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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 27 Documents
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Search results for , issue "Vol. 7 No. 1 (2023)" : 27 Documents clear
Cesarean Section Trends In The Tertiary Hospital – A Description Study With The Robson Classification Wendy Armi
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.295-300.2023

Abstract

Introduction: The high incidence of Cesarean Section (CS) in Indonesia causes morbidity andmortality for mothers and babies and is not in line with efforts to reduce maternal and infant mortalityaccording to the 2024 RPJMN. This study aims to provide an overview of the criteria for C-sectionaccording to the Robson Group Classification System for CS indications at the suburban area level.Methods: his study used medical record data from patients who underwent childbirth at RSIAPermata Bunda, Solok City, West Sumatra, from July to December 2021, where each patient wasincluded in the CS criteria group according to the Robson Group Classification System for CSindications. After that, all data groups were analyzed.Results: The CS rate at RSIA Permata Bunda for the period July 2021-December 2021 is 80.65%.This is in accordance with tiered referral conditions at level 1 health facilities.In the CS Robson criteria, criterion 5 occupies the highest position in the percentage of AbsoluteContribution (29.08) and Relative Contribution (36.05). This criterion includes all multiparousdeliveries, singleton fetuses, and pregnancies >37 weeks with at least 1 history of uterine surgery(uterine scar).In the Robson 2 group, Absolute Contribution (18.33) and Relative Contribution (22.73) were thesecond highest. This group includes all nulliparous pregnancies with singletons, >=37 weeks, with anindication for induction or surgery prior to delivery.Conclusion: The Robson Group Classification System for CS indications is considered to be used indetermining the description of CS criteria in tertiary hospitals. This criterion can well help theHospital to describe and analyze the high rate of C-section
A Sexual Dysfunction And Quality Of Life Problems Caused By Perineal Pain Cicatrix In A Woman: A Case Report Edy Fakhrizal; M. Lingga Primananda
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.338-341.2023

Abstract

Introduction: Sexual dysfunction is a complaint that could happened because of disturbance in complex processwhich coordinated by neurology system, vascular and endocrine system.1 One cause of sexual disfunction isdyspareunia which also followed by quality of life problems. Problems of dyspareunia, sexual dysfunction andquality of life can be measure with VAS, FSFI and WHOQOL instruments. VAS, Visual Analogue Scale, is one ofthe pain rating scales used in epidemiologic and clinical research to measure the intensity or frequency of varioussymptoms.2 FSFI, Female Sexual Function Index, is a multidimensional questionnaire that can show female sexualfunction. This questionnaire consists of 6 domains in which sexual desire, sexual arousal, lubrication, orgasm,sexual satisfaction and pain.3,4,5 WHOQOL-BREF, World Health Organization Quality-of-Life Scale, is a qualityof life assessment developed by the WHOQOL Group with fifteen international field centres, simultaneously, inan attempt to develop a quality of life assessment that would be applicated by cross-culturally.Case Report : Patient came with complaint of pain in genital opening and perineum that felt since 5 months ago.Patient also came with complaint of dyspareunia. Patient had history of vaginal delivery which causing her aperineal rupture. For 5 months, patient could not get intercourse and made her desperated and suffered becauseof her husband desire. Patient also felt inferiority and these problems disturbed her daily activity. VAS was 8,FSFI was 3, and WHOQOL was 71. The perinel ruptured was sutured at the moment of delivery, but after 1 weekpatient started to felt pain at her birth canal. It was the first pregnancy, delivery process was without anyproblems, baby born with 2900 gram of birth weight. From gynecology examination, found a cicatrix at 5 o’clockdirection, any other gynecology organs within normal limit. Diagnose was dyspareunia ec perineal cicatrix withsexual dysfunction and quality of life problems, then urogynecologist decided to do surgery
Relationship Between Pregnant Woman's Knowledge Level About Maternal Nutritional And Gestational Weight Gain In Puskesmas Banjardawa Yoga Gusthi Pangestu1; Trisha Alya Rahmi
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.234-242.2023

