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Andalas obstetrics and gynecology journal
Published by Universitas Andalas
ISSN : 25798324     EISSN : 25798413     DOI : https://doi.org/10.25077/aogj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Nursing Public Health
Andalas Obstetrics And Gynecology Journal (AOJ) (e-ISSN: 2579-8324) is a peer-reviewed, open-access national journal published by Universitas Andalas and is dedicated to publish and disseminate research articles, literature reviews, and case reports, in the field of obstetrics, gynecology, and other related disciplines.
Arjuna Subject : Kedokteran - Obstetrics and Gynaecology
Articles 37 Documents
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Search results for , issue "Vol 4, No 1 (2020)" : 37 Documents clear
Diagnostic Value of Cyclooxygenase-2 Serum Levels in Predicting Preterm Labor Suhandri, Wiwin; Djanas, Dovy
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.28-34.2020

Abstract

Objective: To determine the value of serum cyclooxygenase 2 in predicting preterm laborMethod: Examination of serum COX-2 levels by ELISA method in pregnant women with 28 weeks to 36 weeks of pregnancy compared with pregnant women with ≥37 weeks of gestation at the time of first stage of active phaseResults: It is known that the average COX-2 level in preterm labor is 21.88 ± 18.22 higher than in term labor which is 4.88 ± 2.35 ng / ml, the statistical test results obtained p = <0.001 serum Cyclooxygenase 2 at preterm deliveries and term deliveries. The value of serum cyclooxygenase 2 levels in predicting preterm labor is at a cut point of 7.0.0 ng / ml with a sensitivity of 86.1% and a specificity of 86.1%Conclusion: There were significant differences in serum cyclooxygenase 2 levels in preterm labor and term delivery Keywords: cyclooxygenase 2, memprediksi persalinan preterm, persalinan preterm.
Chronic Uterine Inversio due to Myoma Geburt Utama, SpOG(K), Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.110-113.2020

Abstract

Background: Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.Objective: Report on the management of chronic uterine inversion due to myoma geburtMethods: Case reportCase: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight bleeding from vagina since 1 month ago with 2-3 pieces of underware dark-red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as big  as baby’s head. The mass  had pus and necrotic tissue.Conclusion: Uterine inversion is an serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be assosiated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt with  total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding. Keywords: uterine inversion; myoma geburt
Hubungan Antara Perubahan TitiK B Anterior (BA) dengan Berat Badan Lahir Bayi pada Persalinan Normal Gunawan, Beny; Ermawati, Ermawati
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.7-12.2020

Abstract

Background : Pelvic organ prolapse (POP), also known as urogenital prolapse, is a decrease in pelvic organs which causes protrusion of the vagina, uterus or both. Determination of POP is seen from anterior vaginal wall prolapse (cystocele), uteri (urethrocele) and posterior vaginal wall (rectocele). In identifying the incidence of POP can be seen by knowing anatomic abnormalities, especially cytoceles, based on the degree measured by the Prevalence Organ Prolapse Quantification (POPQ) system. In the cystocele the POPQ assessment is focused on the anterior B point (Ba), which is the point that is in the anterior vaginal wall, between the Aa point and the anterior fornix.Objectives : determine the relationship between changes in anterior point B with the birth weight of infants in normal labor. Method: This study was conducted with a cross sectional comparative study method in the obgin polyclinic Prof. dr. Hanafiah Batusangkar from September to December 2017. The number of samples was 74 people with 37 people in the group with an anterior point B change> 3 cm and 37 people in the group with an anterior point B change <3 cm. Data analysis using SPSS version 22, theresults of statistical tests were significant if p <0.05.Results: There was a relationship between age (p = 0.041) and parity (p = 0.047) with changes in anterior B point (BA) in normal labor and women who gave birth to birth weight. 3500 gram babies had 2.7 times the chance to experience changes in anterior B points (BA) of> 3 cm.Conclusion:  this study is that there is a relationship between birth weight of babies with anterior point B changes. Keywords: Pelvic Organ Prolap, Prevalence Organ Prolapse Quantification (POPQ), Anterior Point B
Hubungan Status Gravida, Usia, BMI (Body Mass Index) dengan Kejadian Preeklampsia Arwan, Berriandi; Sriyanti, Roza
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.13-21.2020

