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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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Peran Laparoskopi Operatif pada Nyeri Pelvis Kronis HADISAPUTRA, W.
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 3, July 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Mengkaji peran laparoskopi operatif pada beberapa kelainan sebagai penyebab nyeri pelvis kronis, seperti endometriosis, perlekatan pelvis dan endosalpingiosis. Rancangan/rumusan data: Kajian pustaka. Hasil: Pada pemeriksaan laparoskopi untuk tujuan pengobatan nyeri pelvis, 33% ditemukan endometriosis, 24% perlekatan genitalia interna sisanya tidak ditemukan kelainan. Ditemukan bahwa skor AFS pada endometriosis tidak berkorelasi dengan lamanya nyeri, beratnya nyeri maupun keterbatasan aktivitas. Operator harus waspada terhadap beberapa tampilan visual laparoskopi yang menyerupai lesi endometriosis. Endosalpingiosis merupakan temuan baru lesi di peritoneum pelvis yang mungkin merupakan salah satu penyebab dari nyeri pelvis. Kesimpulan: Penyebab nyeri pelvis kronis yang paling sering adalah perlekatan pelvis, endometriosis, dan endosalpingiosis. Laparoskopi baik diagnosis maupun operatif merupakan intervensi ginekologik penting dalam menangani nyeri pelvis kronis. [Maj Obstet Ginekol Indones 2006; 30-3: 152-5] Kata kunci: perlekatan genitalia, endometriosis, endosalpingiosis.
Profile of Women with Late Menstrual Period Gunardi, Eka R.
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To know the profile of women with late menstrual period in Raden Saleh Clinic Jakarta in 2008 - 2011. Method: This was a descriptive study with 400 samples from medical records, choosen by random sampling. The data of age, education, occupation, marital status, residence, religion, parity, age of the youngest kid, cause of pregnancy, attempt to abort, referral, reason to end pregnancy, and contraceptive method post menstrual induction were collected. Result: The majority of women who underwent menstrual induction were 18 - 35 years old (57.25%), followed by women aged more than 35 years old (40.5%) and below 18 years old (2.25%). Most women were graduated from middle school (51.25%), unemployed (65.25%), and married (90.8%). They mostly came from Jakarta and satellite cities such as Depok, Bogor, Tangerang, and Bekasi, which accounted for 88% clients. Most of them have two children (32.3%) with the youngest kid aged more than 12 months old (60%). The causes of pregnancy were neglecting to use contraception (87.5%), failure of contraception (12%), and sexual assault (0.5%). As much as 44% of the clients had tried to end the pregnancy before they came to Raden Saleh Clinic and 87.5% of all 400 women came without referral. The most common reason was having had enough children in 74% of the women to end the pregnancy, followed by 12.25% of clients who wanted to pursue higher education. After treated by menstrual induction, 75.8% of them used IUD as contraception. Conclusion: Our data showed that mean age of women who were underwent menstrual induction is 32.94 ± 0.35 years old and the main reason to do menstrual induction in this research is the consideration of having enough children. [Indones J Obstet Gynecol 2013; 37-1: 41-5] Keywords: age, contraception, late menstrual period, menstrual induction
Effect of Ovarian Stimulation with Recombinant FSH for In Vitro Fertilization (IVF) on Anti Müllerian Hormone (AMH) Levels as an Early Marker of Ovarian Reserve Hapsari, Kartika
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 2, April 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To analyze the effect of ovarian stimulation with recombinant FSH on AMH levels as a marker of ovarian reserve in patients undergoing IVF. Method: This study is an intervention study which compares AMH levels pre- and post-ovarian stimulation with recombinant FSH in IVF participants to determine the effect of ovarian stimulation on ovarian reserve. This study was conducted at Dr. Cipto Mangunkusumo Hospital, Jakarta, from January to July 2010. AMH levels measured are AMH levels pre- and post-stimulation taken on the day of hCG evaluation. Result: Of 56 patients undergoing IVF treatment, 20 subjects were eligible for study. The mean age of the patients was 35. 3 ± 4.0 years, the mean duration of infertility 9.1 ± 5.7 years, the mean BMI 21.9 ± 3.4 kg/m2, the median AMH level pre-stimulation was 4.0 ng/ml and the total dosage of FSH used was 2747.5 ± 1076.3 IU/ day, the mean duration of ovarian stimulation was 9 ± 3 days. Of the 20 subjects recruited, 11 patients (55%) had a decrease in AMH levels, and the remaining 9 patients (45%) did not. Data analysis showed that the decrease in AMH levels was not statistically significant (p = 0.295) [AMH1; median 4.0 ng/ml (range 2.2 - 5.9) and AMH2; median 3.2 ng/ml (range 1.6 - 4.8)]. Conclusion: AMH levels decrease following ovarian stimulation with recombinant FSH is not statistically significant, so it can be concluded that ovarian stimulation in IVF has no effect on ovarian reserve. [Indones J Obstet Gynecol 2011; 35-2: 70-3] Keywords: ovarian reserve, AMH, recombinant FSH, ovarian stimulation, IVF
