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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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Paradigma baru mengenai Miomektomi pada saat seksio sesarea* A. DJUANNA
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 (121.45 KB)

Abstract

Tindakan miomektomi saat seksio sesarea tetap merupakan prosedur yang mudah dan aman apabila dilakukan secara tepat. Upaya untuk meningkatkan keamanan dilakukan dengan melakukan hemostasis, enukleasi secara tajam serta mendekatkan miometrium dengan baik agar tidak terbentuk rongga mati (dead space) yang dapat menimbulkan hematoma. Teknik "double circle stitching" bila dikombinasi dengan uterotonika dapat lebih memperkecil jumlah perdarahan yang mungkin terjadi.
Pola Hidup untuk Meningkatkan Kualitas Wanita Menopause* H.K. SUHEIMI
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 (176.505 KB)

Abstract

Pola hidup wanita menopause merupakan faktor utama untuk tercapainya kehidupan yang berkualitas. Tujuan pemberian Terapi Sulih Hormon (TSH) adalah semata-mata untuk meningkatkan kualitas hidup wanita menopause.
Perbandingan Penerimaan dan Efek Samping Nyeri, Perdarahan dan Ekspulsi AKDR Flexi-T300 dengan AKDR Cu-T380A B. WIWEKO; B. AFFANDI
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 (230.674 KB)

Abstract

Tujuan: Membandingkan penerimaan dan efek samping nyeri, perdarahan, dan ekspulsi AKDR Flexi-T300 dengan AKDR Cu-T380A. Tempat: Klinik Raden Saleh dan Klinik Keluarga Berencana RSUPN Dr. Cipto Mangunkusumo. Bahan dan cara kerja: Penelitian ini dirancang sebagai uji klinis (randomized controlled trial). Dilakukan observasi jangka waktu 6 bulan untuk menilai penerimaan dan efek samping nyeri, perdarahan serta ekspulsi AKDR Flexi-T300 dibandingkan dengan AKDR Cu-T380A. Kegiatan penelitian dilaksanakan di Klinik Raden Saleh dan Klinik Keluarga Berencana RSUPN Dr. Cipto Mangunkusumo mulai bulan Mei 2004 sampai Januari 2005. Hasil: Secara keseluruhan peserta penelitian terdiri dari 49 (45,8%) akseptor AKDR Flexi-T300 dan 58 (54,2%) akseptor AKDR Cu-T380A. Angka kelangsungan pemakaian AKDR Flexi-T300 adalah sebesar 93,9% sedangkan angka kelangsungan pemakaian AKDR Cu-T380A adalah sebesar 91,4% (p=0,621). Angka kejadian perdarahan bercak secara kumulatif pada kelompok Flexi-T300 sebesar 24,5% dibandingkan dengan kelompok Cu-T380A sebesar 50% (p=0,021). Sedangkan kejadian nyeri pada kelompok Flexi-T300 adalah 24,5% dan pada kelompok Cu-T380A adalah 29,8% (p=0,439). Kejadian perdarahan yang menyebabkan putus uji pada kelompok AKDR Cu-T380A adalah sebesar 5,2% dan pada kelompok AKDR Flexi-T300 sebesar 2,04% (p=0,621). Angka kejadian ekspulsi pada kelompok Flexi-T300 adalah 2,04% sedangkan pada kelompok Cu-T380A sebesar 3,4% (p=0,621). Kesimpulan: Angka kelangsungan pemakaian AKDR Flexi-T300 lebih baik dibandingkan dengan AKDR Cu-T380A dengan efek samping perdarahan bercak yang lebih rendah secara bermakna. Efek samping nyeri dan ekspulsi AKDR Flexi-T300 lebih rendah dibandingkan dengan AKDR Cu-T380A. [Maj Obstet Ginekol Indones 2006; 30-2:92-100] Kata kunci: AKDR, Flexi-T300, Cu-T380A, nyeri, perdarahan, ekspulsi, putus uji, kelangsungan pemakaian. Objective: To compare acceptance and side effect between Flexi- T300 and Cu-T380A. Setting: Raden Saleh Clinic and Department of Obstetrics and Gynecology Dr. Cipto Mangunkusumo General Hospital. Material and methods: We conducted a randomized controlled trial of 107 women which were recruited between May 2004 and January 2005 at Dr. Cipto Mangukusumo Hospital and Raden Saleh Reproductive Health Clinic. Women were observed and evaluated during 6 months for the side effect and continuation of intrauterine devices. Results: After all inclusion/exclusion were applied, 49 (45.8%) Flexi-T300 and 58 (54.2%) Cu-T380A users remained in the analysis. By the end of study 8 discontinuations had occured. The main reasons for these early discontinuations were bleeding (4), expulsion (3) and for personal reason (1). The continuation rate of Flexi-T300 and Cu-T380A were 93.9% and 91.4% (p=0.621). Event rates at the end of study for bleeding among Flexi-T300 users were significantly lower than Cu- T380A (24.5% vs 50%) and for pain were 24.5% for Flexi-T300 and 29.8% for the Cu-T380A. The incidence of bleeding that caused IUD removal was 2.04% for Flexi-T300 group and 5.2% for Cu-T380A group. Expulsion rate among Flexi-T300 users were lower than Cu-T380A group (2.04% vs 3.4%). Conclusions: Continuation rate of Flexi-T300 was higher than Cu- T380A with significantly lower of bleeding event. Cumulative incidence of pain and expulsion were also lower for Flexi-T300 than Cu-T380A. [Indones J Obstet Ginecol 2006; 30-2: 92-100] Keywords: IUD, Flexi-T300, Cu-T380A, pain, bleeding, expulsion, discontinuation, continuation.
Identifying Causes of Vaginal Discharge: The Role of Gynecologic Symptoms and Signs Farhan D Hasan; Dwiana Ocviyanti
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.529 KB) | DOI: 10.32771/inajog.v3i1.17