Abstract

Background: Preeclampsia is one of the complications in pregnancy that can cause serious illness, long-term disability, and death in the mother, fetus and neonate. There are many risk factors that influence the occurrence of preeclampsia, such as primigravida, hyperplasentation, extreme maternal age (less than 20 years and more than 35 years), family history of preeclampsia / eclampsia, kidney disease, diabetes mellitus, chronic hypertension that has happened before pregnancy (less than 20 years and more than 35 years), family history of preeclampsia / eclampsia, kidney disease, diabetes mellitus, chronic hypertension that has been suffered before pregnancy (less than 20 years and more than 35 years). superimposed preeclampsia) and obesity. Objective: To determine the relationship between gravida status, age, and BMI status with the incidence of preeclampsia.Methods: The descriptive analytic study was using a cross sectional study design by looking at the medical records of subjects according to the time and place of research. The study population was all medical records of pregnant women with preeclampsia and those without preeclampsia in the Department of Obstetrics and Gynecology Dr. M. Djamil Padang period 1 January 2017 - 31 December 2017. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using consecutive sampling techniques was taken from the Medical Record Section of RSUP Dr. M. Djamil Padang. Univariate analysis was used to assess gravida status, maternal age, and BMI. Bivariate analysis was performed using the chi square test with a significance level of p <0.05.Results: A total of 63.7% of patients with severe preeclampsia were primigravida (p <0.05), 52.5% were high risk groups with age <20 years and> 35 years (p <0.05), and 55% of patients with overweight and obese group (p <0.05). Primigravida has a tendency to suffer from preeclampsia compared to multigravida. Patients who have a tendency for preeclampsia are patients with overweight and obese BMI status with a high risk age range.Conclusion: There is a significant relationship between gravida status, age, and BMI to the incidence of preeclampsia. Keywords: gravida, age, BMI, preeclampsia
The Mean Difference of Hemostatic Factors in Severe Preeclampsia and Eclampsia Setia, Dyhan Purna; Ferry, Ferdinal; Djanas, Dovy
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.22-27.2020

Abstract

The aim of this study was to see the difference in the mean ratio of sodium levels between pregnancy with severe preeclampsia and eclampsia. The method in this research is an analytical study using a cross sectional design. The research was conducted in the delivery room Dr. M. Djamil Padang from 15 January 2016 to 31 December 2017. There were 60 patients as research subjects, the sample was divided into 2 groups, namely severe preeclampsia (PEB) and eclampsia. Anamnesis and physical examination were then carried out to obtain data and clinical diagnosis. The data were recorded in a research form that had been provided, then the blood electrolytes were examined for sodium and potassium. Statistical analysis to assess meaning using the T-test. The results showed that in the PEB and Eclampsia groups, it was found that multiparity parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at gestational age near term. The conclusion of this study there was no significant difference in the mean sodium ratio between preeclampsia, PEB and eclampsia. Keywords: pregnancy condition, PEB, eclampsia, platelet, PT, APTT, and D-Dimer
Perbedaan Rerata Rasio Kadar Natrium Kalium Maternal Antara Preeklamsia Berat Dan Eklamsia Syaputra, Gunawan Efri; Djanas, Dovy
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.48-52.2020

Abstract

Background: Preeclampsia is a pregnancy-specific syndrome in the form of reduced organ perfusion due to vasospasm and endothelial activation that occurs after 20 weeks of gestational age. eclampsia is the occurrence of seizures in a woman with preeclampsia, Sodium (Na +) and Potassium (K +) play an important role in preeclampsia and eclampsia.Objective: To see the difference in mean sodium potassium ratio between pregnancy with severe preeclampsia and eclampsia.Methods: The study was analytic descriptive using a cross sectional study design by looking at the medical records of the subjects according to the time and place of the study. Samples are all medical records of pregnant women who suffer from pre-eclampsia and eclampsia in the obstetric and gynecology section of  RSUP DR.M.Djamil padang in the period of 15 January 2016 to 31 December 2017, the values of which are sodium, potassium levels and sodium and potassium ratios. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using a consecuvite sampling technique which was taken from the medical records of RSUP DR. M. Djamil Padang Statistical analysis to assess significance using the T-test.Results: In the Severe preeclampsia and Eclampsia groups it was found that multipara parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at near term gestational age.Conclusion: There is no significant difference in the average sodium potassium ratio between Severe preeclampsia and EclampsiaKeywords: Severe preeclampsia, eclampsia, sodium and potassium
Kehamilan Pada Jejas Luka Sesar: Diagnosis Yang Akurat Dan Keberhasilan Dalam Tatalaksana Secara Konservatif Purnomo, Satrio Budhi; Djanas, Dovy
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.114-119.2020

Abstract

Reported case in a woman aged 30 years, with a history of cesarean scar four years ago, diagnosed with gravid two by one gravid 7-8 weeks with gestation on cesarean scar. The patient had a history of accidental trauma two days prior to the complaint of bleeding from the genitals. Several obstetricians have examined but still obtained different results (intrauterine pregnancy and ectopic pregnancy). An accurate diagnosis is critical to the success of the management of a patient with a pregnancy with this life-threatening cesarean scar. With a precise and accurate transvaginal ultrasound examination, the diagnostic criteria with ultrasound on previous surgical scars have been fulfilled in this patient, including an empty uterus, an empty cervical canal image, growth of a gestational pouch in the anterior lower segment of the uterus, and the absence of myometral image between the bladder wall and the gestational pocket. On B-HCG examination, the result was 58,808.70 mlU / mL. Conservative therapy with metrotrexate (MTX) 50 mg / m2 intramuscularly. After giving metrotrexate (MTX) therapy for four times, the results of B-HCG decreased significantly with 21.530, 12 mlU / mL, 2,949.47 mlU / mL, and 593.61 mlU / mL, respectively. After administration of metrotrexate (MTX) therapy, there was a decrease in the size of the gestational bag. Keywords: Ectopic, Pregnancy, Methotrexate, Cesarean Section
Kehamilan Pasca Tindakan Manchester Fothergill Ertandri, Yodi; Ermawati, Ermawati
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.120-124.2020