Efficacy of 600 μg Misoprostol compare to 400 μg Misoprostol orally for expulsion of conception mass on pregnancy failure under twenty two weeks of gestational age Rosa, Rahmedi
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To evaluate the efficacy and adverse effect of misoprostol in pregnancy termination under 22 weeks of gestation with dosage 400 μg, in comparison to 600 μg. Method: The research was performed in Obstetric and Gynecology Division in Dr. Cipto Mangunkusumo General Hospital to 70 subjects which were chosen with consecutive sampling, divided into two groups with block randomization and double blind. Group A received 400 μg of misoprostol every 6 hours while group B received 600 μg of misoprostol every 6 hours for a maximum of 2 days. Each group was evaluated for the time it took to reach complete abortion and for the adverse effects, consisting of abdominal cramping, bleeding, vomiting, and diarrhea. Result: Success rate for termination with misoprostol 400 μg and 600 μg were 88.5% and 91.4%, with no statistical difference found (p=1.000). There was no difference in the time for reaching complete abortion between two dosages (p=0.701) with a mean of 22 ± 8 hours. Adverse effects were found more frequent and more severe in the group consuming 600 μg of misoprostol compared to the group receiving 400 μg of misoprostol. Conclusion: Four hundred micrograms of misoprostol every six hour is recommended for termination of pregnancy under 22 weeks of gestational age, without statistical difference in efficacy, but with lower adverse effects. [Indones J Obstet Gynecol 2010; 34-2: 59-63] Keywords: misoprostol, pregnancy failure, dosage, efficacy, adverse effect
Pengaruh Subpasase dan Starvasi Serum Fibroblas sebagai donor Nukleus pada keberhasilan perkembangan sel rekonstruksi (Suatu upaya peningkatan efisiensi transfer Nukleus sel somatik dengan teknik IDNI) SISWANTO, B.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 3, July 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Penelitian ini untuk mempelajari pengaruh subpasase dan starvasi serum fibroblas sebagai donor nukleus pada keberhasilan perkembangan sel rekonstruksi. Rancangan/rumusan data: Eksperimen laboratorium. Sel donor yang digunakan adalah fibroblas fetus kambing. Sitoplasma resipien yang digunakan adalah oosit kambing yang dilakukan maturasi in vitro pada tahap metafase II (M-II) yang telah dilakukan enukleasi (Oosit enukleasi). Bahan dan cara kerja: Dibagi menjadi dua tahap yaitu tahap pendahuluan dan tahap eksperimen. Tahap pendahuluan adalah optimalisasi prosedur TNS teknik IDNI. Tahap eksperimen terdiri dua tahap. Tahap I: Studi pengaruh subpasase (sel donor A) dan kultur starvasi serum (sel donor B) terhadap derajat apoptosis sel donor. Tahap II: Studi pengaruh derajat apoptosis sel donor terhadap perkembangan sel rekonstruksi hasil transfer nukleus sel somatik dengan teknik IDNI. Penelitian tahap pendahuluan menunjukkan bahwa teknik IDNI dapat digunakan sebagai metode TNS, melalui integritas sel rekonstruksi, yaitu sitoplasma yang diaspirasi sebanyak 10-25%, tidak ada lisis dan degenerasi. TNS menggunakan sel donor subpasase, dari 72 sel rekonstruksi yang dilakukan aktivasi terjadi 12 (16,67%) pembelahan dan menggunakan sel donor starvasi serum, dari 68 sel rekonstruksi yang dilakukan aktivasi terjadi 7 (10,29%) pembelahan. Hasil: Penelitian tahap I menunjukkan bahwa subpasase 3 mempunyai persentase sel hidup yang masih baik (79,55% ± 1,72), apoptosis dini 24,00% ± 6,08 dan apoptosis lanjut 11,67% ± 2,08. Kultur starvasi serum dari subpasase 3 pada hari ke 3 mempunyai persentase sel hidup yang masih baik (56,1% ± 5,94), mengalami proses apoptosis dini 41,67 ± 2,08 dan apoptosis lanjut 42,33% ± 7,57. Analisis statistik menunjukkan bahwa sistem kultur (subpasase dan starvasi serum) mempunyai asosiasi kuat dengan hidup, apoptosis dini dan apoptosis lanjut dari sel donor. Penelitian tahap II menunjukkan bahwa dari 125 sel rekonstruksi menggunakan nukleus donor sel donor A terjadi pembelahan sel sebanyak 19 (15,2%) dan terjadi pertumbuhan 4-8 sel dan morula masingmasing ada 3 (0,8%). Dari 118 sel rekonstruksi menggunakan nukleus donor sel donor B terjadi pembelahan sel sebanyak 15 (12,7%), terjadi pertumbuhan 4-8 sel sebanyak 7 (5,93%) dan tidak ada yang mencapai morula. Analisis statistik menunjukkan bahwa derajat apoptosis sel donor (hidup, apoptosis dini dan apoptosis lanjut) mempunyai asosiasi kuat dengan perkembangan sel rekonstruksi. Kesimpulan: Viabilitas dan ukuran kecil (≤ 6 cm) dari sel donor meningkatkan keberhasilan perkembangan sel rekonstruksi. [Maj Obstet Ginekol Indones 2007; 31-3: 155-73] Kata kunci: subpasase, starvasi serum, sel hidup, apoptosis, pembelahan, pertumbuhan
