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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 29 Documents
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Search results for , issue "Vol. 6 No. 2 (2022)" : 29 Documents clear
Correlation between Glycated Hemoglobin Levels with Polycystic Ovary Syndrome Phenotypes and Metabolic Syndrome Haviz Yuad; Revivo Rinda Pratama
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.138-146.2022

Abstract

Background: Polycystic Ovary Syndrome (PCOS) is one of the endocrine disorders that causes oligo-anovulation, clinical and biochemical signs hyperandrogenism and ovarian- specific morphological signs on ultrasound examination are common in women of reproductive age. Conditions of insulin resistance and hyperandrogenism accompanied by hypertension and obesity can lead to dyslipidemia that can meet the diagnostic criteria for the metabolic syndrome. The American Diabetes Association approved the examination of glycated hemoglobin (HbA1c) levels as a routine screening for impaired glucose tolerance and hyperglycemic conditions. Examination of HbA1c levels using the method Point of Care Test. Several studies have shown a direct correlation between elevated HbA1c levels and complications of PCOS, providing evidence that HbA1c plays a potential role in PCOS. This study aims to determine the correlation between HbA1c levels with PCOS phenotype and metabolic syndrome. Methods: The study used an analytical study with a cross sectional analytic study design, the number of samples was 52 respondents. The sample was using selected consecutive sampling and then analyzed for HbA1c levels using POCT, PCOS phenotype, and metabolic syndrome for univariate and bivariate. Results: The study with 52 respondents with PCOS patients, the results showed that the number of respondents with increased HbA1c levels was 17 (32.7%) respondents, most of the respondents with phenotype A were 30 (57.7%) respondents. The number of PCOS respondents with metabolic syndrome was 21 (40.4%) respondents. The results of statistical tests showed that correlation between the PCOS phenotype and HbA1c levels. The proportion of the incidence of metabolic syndrome was higher in respondents with phenotype A than phenotypes B, C, and D. The proportion of metabolic syndrome was higher in the category of elevated HbA1c levels compared to normal HbA1c levels, based on statistical tests there was a correlation between HbA1c levels and metabolic syndrome. Conclusion: There was an increase in HbA1c levels in PCOS patients in this study, which was 32.7% and most of the respondents were with phenotype A. Less than half of the respondents had metabolic syndrome. Statistically, there is a correlation between HbA1c levels and PCOS phenotype in PCOS patients and a correlation between HbA1c levels and metabolic syndrome in PCOS patients.
Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA): Case report Bobby Indra Utama; Poldo Reinaldo; Puspita Sari
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.173-178.2022

Abstract

Background: Hemivaginal obstruction syndrome and ipsilateral renal anomalies are known as Herlyn-Werner-Wunderlich syndrome (HWWs) or better known by the acronym OHVIRA (Obstructed Hemivagina and Ipsilasteral Renal Anomaly). It occurs as a result of complete failure of the Müllerian ducts to fuse and accounts for about 5% of Müllerian duct anomalies. Initial manifestations usually appear as a result of secretions accumulating within the hemivaginal obstruction. Patients with HWWs can come with complaints of lower abdominal pain, severe dysmenorrhea, pelvic or vaginal mass, abnormal vaginal discharge, acute urinary retention, fever or vomiting. Therefore, careful diagnosis and appropriate management of this condition is desirable. The objective of the study was to report on the management of the obstruction due to HWWs. Case Report: A 12-year-old patient was admitted to the gynecology ward of Dr. M. Djamil Central General Hospital from polyclinic with abdominal pain since 4 months before being admitted to the hospital. The pain gets worse every day before menstruation and decreases when given painkillers. Bleeding from the vagina often recurs with blackish color, a little smelly since the 1 month ago. Conclusion: OHVIRA syndrome is a triad characterized by hemivaginal obstruction and agenesis of the ipsilateral kidney (OHVIRA) and uterus in the delphys. Clinical symptoms in general are cyclic dysmenorrhea, palpable mass due to accumulation of menstrual flow, and severe pelvic pain which can later develop into a persistent form as a result of prolonged retention of menstrual secretions, obstructed hemivagina. Management options are surgical resection of the obstructed vaginal septum and drainage.
Vaginal synechiae in reproductive woman : A case report Kurnia Ariya Dinata; Dyhan Purna Setia; Ilham Rizka Putra
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.203-208.2022

Abstract

Background: Vaginal synechiae is a condition which lips of labia minor was fused and covered the opening of vagina. The choice of treatment depends on the age group and the thickness. The cause is multifactorial, but during childhood it can be caused by hypoestrogenism or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. In the post-delivery hypo-estrogenic state of the female infant, the labia minora stick together in the midline. Case Report: A 23-year-old woman complained of having a different genitalia appearance compared to her friends. Patient had menarche at 13 years old, with regular cycles for 4-5 days and using 2-3 pad/day on her period. Conclusion: Vaginal synechiae in this patient maybe multifactorial, but during childhood it can be caused by hypoestrogenism during pregnancy or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. Synechiae incision was performed in this patient. Topical antibiotic and steroid maybe needed to promote healing and prevent recurrence.
Factors Associated with Maternal Mortality in The Central General Hospital Dr. M. Djamil Padang 2020-2021 Fuad Saddam; Syahredi Adnani
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.147-151.2022

