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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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Ovarian Malignancy Prediction by Gatot Purwoto (GP) Score, Risk Malignancy Index (RMI), and Frozen Section in Young Age Wijaya, Liva
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 (145.8 KB) | DOI: 10.32771/inajog.v2i3.399

Abstract

Objective: To know the diagnostic value of a scoring system taken before surgery and frozen section in young-aged patients with suspected malignancy. Using that result, we can also investigate whether frozen section gives additional value to clinical scoring system. Method: This study is a diagnostic test. This study was carried out by accessing RSCM’s medical record from 2006-2011. From 437 patients suspected of ovarian malignancy, we included 157 patients due to age. Result: Diagnostic value of GP score are 77%, 49%, 61%, 68%, 63%, while RMI are 69%, 49%, 58%, 45%, 59%, (sensitivity, specificity, positive predictive value, negative predictive value, and accuracy respectively). Diagnostic value of frozen section in patients with suspected malignancy using GP score >4 are 81.7%, 87.2%, 90.7%, 75.6%, 83%, while in patients with RMI 200 are 81%, 87%, 89%, 77%, 83% (sensitivity, spesificity, positive predictive value, negative predictive value, and accuracy respectively). Conclusion: Gatot Purwoto score and RMI have good diagnostic value in proving malignancy in young age. Its predictive value will be increased by frozen section. [Indones J Obstet Gynecol 2014; 3: 157-161] Keywords: frozen section, gatot purwoto score, ovarian malignancy, RMI, young age
Fetal Fibronectin (fFN) on the Imminent Premature Parturition in Correlation with Incidence of Preterm Labor Keman, Kusnarman; Nugrahanti, Prasetyorini; Supriany, Ni Wayan
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 (75.179 KB) | DOI: 10.32771/inajog.v4i1.65

Abstract

Objective: To determine the relationship of fFn levels in cervicovaginal discharge of pregnant women who experience imminent premature parturition with the incidence of preterm labor. Method: The study was carried out with Analytic Observational Prospective Cohort using cervicovaginal discharge of pregnant women that experienced imminent premature parturition taken from the delivery room of Obstetrics and Gynecology department dr. Saiful Anwar Hospital, Malang as well as Bangil Hospital and Ngudi Waluyo Wlingi Hospital. Statistical analysis was performed using the Shapiro-Wilk test and comparison test used independent samples t test for normal data, Mann-Whitney test if not. All analysis used SPSS for Windows 19.0 software. Result: Thirty two patient samples was examined, 14 patients (43.75%) were primigravida and 18 patients (52.56%) is multigravida. 17 of these patients (53.13%) experienced aterm labor and 15 patients (46.87%) experienced preterm labor. Mann-Whitney test of the mean fFN levels between the aterm group (13.01 ± 7.57 ng/ml) and the preterm group (56.29 ± 27.77 ng/ml) showed a significant difference (p-value = 0.000 > 0.05). Moreover, Spearman’s Rho correlation test also showed a strong correlation between fFN level and incidence of preterm labor (R = 0.797, p < 0.05). Conclusion: fFN levels is significantly increase in cervicovaginal discharge from pregnant women with imminent premature parturition who experience preterm labor than pregnant women who experience aterm labor. Therefore, this result suggests that fFN has potential ability to become useful modality in preterm labor diagnosis. [Indones J Obstet Gynecol 2016; 1: 8-14] Keywords: cervicovaginal discharge, fFN, imminent premature parturition, preterm labor
Relationship between Knowledge, Attitude and Behavior of Postnatal Woman Toward Participation in Permanent Contraception Heriansyah, Jhon; Azhari, Azhari; Basir, Firmansyah; Theodorus, Theodorus
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 (99.427 KB) | DOI: 10.32771/inajog.v6i1.756

Abstract

Objective: To investigate the association between knowledge,attitude, and behavior towards participation in permanentcontraception and describe factors that could affectparticipation of permanent contraception in women inRSMH Palembang.Methods: This case control study was conducted at the Departmentof Obstetrics and Gynecology, Dr. Mohammad Hoesin Hospital/Faculty of Medicine, Universitas Sriwijaya, Palembang, during theperiod of June 2016 to December 2016. Sample of the cases groupwas woman who agreed to use permanent contraception whilecontrol sample was women who refuse to use permanent contraception.Data were collected using a questionnaire. Statisticalanalysis was performed using SPSS.Results: There was a significant association between attitude,behavior, husband support, and disease complications withparticipation of permanent contraception. Factors that influencedparticipation of permanent contraception in woman in RSMHPalembang include husband support and behavior.Conclusion: Factors that influence the participation of women inRSMH safe contraception Palembang include support for herhusband and behavior.[Indones J Obstet Gynecol 2018; 6-1: 39-44]Keywords: family planning, participation, permanent contraception
The use of B-Lynch Technique and Lasso-Budiman Technique to Control Postpartum Hemorrhage in Uterine Atony Rahman, Muhammad Nurhadi
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 (335.93 KB)

