari setiap fase kemudian dihitung. Hasil: Dua puluh sembilan subjek didapatkan selama penelitian. Namun, hanya 21 subjek yang dapat mengikuti protocol bladder traning dan dicatat perkembangan pemulihannya. Rata-rata hari yang diperlukan untuk merasakan sensasi berkemih dan berkemih spontan adalah 7,57 ± 4.78 hari (median 5 hari, minimum 3 hari, dan maksimum 22 hari) dan 8 ± 5.21 hari. (median 6 hari, minimum 3 hari dan maksimum 23 hari) Rata-rata hari untuk mencapai residu urin di bawah 100 mL adalah 21.42 ± 18 (median 18 hari, minimum 7 hari, dan maksimum 74 hari). Kesimpulan: Setelah prosedur histerektomi radikal, pencatatan masa pemulihan penting untuk dipantau untuk memastikan pemulihan lengkap. Rata-rata hari yang diperlukan untuk pemulihan adalah 21.42 ± 18 hari (median 18 hari, minimum 7 hari, dan maksimum 74 hari). Kata kunci: kanker serviks, histerektomi radikal, disfungsi saluran kemih, volume residu paska berkemih.
A1298C Polymorphism of Fetal Methylenetetrahydrofolate Reductase (MTHFR) Gene as a Risk Factor for Spontaneous Abortion Sulfiana, Isah; T Chalid, St Maisuri; Farid, Retno B; Rauf, Syahrul; Hartono, Eddy
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 (86.87 KB) | DOI: 10.32771/inajog.v4i2.77

Abstract

Objective: To investigate the role of A1298C polymorphism of fetal methylenetetrahydrofolate reductase (MTHFR) gene in spontaneous abortion. Method: The case control study design recruited 96 subjects in Siti Fatimah and Pertiwi mother and child hospital, Dr. Wahidin Sudirohusodo, Pelamonia, Bhayangkara, Syekh Yusuf, Haji and Labuang Baji hospital from March to September 2014. All subjects fulfilling the inclusion criteria were taken tissue samples from mothers experiencing spontaneous abortion and blood samples from normally born baby. The data were analyzed using Pearson chi-square with significant rate of 5% (p
Creatinine clearance levels are associated with the incidence of preeclampsia Sanusi, Jesslyn M; Tendean, Hermie M. M.; Kaeng, Juneke J.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.899 KB) | DOI: 10.32771/inajog.v6i4.843

Abstract

Abstract Objective: Determine thecorrelation between creatinine clearance relationship with preeclampsia incidence. Method: Cross sectional research. Result: Creatinine clearance examination conducted on 60 sample of pregnant women > 20 weeks,30 normotensive samples and 30 preeclampsia samples. The obtained data analyzed using SPSS software version 22.0 and discussed using the existing literature theory. Creatinine clearance average level in normotensive pregnancy 124.650 ± 14.3699ml/minutes/1,73m2and preeclampsia 74.003 ± 23.169ml/minutes/1,73m2. After Mann-Whitney statistical test obtained p value = 0,000. From ROC curve analysis for creatinine clearance obtained sensitivityvalue 100% and specificity 99,53%. Conclusion:There is a significant correlation between the creatinine clearance levels with preeclampsia. Keywords: creatinine clearance, normotensive, preeclampsia.   Abstrak Tujuan: Menentukan hubungan antara creatinine clearance dengan kejadian preeklamsia. Metode: Penelitian potong lintang. Hasil:Dilakukan pemeriksaan creatinine clearance pada 60 sampel ibuhamil > 20 minggu, 30 sampel darah normal dan 30 sampel preeklamsia. Data yang diperoleh dianalisa dengan menggunakan software SPSS versi 22.0 dan dibahas dengan menggunakan  teori literatur yang ada. Kadar rerata creatinine clearance pada kehamilan normotensi 124,650 ± 14,3699 ml / menit / 1,73m2 dan preeklampsia 74,003 ± 23,169 ml / menit / 1,73m2. Setelah uji statistik Mann-Whitney diperoleh nilai p = 0,000. Dari analisis kurva ROC untuk creatinine clearance diperoleh nilai sensitivitas 100% dan spesifisitas 99,53%. Kesimpulan: Ada hubungan yang signifikan  antara creatinine clearance dengan kejadian preeklamsia. Kata kunci: creatinine clearance, normotensi, preeklampsia.
Relationship between Physical Activity of Pregnant Women in the Third Trimester of Pregnancy with Preterm Birth Using Kaiser Physical Activity Survey (KPAS) Questionnaire Adjie, JM Seno; Maharani, AA Rai D
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (99.592 KB) | DOI: 10.32771/inajog.v6i4.841