Abstract

Introduction: Gestational weight gain (GWG) is the weight gain of pregnant women duringpregnancy. Inadequate/excessive GWG can have an impact on fetal weight at birth. The 2019MCH handbook includes a gestational weight gain chart, but the method of calculating thebody mass index is not included so that there are difficulties in filling out the chart and GWGis not monitored.Aims: to examine the relationship between the level of nutritional knowledge of pregnantwomen and gestational weight gain.Methods: This research is an analytic observational with cross sectional method. Thisresearch was conducted in the working area of the UPT Puskesmas Banjardawa , namelyBanjaran Village, Banjardawa Village, Taman Village, Beji Village, and Pedurungan Villagein September - October 2022.Result: Most of the pregnant women in the Banjardawa Health Center working area in 2022were 26-35 years old, had low education level, middle to lower economic status, averagegestational age in the third trimester, and had no history of disease. Most pregnant women inthe working area of the Banjardawa Health Center in 2022 already have a good level ofknowledge about the nutrition of pregnant women, but have inappropriate gestational weightgain. The results of the bivariate analysis showed that there was no significant relationshipbetween the knowledge level of pregnant women and gestational weight gain in pregnantwomen.Conclusion : Health workers are expected to be able to provide motivation and informationabout nutrition for pregnant women to pregnant women, so that they are expected to helpwith appropriate gestational weight gain
The Relationship Compliance with Iron Tablet Consumption with the incidence of anemia in Pregnant Women in the working area of the Tanjung Pati Health Center, Nagari Sarilamak in 2022 Primadella Fegita; Muhammad Rizki Saputra; Lathifah Ainil Hakim
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.243-253.2023

Abstract

Backgrounds: Anemia prevention program for pregnant women in Indonesia by giving 90iron tablets during pregnancy. However, pregnant women’s refuse or don’t comply with thisadvice for various reasons so that prevalence of anemia in pregnant women is still high.Purpose: To determine the relationship beetween adherence to consuming iron tablets andthe incidence of anemia in pregnant women in the Tanjung Pati Nagari Sarilamak HealthCenter in 2022.Methods : The scope of this research is Obstetrics and Gynecological science. The study wasconducted in June - July 2022. The type of research is cross sectional study. The affordablepopulation in the study was pregnant women in the Tanjung Pati Nagari Sarilamak HealthCenter working area as many as 74 samples with accidental sampling technique. Univariatedata analysis is presented in the form of frequency distribution and bivariate analysis usingthe Kolmogorov-Smirnov, data processing using the computerized SPSS version IBM 25.0.Results: the highest pregnant women age is 20-35 years, which is 58 people (78.4%), thehighest education is high school, which is 32 people (43.2%). The highest parity pregnantwomen is multipara, which is 30 people (40.5%), the highest gestational age in the 2ndtrimester, which is 35 people (47.3%), pregnant women who are not anemic, which is 60people (81.1%), pregnant women with compliance consuming iron tablets was good, which is58 people (78.4%), and the relationship between adherence to consuming iron tablets and theincidence of anemia in pregnant women in the Tanjung Pati Nagari Sarilamak Health CenterWork Area in 2022 (p = 0.000).Conclusion: There is a relationship between the compliance of pregnant women inconsuming iron tablets and the incidence of anemia in the Tanjung Pati Nagari SarilamakHealth Center Work Area in 2022
Ovarian fibrosarcoma : A Case Report Syamel Muhammad; Reyhan Julio
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.301-311.2023

