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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 35 Documents
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Search results for , issue "Vol. 8 No. 2 (2024)" : 35 Documents clear
Caesarian Section Patient Profile with Indication Absolute in Dr. M. Djamil General Hospital Padang in 2018-2020 Primadella Fegita; Rinita Amelia; Andrely Primary
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.712-721.2024

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. Objective : 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.
Relationship Between Risk Factors and The Incidence of Gestational Trophoblastic Neoplasia at RSUP Dr. M. Djamil Padang Year 2019-2021 Aldi Almujahid; Syamel Muhammad; Asterina
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.746-753.2024

Abstract

Background : Gestational Trophoblastic Neoplasia (GTN) is a tumor originating from cytotrophoblast and syncytotrophoblast that invades myometrium, damages surrounding tissue and blood vessels, and causing bleeding. Purpose : This study aims to determine the relationship between age, history of previous pregnancies, β-hCG levels, parity, and interval with last pregnancy on the incidence of GTN. Method : This research is an observational analytic study with a cross sectional research design. Univariate analysis was carried out which described the frequency distribution of variables and bivariate analysis with the chi square statistical test . Result : The results of this study showed that there was a significant relationship between age, history of previous pregnancies, β-hCG levels and parity) and the incidence of GTN, while the interval with the last pregnancy did not have a significant relationship with the incidence of GTN . Conclusion: It was concluded that age, history of previous pregnancy, β-hCG levels, and parity are risk factors for GTN.
Efficacy of EMCO Therapy on Serum β-hCG Levels in Case of Gestational Trophoblastic Neoplasm (GTN) at Dr. M. Djamil Hospital Padang 2019-2021 Attahhal Fikrian Syadiq Siregar; Syamel Muhammad; Elly Usman
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.754-762.2024

Abstract

Backgrounds: Etoposide, Methotrexate, Cyclophosphamide, and Vincristine (EMCO) Chemotherapy is used as an alternative therapy for patients with a diagnosis of Gestational Trophoblastic Neoplasm (GTN) at Dr. M. Djamil Hospital Padang because Actinomycin D has not been included in the National Formulation (FORNAS). Purpose: To determine the efficacy of EMCO therapy with limited Actinomycin D on serum β-hCG levels in Gestational Trophoblastic Neoplasm (GTN) cases at Dr. M. Djamil Padang Hospital in 2019-2021. Methods: The type of research used is numerical comparative analytics with a cross sectional approach. The number of samples was 17 GTN patients who had done EMCO chemotherapy and checked β-hCG levels before and after chemotherapy. The research was conducted from April to October 2022 at Dr. M. Djamil Hospital Padang. Data processing using total sampling technique and tested using Wilcoxon Test. Results: Most GTN patients were found to be <40 years old (64,7%), history of molar hydatidiform pregnancy (47,1%), last pregnancy interval <4 months (58,8%), β-hCG level before chemotherapy ranged from 104-105 mIU/mL (52,9%), tumor size >5 cm (58,8%), metastasis location in the internal genital tract (35,5%), and patients who did not have metastasis (52,9%). Conclusion: There was a significant decrease in β-hCG levels after chemotherapy using EMCO for three cycles in patients with a diagnosis of GTN.
Description of Post Anesthetic Shivering (PAS) in Post Spinal Anesthesia Caesarean Section Tuffahati Naura Rafifa; Rinal Effendi; Aladin
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.763-774.2024

Abstract

Background: Post anaesthetic shivering (PAS) is a fasciculation of the face, jaw, or head or the occurrence of muscle hyperactivity so that the body can produce heat after anesthesia. Multiple factors can influence the incidence of PAS including age, sex, ASA physical status, body mass index, type of anesthesia, duration of surgery, room temperature, preoperative body temperature (<36,5⁰C), and type of surgery.  Objective : The purpose of this study was to describe the incidence of PAS in post-spinal anesthesia caesarean section patients at RSIA Siti Hawa Padang Method: This research is a descriptive observational study using accidental sampling technique and obtained a total sample of 52 patients Result: The result showed that 25 of 52 patients (48,1%) experienced PAS. Most PAS events were experienced by moderate grade (25%), the age group >35 years (60%), underweight body mass index (62,5%), ASA II status (52,2%), preoperative temperature in the hypothermia group (51,4%), postoperative temperature in the normothermia group (66,7%), and operation duration >30 minutes (57,1%) Conclusion: Most of the patients did not experience PAS and most of PAS experience was moderate grade.
What to Expect in Primigravidae Adolescent Pregnancy with Malaria in Remote Area: A Case Report Christian Murtani; Fiona Valerie Muskananfola; Jeffren Evander Bulan
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.786-791.2024

