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Selective Termination for Fetal Anomaly in Twin Pregnancy
Mirani, Putri
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v37i1.337
Objective: To discussed the ethical aspects, the technique, optimal timing and the possible outcome of selective termination in anomalous twin pregnancy.
Case description: A 28-year old primigravida, 21 weeks twin gestation, with giant hygroma coli in one fetus. The normal fetus was compressed by the anomalous fetus with oligohydramnios. The parent decided to undergo selective termination of the abnormal fetus. The procedure perform was intracardiac injection of potassium chloride
(KCl). Eight milliliters of KCl were injected into fetal cardiac, followed by bradicardia and asystole of the anomalous twin. A week after the procedure, the normal fetus also died and delivered spontaneously after induction.
Conclusion: Selective termination for fetal anomaly in twin pregnancy have some aspects to be considered.
[Indones J Obstet Gynecol 2013; 37-1: 57-60]
Keywords: selective feticide, selective termination
Avulsion of the Levator Ani at First Pregnancy
Khusen, Denny
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v37i1.338
Objective: To investigate whether demographic and obstetric risk factors are associated with avulsion of the levator ani at first pregnancy.
Methods: A series of case was undertaken on 4 pregnant nulliparous women seen with a gestational age of more than 37 weeks. We analyzed with 3D/4D translabial ultrasound and digital assessment data of 4 women seen in a tertiary Urogynecological clinic. The use of 3D/4D ultrasound as a means of detection of trauma to the
levator ani.
Result: We had 4 women who had levator ani avulsion. Diagnosis of levator trauma (avulsion) on tomographic ultrasound was correlated with predelivery demographic variables and ultrasound parameters.
Conclusion: With a greater understanding on the function of pelvic floor muscles, risk factors for trauma and damage as a result of pregnancy and birth, healthcare professionals will have better ability to meet the needs of women in the childbearing year. This study utilized
a scoring system that can be used to predict the occurrence of levator ani muscle damage. In the end, the decline in quality of life for women, especially after a birth, can be prevented.
[Indones J Obstet Gynecol 2013; 37-1: 51-6]
Keywords: 3D/4D translabial ultrasound, demographic, levator ani avulsion, obstetric risk factors
Age, Low Education and Unemployment are Associated with Intimate Partner Violence among Women
Maidarti, Mila
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To describe the prevalence of violence in women visiting Puskesmas Kecamatan Makassar by their partners and their association with socio-demographic factors and gender role perception.
Methods: A cross-sectional study using validated WHO questionnaires was conducted on 141 women visiting Puskesmas Makassar in December 2011 to identify presence of physical, sexual or emotional abuse and women’s perception of gender roles. The data was then analyzed using a combination of univariate analysis and Chisquare test.
Results: Our study showed that the lifetime prevalence of female abuse in Puskesmas Makassar population was 21.3%, with physical violence constituting 5.7%, sexual violence 6.4% and emotional abuse 17.0% among the subjects. Violence was associated with the wife’s demographic factor (age >35 years, education 35 years and unemployment). Women’s perception of gender role was not significantly associated with prevalence of abuse
Conclusion: A woman’s age and her partner’s age of more than 35 years, an education level of less than nine years, and unemployed partner, were all significantly associated with the lifetime prevalence of female abuse, and was not consistent with gender role beliefs.
[Indones J Obstet Gynecol 2013; 37-2: 63-70]
Keywords: gender role perception, intimate partner violence, Puskesmas Makassar
Electroacustimulation is as Effective as B6 for Reducing Nausea and Vomiting in the First Trimester of Pregnancy
Pamungkas, Novan S.
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To determine the benefit of electroacustimulation in reducing nausea and vomiting in the first trimester of pregnancy.
Methods: This study is an experimental study. The subject were 40 pregnant women divided into 2 groups randomly. The control group was given vitamin B6 3x30 mg per day and the case given the electroacustimulation device. The degree of severity of nausea and vomiting of patients assessed before and 3 days after treatment using Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire.
