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Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)

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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.

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Articles 1,760 Documents

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The Levels of Zinc, Selenium, Iron and Copper in Preterm Pregnancy do not Differ with those of Healthy Pregnancy Wibowo, Noroyono; fitriana, Fitriana
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: to compare zinc, selenium, iron and copper levels in maternal serum of normal and preterm pregnancy. Methods: It is a cross sectional study with preterm and normal pregnant woman who will carry delivery in Dr. Cipto Mangunkusumo National Hospital and Budi Kemuliaan Hospital Jakarta from January to April 2017. This study was conducted by comparing the levels of each micronutrient in both groups of subjects. Result: From January until April 2017, there were 53 subjects divided into 30 normal pregnant women and 23 preterm pregnant women. The levels of zinc, selenium iron and copper in preterm pregnancy were 42 µg/dL, 72,39 µg/L, 74 µg/L, and 2144,52 µg/dL. Levels of zinc, selenium, iron and copper in normal pregnancy were 42 µg/dL, 67,27 µg/L, 70,5 µg/L, and 2221 µg/dL. There was no difference in micronutrients level in both groups. Conclusion: This study concluded that there was no difference in zinc, selenium, iron and copper levels in normal and preterm pregnancy. Keywords: pregnancy, zinc, selenium, iron, copper   LatarBelakang:Persalinan preterm adalahpersalinansebelumusiakehamilan 37 minggulengkap. Persalinan preterm inimasihmenjadimasalah di seluruhdunia.Padalaporan World Health Organization (WHO), Indonesia mendudukiperingkatkelimanegaradenganpersalinan preterm terbanyakyakni 675.700 persalinanpadatahun 2010.Berbagaifaktordihubungkandenganpenyebabterjadinyapersalinan preterm, termasuksalahsatunyaadalahgangguannutrisiselamakehamilan, terutamaseng, selenium, besidantembaga. Tujuan:Penelitianinimembandingkankadarseng, selenium, besidantembagapada serum maternal ibuhamil normal dan preterm. Metode:Penelitiandilakukandenganujipotong-lintangdengansubjekpenelitianibuhamilbaik preterm maupunaterm yang akanmelaksanakanpersalinan di RSUPN Dr. CiptoMangunkusumodan RS Budi Kemuliaan Jakarta padaJanuarihingga April 2017. Penelitiandilakukandenganmembandingkankadarmasing-masingmikronutrienpadakeduakelompoksubjek. Hasil:DalamjangkawaktuJanuarihingga April 2017 didapatkan 53 subjekpenelitianyakni 30 ibuhamil normal dan 23 ibudengankehamilan preterm. Seluruhsubjekdimasukkandalamanalisis data.Kadar seng, selenium, besidantembagapadaibudengankehamilan preterm secaraberurutanadalah 42 µg/dL, 72,39 µg/L, 74 µg/L, dan 2144,52 µg/dL.Sedangkankadarseng, selenium, besidantembagapadaibuhamil normal secaraberurutanadalah 42 µg/dL, 67,27 µg/L, 70,5 µg/L, dan 2221 µg/dL. Tidakadaperbedaanbermaknakadarmikronutrienpadakeduakelompoksubjek. Kesimpulan: Penelitianinimenyimpulkanbahwatidakadaperbedaankadarseng, selenium, besidantembagapadaibuhamil normal danibudengankehamilan preterm. Kata kunci:kehamilan, seng, selenium, besi, tembaga

Making Diagnostic of Gestational Trophoblastic Neoplasia : What, When, How to Treat and What to do Next ? Anggraeni, Tricia D; Widyanti, Olivia
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

A delay on diagnosing Gestational Trophoblastic Neoplasia (GTN) may cause increase of morbidity to the patient. The important things that OBGYN usually forgot is that GTN may develop not only from previous molar gestation (50-60%), but also from abortions or ectopic pregnancy (25-30%) and term or preterm deliveries (10-25%).1,2This can cause a delay on diagnosing that may increase the GTN score from low risk become high risk, such as this case, as follow.