Abstract

Abstract Objective: To attain diagnostic accuracy of various gynecologic symptoms and signs in identifying causes of vaginal discharge. Method: Eighty-two subjects were included in this cross sectional study. Gynecologic symptoms and signs were inquired from each subject and further laboratory examinations were carried out to identify the etiology. Diagnostic accuracy for each symptom and sign was compared to the laboratory examination as the standard reference. Symptoms and signs with positive predictive value (PPV) of more than 50% were considered to have good diagnostic accuracy. Result: For bacterial vaginosis, excessive wetness in genital area; vulvar maceration; and thin, turbid, yellowish vaginal discharge had PPVs of 53%; 52%; and 52%, respectively. For candidal vaginitis, vulvar maceration; and white, curd-like vaginal discharge had PPVs of 58% and 100%, respectively. For trichomoniasis, thin, turbid, frothy, yellowish vaginal discharge; and strawberry-cervix appearance had PPVs of 60% and 100%, respectively. There were no symptoms or signs with PPV of more than 50% for chlamydial cervicitis. Diagnostic accuracy for clinical findings in gonorrheal cervicitis could not be calculated due to the small number of subjects. Conclusion: Various gynecologic symptoms and signs were found to be accurate in diagnosing bacterial vaginosis, candidal vaginitis, and trichomoniasis. No symptoms or signs were considered accurate to aid etiological diagnosis for chlamydial and gonorrheal cervicitis. Keywords: bacterial vaginosis, Candida sp, Chlamydia trachomatis, gynecologic symptoms and signs, Neisseria gonorrhoeae, Trichomonas vaginalis
Serum Malondialdehyde Level as a Risk Factor for Threatened Abortion Gusti N Sutama; I Gede P Surya
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.926 KB) | DOI: 10.32771/inajog.v3i1.19

