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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
Peripartum Cardiomyopathy: A Case Management Series At Sanjiwani Hospital Grace Eva; Anak Agung Gede Raka Budayasa; Anak Agung Gede Indrayana Putra; Ketut Erna Bagiari
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.7.1.320-329.2023

Abstract

Introduction: In Peripartum Cardiomyopathy (PPCM), heart function will generally return to normal a fewmonths after delivery, but in some cases poor outcomes might occur, therefore early detection and managementare crucial. This case series study aims to get an overview of PPCM cases in a type-B referral hospital in Gianyar,Bali.Case Presentation: This study presents 3 cases of PPCM that showed symptom onset in the antepartum period(the third trimester of pregnancy). Two out of three cases were nulliparous with maternal age <30 years, andwent through a Cesarean Section. All three cases underwent treatment in the Intensive Care Unit and showedimprovement in their condition.Discussion: Until now, the heterogeneity of PPCM diagnostic criteria has become an obstacle to its treatment,thus the reported incidence tends to be low. This is likely due to the diagnosis of PPCM which is an exclusiondiagnosis from other causes of heart failure. Echocardiography and NT-ProBNP examinations should be done,which, although not specific, may lead to a diagnosis of PPCM when combined with a thorough patient history.The availability of supporting examination modalities in many regions in Indonesia are varied thus referrals areusually needed, resulting in the delay of PPCM cases management.Conclusion: All pregnant women who experience dyspnea during the third trimester of pregnancy, along with afamily history of heart disease, need to undergo close examination and supervision due to the suspicion of PPCM.Early detection and treatment are the main key to successful management of PPCM cases
Relationship between Behavior, Occupation and Abuse of Psychotropic Drugs and Addictive Substances with Cases of Sexual Violence by Partners Against Women Recorded at the Women Crisis Center in Padang City Muhammad Zaldy Rasyid Putra; Aladin Aladin; Firdawati Firdawati
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.7.1.225-233.2023

Abstract

Background : One of the main issues affecting reproductive health is sexual violence. Sexualviolence is the third most common form of violence against women (30%) of all cases. Basedon data from the Woman Crisis Center (WCC) in Padang, cases of sexual violence havecontinued to increase. There are four main determinants of sexual violence including thesocial environment, community, individual and relationship.Methods: A case-control study is designed to help determine if an determinants is associatedwith an outcome. This study was conducted on 66 samples, 33 of whom were female victimsof sexual violence by partners registered at the WCC. The B-SAFER questionnaire is used asan instrument to assess descriptions of sexual violence committed and psychosocialassessment of the factors underlying the occurrence of sexual violence. Chi-Square test andlogistic regression are used to analyze the relationship between variables.Results: There is no significant relationship between the abuse of psychotropic drugs and theincidence of sexual violence. However, there is a significant relationship between a history ofnegative behavior (p = 0.0001) and disruption of job stability (p = 0.0002) to incidents ofsexual violence. Between this two, negative behavior is the factor that most contributes to theincidence of sexual violence against women, but it is not statistically significant.Conclusion: Behavior is the most important factor in the occurrence of sexual violence, butstatistically it is not significant. There is no variable that determines sexual violence becausethe concept of sexual violence is a complex and polymorphic phenomenon. Further studiesare needed in determining the role of other factors that play a role.
Clinical Characteristics and Outcomes of Pregnant Women with Covid-19 in Gadjah Mada Academic Hospital Yosi Tamara; Fithri Islamiyah Sapuraning Rahayu; Rendy Singgih
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.7.1.274-280.2023

Abstract

Introduction: This study aimed to determine the characteristics of pregnant women diagnosed withCovid-19 and hospitalized at the Gadjah Mada University Academic Hospital.Methods: The method in this study is a descriptive research method to illustrate a situation objectivelyand without intervention. All pregnant women who seek treatment and are included in the Gadjah MadaUniversity Academic Hospital study are diagnosed with Covid-19 by RT-PCR.Results: The object of this study were 210 pregnant female patients diagnosed with Covid-19 untilAugust 2021. The third trimester dominated the gestational age, and most of them had no symptoms(asymptomatic). The most dominant symptom was cough. Most of the patients came with referrals fromthe puskesmas on the grounds of pregnancy complaints. Most of them are puskesmas referrals withseven days of treatment in the hospital. Most of the delivery of pregnant women with Covid-19 was byabdominal delivery.Conclusion: The clinical characteristics and outcomes of pregnant women with Covid-19 whounderwent treatment varied. Most of them went home from treatment due to improved conditions orhad given birth and continued to self-isolate at home. Nevertheless, it remains a concern that Covid-19is undoubtedly one of the factors that can cause death in pregnant women.
Pregnancy with severe preeclampsia, acute kidney injury and nephrotic syndrome Joserizal Serudji; Haviz Yuad; Syntia Ambelina
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.7.1.330-337.2023