Abstract

Objective: To evaluate the use of B-Lynch Technique and Lasso Budiman Technique as conservative way to control post partum hemorrhage due to uterine atony. Method: The cross-sectional retrospective study in Department of Obstetrics and Gynecology, Tangerang General Hospital, Banten, year 2005 - 2008 and Department of Obstetrics and Gynecology, Wonosobo General Hospital, Central Java, year 2003 - 2008. Results: Total 38 post partum hemorrhage cases managed conservatively using B-Lynch technique and Lasso-Budiman technique. Twenty-six cases were done at Wonosobo General Hospital using B-Lynch technique, with 1 failure case and hysterectomy was done with good result. No complications has been reported for the rest 25 successful cases. Twelve cases were done at Tangerang General Hospital, using Lasso-Budiman technique, 1 failure reported, continue to hysterectomy. Among 11 successful cases, 2 complications were found. Ssecondary amenorrhea after performing Lasso-Budiman technique due to uterine sinechia were reported. Conclusion: The B-Lynch technique and Lasso-Budiman technique, both are simple, easy, and effective to control post partum hemorrhage due to uterine atony. If failed, hysterectomy is the last choice. These techniques are also effective methods to conserve uterus and fertility. [Indones J Obstet Gynecol 2010; 34-4: 195-8] Keywords: postpartum hemorrhage, conservative methode, BLynch technique, Lasso-Budiman technique
Manajemen risiko dalam pelayanan pasien preeklampsia berat (PEB)/ eklampsia di Instalasi Gawat Darurat RSUPNCM KUSUMA, T.W.
Indonesian Journal of Obstetrics and Gynecology Volume. 33, No. 3, July 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.93 KB)

Abstract

Tujuan: Mendapatkan gambaran mengenai pelaksanaan manajemen risiko dalam pelayanan pasien PEB/eklampsia di IGD lantai 3 RSCM. Bahan dan cara kerja: Penelitian ini dilakukan di IGD lantai 3 RSCM menggunakan pendekatan kualitatif dengan melakukan wawancara terhadap 15 orang pasien yang datang dan dirawat karena PEB/Eklampsia dan pihak manajemen yang terdiri dari Direktur Pelayanan Medis RSCM, Dokter konsultan IGD lantai 3 RSCM, dan Kepala Ruangan IGD RSCM. Hasil: Sebagai tolok ukur keluaran, angka kematian ibu menurun sebesar 0,14%; lama rawat menjadi 1 hari di IGD; dan kepuasan pasien sebesar 53,3%. Dalam hal identifikasi risiko diketahui bahwa belum ada SOP yang khusus dibuat RSCM untuk penanganan PEB/Eklampsia dan walaupun sudah ada prosedur pelaporan dan pencatatan insiden klinis, namun belum ada formulir pelaporan selain rekam medis dan belum terstruktur dengan baik. Kinerja perawat masih dianggap kurang dan belum ada sistem manajemen risiko formal yang diterapkan. Analisa risiko sudah berjalan dengan baik. Terdapat upaya penurunan risiko seperti pelatihan tenaga medis, pemenuhan fasilitas, supervisi dan forum komunikasi. Namun sistem prioritas masih perlu dikembangkan. Pendanaan risiko dialokasikan untuk perlindungan terhadap tenaga medis jika terjadi tuntutan di mana kasus diproses sesuai dengan prosedur hukum yang berlaku dan untuk pemenuhan fasilitas terutama bagi pasien tidak mampu. Sudah terdapat upaya peninjauan sebagai evaluasi risiko. Kesimpulan: Langkah-langkah manajemen risiko dalam penanganan pasien PEB/Eklampsia di IGD lantai 3 RSUPNCM sudah membaik walaupun belum dilaksanakan secara optimal, terlihat dari pencapaian tolok ukur keluaran dari angka kematian ibu, lama rawat, dan kepuasan pasien sampai bulan Agustus 2008 memberikan hasil yang baik dan menurunkan terjadinya risiko yang tidak diinginkan. Faktor-faktor yang mendukung baiknya keluaran adalah tenaga kerja yang terlatih terutama dokter, fasilitas pelayanan yang lengkap, serta pengawasan yang baik dan terstruktur. [Maj Obstet Ginekol Indones 2009; 33-3: 135-42] Kata kunci: PEB, eklampsia, manajemen risiko, IGD, RSCM
Translokasi IUD Copper-T ke Vesika Urinaria disertai Pembentukan Batu Intravesika ( Laporan Kasus ) RADEN, A.; WITJAKSONO, A.
Indonesian Journal of Obstetrics and Gynecology Volume. 30, No. 2, April 2006
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.656 KB)