Abstract

Background: Malaria is an infection transmitted by parasite-infected Anopheles mosquito. Pregnancy is one of the risk factors for infection and worse prognosisCase: Here we present a case of primigravidae adolescent pregnancy with malaria in a remote area. Patient presented with fever 10 days prior. Laboratory work-up showed microcytic hypochromic anemia, grade III thrombocytopenia, positive P. falciparum, and IUFD as disease outcome. The most common malaria-related hematological consequences are anemia and thrombocytopenia. Anemia in malaria is caused by the obligatory destruction of erythrocytes during the acute phase and might be related to bone marrow dyserythropoiesis. Several theories suggest mechanisms of thrombocytopenia in P. falciparum malaria such as increased platelet aggregation, bone marrow alteration, microvascular sequestration, and endothelial activation. Intrauterine Fetal Death (IUFD) might be related to microvasculature blockage or inflammation by the infected erythrocyte (IE). Inflammation in the intervillous regions of the placenta results in placental malaria (PM). PM may cause intrauterine growth restriction, premature delivery, and low birth weight, thus increasing newborn mortality.Conclusion: Malaria in pregnancy has a devastating impact on both mother and fetus. Patient’s characteristics and background greatly influence malaria outcomes and treatment continuity. Holistic treatment is recommended to enhance patient prognosis and health-seeking behavior
Collaborative Intervention Assistance Model In An Effort To Increase The Quality Of Pregnant Women Services To Reduce Maternal Mortality In Padang City Syahredi Adnani; Rizanda Machmud; Dwiana Ocviyanti
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.667-674.2024

Abstract

Background : Maternal death, as defined by WHO, includes deaths during pregnancy or within 42 days postpartum due to pregnancy-related causes. The Maternal Mortality Rate (MMR) quantifies maternal deaths per 100,000 live births. A key target of the Millennium Development Goals (MDGs) was reducing the MMR by three-quarters between 1990 and 2015, aiming for a global rate under 70 per 100,000 by 2030. In Indonesia, the 2012 Demographic and Health Survey reported an MMR of 359 per 100,000 live births, with West Sumatra at 212 per 100,000. Objective : This study employs a mixed-method approach, focusing on pregnant women visiting health centers in Padang City, to assess an intervention model. Result : Maternal mortality in Indonesia is mainly caused by bleeding, eclampsia, and infections, with contributing factors including delayed care access, socio-cultural, educational, and economic challenges. Significant health issues include hypertensive disorders, diabetes, acute kidney injury, jaundice, and thyroid disease. Low educational and economic levels in rural areas correlate with higher maternal morbidity and mortality. Government efforts, such as the Maternity Guarantee (Jampersal) and the Maternal and Child Health (KIA) Handbook, aim to improve maternal health but face challenges due to poor resource utilization. Conclusion : Indonesia struggles to meet maternal mortality reduction targets, with rates high compared to other Asian countries. Effective interventions must address both direct and indirect causes of maternal deaths, improve education and economic conditions, and enhance healthcare access. Government programs show promise but require better implementation and community engagement to reduce maternal mortality rates effectively.
Bahasa Inggris Akbar Novan Dwi Saputra; Dicky Moch Rizal; Nandia Septiyorini; Muhammad Nurhadi Rahman
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.675-692.2024

Abstract

Background : Platelet-rich plasma (PRP) is an autologous, self-blood product, an anticoagulated blood product generated by the centrifugation method of whole blood that primarily contains platelets at amounts up to 5 times those found in physiologic platelet concentrations. The use of PRP in pelvic floor reconstruction surgery is becoming much more common. Objective : To determine the efficacy of PRP on pelvic floor reconstruction surgery, we will synthesize the available research on the use of PRP for pelvic floor disorders.; Methods: This review was conducted on research articles in PubMed, Proquest, EBSCO, and ScienceDirect databases published between January 2010 – December 2023 regarding the use of PRP for pelvic floor reconstruction surgery. All primary research in humans, case reports and case series will be included to evaluate the outcome of PRP as an adjunct to conventional surgery in treating pelvic floor disorders; Results: A total of five articles were chosen for review. Every article makes use of PRP in pelvic floor reconstruction surgery. Conclusions: This review offers actual evidence of PRP's efficacy in pelvic floor reconstruction surgery. This is a new approach, and the findings of this study are expected to inform clinical practice and ongoing research focused on improving the outcome of pelvic floor disorders treatment. Trial registration number: osf.io/gyr72  
Pelvic Floor Distress Inventory (PFDI)-20 Score In Patients With Pelvic Organ Prolaps (POP) Yulia Margaretta Sari; Mila Permata Sari
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.693-702.2024