Result: There were no differences between groups in gestational age at entry and PUQE score pre-treatment. After 3 days therapy, there were significant decrease in PUQE score in group receiving B6 (p=0.004) and also in electroacustimulation group (p=0.000). However, the change in PUQE score was not significantly different between the two groups (p=0.286).
Conclusion: From the results of this study concluded that electroacustimulation is effective for reducing nausea and vomiting in the first trimester of pregnancy. There is no difference in effectiveness between electroacustimulation and vitamin B6 to treat nausea and vomiting in the first trimester of pregnancy.
[Indones J Obstet Gynecol 2013; 37-2: 71-6]
Keywords: electroacustimulation, nausea and vomiting in pregnancy, P6 or neiguan point, pregnancy unique quantification of emesis and nausea (PUQE)
Ferritin Level Decreased between the Second and Third Trimester of Pregnancy
Tendean, Hermie MM.
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To know the change in ferritin level in second and third trimester of pregnancy.
Methods: This study was a cohort study. The level of ferritin was estimated in the second trimester of pregnancy and examined again in the third trimester of pregnancy. Data processed and analyzed by
statistically.
Result: The number of sample in this study was 30 patients. From this study, we found that the Ferritin level in second to third trimester of pregnancy was decreased in 28 patients (93.3%) and increased in 2 patients (6.7%). This result showed that ferritin serum level in second and third trimester would significant difference (p < 0.001). This different can be showed in media ferritin serum level in second trimester higher than third trimester (31.10 ng/ml > 22.20 ng/ml).
Conclusion: There was a significant decrease in the level of ferritin from the second to third trimester. This could be caused by the occurence of hemodilution reaching its peak at 28-32 weeks of pregnancy, increasing the need of iron intake. This could also be caused by an imbalanced diet of the mother.
[Indones J Obstet Gynecol 2013; 37-2: 77-81]
Keywords: ferritin, pregnancy
The Number of Vaginal Epithellial and Neutrophil Strongly Correlates with the Occurrence of Premature Delivery
Sandra, Alia
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To investigate the relationship of the amount of vagina epithelia and neutrophil with premature delivery. The study was carried out in several hospitals at Obstetrics and Gynecology Department of the Faculty of Medicine Hasanuddin University, from September 2011 to January 2012.
Methods: The study was cross-sectional study involving two groups of sample: premature delivery group fulfilling inclusive criteria and a control group of normal delivery. The total samples are 48 persons, comprising of 16 premature deliveries, and 32 normal pregnancy.
Result: The study revealed that there was a significant correlation between ≥1 parity and premature delivery (p
Women in the Rural Areas Experience more Severe Menopause Symptoms
Yohanis, Mono
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: The aim of this study is to compare the severity of menopausal symptoms between menopause women who lived in urban area with those who lived in rural area.
Methods: The study is conducted by comparing the scores of Menopause Rating Scale (MRS) and World Health Organization Quality of Life (WHOQOL) questionnaires of menopause women who lived in the City of Makassar with those who lived in rural areas of Selayar.
Results: The results of the study revealed that menopausal symptoms are more severe on menopause women who lived in rural areas than those who lived in urban area. Less educated menopause women have more severe menopausal symptoms than those who have more education. Their Quality of Life show no significant difference. There is a correlation between the severity of menopausal symptoms with the quality of life of menopause women, the more severe the symptoms, the less the quality of life are.
Conclusion: Menopausal symptoms are more severe on menopause women who lived in rural areas than those who lived in urban area.
[Indones J Obstet Gynecol 2013; 37-2: 86-91]
Keywords: menopausal symptoms, rural area, urban area
Homocysteine Level in the Blood and Follicular Fluid is Higher in Infertile Women with Endometriosis
Natadisastra, Muharam
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To compare and determine the differences in the level of homocysteine in the blood and follicular fluid in infertile women with and without endometriosis, then analyze the effect of homocysteine levels to oocyte quality.