Abstract

Objective: To determine the role of serum malondialdehyde level as a risk factor for threatened abortion. Method: Our study was a case‐control study. We examined 60 pregnant women as our subject, 30 subjects with threatened abortion as cases and 30 subjects with normal pregnancy as control group. Serum levels of malondialdehyde of each woman was examined in the Biochemistry Laboratory Faculty of Medicine Gadjah Mada University in Yogyakarta. We tested the normality of our data using Kolmogorov‐ Smirnov test, and analysis was then performed using independent sample t‐test. To determine the relationship of serum malondialdehyde with threatened abortion, Chi‐Square test was used. Result: From this study we found that the average serum malondialdehyde level in threatened abortion was 1.33K0.11 nmol/ml, while the average level of serum malondialdehyde in normal pregnancy was 1.03K0.10 nmol/ml. The analysis using independent t‐test shows that the average serum malondialdehyde level on the two groups was significantly different (p=0.001). Based on the cut‐off value of 1.12 nmol/ml, we found that the relative risk of threatened abortion is 29.57 times (95% CI=6.85‐127.64, p=0.001) in those with a high level of serum malondialdehyde. Conclusion: The serum malondialdehyde level in threatened abortion was significantly different compared to normal pregnancy. A high level of serum malondialdehyde in pregnancy was a risk factor for threatened abortion. Keywords: malondialdehyde, normal pregnancy, threatened abortion
Difference of Serum MMP9 and TNF 􀁃 Level in Preterm and Term Premature Rupture of Membranes Aji P Wibowo; Sri Sulistyowati; Supriyadi H Respati
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.246 KB) | DOI: 10.32771/inajog.v3i1.20

Abstract

Objective: To examine the difference between matrix metalloproteinase‐ 9 (MMP‐9) and Tumor Necrosis Factor 􀁃 (TNF‐􀁃) serum levels in preterm and term premature rupture of membranes (PROM). Method: Our study employed an observational cross sectional approach. Seventy samples were divided into two groups, 35 samples with preterm PROM (28‐36 weeks gestational age) and 35 samples with PROM at term pregnancy (37‐42 weeks gestational age). Both groups underwent examination for serum MMP‐9 and TNF‐􀁃 concentration using ELISA method. Statistical analysis was done using ttest. Result: Serum levels of MMP‐9 in the preterm PROM group was 2860.68K627.32 ng/ml, which was significantly higher than in the PROM at term pregnancy group 2549.74K657.15 ng/ml (p=0.04). Likewise, the average serum level of TNF‐􀁃 in subjects with preterm PROM was 12,086.60K5384.51 ng/ml, significantly higher in comparison to PROM at term pregnancy, which was 6422.51K2645.32 ng/ml (p=0.00). Conclusion: Serum levels of MMP‐9 and TNF‐􀁃 in preterm PROM is significantly higher than that in PROM at term pregnancy. Keywords: MMP‐9, premature rupture of membranes, preterm, term, TNF‐􀁃
Helminth Infection in Pregnancy: Effect on Serum Albumin Level and Pregnancy outcome Steven Ridwan; Sitti Wahyuni; Maisuri T Chalid
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.415 KB) | DOI: 10.32771/inajog.v3i1.21

Abstract

Objective: To determine the prevalence of helminth infection in pregnant women and its effect on albumin levels and pregnancy outcome. Method: A prospective cohort study was conducted on third trimester pregnant women presenting for antenatal care in several hospitals in Makassar. Information on subject demography was recorded using short questionnaire. Stool samples were collected to determine the presence of helminth infection. Albumin levels were measured from maternal blood and cord‐blood. Outcome of pregnancy was assessed upon delivery. Result: The prevalence of helminth infection in our subjects was 22.8%. Among 21 infected women, 17 were infected with Ascaris lumbricoides (80.9%), one with Trichuris trichiura and three with both Ascaris and Trichuris. The mean Ascaris lumbricoides intensity was 1769.3 epg (Range = 24‐11.688 epg). Helminth infections have no effect on either maternal or neonatal albumin levels (p=0.748 and p=0.480, respectively). Although it was not found to be significant (p>0.05), helminth infection seems to affect gestational age (OR 2.06, 95% CI 1.48‐2.86) and birth weight (OR 2.18, 95% CI 1.52‐3.14). Neonatal albumin level and pregnancy outcome were not affected by maternal albumin level. Conclusion: Helminth infection seems to affect pregnancy outcome in pregnant women in Makassar, but not through influence of albumin. Factors other than albumin level may responsible for such condition.
Serum Vascular Endothelial Growth Factor (VEGF) in DMPA Acceptors: Influence on Bleeding Occurrence Ratih Pratiwi; Rizani Amran; Usman Said; Irsan Saleh
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.512 KB) | DOI: 10.32771/inajog.v3i1.22

