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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 17 Documents
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Search results for , issue "Vol. 9 No. 2 (2025)" : 17 Documents clear
Abdominal Bleeding Ec Suspect Rupture Caecarean Scar Pregnancy Mardoni Efrijon; Yusrawati, Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.279-287.2025

Abstract

Background: Caesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy where the gestational sac implants within the scar of a previous caesarean section. With an estimated incidence of 1/1008 to 1/2500 of all previous caesarean deliveries, CSP can lead to life-threatening complications such as uterine rupture and severe bleeding. Case Presentation: A 27-year-old woman, G3P2A0L2, presented with lower abdominal pain, shortness of breath, and nausea. She had a history of two previous caesarean sections. Physical examination revealed abdominal tenderness and rebound tenderness. Ultrasound suggested a 13-14 week pregnancy with suspected CSP rupture. Emergency laparotomy confirmed uterine rupture at the previous CS scar with placental protrusion. A supravaginal hysterectomy was performed. Discussion: CSP occurs when the blastocyst implants in the lower uterine segment of a previous caesarean scar. Early detection is crucial to prevent severe complications. Transvaginal ultrasound with color Doppler is the primary diagnostic tool. Treatment should aim to remove the gestational sac and CSP mass while preserving fertility when possible. Conclusion: The rising caesarean section rates may lead to increased incidence of CSP. Early diagnosis through transvaginal ultrasound and individualized treatment are essential to reduce morbidity. Clinicians should be aware of this condition and counsel patients about the risks associated with caesarean sections.
Relationship Between Maternal Child Handbook Possession and Knowledge Level of Pregnant Mothers Towards its Contents Tanoto, Nicholas; Ivone Viane Rimbing; Stefani Amelya
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.178-189.2025

Abstract

Introduction: Maternal Child Handbook (MCH) is a guidebook belongs to mother and child, which includes information and records on health of mother and her child. However, not every mother in Indonesia owns and utilizes the MCH. While the ownership of MCH does not guarantee that expectant mothers know or understand the contents of MCH, the right utilization of MCH helps in detecting pregnancy related complication as early as possible and would increase intervention acceptance by expectant mothers. Methods: This analytic observational study assessed the knowledge of 38 expectant mothers as respondents towards the contents of MCH. The level of knowledge would then be compared according to the possession of MCH using layered cross-tab analysis in 90% CI. Results: There is a significant difference in total score mean between those who possess MCH and do not possess MCH. Pregnant mothers who own MCH scored 1.63 (90%CI 0.647 – 2.615) points higher than their counterparts. The group of respondents in 1st gravidity shows relationship between MCH possessions towards knowledge score category. Conclusion: There is a relationship between possession of MCH and expectant mothers’ knowledge score towards MCH contents in first pregnancy mothers.  
Factors Associated with Stress Urinary Incontinence During Pregnancy at Pasar Kuok Community Health Center Maulana, Muhammad Iqbal; Yulia Margaretta Sari
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.224-230.2025

Abstract

Objective: This study aimed to analyze the relationship between maternal age, parity, and trimester of pregnancy with stress urinary incontinence (SUI) severity, measured using the International Consultation on Incontinence Questionnaire (ICIQ) score, among 102 pregnant women at Pasar Kuok Health Center. Method: A cross-sectional study was conducted involving pregnant women who completed the ICIQ questionnaire. Data on maternal age, parity, and trimester of pregnancy were collected and analyzed using statistical tests to determine their association with SUI severity. Result: The mean ICIQ scores varied across age groups, parity, and pregnancy trimesters, with the highest scores observed in women aged 31–38 years, multiparous women, and those in the third trimester. However, statistical analysis revealed no significant associations between ICIQ scores and maternal age (p = 0.584), parity (p = 0.945), or trimester of pregnancy (p = 0.136). Conclusion: These findings suggest that maternal age, parity, and trimester of pregnancy may not independently influence SUI severity during pregnancy. Further research is needed to explore other potential contributors to SUI. Early screening and management strategies, including pelvic floor muscle training, remain essential to improving maternal quality of life.
Correlation of Leukopenia with Vitamin D Levels in Ovarian Cancer Patients Undergoing Platinum-Taxane-Based Chemotherapy Antonius, Puja Agung; Firdawati, Firdawati; Syamel Muhammad; Yusrawati, Yusrawati; Karmia, Hudila Rifa; Wijaya, Caesar Muhammad
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.251-258.2025

Abstract

Introduction: Ovarian cancer is a significant cause of death in women. One of the management of advanced ovarian cancer patients is chemotherapy. The effects of administering Platinum-Taxane-Based chemotherapy to ovarian cancer patients show side effects of myelosuppression, one of which is leukopenia. Methods: This type of study is a correlation analytical study with a cross-sectional design from October 2023 to May 2024 at Dr. M. Djamil Central General Hospital Padang. The patients included were ovarian cancer patients who underwent Platinum-Taxane-Based chemotherapy with laboratory results of leukopenia. Results: From 70 patients, it was found that 37 patients (52.9%) had grade I leukopenia, 27 patients (38.6%) had grade II, and 6 patients (8.6%) had grade III. Based on the results obtained, in grade I leukopenia, the average vitamin D value is 13.162 ng/mL, grade II has an average vitamin D value of 11.851 ng/mL, grade III has an average vitamin D value of 14.333 ng/mL. The study results showed a relationship between leukopenia and vitamin D levels p = 0.034 (p < 0.05). Conclusion: There was a relationship between leukopenia and vitamin D levels in ovarian cancer patients undergoing Platinum-Taxane-Based Chemotherapy at Dr. M. Djamil Central General Hospital Padang.
Modification of Intrauterine Catheter Device to Manage Reocclusion Following Cervical Dysgenesis Surgery: A Case Series Tyas Priyatini; Rodiani, Rodiani
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.318-326.2025