Abstract

Abstract Objective: To examine the relationship between the intensity of physical activity of pregnant women with preterm birth and to know the relationship between types of physical activity of pregnant women with preterm birth. Method: This research was a case control study that was  conducted at Dr. Cipto Magunkusumo Hospital and Karawang Hospital in January 2017 to June 2017 with  KPAS questionnaire  which was divided into two groups, preterm birth  and  term birth. The sample size was 127 subjects for each group. The analysis was done by multivariate analysis of etiologic concept. Result: In term birth, the most frequent physical activity intensities were: moderate intensity (64.6%, n = 82), light intensity (22%, n = 28), and vigorous intensity (13.4%, n = 17). In preterm birth, the most frequent physical activity intensities were: light intensity  (40.1%, n = 51), vigorous  intensity (33.9%, n = 43), and moderate intensity (26%, n = 33). Adjusted OR of preterm birth in light  intensity versus moderate intensity was  OR 5.32 (95% CI, 2.80-10.13;P = < 0.001). While adjusted OR of preterm birth in vigorous intensity  compared with moderate intensity was  OR 6.29 (95% CI, 3.28- 13.46;P = < 0.001). Work and sport have a significant association with preterm birth  with OR 3.19 (95% CI, 1.62 - 6.28;P = 0.001) and OR 1.85 (95% CI,1.11 - 3.09; P= 0.017). Occupational conditions are also associated with preterm birth, including: weight lifting with OR 5.16 (95% CI, 1.10-24.08, P = 0.021), walking with OR 3.57 (95% CI, 1.61-7.92, P = 0.001), sitting with OR 2.79 (95% CI, 1.23-6.31, P =  0.011), and standing with OR 3.04 (95% CI, 1.40-6.59; P = 0.003). Conclusion: There is a significant relationship between the intensity of physical activity and  type of physical activity in pregnant women with preterm birth. Keywords: intensity of physical activity, KPAS, physical activity, preterm labor   Abstrak Tujuan: Mengetahui hubungan antara intensitas aktivitas fisik perempuan hamil dengan persalinan prematur dan mengetahui hubungan antara jenis aktivitas fisik perempuan hamil dengan persalinan prematur. Metode: Penelitian ini merupakan penelitian kasus kontrol yang dilakukan di RS Cipto Magunkusumo dan RS Karawang pada bulan Januari 2017 hingga Juni 2017 dengan kuesioner KPAS yang dikelompokkan menjadi dua, yaitu persalinan prematur dan persalinan cukup bulan. Jumlah sampel adalah 127 subjek untuk masing-masing kelompok. Analisis dilakukan dengan analisis  multivariat konsep etiologik. Hasil: Pada persalinan cukup bulan, secara berurutan intensitas aktivitas fisik yang paling banyak dilakukan, antara lain : intensitas sedang (64.6%, n= 82), intensitas ringan (22 %, n = 28), dan intensitas berat  (13.4 %, n = 17). Pada persalinan prematur, secara berurutan intensitas aktivitas fisik yang paling banyak dilakukan, antara lain : intensitas ringan (40.1 %, n = 51), intensitas berat (33.9 %, n = 43), dan intensitas sedang  (26 %, n = 33).  Hubungan antara intensitas aktivitas fisik ringan dibandingkan intensitas sedang untuk persalinan prematur memiliki OR 5.32 (IK 95% 2.80-10.13;P = < 0.001). Sedangkan  hubungan antara intensitas aktivitas fisik berat dibandingkan intensitas sedang untuk persalinan prematur memiliki OR 6.29 (IK 95% 3.28- 13.46;p = < 0.001). Pekerjaan dan olahraga memiliki hubungan bermakna dengan persalinan prematur dengan OR 3.19 (IK 95% 1,62 – 6.28;p = 0.001) dan OR 1.85 (IK 95% 1.11 – 3.09;p= 0.017). Kondisi pekerjaan juga berhubungan dengan persalinan prematur, antara lain : angkat berat (OR 5.16; IK 95% 1.10-24.08; p = 0.021), berjalan (OR 3.57;IK 95% 1.61-7.92;p = 0.001), duduk (OR 2.79;IK 95% 1.23-6.31; p = 0.011 ), dan berdiri (OR 3.04 ;IK 95% 1.40-6.59;p = 0.003).
Relationship of Retinol Binding Protein Four Serum Level on Endometrial Hyperplasia and Endometrial Carcinoma Limy, Ivan; Suparman, Eddy; Tendean, Hermie M. M.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.974 KB) | DOI: 10.32771/inajog.v6i4.849

