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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 18 Documents
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Search results for , issue "Vol. 9 No. 1 (2025)" : 18 Documents clear
Characteristics and Outcomes of Cesarean Section Patients at Ibnu Sina Simpang Empat Hospital Agus, Muthiah Ramadhani; Ardiles, Ardiles
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.16-22.2025

Abstract

Introduction: This study aims to determine the characteristics and outcomes of caesarean section patients. Childbirth with the SC method is carried out on the basis of medical indications from both the mother and fetus, such as placenta previa, abnormal presentation or location of the fetus, and other indications that can endanger the life of the mother and fetus. Method: descriptive observational research with a cross-sectional research design that describes the phenomenon of the variables studied objectively based on time samples, behavioral samples, and incident samples at a certain time through medical records of post-cesarean section patients. Result: The maternal age is mostly low risk (80%), multiparous (68%), length of stay 2±0.5. The most common indications for CS are a history of previous CS (31.14%), PROM (17.89%), CPD (8.61%) and oligohydramnios (5.44%) Conclusion: The incidence of cesarean section delivery at RSI Ibnu Sina Simpang Empat from January 2024 to June 2024 increased in the productive age group and most in multiparas. The average length of stay after cesarean section was in accordance with the ACOG standard, which was less than 48 hours. The importance of post-cesarean section assessment and monitoring to optimize maternal and infant health. Keywords: Cesarean section, characteristic, outcome
Quality of live pregnant women with hiv/aids : serial cases Eka Yadnya, Ni Putu; Darmayasa, I Made
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.134-144.2025

Abstract

Objective: HIV cases in women are often discovered because patients undergo antenatal screening examinations. Pregnant women with Human Immunodeficiency Virus (HIV) must have access to antiretroviral therapy (ART) as soon as possible and continuously. This protects the mother's health and prevents transmission of HIV to the fetus before birth or through breast milk. Pregnant women with HIV tend to have worse psychosocial impacts compared to non-pregnant patients, thus affecting their quality of life; Method: A qualitative research using a case report approach. Data on pregnant women with HIV was taken from secondary data, namely the cohort data of pregnant women at the Maternal and Child Health Polyclinic, I Melaya Health Center, Jembrana Regency between January 2022 to February 2024. Patients who were willing to take part in the research became respondents and were then interviewed using the WHOQOL-HIV-BRIEF instrument. Then a qualitative analysis of the results of the interviews conducted was carried out; Result:There are five case reports discussed, 80% or four cases had poor or even poor quality of life. Only 20% of cases have a good quality of life. The dominant aspects that influence thpatient's quality of life are the independence aspect in 80% of cases, the social, environmental and spiritual aspects in 40% of cases each. Meanwhile, the aspects that cause good quality of life values are physical and psychological aspects, each accounting for 80% of cases; Conclusion :There are several factors that can influence the good or bad quality of life of pregnant women with HIV. These include education level, income level, openness about HIV status, family support, adherence to treatment, individual coping mechanisms, and severity of HIV symptoms. It is very important to assess every pregnant woman with HIV/AIDS infection as an integral part of antenatal care. Keywords: Pregnant women; HIV ;quality of life
Association Between Mode of Delivery and Incidence of Overactive Bladder (OAB) in Community Health Centers in Padang Diniy Miftahul Muthmainah; Utama, Bobby Indra; Yetti, Husna
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.63-73.2025

Abstract

Background: Overactive bladder (OAB) is a syndrome characterized by unstable bladder contractions and significantly impacts the quality of life. Risk factors such as age, pregnancy, and childbirth are often associated with lower urinary tract symptoms. While national epidemiological data on OAB in Indonesia is unavailable, a small study at a public health center in Padang revealed a high prevalence of OAB among pregnant women (97.14%). This study aims to analyze the association between mode of delivery and the incidence of OAB. Method: This study employed a cross-sectional design conducted at community health centers in Padang. Data were collected through structured interviews and medical records. The inclusion criteria were women aged 20–45 years who had experienced at least one delivery. OAB was assessed using the Overactive Bladder Symptom Score (OABSS). Statistical analysis was performed to determine the association between delivery methods (vaginal or cesarean) and the incidence of OAB. Result: Out of the total participants, 65.4% reported OAB symptoms. The incidence was significantly higher in women with a history of vaginal delivery compared to those with cesarean delivery (p < 0.05). Furthermore, age and parity were found to be contributing factors to OAB symptoms. Discussion: The findings suggest that the mode of delivery is associated with the incidence of OAB, with vaginal delivery posing a higher risk. These results underscore the importance of counseling pregnant women about potential long-term urinary health outcomes associated with childbirth techniques. Further studies with larger samples and more diverse populations are recommended to validate these findings. Keywords: overactive bladder, vaginal delivery, caesarean section
Coping Strategies and Their Subscales: Correlation with Maternity Blues Wartisa, Feny; Lestari, Yuniar; Yusrawati, Yusrawati; Yanis, Amel
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.30-40.2025