Abstract

Objective: To analyze the relationship between levels of serum vascular endothelial growth factor (VEGF) and bleeding occurrence in depo medroxyprogesterone acetate (DMPA) acceptors. Method: We employed a cross‐sectional study on 70 DMPA acceptors with DMPA use of 3 to 6 months who presented for midwifery service in Palembang. Blood samples were obtained in order to assess levels of serum VEGF using ELISA (enzyme‐linked immunoabsorbent assay) method. Laboratory assessments were carried out in PRODIA laboratory in Jakarta. Result: We recruited 70 subjects into our study. After 3 to 6 months of using DMPA, as much as 26 subjects (37.1%) reported complaints of bleeding and 44 subjects (62.9%) reported no bleeding. The mean level of serum VEGF in DMPA acceptors with bleeding was 355 K 170 pg/ml, and 323 K 202 pg/ml in acceptors with no bleeding. We identified a significant association between duration of use and bleeding occurrence (p0.05). Conclusion: In our sample, we found an association between duration of DMPA use and presence of bleeding but VEGF levels was not found to be different in women experiencing abnormal uterine bleeding and those who did not. Keywords: bleeding, DMPA acceptor, serum VEGF
C-Telopeptide in Relation with Osteoporosis Risk Classification Using Osteoporosis Self Assessment Tools for Asian (OSTA) in Postmenopausal Women Willy Pangestu; Maria Loho; Freddy Wagey
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.935 KB) | DOI: 10.32771/inajog.v3i1.23

Abstract

Objective: To determine the correlation between C‐telopeptide with osteoporosis risk by using Osteoporosis Self Assessment Tools for Asian (OSTA) in postmenopausal women. Method: An analytic cross‐sectional study of 31 postmenopausal women in Prof. Dr. RD Kandou Hospital, Manado. Samples were collected through consecutive sampling. Data was analyzed using Pearson test with significance level of p>0.05. Result: Our sample consisted of 31 postmenopausal women. Mean OSTA score is ‐1.02K2.54. Sixteen women (51.61%) were deemed to have low risk, 8 women (25.81%) deemed to have moderate risk and 7 women (22.58%) deemed high risk based on the OSTA score. The mean C‐telopeptide plasma level of our sample is 0.52K0.25 􀁏g/l. We found plasma C‐telopeptide level and OSTA score were normally distributed. Correlation analysis using Pearson test identified a significant negative correlation between plasma C‐telopeptide level and OSTA score (r=‐0.768; p=0.001). Conclusion: There is a significant negative correlation between plasma C‐telopeptide level with risk of osteoporosis based on OSTA score in postmenopausal women. Keywords: OSTA score, plasma C‐telopeptide, postmenopausal women
Laceration Extension in Median and Mediolateral Episiotomy Bobby I Utama; Junizaf Junizaf; Budi I Santoso; Ermawati Ermawati; Surahman Hakim
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.647 KB) | DOI: 10.32771/inajog.v3i1.24

Abstract

Objective: To compare the laceration extension between median and mediolateral episiotomy in women with perineal body sized more than 2.5 cm. Method: A single‐blind RCT study was conducted on 104 women receiving median episiotomy and 104 women receiving mediolateral episiotomy at Dr. M. Djamil Hospital Padang and Reksodiwiryo Military Hospital Padang. Result: There was no difference in laceration extension in both groups, but pain in the first 24 hours and pain after day 14 was higher on mediolateral group than the median group (p=0.005 and p=0.008, respectively). Conclusion: There is no difference in terms of laceration extension between median and mediolateral episiotomy, but the pain is higher in the mediolateral group. [Indones J Obstet Gynecol 2015; 1: 38‐43] Keywords: laceration extension, median episiotomy, mediolateral episiotomy

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