Abstract

Objective: To Know factors of cause maternal mortality at Dr. M. Djamil Central General Hospital in Padang during the period January 1st , 2020 - December 31st, 2021. Method: This study used a retrospective analytic design with a cross sectional study design and used logistic regression to know the role of factors maternal mortality. Determination of the sample using total sampling. Conducted review using a reference register book, medical records, for 2 years from January 1st, 2020 – December 31st, 2021 at the Department of Obstetrics and Gynecology, Dr. M. Djamil. Results: Selection of variables with chi-square bivariate analysis (p < 0.25) between maternal mortality with; obstetric emergency (p=0.039), comorbidities (p=0.587), maternal age (p=0.064), maternal education (p=0.920), parity (p=0.735), intensive care (p=0.000), and operative procedure. (p=0. 000). Multivariate analysis (p<0.05) to determine the most dominant factor; obstetric emergency (p=0.143), maternal age (p=0.269), intensive care (p=0.753) and operative procedures (p=0.000). Then test by removed the intensive care, and maternal age factors, the results of the operative procedure were obtained before (p=0.000, OR=161.158, 95% CI=12,343-2104,177) and after (p=0.000, OR= 133,368). Conclusion: obstetrics emergency, maternal age, intensive care, and operative procedure are factors that cause maternal mortality at Dr. M. Djamil Central General Hospital in Padang. Operative procedure is the most dominant factor causing 161 times greater maternal mortality.
Caesarian Section Patient Profile with Indication Absolute in Dr. M. Djamil General Hospital Padang in 2018-2020 Fegita, Primadella; Amelia, Rinita; Primary, Andrely
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.130-137.2022

Abstract

Backgrounds : Caesarea sectio delivery must be done if the existence of medical indications and normal labor can no longer be done at prioritizing the mother and baby. Purpose : To find out the profile of the Caesarean sectio patient with an absolute indication at Dr. RSUP M. Djamil Padang in 2018-2020. Methods : The scope of this research is obstetrics and gynecological science. The study was conducted in March - March 2022. The type of research is descriptive categoric. The affordable population in the study was the patient sectio caesarea with an absolute indication in Dr. RSUP M. Djamil Padang in 2018-2020 as many as 56 samples with total sampling techniques. Univariate data analysis is presented in the form of frequency distribution and data processing using the Computerized SPSS version of the IBM version 25.0. Results : The highest mother age is 20-35 years, which is 38 people (67.9%). The most maternal parity is multipara, which is 38 people (67.9%). The highest education is high school, which is 31 people (55.4%). The highest history of SC It was what had a previous SC history of 33 people (58.9%), and the most absolute medical indication was the placenta previa of 24 people (42.9%). Conclusion : The highest mother age is 20-35 years. The most mother parity is multipara. The highest education is high school. The highest history of SC is who has a previous history of SC, and the most absolute medical indication is placenta previa.
Vaginal synechiae in reproductive woman : A case report Dinata, Kurnia Ariya; Setia, Dyhan Purna; Putra, Ilham Rizka
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.203-208.2022

Abstract

Background: Vaginal synechiae is a condition which lips of labia minor was fused and covered the opening of vagina. The choice of treatment depends on the age group and the thickness. The cause is multifactorial, but during childhood it can be caused by hypoestrogenism or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. In the post-delivery hypo-estrogenic state of the female infant, the labia minora stick together in the midline. Case Report: A 23-year-old woman complained of having a different genitalia appearance compared to her friends. Patient had menarche at 13 years old, with regular cycles for 4-5 days and using 2-3 pad/day on her period. Conclusion: Vaginal synechiae in this patient maybe multifactorial, but during childhood it can be caused by hypoestrogenism during pregnancy or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. Synechiae incision was performed in this patient. Topical antibiotic and steroid maybe needed to promote healing and prevent recurrence.
Congenital Heart Defects: Risk Stratification for Pregnancy Serudji, Joserizal
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.116-121.2022

Abstract

Major advances in medicinal and operative therapy on congenital heart defects (CHD) patients have led the majority of affected women survive to childbearing age. The risk of cardiovascular complications during pregnancy and peripartum depends on the type of the underlying defect, the extent and severity of residual haemodynamic lesions and comorbidities. Thuugh pregnancy is well tolerated in patients with CHD, but for some women with particularly high-risk lesions and poor functional class, pregnancy poses significant risk for cardiovascular complications, including premature death. As a result, preconception risk stratification and counseling are mandatory and should be done in all women of childbearing age with CHD. This will enable informed decision making for pregnancy savers.
Atypical eclampsia: A case report Sriyanti, Roza; Aldhi, Aldhi; Permatasari, Ressy
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.167-172.2022