Abstract

Background: Postpartum mothers are susceptible to clinical symptoms of depression. Maternity blues is one of the most common postpartum depressions. Objectives: This research aims to identify the correlation between coping strategies and maternity blues in Bukittinggi City. Methods: This Cross-sectional Study was conducted in Bukittinggi City, West Sumatra, Indonesia, involving 126 postpartum mothers recruited consecutively. Data analysis in this study used the Spearman's Rank correlation test. Results: The results of the study showed that problem-focused coping strategies had a positive correlation with maternity blues (p-value: 0.025; r = 1,000). Emotion-focused coping strategies had a negative correlation with maternity blues (p-value: 0.015; r = -0.216). While the type of Avoidance focused coping strategy has a positive correlation with maternity blues (P Value: 0.000; r = 0.446). Conclusion: Problem-focused and emotional coping strategies have a positive correlation with maternity blues. Avoidance-focused coping strategies have a negative correlation with maternity blues. Keywords: Coping strategies, maternity blues, subscales
Genital Ambiguity in a 46, XY individual : a Rare Case Zata Yuda Amaniko; Yuad, Haviz
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.153-160.2025

Abstract

Introduction: Ambiguous genitalia/disorders of sexual development (DSD) is a disorder of sexual development that is atypical chromosomally, gonadally and anatomically, which is generally characterized by the presence of unclear external genitalia, which can cause biological, social and psychological problems in the patient. as well as family. Objective: To report a rare case of 46 XY disorders of sexual development. Case Report: A 20 years old patient was reported with complaints of primary amenorrhea, breasts that had not yet grown and genitals resembling male genitals. Through physical examination, fine hair appeared above the lips, acne, prominent thyroid cartilage, mammary tanner stage M1, and a structure resembling a penis on the genitalia. The patient was examined according to the algorithm for patients with DSD, namely an ultrasound examination with the result that no gonads were found, then the patient underwent a karyotyping examination with results of 46 XY. In the investigation, it revealed LH: 58.45 mIU/ml, FSH: 57.74 mIU/ml, testosterone: 228 ng/dl. Next, the patient is planned for further imaging examinations. Conclusions: DSD is genetically heterogeneous and careful assessment by a multidisciplinary team is essential to accurately diagnose DSD. Many forms of DSD go undiagnosed. It is important for physicians to have a clear decision-making pathway in evaluating patients with DSD Keywords: Disorders of Sexual Development, Ambiguous Genitalia, 46 XY
Comparison of Vaginal Microbiota Profiles in Patients With Endometriosis and Without Endometriosis Sef Zani Meria; Yuad, Haviz; Putra, Andani Eka
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.74-85.2025

Abstract

Introduction: Endometriosis is a complex gynecological disease affect 10% of women in reproductive age, involving inflammation and immune regulation. Diversity of vaginal microbiota is an integral part of vaginal microecology with vaginal anatomy, endocrine system and local vaginal immunity. The disruption in microecology, dysbiosis, is known to trigger inflammatory diseases. The relationship between vaginal dysbiosis and endometriosis remains controversial Objective: To determine the comparison of vaginal microbiota profiles in patients with and without endometriosis Method: The study was case-control design on patients with and without endometriosis at Dr. M. Djamil Hospital, conducted from December 2023 to June 2024 at Dr. M. Djamil Hospital Polyclinic and the Center for Infectious Disease Diagnostic and Research Laboratory. The diagnosis of endometriosis was confirmed via ultrasonography and histology. Microbiota were measured with miSeq Illumina Next Generation Sequencing. A comparison of microbiota profiles was carried out using the Mann-Whitney test. Results: There were 40 respondents, with endometriosis (n=20) and without endometriosis (n=20). At the phylum level, the vaginal microbiota profile in the endometriosis group was dominated by Firmicutes, Proteobacteria, Actinobacteria, and Bacteroidetes, while in without endometriosis group dominated by Firmicutes, Actinobacteria, Bacteroidetes, and Proteobacteria. At the genus level, the endometriosis group was dominated by Lactobacillus sp., Desulfovibrio sp., Flavobacterium sp., and Gardnerella sp., while without endometriosis group were Lactobacillus sp., Prevotella sp., Desulfovibrio sp., and Bifidobacterium sp. There was no difference in the abundance of microbiota (p>0.05) Conclusion: There was no difference in the abundance of microbiota between endometriosis group and without endometriosis group.   Keywords: Endometriosis, dysbiosis, vaginal microbiota, Lactobacillus, Flavobacterium, Firmicutes, Proteobacteria
Clinical Profiles and Outcomes of Patients With Placenta Accreta Spectrum at Dr. M. Djamil Hospital, Padang During 2019 –2022 Sriyanti, Roza; Sri Rahayu MK
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.86-94.2025