Abstract

Tujuan: Melaporkan 1 kasus translokasi IUD ke vesika urinaria menyebabkan terjadinya batu yang menempel di IUD di dalam vesika dan mendiskusikan diagnosis dan penanganannya. Hasil: Kasus translokasi IUD ke vesika sejak awal tidak terdiagnosa oleh karena ada riwayat pencabutan IUD dan pasien tidak dalam keadaan KB IUD. Keadaan tidak nyaman di daerah perut bagian bawah sekitar kandung kencing menyebabkan pasien ke dokter urologi, kemudian dilakukan pemeriksaan USG ditemukan batu buli-buli, kemudian dilakukan operasi pengambilan batu secara lithotripsi, waktu dilakukan lithotripsi baru 1/3 bagian tampak seperti benang, coba ditarik tidak bisa, kemudian dikonsulkan ke dokter obgin dan melihat benang putih dan benda putih seperti bodi IUD, didiagnosa translokasi IUD di vesika urinaria. Karena dicoba ditarik tak bisa kemudian dilakukan seksio Alta. Sebelum seksio Alta tampak kavum Retzii perlekatan hebat dan ada bagian buli-buli yang tertarik ke dalam. Lengan IUD sebagian tertanam di dinding vesika dan badan IUD pada ujungnya terdapat batu ukuran 3x2x2 cm3 warna kuning. Kesimpulan: Pada penderita yang sudah berhenti sebagai akseptor IUD, ataupun merasa IUD sudah hilang atau lepas tanpa diketahui dan disertai dengan keluhan perlu diperiksa lebih teliti dengan pemeriksaan USG dan foto abdomen. Kemungkinan terjadi translokasi perlu dipikirkan. [Maj Obstet Ginekol Indones 2006; 30-2: 101-3] Kata kunci: translokasi; IUD intra vesika; batu vesika.
Rectovaginal Examination, Transvaginal Ultrasonography, and Magnetic Resonance Imaging as Diagnostic Tools for Identifying Deep Infiltrating Endometriosis Nodules Wirawan, Florencia; Marwali, Luky S; Muslim, Refni; Silalahi, Eva R; Bayuaji, Harjo S; Anindita, Astri
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.637 KB) | DOI: 10.32771/inajog.v6i3.782

Abstract

&nbsp; &nbsp; Objective: To investigate the comparison between rectovaginal examination (RVT), transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) as diagnostic tools for identifying various Deep Infiltrating Endometriosis (DIE). &nbsp; Methods: Prospective longitudinal study was done involving 31 women referred for surgical management of DIE. Calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of RVT, TVUS and MRI for DIE were recorded. &nbsp; Results: The mean age was 35.1 years. DIE were present in 95.45% of women which commonly located at uterosacral ligaments (58.33%), followed by rectovaginal (16,67%), rectosigmoid- colon (16.67%) and bladder-ureter (8.3%). TVUS had the best accuracy (RVT 50.24%; TVUS 88.85%; MRI 75.77%) among other diagnostic tools for nodules located at uterosacral ligaments (RVT 52.63%; TVUS 87%; MRI 40%) and rectovaginal (RVT 76.75%; TVUS 93.34%; MRI 80%), but it poorly identified nodules located at rectosigmoid (RVT 20%; TVUS 65.56%; MRI 88.75%) and bladder-ureteral area (RVT 50.44%; TVUS 87.66%; MRI 93.55%). RVT had good PPV (88.89%) but bad NPV (32.01%) profile, made it worth to be a screening diagnostic tool. &nbsp; Conclusion: RVT was a good screening diagnostic tools as it could be done easily but was weak in diagnosing anterior DIE. TVUS gave a better diagnosis rates on DIE located at sacrouterina ligaments and rectovaginal area whereas MRI did better on bowel DIE (rectosigmoid- colon area) and urological DIE (bladder-ureteral area).&nbsp; &nbsp; Keywords: deep infiltrating endometriosis, magnetic resonance imaging, tranvaginal ultrasonography
Evaluation of Combination Chemotherapy Effect of Platinum, Vincristin, Bleomycin, and Mitomycin C on Cervical Cancer Based upon Apoptosis Description Hasan, Agus
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 4, October 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.64 KB)