Abstract

Background: Most women with eclampsia have a previous history of preeclampsia (proteinuria and hypertension). However, there has been a paradigm shift in this philosophy. There is evidence that atypical eclampsia can occur even in the absence of proteinuria and hypertension which presents a diagnostic dilemma and challenge for obstetricians and gynecologists. The purpose of this case report is to raise awareness about nonclassical and atypical signs of eclampsia so as to avoid complications Case: A multigravida woman with 39-40 weeks gestational age came to the hospital with signs of labor. On examination, blood pressure was 120/70 mmHg without a history of hypertension during antenatal examination, fetal heart rate was 146-156 beats/minute, cervical dilatation was 7-8 cm, with routine blood results within normal limits and planned for vaginal delivery . When monitoring the patient suddenly had a tonic clonic seizure, a complete blood count was performed, liver, kidney, electrolyte function was within normal limits, and proteinuria was found to be +2. The patient was treated with magnesium sulfate and the baby was delivered by vacuum extraction. This patient was managed appropriately with good outcome Discussion: Atypical eclampsia accounts for about 8% of all cases of eclampsia. Atypical forms of eclampsia have an erratic onset. This experience highlights some of the difficulties in managing atypical cases of eclampsia, namely the erratic onset and unpredictable course of the disease that can interfere with timely diagnosis and treatment and contribute to maternal and fetal morbidity and mortality. While controlling seizures by initiating magnesium sulfate therapy,
Correlation between Glycated Hemoglobin Levels with Polycystic Ovary Syndrome Phenotypes and Metabolic Syndrome Yuad, Haviz; Pratama, Revivo Rinda
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.138-146.2022

Abstract

Background: Polycystic Ovary Syndrome (PCOS) is one of the endocrine disorders that causes oligo-anovulation, clinical and biochemical signs hyperandrogenism and ovarian- specific morphological signs on ultrasound examination are common in women of reproductive age. Conditions of insulin resistance and hyperandrogenism accompanied by hypertension and obesity can lead to dyslipidemia that can meet the diagnostic criteria for the metabolic syndrome. The American Diabetes Association approved the examination of glycated hemoglobin (HbA1c) levels as a routine screening for impaired glucose tolerance and hyperglycemic conditions. Examination of HbA1c levels using the method Point of Care Test. Several studies have shown a direct correlation between elevated HbA1c levels and complications of PCOS, providing evidence that HbA1c plays a potential role in PCOS. This study aims to determine the correlation between HbA1c levels with PCOS phenotype and metabolic syndrome. Methods: The study used an analytical study with a cross sectional analytic study design, the number of samples was 52 respondents. The sample was using selected consecutive sampling and then analyzed for HbA1c levels using POCT, PCOS phenotype, and metabolic syndrome for univariate and bivariate. Results: The study with 52 respondents with PCOS patients, the results showed that the number of respondents with increased HbA1c levels was 17 (32.7%) respondents, most of the respondents with phenotype A were 30 (57.7%) respondents. The number of PCOS respondents with metabolic syndrome was 21 (40.4%) respondents. The results of statistical tests showed that correlation between the PCOS phenotype and HbA1c levels. The proportion of the incidence of metabolic syndrome was higher in respondents with phenotype A than phenotypes B, C, and D. The proportion of metabolic syndrome was higher in the category of elevated HbA1c levels compared to normal HbA1c levels, based on statistical tests there was a correlation between HbA1c levels and metabolic syndrome. Conclusion: There was an increase in HbA1c levels in PCOS patients in this study, which was 32.7% and most of the respondents were with phenotype A. Less than half of the respondents had metabolic syndrome. Statistically, there is a correlation between HbA1c levels and PCOS phenotype in PCOS patients and a correlation between HbA1c levels and metabolic syndrome in PCOS patients.
Factors Associated with Maternal Mortality in The Central General Hospital Dr. M. Djamil Padang 2020-2021 Saddam, Fuad; Adnani, Syahredi
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.147-151.2022

Abstract

Objective: To Know factors of cause maternal mortality at Dr. M. Djamil Central General Hospital in Padang during the period January 1st , 2020 - December 31st, 2021. Method: This study used a retrospective analytic design with a cross sectional study design and used logistic regression to know the role of factors maternal mortality. Determination of the sample using total sampling. Conducted review using a reference register book, medical records, for 2 years from January 1st, 2020 – December 31st, 2021 at the Department of Obstetrics and Gynecology, Dr. M. Djamil. Results: Selection of variables with chi-square bivariate analysis (p < 0.25) between maternal mortality with; obstetric emergency (p=0.039), comorbidities (p=0.587), maternal age (p=0.064), maternal education (p=0.920), parity (p=0.735), intensive care (p=0.000), and operative procedure. (p=0. 000). Multivariate analysis (p<0.05) to determine the most dominant factor; obstetric emergency (p=0.143), maternal age (p=0.269), intensive care (p=0.753) and operative procedures (p=0.000). Then test by removed the intensive care, and maternal age factors, the results of the operative procedure were obtained before (p=0.000, OR=161.158, 95% CI=12,343-2104,177) and after (p=0.000, OR= 133,368). Conclusion: obstetrics emergency, maternal age, intensive care, and operative procedure are factors that cause maternal mortality at Dr. M. Djamil Central General Hospital in Padang. Operative procedure is the most dominant factor causing 161 times greater maternal mortality.

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