Abstract

This case report aims to report and discuss cases of ovarian fibrosarcoma. Ovarian fibrosarcoma is a rare casethat generally occurs in women who have menopause. In the case of ovarian fibrosarcoma, the patient was 43years old, had two children, and had no complaints during menstruation. The patient has lost weight in the lastsix months. The patient has performed debulking surgery optimally. On the PA results, it looks macroscopic, apiece of brownish-white tissue, densely rubbery, with a size of 15x12x5 cm, a solid white part is visible, and thereis a yellowish-white part and anger, there is a 0.5-1.5 cm cavity filled with a yellowish liquid. On microscopicexamination of the tumor, the tissue section appears to consist of a diffuse proliferation of tumor cells withhypercellular and hypocellular areas. Based on the results of macroscopic and microscopic examination of thetumor tissue, a skewed sarcoma is established in fibrosarcoma. The patient underwent chemotherapy after tumorsurgery. Although there is no clear consensus on the administration of fibrosarcoma chemotherapy, severalpublished case reports have demonstrated a lower probability of recurrence and a better prognosis in patientsundergoing chemotherapy.
Neoadjuvant Chemotherapy In Stadium Ib3, Iia2 And Iib Cervical Cancer I Gde Sastra GdeSastra Winata
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.214-224.2023

Abstract

Aim: This study aimed to describe Paclitaxel-Carboplatin chemotherapy as neoadjuvant chemotherapy in stage IB3, IIA2 and IIB cervical cancer. Materials and Methods: The review was conducted by collecting journals from previous studies discussing neoadjuvant chemotherapy in cervical cancer stages IB3, IIA2, and IIB and in this case specifically discussing Paclitaxel-Carboplatin chemotherapy. Results: Neoadjuvan chemotherapy refers to systemic therapy intended to reduce the size of the tumor before the definitive operation. Several studies have shown that neoadjuvant chemotherapy has greater advantages than surgery alone for early stage cancers (IB3, IIA2, and IIB). Paclitaxel and Carboplatin are known chemotherapeutic agents that can be used as neoadjuvant chemotherapy. Conclusions: Neoadjuvant Chemotherapy regimen Paclitaxel Carboplatin is one of the options in performing therapy for early stage cervical cancer which can be very helpful in healing and cancer-free patient condition. Neoadjuvant chemotherapy followed by radical surgery has significant benefits that have been described in several previous studies.  Clinical Significance: Neoadjuvant Chemotherapy regimen Paclitaxel Carboplatin may be used as therapy regimen for early stage cervical cancer with all advantage compared to only surgery. Thus, this type of regimen can be used to decrease mortality and morbidity in patient with stadium IB3, IIA2 and IIB cervical cancer. 
The Role Of Vitamin D And Calcium In Pre-Eclampsia And The Association With Neonatal Outcomes Tara Fadila; Yusrawati Yusrawati; Hudila Rifa Karmia
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.253-266.2023

Abstract

Introduction: Pre-eclampsia is one of the main causes of maternal and neonatal death in developingcountries. A low vitamin D level can increase the risk of neonatal abnormalities. Clinical studiesreported various complications of low vitamin D levels, such as pre-eclampsia, gestational diabetes,low birthweight, and caesarean section. This study aimed to investigate the role of vitamin D inpregnancy with pre-eclampsia and its association with neonatal outcomes.Methods: This is an observational analytical study uses a cross-sectional approach to investigatevitamin D levels and pre-eclampsia, conducted in General Hospital Dr. M. Djamil Padang from Mei2021 – April 2022. A total of 5 mL blood was withdrawn to analyzed vitamin D. This study has beenapproved by Health Research Ethics Committee Andalas University (Approved number:339/KEPK/2021).Results: There was a significant difference in the levels of 1,25 dihydroxy vitamin D3 between normalpregnancy and pre-eclampsia patients (99,18 vs 72,53 pg/ml; p = 0,033). In the pre-eclampsia patients’first APGAR score, there was a significant difference in the levels of 1,25 dihydroxy vitamin D3 betweennormal, moderate, and severe asphyxia groups (114,19 vs 66,75 vs 74,78 pg/ml; p = 0,025).Conclusion: Measuring early maternal 1,25 dihydroxy vitamin D3 can lower the pre-eclampsia risksand the impact the perinatal outcomes, particularly in determining first Apgar scores.
Isolated Mayer–Rokitansky–Kuster–Hauser syndrome (MRKH): Case Report Eka Putri; Mondale Saputra
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.312-319.2023