Abstract

Background: Cervical dysgenesis is an extremely rare type of Mullerian anomalies causing obstructive symptoms. Conservative surgery of neocervix may be related to reocclusion of the genital tract and further increase the risk of reoperation. The presence of uterine malformation may also complicate this condition and lead to challenges for normal anatomy restoration. Case presentation: We present three cases of primary amenorrhea and obstructive symptoms caused by reocclusion following cervicovaginal conservative surgery. A neovagina was created using amniotic graft, followed by the insertion of intrauterine catheter device using a syringe barrel to maintain canalization and prevent reccurent occulsion. Double approach technique (laparotomy hysterotomy and transvaginal approach) was used in the two cases and one case underwent transvaginal surgery. Three months follow-up revealed normal menstruation and rather satisfying anatomical outcome. Clinical discussion: Treatments should aim to relieve obstructive symptoms, improve function, and preserve fertility. Conservative surgical approach to manage cervical dysgenesis warrants challenges in preventing reocclusion. Surgery mainly consists of creating neocervix, neovagina if needed, and maintaining the continuity of the genital tract. Conclusion: Intrauterine catheter device using a syringe barrel is a simple and feasible option with satisfactory anatomical as well as functional outcome to manage cervical dysgenesis
Urinary KIM-1 Levels Normal Pregnancy vs Early-Onset Preeclampsia, and Late-Onset Preeclampsia Morena, Sivia Heni; Vaulinne Basyir; Husna Yetti
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.213-223.2025

Abstract

Introduction : Preeclampsia is a hypertensive disorder of pregnancy that contributes to high maternal mortality rates. Kidney Injury Molecule-1 (KIM-1) has been identified as a potential biomarker for detecting kidney injury and is suspected to play a role in the pathogenesis of preeclampsia. Objective : This study to determine the differences in urinary KIM-1 levels among normal pregnancies, early-onset preeclampsia, and late-onset preeclampsia at Dr. M. Djamil General Hospital, Padang. Methods : Cross-sectional comparative study included 72 pregnant women, consisting of 24 with normal pregnancies, 24 with early-onset preeclampsia, and 24 with late-onset preeclampsia. Urinary KIM-1 levels were measured using the ELISA method at the Biomedical Laboratory, Faculty of Medicine, Andalas University. Results : The mean urinary KIM-1 levels in the normal pregnancy group were 2.834 ± 0.957 ng/mL, in the early-onset preeclampsia group were 2.659 ± 1.175 ng/mL, and in the late-onset preeclampsia group were 2.694 ± 0.978 ng/mL. Statistical analysis showed no significant difference in urinary KIM-1 levels among the three groups (p > 0.05). Conclusion : There was no significant difference in urinary KIM-1 levels between normal pregnancies, early-onset preeclampsia, and late-onset preeclampsia. Further studies with larger sample sizes and more specific methods are needed to explore the potential of KIM-1 as a preeclampsia biomarker.
Comparison of Detection Methods for Premature Rupture of Membranes: IGFBP-1 Immunoassay Test vs. Nitrazine Test Vekky Tria Novanda; Dovy Djanas; Ferdinal Ferry
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.231-240.2025

Abstract

Objective: This study aimed to compare the diagnostic accuracy of the Insulin-like Growth Factor Binding Protein-1 (IGFBP-1) immunoassay test with the conventional Nitrazine test in detecting Premature Rupture of Membranes (PROM). Method: A diagnostic cross-sectional study was conducted as part of a multicenter study in 19 centers. It involved 40 pregnant women (20 with PROM and 20 without PROM) between 28–36 weeks of gestation at Dr. M. Djamil Hospital, Padang. The IGFBP-1 immunoassay (Actim PROM) and Nitrazine tests were performed using posterior vaginal fornix swabs. PROM diagnosis was confirmed by speculum examination. Data analysis included ROC curves, Youden’s Index, and AUC using SPSS v27. Result: The IGFBP-1 immunoassay yielded 100% sensitivity and 100% positivity in PROM cases. The Nitrazine test showed 75% sensitivity with 4 false negatives. IGFBP-1 provided more accurate results, was unaffected by vaginal bleeding or infections, but was more costly and required immediate handling. Conclusion: IGFBP-1 immunoassay demonstrates superior sensitivity and specificity compared to the Nitrazine test for PROM diagnosis. It is particularly advantageous in cases with unclear symptoms or contamination, supporting its use as a more reliable diagnostic tool in obstetric care.

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