Abstract

Pregnancy after a manchester fothergill action is rare, occurring 1-10,000 post-action. post- manchester fothergill pregnancy can cause premature labor, spontaneous abortion, fetal death, maternal urinary complaints, and sepsis. Case of a 34-year-old female patient, G3P1A1L1 37-38 weeks of term parturient latent phase of first stage + once previous cesarean section + history of manchester fothergill. Previous history of childbirth the patient gave birth through cesarean section and term, the birth weight of children 3200 gr. The second pregnancy the patient suffered a miscarriage at 13-14 weeks gestation and found cervical elongation, then the patient was performed cervical reconstruction with the manchester fothergill procedure after the patient received his normal menstrual cycle. after 2 years later the patient came pregnant with a gestational age of 9 months with complaints of low back pain in the placenta. The conclusion of this case of pregnancy after the manchester fothergill action is a rare condition. pelvic organ prolapse and cervical elongation in pregnancy are conditions to be aware of, therefore early diagnosis is very important for smooth pregnancy. individual approach depends on gestational age, the severity of the prolapse is a matter that must be considered for the choice of delivery. prevention of complications can determine the success of a pregnancy. it must also be concluded that prolapse is not a disease of the elderly. Keywords: cervical elongation, Manchester Fothergill
G2P1A0H1 Gravid 27-28 Minggu + Janin Mati Kehamilan Abdominal Fitriansyah, Irwin; Rifendra, Gerry
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.125-132.2020

Abstract

Abdominal pregnancy is a rare form of pregnancy but presents a very high risk of both morbidity and mortality for the fetus and mother. This situation is one of the most serious forms of ectopic pregnancy. The incidence of abdominal pregnancy varies, Rahman et al, get an incidence of 1 in 130,200 births. In the United States between 1970-1983 there were 10.9 abdominal pregnancies / 100,000 live births and 9.2 abdominal pregnancies / 1000 ectopic pregnancies. In laparotomy, placental management is the most difficult challenge, because it must be well prepared and planned. In this case report a 36-year-old woman with a diagnosis of gravid G2P1A0H1 27-28 weeks + Abdominal Pregnancy + Dead Fetus + Mild Anemia. Laparotomy is performed to deliver the baby, Durante surgery is carried out exploration of the placental attachment. Obtained the placenta embedded in the douglas cavum by attaching to the Ascendent Colon, Rectum, descending colon, intestine and peritoneum. It appears that some of the placenta has detached from its implantation, accompanied by a pile of stout cells. Removal of the placenta was carried out throughout the attachment site. The rest of the placenta is cleaned one by one by clamping with the clam punster slowly. Keywords: Abdominal Pregnancy, Dead Fetus, Laparotomy
Hubungan Tingkat Ansietas dengan Siklus Menstruasi pada Mahasiswi S1 Kedokteran Universitas Andalas Tahun 2019 Lufthi, Alma Sylvhanie; Yaunin, Yaslinda; Aladin, Aladin
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.53-61.2020

Abstract

Background: The medical education system is known as a stressful environment that might cause anxiety for the students. Student at the pre-clinical last degree (fourth degree) are also required to do a thesis so that the final year students will had anxiety even though they have adapted to the lecture environment. Anxiety can influence fluctuation Folikel Stimulating Hormone (FSH) and Lutenzing. Hormone (LH) level until the proliferation and secretion process indicate shorten or elongated that cause disruption on the menstruation cycle.Objective: To determine the relationship between anxiety level and menstrual disruption to student the fourth degree at Faculty of Medicine in Andalas University.Method: This research was an observational analytic with a cross-sectional approach. This research was done by a guided interview to 137 female medical students the last degree at Faculty of Medicine in Andalas University. The anxiety level was measured by using the Taylor Minnesota Anxiety Scale (TMAS) questionnaire while the menstrual disruption was acceded by using a menstruation questionnaire.Results: The univariate analysis showed 47.4% of the respondents had a low anxiety level, 19% of the respondents had a middle anxiety level, and 33.6% of the respondents had a serious anxiety level. Meanwhile, the study also showed that 76.6% of the respondents had normal menstrual patterns, while 10.2 % of them were having polymenorrhea. The statistical analysis Chi-square showed p-value was 0.232 (p > 0.05).Conclusion: The conclude that there was no significant relationship between anxiety level and menstrual disruption to student the last degree at Faculty of Medicine in Andalas UniversityKeywords: stress, anxiety level, menstruation disruption

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