Severe preeclampsia-eclampsia and their associated factors Bahri, syamsul; Suheimi, Donel
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: To analyze factors associated with severe preeclampsia and preeclampsia at Arifin Achmad General Hospital, Pekanbaru. Methods: This was a cross-sectional study.  Data on women who were diagnosed with severe preeclampsia or eclampsia and delivered between January 2014 and December 2015 were collected. These included maternal age, educational level, gestational age, delivery method, parity and ANC provider. Data were then analyzed using chi-square test with multivariate logistic regression analysis. Results: There were 3294 deliveries happened between January and December 2015. Prevalence of severe preeclampsia during the study period was 14.54% and that of eclampsia was 3.28%.  Mothers aged >35 have more than twice the risk of developing severe preeclampsia and eclampsia (95% CI 1.1- 4.6, p = 0.0001). Gestational age has the strongest association with eclampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Severe preeclamptic-eclamptic mothers were at least five times as likely as the non-preeclamptic/eclamptic to have Cesarean Section or operative vaginal delivery (p = 0.0001). Conclusions: Prevalence of severe preeclampsia was 14.54% and that of eclampsia was 3.28% in the period between January 2014 and December 2015. Mothers aged >35 were three times as likely as those age ≤35 to develop severe preeclampsia – eclampsia, Term pregnancy had higher risk of severe preeclampsia – eclampsia compared with preterm pregnancy; however, preterm pregnancy has 2.4 times as likely as term pregnancy to develop a worsening severe preeclampsia/eclampsia. Finally, mothers with severe preeclampsia or eclampsia have a five times greater risk of having delivered via Cesarean Section or operative vaginal delivery compared to the non-preeclamptic – non-eclamptic ones. Keywords: eclampsia ,educational level, gestational age, parity, severe preeclampsia.   Abstrak Tujuan: Untuk menganalisa faktor-faktor yang berhubungan dengan preeklamsia berat dan eklampsia di RSUD Arifin Achmad Pekanbaru. Metode: Penelitian ini merupakan penelitian potong lintang. Data yang diambil yaitu perempuan yang didiagnosis dengan preeklamsia atau eklampsia dan melahirkan pada Januari 2014hingga Desember 2015. Usia ibu, tingkat pendidikan, usia kehamilan, metode persalinan, paritas dan pemberi layanan ANC juga disertakan. Data kemudian dianalisis menggunakan uji chi-squaredengan analisis regresi logistik multivariate. Hasil: Terdapat 3.294 kelahiran padaJanuari 2014 hingga Desember 2015. Prevalensi preeklamsia berat selama penelitian ini yaitu 14.54% dan eklampsia sebesar 3.28%. Usia ibu>35tahun memiliki risiko dua kali lebih besar untuk terjadinya preeklamsia berat dan eklampsia (95% CI 1.1- 4.6, p = 0.0001). Usia kehamilan memiliki hubungan yang paling kuat dengan eklampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Ibu dengan preeklamsia-eklampsia lima kali lebih besar untuk dilakukan seksio Cesarean ataupersalinan pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia/eklampsia. (p = 0.0001). Kesimpulan: Prevalensi preeklamsia berat adalah 14.54% dan eklampsia 3.28% pada periode Januari 2014 sampai Desember 2015. Usia ibu >35 tahun memiliki tiga kali lebih besar risiko untuk terjadinya preeklampsoa-eklampsia. Kehamilan cukup bulan memiliki risiko lebih tinggi untuk terjadinya preeklamsia-eklampsia dibandingkan dengan kehamilan preterm; namun, kehamilan preterm memiliki risiko 2.4 kali lebih besar untuk mengalami perburukan preeklamsia/eklampsia dibandingkan pada kehamilan cukup bulan. Ibu dengan preeklamsia atau eklampsia memiliki risiko lima kali lebih besar untuk melahirkan dengan seksio Cesarean atau pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia atau eklampsia. Kata kunci : eklamsia, paritas, preeklamsia berat, tingkat pendidikan, usia kehamilan    