Elastin Expression is the Strongest Risk Factor for Developing Pelvic Organ Prolapse Cessaria, Djusiana
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To compare elastin expression in the anterior vaginal wall of women with and with no pelvic prolapse. Methods: The research was conducted in RS Dr. Wahidin Sudirohusodo and other network hospitals of Obstetrics and Gynecology Department of Hasanuddin University, Makassar. Full-thickness specimens were obtained from the anterior vaginal wall of women having a large prolapse repaired (stage III or IV; prolapse group, 34) and the same location in patients with no prolapse having abdominal and vaginal hysterectomy (control group, 35). The expression of elastin was measured by immunohistochemistry on tissue sectioned. The examiner was unaware of sample identity and the patients’ clinical history. The result then analyzed with p 4000 gr weight (p=0.572); age, parity, menopausal status, and body mass index were significantly different between the groups (0.001; 0.035; 0.011; 0.002; respectively). Immunohistochemical staining indicated that elastin expression in the prolapse group was lower (p=0.009). Elastin expression appeared to be stable with increasing of age, parity, menopausal status, history of bearing baby 4000 gr. weight and Body mass Index in the prolapse group. But multiple logistic regression revealed that elastin have the highest influence to prolapse among the risk factors mentioned (Exp.B =6.252). Conclusion: In this case-control study, the elastin expression were significantly lower in the vaginal wall of patients with a large prolapse. Instead of influence by other risk factors, elastin is the strongest risk factor for developing prolapse among other risk factors. This result is expected to be able to give explanation for the development of prolapse in women without risk factors such is young women and nullipara. [Indones J Obstet Gynecol 2013; 1-4: 204-8] Keywords: elastin, prolapse, women
Modification of Immediate Postplacenta CuT-380A IUD Insertion Using Ring Forceps and Standard Inserter: Twelve Months Follow-up Tjahjanto, Hary; Hadiningrat, Wijoyo
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 (191.026 KB) | DOI: 10.32771/inajog.v3i2.33

Abstract

Objective: To evaluate the outcome of CuT-380A IUD postplacental insertion in vaginal delivery using new modification insertion technique. Method: We carried out a prospective cohort study of postplacental IUD insertion by means of ’push and push’ technique, using ring forceps and standard inserter (inserter tube and plunger rod). We included women who underwent vaginal delivery from 1st June 2009 until 31st March 2011 and had postplacental IUD insertion. Followup was conducted for 12 months, including history, physical examination, ultrasound and questionnaires during evaluation, through home visits and by phone. The first monitoring is before 6 weeks after delivery, the second monitoring was after 6 weeks up to 3 months, the third is after 3 months up to 6 months, the fourth is after 6 months up to 12 months, the fifth is after 12 months up to 24 months and the sixth is after 24 months up to 32 months after insertion. Result: On the second monitoring, 2 acceptors experienced expulsion. At the third monitoring period, one acceptor requested for IUD removal. At 9 months up to 12 months post-insertion, one expulsion was encountered, and one acceptor requested removal of device. At ≥12 months there was one acceptor who had IUD removal. We did not find any report of unintended pregnancy or perforation. Conclusion: Immediate post-placental insertion of CuT-380A IUD after vaginal delivery using ’push and push’ technique is safe and effective. The pregnancy rate at typical use is 0%, continuation rate is 94.1% and low expulsion rate (2.86%). Loss of follow up was 5.6% and no perforation was reported. Keywords: continuation rate, immediate post-placental IUD insertion, ’push and push’ technique, typical use, vaginal delivery
Increased Rate of Cesarean Section among Teenage Mothers Attending a Tertiary Teaching Hospital in Indonesia G Kayika, I Putu; Utama, Teuku K I