Abstract

Abstract Objective : To determine the relationship of elevated serum retinol binding protein 4 with abnormal uterine bleeding Methods : This study was an observational quantitative with cross sectional methods, with all women who had abnormal uterine bleeding caused either by endometrial carcinoma or endometrial hyperplasia at RSUP Prof.DR.RD Kandou, and affiliation hospitals from November 2016 until April 2017. Data were analyzed With SPSS version 2.0 to see the significancy level. Results: Of 26 research subjects, 23 subjects with endomtrial hyperplasia and 3 subjects with endometrial carcinoma. From the total of 26 malignancy and hyperplasia diagnoses, 21 had IMT> 25 and 23 were diagnosed with Endometrial Hyperplasia and 3 Carcinoma Endometrium. 18 subjects had elevated serum RBP4 levels, with 15 people with endometrial hyperplasia and 3 with endometrial carcinoma. With the Fischer Exact test statistic, serum retinol binding protein 4 levels were found in both endometrial hyperplasia and endometrial carcinoma p = 1.00, meaning no significant difference for the occurrence of abnormal uterine bleeding. Conclusion: There was no significant association between serum retinol binding protein 4 between endomterium carcinoma and endometrial hyperplasia. Keywords: abnormal uterine bleeding, endometrial carcinoma, endometrial hyperplasia, serum retinol binding protein 4   Abstrak Tujuan : Mengetahui adanya hubungan peningkatan kadar serum retinol binding protein 4 pada hyperplasia endomterium dengan carcinoma endometrium Metode : Penelitian ini adalah jenis kuantitatif observasional secara potong lintang, dengan semua perempuan yang mengalami perdarahan uterus abnormal yang disebabkan oleh hiperplasia endometrium atau carcinoma endometrium di Bagian Kebidanan dan Kandungan Rumah Sakit Umum Pusat (RSUP) Prof.DR.R.D Kandou, dan RS jejaring mulai November 2016 sampai April 2017.Data dianalisa dengan SPSS versi 2.0 untuk melihat tingkat kemaknaannya. Hasil : Dari 26 subjek penelitian, 23 subjek dengan hyperplasia endomtrium dan 3 subjek dengan carcinoma endometrium. Didapatkan data penelitian dari total keganasan diagnosa  dan hiperplasia sejumlah 26 orang, sebanyak 21 orang memiliki IM T>25 dan sebanyak 23 orang didiagnosa dengan Hiperplasia Endometrium dan 3 orang karsinoma Endometrium. Didapatkan sebanyak 18 subyek penelitian mengalami peningkatan kadar serum RBP 4, dengan 15 orang yang mengalami hiperplasia endometrium dan 3 orang dengan karsinoma endometrium. Dengan uji statistik Fischer Exact test, didapatkan kadar serum retinol binding protein 4 baik pada hiperplasia endometrium dengan karsinoma endometrium p=1.00, mengartikan tidak mempunyai perbedaan bermakna untuk terjadinya perdarahan uterus abnormal. Kesimpulan : Tidak terdapat hubungan bermakna kadar serum retinol binding protein 4 antara karsinoma endomterium dengan hiperplasia endometrium. Kata kunci : hiperplasia endometrium , kadar serum retinol binding protein 4, karsinoma endometrium, perdarahan uterus abnormal

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