Methods: This study was cross-sectional study. Fifty-nine subjects following the in-vitro fertilization program are included in the admission criteria were divided into two equal groups, ie groups of endometriosis and without endometriosis consecutively (consecutive sampling). Each subject taken from the blood and follicular fluid then measured the levels of homocystein levels with immuoassay method. The mean of each group was statistically tested with an independent t test.
Result: The mean levels of homocysteine in the blood is higher in the endometriosis group than without endometriosis group and it was statistically significance (8.34 ± 2.68 vs 6.71 ± 1.56, p=0.007; 95% CI: 0.02417-0.14657). Similarly, the levels of homocysteine in
follicular fluid , the endometriosis group is higher and statistically significance (6.19 ± 1.67 vs 3.46 ± 1.03; p= 0.000; 95% CI: 0.19310-0.32353). All oocytes are in good quality in both groups, maturation grade 3. There is a correlation between the levels of homocysteine in the blood and follicular fluid in the endometriosis group and assessed with Pearson test, and it found significant (p = 0.002) and the correlation value 0.553 (moderate correlation strength) and direction of a positive correlation.
Conclusion: The mean levels of homocysteine in the blood and follicular fluid in infertile women with endometriosis is higher than without endometriosis and were statistically significantly different. These homocysteine levels does not affect the quality of oocytes. There is a positive correlation between the levels of homocysteine in the blood and follicular fluid in endometriosis group.
[Indones J Obstet Gynecol 2013; 37-2: 92-8]
Keywords: endometriosis, homocysteine, infertility, oocyte quality
Calcium Level is Lower in Women with Premenstrual Syndrome
Pambudi, Maria F.J.
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To know the relationship of calcium serum levels with the incidence of Premenstrual Syndrome (PMS).
Methods: Study subject that fulfil inclusion criteria were asked to fill questionnaires and venous blood sample was taken to measure calcium serum levels. The data is processed and analyzed statistically.
Result: The study was conducted on 45 women aged 20-35 years old. Groups of women with PMS found calcium levels between 8.50 to 9.40 mg/dl. Cut off point levels of calcium for PMS incidence was 9.40 mg/dl with 90.9% sensitivity, 75.0% specificity, and accuracy of 86.7%.
Conclusion: Women with PMS have lower calcium levels compared to women without PMS. Calcium levels significantly associated with incidence of PMS.
[Indones J Obstet Gynecol 2013; 37-2: 99-102]
Keywords: premenstrual syndrome (PMS), calcium serum
The Estrogen Receptor Concentration and Col3A1 Gene Immunoexpression in Uterosacral Ligament is Correlated with Postmenopausal Uterine Prolapse
Asmara, Erick C.
Indonesian Journal of Obstetrics and Gynecology Volume. 37, No. 2, April 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology
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Objective: To analyze correlation between concentration of estrogen receptor and imunoexpression of Col3A1 gene on uterosacral ligament of postmenopausal uterine prolapse patient.
Methods: This is a cross-sectional analytic observational study involving 32 subjects who met inclusion criteria. Samples are taken consecutively in Dr. Hasan Sadikin Hospital in January 1st - December 31st 2012. Statistical analysis was performed with non-parametric Mann-Whitney test and Spearman’s rho non-parametric correlation test.
Result: There is no significant difference of estrogen receptor concentration between postmenopausal women with and without uterine prolapse (p = 0.377), while there is no significant difference of Col3A1 gene immunoexpression between postmenopausal women
with and without uterine prolapse (p = 0.119) either. There is a significant positive correlation between the estrogen receptor concentration and Col3A1 gene immunoexpression in uterosacral ligament of postmenopausal uterine prolapse patients (p = 0.002, r= 0.711).
Conclusion: There is a positive correlation between the estrogen receptor concentration and Col3A1 gene immunoexpression in uterosacral ligament of postmenopausal uterine prolapse patients.
[Indones J Obstet Gynecol 2013; 37-2: 103-6]
Keywords: Col3A1 gene, estrogen receptor, menopause, uterine prolapse, uterosacral ligamen