Abstract

Objective: Placenta accreta spectrum (PAS) is one of the severe obstetric complications which can cause serious morbidity and mortality to both maternal and neonatal. The incidence of PAS increases globally because of the increasing rate of cesarean deliveries (CS). The aim of this study was to describe the clinical profiles and outcomes of patients with PAS during 2019-2022 at Dr. M. Djamil Hospital, Padang. Method: This study was a retrospective descriptive study that had women with PAS who gave birth and referred to Dr. M. Djamil Hospital Padang, from January 2019-December 2022 as study participants. This study described clinical profiles, PAI score and USG findings and maternal neonatal outcomes of patients with PAS. Result: One hundred eighty-seven cases were involved in this study. Most women with PAS aged ≥ 35 years (45%), parity 2 (47%), previous CS (96%), ≥ 2 times CS history (59%). A PAI score ≥ 5 has the higher proportion (66%) than a PAI score <5. There were still 53 patients (28%) who were admitted in intrapartum and postpartum. Most of the participants underwent hysterectomy (74%). Conclusion: Advanced maternal age, multiparity, previous CS, and placenta previa were risk factors for PAS. PAI score, which combines previous CH hostory and USG findings in antenatal care, can assist in determining whether pregnant women have a high risk of PAS. Antenatal diagnosis and proper perioperative management in PAS are needed to optimize maternal and neonatal outcomes.  Keywords: Placenta accreta spectrum, clinical profiles, Outcomes
Pengaruh Pemberian Magnesium Sulfat (MgSO4) Terhadap Kadar Nitric Oxide dan Prostacyclin pada Preeklampsia Pangkahila, Evert; Kade Yudi Saspriyana; Clara Amanda; Winty Septiani
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.1-15.2025

Abstract

Introduction :  Preeclampsia is a pregnancy-related syndrome with significant maternal and neonatal risks, affecting 4.6% of pregnancies globally. Its pathophysiology, linked to an imbalance between prostacyclin (a vasodilator) and thromboxane (a vasoconstrictor), remains poorly understood. Magnesium sulfate (MgSO4) is widely used for seizure prophylaxis in preeclampsia, but its effect on nitric oxide (NO) and prostacyclin levels is still debated. Methods: This quasi-experimental study included 30 pregnant women diagnosed with severe preeclampsia. Baseline serum levels of NO and prostacyclin were measured before MgSO4 administration and re-evaluated after 24 hours of treatment. Changes in biomarker levels were assessed using paired t-tests, with a significance threshold of p < 0.05. Results: The mean NO level increased from 35.2 ± 5.6 µmol/L before treatment to 49.8 ± 6.3 µmol/L after MgSO4 administration, showing a statistically significant difference (p < 0.001). Similarly, prostacyclin levels rose from a baseline of 42.1 ± 4.8 pg/mL to 58.7 ± 5.2 pg/mL post-treatment (p < 0.001). These findings suggest a robust enhancement of vasodilatory activity, supporting the role of MgSO4 in improving vascular endothelial function. Conclusion: MgSO4 administration significantly increases NO and prostacyclin levels, demonstrating its efficacy in reducing vascular resistance in preeclamptic pregnancies. These results reinforce its clinical utility, offering a mechanistic insight into its vasodilatory and anti-convulsive properties. Keywords: Preeclampsia, magnesium sulfate, nitric oxide, prostacyclin, vascular biomarkers

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