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 (88.237 KB) | DOI: 10.32771/inajog.v5i3.535

Abstract

Objective: To evaluate adverse obstetrical outcome in teenage pregnancy, and to investigate whether the social factor, demographic factor, and antenatal care is associated with the management of delivery in teenage pregnancy. Methods: A cross-sectional study was conducted by evaluating medical records teenage mothers who went to Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia during the period of January 2010 to December 2015. Results: From 186 teenage pregnancies, 75 pregnancies was terminated by cesarean section procedures (40.3%). The amount of antenatal care visit was significantly associated with teenage pregnancy (OR 4.14, CI95% 1.86-9.21). The provider of antenatal care, maternal age classification, education, and insurance were not signifcantly associated with management of labour. Conclusion: Teenage pregnancy is associated with higher cesarean section rate. [Indones J Obstet Gynecol 2017; 5-3: 131-134] Keywords: cesarean section, profile, teenage pregnancy
Relation between C-Reactive Protein Level and Intrauterine Infection in Pregnant Women with Premature Rupture of Membrane (PROM) Perdana, Edwin
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 4, October 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To know the relationship between C-Reactive protein level in the blood of pregnant women with premature rupture of membrane (PROM) less than 12 hours and the incidence of intrauterine. Method: This study was case series in 55 pregnant women with PROM less than 12 hours at Department of Obstetrics and Gynecology Medical Faculty, University of Sriwijaya Dr. Mohammad Hoesin Hospital, Palembang from July 1, 2009 until January 1, 2010. Data analysis was performed using Pearson Correlation test. Result: The mean levels of C-reactive protein in pregnant women with PROM less than 12 hours was 27.12±15.58 mg/dl, in which 16.4% women had C-reactive protein level ≤ 10 mg/dl and 83.6% women had C-reactive protein level > 10 mg/dl. The mean rectal temperature of women was 37.41 ± 19°C, in which 85.5% women had rectal temperature < 38°C. The mean of leucocyte count in women was 10586 ± 2835/mm3, in which 69.1% women had leucocyte count < 15000/mm3. The correlation value between C-reactive protein level with rectal temperature was R=0.218 with p=0.110 and the correlation value between C-reactive protein level with leucocyte count was R=0.236 with p=0.082. Conclusion: C-reactive protein can not be used as a single predictor of intrauterine infection. [Indones J Obstet Gynecol 2011; 35-4:176-8] Keywords: C-reactive protein, intrauterine infection, premature rupture of membrane (PROM)
Uji diagnostik modifikasi teknik color Doppler sonohisterosalpingografi bermedia kontras NaCl 0,9% untuk evaluasi patensi tuba DJUWANTONO, T.; PERMADI, W.; BAYUAJI, H.
Indonesian Journal of Obstetrics and Gynecology Volume. 32, No. 3, July 2008
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Mengevaluasi patensi tuba dengan teknik modifikasi color Doppler sonohisterosalpingografi bermedia kontras salin dibandingkan dengan baku emas penilaian patensi tuba, yaitu kromopertubasi perlaparoskopi. Tempat: Penelitian dilakukan di Klinik Teknologi Reproduksi Berbantu Aster, dan Kamar Operasi One Day Surgery RS Dr. Hasan Sadikin Bandung. Bahan dan cara kerja: Pemeriksaan dilakukan terhadap 35 pasien dengan masalah infertilitas, yang tengah menjalani penatalaksanaan infertilitas dasar. Dilakukan penyuntikan cairan salin fisiologis 0,9 % steril ke dalam uterus melalui alat yang telah dimodifikasi, yaitu kateter pediatrik No. 10 yang bermandrin dan spuit 50 cc. Perjalanan cairan diamati dengan USG transvaginal berteknologi Doppler kemudian dilakukan penentuan patensi tuba. Hasil yang didapat dibandingkan dengan hasil kromopertubasi perlaparoskopi dan dianalisis efektivitas diagnostiknya. Dilakukan perhitungan sensitivitas, spesifisitas, nilai prediksi positif, dan nilai prediksi negatif. Dilakukan pula penilaian kavum uteri, yang diharapkan dapat memberikan keuntungan tambahan dari penelitian ini. Hasil: Sensitivitas modifikasi color Doppler sonohisterosalpingografi bermedia kontras NaCl 0,9% adalah 87,5%, spesifisitas 95,5%, nilai prediksi positif 97,7%, dan nilai prediksi negatif 77,8%. Kesimpulan: Teknik modifikasi color Doppler sonohisterosalpingografi bermedia kontras NaCl 0,9% merupakan teknik yang dapat diandalkan untuk evaluasi patensi tuba. [Maj Obstet Ginekol Indones 2008; 32-3: 143-7] Kata kunci: infertilitas, patensi tuba, color Doppler, sonohisterosalpingografi.

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