Abstract

Background: Preeclampsia is one of the main causes of maternal death every year. Preeclampsia can have badconsequences for both the mother and the fetus. Complications in the mother in the form of HELLP syndrome(Hemolysis, Elevated Liver Enzyme, Low Platelet), pulmonary edema, kidney disorders, bleeding, placentalabruption and even maternal death. Complications in infants can be premature birth, fetal distress, low birthweight or intra uterine fetal death (IUFD).Case Report: A 34 year old female patient was brought to the emergency room of Dr. M. Djamil Padang, sent tothe Batusangkar Private Hospital with complaints of shortness of breath which has been increasing when lyingdown. Physical examination found blood pressure 190/136. The patient was diagnosed with G2P1A0H1 gravidpreterm 25-26 weeks, PEB on maintenance dose MgSO4 regimen from outside, suspected nephrotic syndrome,CAP with hypoxemia, pleural effusion, AKI with metabolic acidosis, UTI, hyponatremia, hypoalbuminemia.Discussion: Preeclampsia, eclampsia and HELLP syndrome are serious and life-threatening conditions faced bypregnant women. Early diagnosis and prompt treatment via a multidisciplinary team in the ICU setting canprevent complications and reduce morbidity and mortality. The most common indications for intubation andmechanical ventilation are respiratory failure and hemodynamic instability. The cause of death in this patientwas multiple organ failure which was exacerbated by suspected nephrotic syndrome and suspected SLE.
Relationship between Behavior, Occupation and Abuse of Psychotropic Drugs and Addictive Substances with Cases of Sexual Violence by Partners Against Women Recorded at the Women Crisis Center in Padang City Rasyid Putra, Muhammad Zaldy; Aladin, Aladin; Firdawati, Firdawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.225-233.2023

Abstract

Background : One of the main issues affecting reproductive health is sexual violence. Sexualviolence is the third most common form of violence against women (30%) of all cases. Basedon data from the Woman Crisis Center (WCC) in Padang, cases of sexual violence havecontinued to increase. There are four main determinants of sexual violence including thesocial environment, community, individual and relationship.Methods: A case-control study is designed to help determine if an determinants is associatedwith an outcome. This study was conducted on 66 samples, 33 of whom were female victimsof sexual violence by partners registered at the WCC. The B-SAFER questionnaire is used asan instrument to assess descriptions of sexual violence committed and psychosocialassessment of the factors underlying the occurrence of sexual violence. Chi-Square test andlogistic regression are used to analyze the relationship between variables.Results: There is no significant relationship between the abuse of psychotropic drugs and theincidence of sexual violence. However, there is a significant relationship between a history ofnegative behavior (p = 0.0001) and disruption of job stability (p = 0.0002) to incidents ofsexual violence. Between this two, negative behavior is the factor that most contributes to theincidence of sexual violence against women, but it is not statistically significant.Conclusion: Behavior is the most important factor in the occurrence of sexual violence, butstatistically it is not significant. There is no variable that determines sexual violence becausethe concept of sexual violence is a complex and polymorphic phenomenon. Further studiesare needed in determining the role of other factors that play a role.
A Sexual Dysfunction And Quality Of Life Problems Caused By Perineal Pain Cicatrix In A Woman: A Case Report Fakhrizal, Edy; Primananda, M. Lingga
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran 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
OMPHE-VIA (Obedient Male Partner in Health-Education and Engagement for Visual Inspection with Acetic Acid Examination) Model Was Solution to Save Cervical Cancer Ferry, Ferdinal; Machmud, RIzanda; Soetrisno, Soetrisno; Bachtiar, Adang
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran 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.
Relationship Between Pregnant Woman's Knowledge Level About Maternal Nutritional And Gestational Weight Gain In Puskesmas Banjardawa Gusthi Pangestu1, Yoga; Alya Rahmi, Trisha
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran 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
Neoadjuvant Chemotherapy In Stadium Ib3, Iia2 And Iib Cervical Cancer Winata, I Gde Sastra GdeSastra
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran 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 Fadila, Tara; Yusrawati, Yusrawati; Karmia, Hudila Rifa
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran 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.

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