Abstract

Background :Pelvic organ prolapse (POP) is a common and benign condition in women. It was the fall of one or more components of the vagina and uterus, which allows surrounding organs to herniate into the vaginal area, a disease known as cystocele, rectocele, or enterocele. The PFDI-20 score has been used to evaluate symptoms and quality of life in all POP patients. Objectives : To analyze the PFDI-20 score in patients with POP. Method : An observational study involving POP patients was undertaken at RSUP Dr. M. Djamil Padang from December 2023 to January 2024. The variables include demographic information (age, parity, obstetric and gynecological history) gathered from medical records, as well as complaints and POP symptoms obtained through an interview using the Indonesian PFDI-20 score. Data was analyzed univariately and bivariately. Statistical significance was set at p<0.05, and statistical analyzes were conducted using Kruskal-Wallis. The statistical program used for the analysis was SPSS 25.0. Results : Twenty-eight ladies participated. Their average age was 64.43 years (SD=10.49), parity number was 4.5 (SD=2.2), and PDFI-20 score was 136.61 (SD=54.21). In terms of POP, 53.6% (15) were IV. In terms of prolapse type, all patients had uterine prolapses, with the majority also having cystocele and rectocele (96.4%). Total vaginal hysterectomy (TVH) was performed in 82.1% (23), with over half of the patients undergoing anterior colporrhaphy (AC), posterior colpoperineorrhaphy, or colpocleisis. The majority of the complaints concerned inactive sexual activity (92.0%) and frequency (64.3%). The bivariate analysis with Kruskal Wallis test revealed no statistically significant relationships between PDFI-20 score and degree of POP (p<0.05). Conclusion : Although we were unable to identify a significant correlation, the PFDI-20 score was demonstrated to be a reliable tool for assessing symptoms and quality of life in all POP patients.
The Relationship Of The Use Of Hormonal Contraceptives On Sexual Function In Family Planning Acceptors At Lubuk Buaya Health Center, Koto Tangah District Padang City Dani Kartika Sari; Ferdinal Ferry; Ida Rahmah Burhan
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.722-731.2024

Abstract

Background: Decreased sexual desire (libido) in recipients of Depo Medroxyprogesterone Acetate (DMPA) injectable contraceptives, although rare and not experienced by all women, can occur with long-term use due to hormonal changes, resulting in drying of the vagina, which causes pain during intercourse and ultimately decreased sexual desire or arousal. Objective: to determine the relationship between hormonal contraception and sexual function in hormonal birth controlacceptors at the Lubuk Buaya Community Health Center, Koto Tangah District, Padang City. Method: The research was observational with a cross-sectional approach on family planning acceptors at Lubuk BuayaCommunity Health Center, Koto Tangah District, Padang City, from November 2023 to January 2024. A total of 75respondents who were active hormonal family planning acceptors at Lubuk Buaya Community Health Center, Koto District Tangah Padang City, were sampled. Results: Bivariate analysis of the relationship between hormonal contraceptive use and sexual dysfunction using Chi-square resulted in a p-value>0.05. Conclusion: There is no significant relationship between the use of hormonal contraception and sexual dysfunction in hormonal birth control acceptors at the Lubuk Buaya Community Health Center, Koto Tangah District, Padang City.
Comparison Of Lactobacillus Plantarum, Lactobacillus Mucosae And Lactobacillus Farciminis Bacteria Between Polycystic Ovary Syndrome And Non Polycystic Ovary Syndrome Students At Medical Faculty Of Andalas University Mentari Faisal Putri; Haviz Yuad; Andani Eka Putra
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.732-745.2024

Abstract

Background: Polycystic Ovary Syndrome (PCOS) is a disorder characterized by hyperandrogenism, ovulatory dysfunction, and morphological features of polycystic ovaries. It is associated with insulin resistance and hyperinsulinemia. Gut microbial dysbiosis plays a role in PCOS, which is associated with insulin resistance, hyperandrogenism, chronic inflammation, and metabolic syndrome. PCOS treatment with Probiotics maintains the stability and diversity of the gut microbiome. Objective: To determine the comparison of Lactobacillus plantarum, Lactobacillus mucosae, and Lactobacillus farciminis Bacteria Between Polycystic Ovary Syndrome and Non Polycystic Ovary Syndrome Students at the Medical Faculty of Andalas University. Method: This research was an analytic observational study using a cross-sectional method conducted on female students with Polycystic Ovary Syndrome and Non-Polycystic Ovary Syndrome at the Medical Faculty of Andalas University. Results: Bivariate analysis of microbiota comparison of female students with PCOS and without PCOS, Mann-Whitney Test on L.mucosae (p=0.774), while Independent T-Test analysis on L.farciminis (p=0.006). Conclusion: There is a decrease in microbiota L. Mucosae in female students with PCOS, but there is no significant difference. There is a significant comparison in the number of microbiota L.farciminis in female students with and without PCOS at FK Unand.

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