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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
The Relationship Between Stress Level And Menstrual Cycle In Final Level Of Sriwijaya University Medical Education Batch 2019 Prasetya, Bagus Eko; Abadi, Adnan; Purnamasari, Septi
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.7.1.267-273.2023

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
Clinical Characteristics and Outcomes of Pregnant Women with Covid-19 in Gadjah Mada Academic Hospital Tamara, Yosi; Sapuraning Rahayu, Fithri Islamiyah; Singgih, Rendy
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.7.1.274-280.2023

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.
Cesarean Section Trends In The Tertiary Hospital – A Description Study With The Robson Classification Armi, Wendy
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.7.1.295-300.2023

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
Ovarian fibrosarcoma : A Case Report Muhammad, Syamel; Julio, Reyhan
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.7.1.301-311.2023

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.
Isolated Mayer–Rokitansky–Kuster–Hauser syndrome (MRKH): Case Report Putri, Eka; Saputra, Mondale
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.7.1.312-319.2023

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

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
Pregnancy with severe preeclampsia, acute kidney injury and nephrotic syndrome Serudji, Joserizal; Yuad, Haviz; Ambelina, Syntia
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.7.1.330-337.2023

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.

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