Abstract

Background:Mayer–Rokitansky–Kuster–Hauser syndrome (MRKH) is a rare complex of congenitalmalformations characterized by aplasia of the uterus and upper (two-thirds) vagina in a woman with normalovaries and fallopian tubes, secondary sexual characteristics and a 46XX karyotype. The clinical symptoms ofMRKH syndrome are usually primary amenorrhea but with normal thelarche and adrenarche, as well as sexualintercourse disorders and infertility.Case report:In this case, a 22-year-old nulliparous woman with a female phenotype and normal secondary sexgrowth presented with primary amenorrhea and difficulty in sexual intercourse. On internal examination, thelength of the vagina was 4 cm and the cervix was not palpable. Transvaginal ultrasound examination did not showa picture of the uterus, but both ovaries were normal size and there were several follicles. Diagnostic laparoscopyshowed bilateral ovaries with intact tubes, but no uterus.Conclusion: Women with MRKH syndrome usually have normal ovarian function and usually present withprimary amenorrhea. Treatment of MRKH syndrome must include sexological care of the patient and hispartner.6The American College of Obstetricians and Gynecologists (ACOG) recommends dilation therapy as firstlinetreatment and vaginoplasty surgery should be performed for patients who have failed dilation therapy.
OMPHE-VIA (Obedient Male Partner in Health-Education and Engagement for Visual Inspection with Acetic Acid Examination) Model Was Solution to Save Cervical Cancer Ferdinal Ferry; RIzanda Machmud; Soetrisno Soetrisno; Adang Bachtiar
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.286-294.2023

Abstract

Background: VIA screening is very suitable for developing countries such as Indonesia, because the technique is easy, simple, low cost/cheap, high sensitivity, fast and accurate for early detection of cervical cancer. The coverage of early detection in Indonesia is <5% so that many cases of cervical cancer are found to be at an advanced stage and often cause death in women.Methods: This study uses a mix-method study approach with a sequential exploratory approach. The research was carried out sequentially with qualitative methods first (interviews and FGDs), then continued with quantitative methods. In this study, the sampling technique used was multi-stage random sampling in 7 selected sub-districts.Results: The variable perception of vulnerability with a good perception of vulnerability have a 2.64 times greater risk of carrying out an VIA examination. In multivariate modeling, knowledge is the most dominant variable because it has the largest POR of 6.3, which means the N-Gain value is in the medium category with a fairly effective interpretation of the effectiveness of the module, namely an increase in knowledge of 63.86% after being given education using the OMPHE-VIA module. Conclusion: Based on the implementation of the OMPHE-VIA module, it was found that there was an increase in the average value of knowledge, before and after the education was given. It was also found that there was a significant difference in knowledge, and husband's support, construct between before and after the education was given using the OMPHE-VIA module.
The Relationship Between Stress Level And Menstrual Cycle In Final Level Of Sriwijaya University Medical Education Batch 2019 Bagus Eko Prasetya; Adnan Abadi; Septi Purnamasari
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.267-273.2023

Abstract

Background: Menstruation is the discharge of blood and mucous tissue through the vaginafrom the uterus periodically every month with a span of 24-35 days. Menstruation can beaffected by stress. The burden of working on the final assignment coupled with learning thathas started to be done face to face makes students have to adjust to their daily habits. Thepurpose of this study was to find out whether there is a relationship between stress levels infinal year students of Sriwijaya University Medical Education class of 2019.Methods: This study uses a type of observational research, namely correlation analysis witha cross sectional approach. Data collection was carried out in October 2022 and obtained124 student data, then an analysis was carried out using the SPSS program and analyzedusing the Chi Square test.Results: From the results of the study, it was found that 124 respondents who experiencedmenstrual disorders were 47 (37.9%) while 77 (62.1%) experienced normal menstruation,then the most stress was severe stress, namely 43 (34.7). Then an analysis of the relationshipbetween stress and the menstrual cycle was carried out, the result was p = 0.009 / p <α(0.05), which means that there is a relationship between stress and the menstrual cycle.Conclusion: There is a relationship between stress levels and the menstrual cycle

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