Maternal Mortality Rate at East Ogan Komering Ulu (East OKU) Regional Public Hospital Over a Four Year Period: Trends, Its Associated Factors and Neonatal Outcome Kesty, Cindy; Saputra, Hendra S
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the MMR trends, its associated factors, and neonatal outcome at East OKU Regional Public Hospital from 2013 until 2016. Methods: This descriptive study was performed from January 2013 until December 2016 in maternity ward and Intensive Care Unit (ICU) of East OKU Regional Public Hospital, South Sumatera. Data was collected from medical records. There were 17 maternal deaths, but 1 data was excluded due to lack of data. Results: We recorded 2,191 pregnancies and 17 maternal deaths. Over 4 years, the lowest MMR occurred in 2013 (229/100,000) and achieved its peak in 2014 (1,306/100,000). Then, MMR followed downward trend dropping from 1,087/100,000 in 2015 until 588/100,000 in 2016. Most of deceased were childbearing age women (50.0%), multigravida (62.5%), but nulliparous (50.0%), and aterm (87.5%). The major etiology of maternal deaths were hypertensive disorder (37.5%), followed by hypertensive disorder + hemorrhage and hypertensive disorder + infection in the same proportion. MMR were higher in inborn cases (87.5%), born via C-section (87.5%), and treated for less than 48 hours (93.75%). Alive neonatal were born in most cases (62.5%). Conclusion: MMR trends in our hospital were fluctuating with a downward trend, but still much higher than the MDGs target in 2015 (102/100,000). Hypertensive disorder plays significant role in maternal deaths. In addition, most of neonates were born alive. We hope that this study can be a feedback for hospital to do maternal and perinatal audit. Keywords: Factors, Maternal mortality rate, Neonatal outcome, Regional public hospital, Trends     Tujuan: Untuk menentukan pola, faktor yang berkaitan, dan luaran neonatus di RSUD OKU Timur dari 2013 hingga 2016. Metode: Studi deskriptif dilakukan dari Januari 2013 hingga Desember 2016 di bangsal kebidanan dan unit perawatan intensif RSUD OKU Timur, Sumatera Selatan. Data dikumpulkan dari rekam medik. Terdapat 17 kematian ibu, tetapi 1 data dieksklusi karena data yang kurang lengkap. Hasil: Terdapat 2.191 kehamilan, dan 17 kematian ibu. Selama 4 tahun, AKI terendah terjadi pada 2013 (229/100.000) dan mencapai puncaknya pada 2014 (1.306/100.000). Kemudian, AKI mengalami penurunan dari 1.087/100.000 pada 2015 hingga 588/100.000 pada 2016. Mayoritas sampel berusia reproduktif (50,0%), multigravida (62,5%) dan nulipara (50,0%), serta aterm (87,5%). Mayoritas kematian ibu disebabkan oleh hipertensi dalam kehamilan (HDK) (37,5%), diikuti oleh HDK + perdarahan dan HDK + infeksi dalam jumlah yang sama. AKI lebih tinggi pada ibu yang melahirkan di RS (87,5%), melahirkan melalui sectio caesaria (87,5%), dan dirawat selama kurang dari 48 jam (93,75%). Mayoritas neonatus dilahirkan hidup (62,5%). Kesimpulan: Pola AKI di RSUD berfluktuasi dengan pola menurun, tetapi masih jauh lebih tinggi dari target MDGs pada tahun 2015 (102/100,000). Hipertensi dalam kehamilan berperan signifikan terhadap kematian ibu. Mayoritas neonatus dilahirkan hidup. Studi ini diharapkan dapat menjadi masukan bagi rumah sakit untuk melakukan audit maternal dan perinatal. Kata kunci: Angka kematian ibu, Faktor, Luaran neonatus, Pola, Rumah sakit umum daerah

Role of Biomarkers for the Screening of Preeclampsia, are we there yet? Dachlan, Erry G
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

N/A

Understanding the Patients’ Choice in Reproductive Health Hadisaputra, Wachyu
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Extending Coverage and Developing a Network for Achieving Cervical Cancer Screening with Documentation on Visual Inspection of Acetic Acid (Do-VIA) in Indonesia Laila Nuranna Nuranna, Laila
Indonesian Journal of Obstetrics and Gynecology Volume. 2, No. 2, April 2014
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v31i3.1082

N/A

Post-menopausal Women: The Tip of an Iceberg R Muharam Natadisastr Natadisastra, R. Muharam
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 | DOI: 10.32771/inajog.v2i1.1086

N/A

Placental Growth Factor Levels in Preeclampsia Compared to Normal Pregnancy Situmorang, Dumaria; Tendean, Hermie MM; Wantania, John J
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To identify and analyze the differences in the levels of PlGF in preeclampsia and normal pregnancy. Method: This was a cross-sectional observational qualitative study of PlGF in preeclampsia and normal pregnancy. The number of samples in case and control group was 30 in each groups. Result: We found that mean of maternal age in the preeclampsia group was 28.53 years and 25.23 years in the control group. Mean parity in preeclampsia and control group was 2.33 and 1.56, respectively. Mean hemoglobin level in preeclampsia and control group was 11.97 and 11.99, respectively. Mean maternal blood glucose level was 87.0 in the preeclampsia group, and 87.9 in the control group. In the preeclampsia group mean urea concentration was 16.45, while it was 22.78 in the control group. Mean creatinine level was 0.92 in the preeclampsia group and 0.64 in the control group. Mean SGPT and SGOT in the preeclampsia group was 23.36 and 21.97, while in the control group was 29.86 and 26.20. Test results showed that PlGF levels was significantly different between the preeclampsia and control group. Mean PlGF in the preeclampsia and control group was 42.10 and 452.33 respectively, with p

Maternal Serum Interleukin6 Level in Correlation with Preterm Delivery Noviyanti, Noviyanti; Tendean, Hermie M M; Kaeng, Juneke J
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 4, October 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To determine the correlation between maternal serum Interleukin-6 (IL-6) serum level with preterm delivery. Methods: We performed an observational cross-sectional study of 30 pregnant women between 21 to 36 week gestational age with and wthout labour (delivery) in Prof. Dr. RD. Kandou Hospital Manado. Samples were collected with consecutive sampling method. Data was analyzed using Mann-Whitney test with significance level of p

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