Abstract

Objective: To observe the success of platinum, vincristin, bleomycin and mitomycin C (PVB-MMc) combination chemotherapy on cervical carcinoma by evaluating apoptosis feature. Methods: This study was performed at Dr. Wahidin Sudirohusodo Hospital and several other hospitals. The method of this study was prospective longitudinal. Cervical biopsy was performed on 15 cervical carcinoma patients before and after PVB-MMc chemotherapy. Six patients were at early stage and 9 patients were at advanced stage. Biopsy result were sent to pathologic anatomic laboratory to be made into paraffin block and further examined for apoptosis with Tunel method. Data were analyzed by using Wilcoxon Signed Rank test. Results: Study results indicating no significant difference for apoptosis index before and after PVB-MMc chemotherapy for early stage (p=0.463), advance stage (p=0.594), but quantitatively there were increasing apoptosis index before and after chemotherapy. Conclusion: Chemotherapy combination PVB-MMc for cervix carcinoma can increase apoptosis index and give a good response in term of reducing the tumor size although statistically not significant. [Indones J Obstet Gynecol 2012; 36-4: 200-5] Keywords: apoptosis, cervical carcinoma, PVB-MMc combination chemotherapy.
Distribution of Age, Stage, and Histopathology of Cervical Cancer: A Retrospective Study on Patients at Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia, 2006-2010 Anggraeni, Tricia D.
Indonesian Journal of Obstetrics and Gynecology Volume. 35, No. 1, January 2011
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.54 KB)

Abstract

Objective: To review the distribution of age, stage at presentation, and histology of cervical cancer at Dr. Cipto Mangunkusumo Hospital. Materials and methods: This cross sectional study involved 2297 subjects with cervical cancer at Dr. Cipto Mangunkusumo Hospital and registered at the Cancer Registration Information System during 5 years period from January 2006 to December 2010. Histotype was confirmed by histopathology examination. The International Federation of Gynecology and Obstetrics (FIGO) classification was used to stage the disease. Result: The mean age of cervical cancer patients was 51.42 years old (SD 9.694, range 21 - 85). The highest incidence was in 35 - 64 years (87.3%), with the peak incidence in 40 - 59 years (71.3%). There were 0.4 % patients identified at stage IA1, 0.1% at stage IA2, 7.3% at stage IB1, 4.9% at stage IB2, 10.5% at stage IIA, 17.3% at IIB, 1.7% at stage IIIA, 50.2% at stage IIIB, 4.3% at stage IVA, 3.2% at stage IVB. Of the 2297 patients, 70.2% had epidermoid carcinoma, 15.1% had adenocarcinoma, 10.2% had adenosquamous, 0.6% had clear cell, 3.9% had other types. Conclusion: A large proportion of cervical cancer (76.7%) presented in advanced stage (≥ stage IIB). The highest incidence (57.8%) was in the age range 45 - 59 years. Squamous cell carcinoma is the most frequent histopathology type (70.2%), followed by adenocarcinoma (15.1%) and adenosquamosa (10.2%). A lack of effective screening programs aimed at detecting and treating precancerous conditions is a key reason for the high incidence of cervical cancer at advanced stage. [Indones J Obstet Gynecol 2011; 35-1: 21-4] Keywords: cervical cancer, age, stage, histopathology
Anti Müllerian Hormone (AMH) Level as Ovarian Reserve Marker before and after Cystectomy Laparotomy Sahabuddin, Rosdiana; Abdullah, Nusratuddin; Manoe, IMS Murah
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.712 KB)

Abstract

Objective: To investigate the comparison of the Anti-Mullerian Hormone (AMH) as the ovarian reserve marker before and after cystectomy. Methods: This study used prospective cohort design which included all women with the ovarian cyst who underwent cystectomy laparotomy. The subjects were examined AMH level before and after the procedure. Data were analyzed using one- way Anova, T- paired test, and T-independent test with p value

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