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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 469 Documents
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A Case Report: Unusual Case of Heterotopic Pregnancy with Chronic Ectopic Pregnancy Putri Embun Pagi; Haviz Yuad
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.453-459.2023

Abstract

Background : Heterotopic pregnancy describes the occurrence of two pregnancies in different implantation sites simultaneously, mostly manifested as intrauterine and ectopic pregnancies (ampullary in 80%). The  incidence has been documented due to the increase incidence of pelvic inflammatory diseases. Case: A 28-years-old primipara woman with suspected chronic ectopic pregnancy, differential diagnosed with ovarian cyst. Previously, the patient had complete abortion because abdominal and pelvic pain still present, she decided to seek treatment at RSUP dr. Mdjamil, from ultrasound was found suspected chronic ectopic pregnancy differentially diagnosed with ovarian cyst. Laparoscopy had done then,  the intraoperative findings found that there was a chronic ectopic pregnancy in the left ampullary tubal and then left salpingectomy was performed.Conclusion: This case is one of the unusual clinical presentations of heterotopic pregnancy. This case highlights the importance of including heterotopic pregnancy in the differential diagnosis especially in patients with persistent abdominal and pelvic pain after complete abortion. 
Demographic and Obstetric Determinants of Section Cesarean in RSUP Dr. M. Djamil Padang in 2019 Muhammad Hasbi Asy Syukri; Desmawati Desmawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.405-410.2023

Abstract

Introduction: Demographic and obstetric determinants are the dominant factors for the incidence of section cesarean, such as; age, education, occupation, parity, history of wrong delivery, and obstetric complications. This research aims to determine the determinants of demography and obstetric service section cesarean section at RSUP Dr. M. Djamil Padang in 2019. Method: This type of research is an observational descriptive research design cross-sectional. The form sample is secondary data used in the total sampling method, which comes from 420 mothers maternity. Research in analysis univariate and presented in form table frequency. Results: Research obtained that mothers give birth by section cesarean was a risky parity (59.77%), the most medically indicated was placenta previa (27.27%), and more than half (58.64%) were mothers with a history of abnormal delivery, the majority (80.90%) mothers with higher education. Most (67.73%) of mothers with a section cesarean are in the fertile period or not at risk, and more than half (55.00%) of mothers who receive sectional services cesarean section is a mother who does not work. Conclusion: Implied this research found mother section cesarean age risk, education high, no work, parity risk, and history of labor risk, with the indication of most medical incidents that is placenta previa. Suggestions are that mothers are expected to be able to know from the start what risk factors or abnormal labor are.
Mayer-Rokitansky-Küster-Hauser syndrome Arga Kafi Perdana Kusuma; Bobby Indra Utama
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.488-494.2023

Abstract

Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) is a syndrome characterized by uterine, cervix, and the two third of upper vagina aplasia which is the cause of incomplete development of the Müllerian duct. Reported a case of woman 28 years old, patient has not menstruated until now. The phenotype of the patient appears to be female, and with normal stature. Breast, axilla dan pubic hair distribution, fatty in buttocks and thigh developed normally. Fallopian tubes, uterine and 2/3 upper part of vagina were not formed. On gynecological clinical examination, found vaginal introitus with a vaginal sonde was 2 cm. On abdominal ultrasound examination, the uterus was seen as a line, right ovary measuring 2.93 x 2.59 cm and left ovary measuring 2.52 x 2.28 cm. The patient then underwent a diagnostic laparoscopic procedure, and found both right and left ovaries within normal limits, intact tubes, but no uterus was visible. Patient are planned for vaginoplasty.
Correlation between Estradiol and Progesterone Hormone Levels and Endometrial Thickness, Pattern, and Vascularization in Patients Undergoing In Vitro Fertilization Inayah Afrilia; Dedy Hendry
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.416-421.2023

Abstract

Introduction: Currently there is a shift in trends in in vitro fertilization programs related to embryo transfer. Embryo transfer is largely determined by the window of implantation related to endometrial receptivity. Endometrial pattern, thickness and vascularity are biomarkers of endometrial receptivity. Estrogen and progesterone are known to have a role in the development of this biomarker.Methods: This study used a cross-sectional design. The study was conducted from January to December 2022 at the Morula IVF Fertility Clinic Padang, RSU Bunda Medical Center (BMC) Padang.Results: At the end of the study, there were 100 respondents with an average age of 25-29 years, most of them were overweight, and almost all of them had primary infertility, and the average duration of infertility was 6.75 ± 3.98 years. At the time of ovulation trigger, the mean estradiol levels were 3070.32 ± 1186.985 pg/ml, progesterone 1.10 ± 0.57 ng/ml, and E2/P4 ratio 3.64 ± 3.10. Most of the respondents had type A endometrial pattern, type I vascularity, and the mean endometrial thickness was 11.58 ± 2.94 mm. There is a statistically significant relationship between estradiol and endometrial thickness and vascularity. In addition, a relationship was also found between progesterone and E2/P4 with endometrial vascularization. However, there is no significant relationship between progesterone and the E2/P4 ratio with the endometrial pattern.Conclusion: Estrogen, progesterone and E2/P4 are related to endometrial vascularization and estrogen is related to thickness. None of these hormones are associated with endometrial pattern.
Hematometra Ec Stenosis Of The Cervix Of The Uterus: A Case Report Yenny Mayang Sari; Bobby Indra Utama
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.460-466.2023

Abstract

Background : Cervical stenosis has been defined as a narrowing of the endocervical canal preventing passage of a 2.5-mm Hegar or Pratt dilator. Stenosis of the external cervical os has been described as an external os diameter of less than 4.5mm. Symptoms of cervical stenosis are dependent on the degree of endocervical canal obstruction and the patient's menopausal status. Those patients with severe or complete obstruction of the endocervical canal can experience hematometra with scant or sporadic menstrual flow, amenorrhea, dysmenorrhea, chronic pelvic pain, and infertility.Case Report : A 16-year-old woman was consulted from Pediatric with cervix stenosis with haematometra wich had been noticed since a month ago. Menarche at the age 13 years, regular and slightly pain menstruation every month. The result of MRI examination represented bilateral hematometra and hematocolpos ec suspected cervical stenosis. The management of this case was cervical dilatation and cervical tube installation. Conclusion : Cervical stenosis is a caused of menstrual complaint which is characterized by slightly pain while menstruation, hematometra and hematocolpos. 
Adolescent Pregnancy and Child Marriage: Current Situation in Indonesia Aladin Aladin
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.353-362.2023

Abstract

Adolescent pregnancy and child marriage is a common public health problem worldwide.  It is one of the key issues concerning reproductive health of women not only in developing countries but also in developed countries, including Indonesia.  The international community is also aware that the problem of Adolescent pregnancy and child marriage is a very serious problem. The general implication is that women and children will be at risk in various aspects, related to unwanted marriages, forced sexual intercourse, pregnancy at a very young age, as well as an increased risk of transmission of HIV infection, other sexually transmitted diseases, and cervical cancer. The purpose of the article is to review current situation and issues on adolescent pregnancy and child marriage in Indonesia. 
Choriocarcinoma with Pulmonary and Spinal Metastases : A Case Report Fardani Putra Syafar; Syammel Muhammad; Puja Agung Antonius
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.495-501.2023

Abstract

Background : Choriocarcinoma is extremely malignant tumor contains of anaplastic trophoblast and prominent hemorrhage, necrosis, and vascular invasion. Choriocarcinoma is a rare, aggressive neoplastic type of trophoblastic disease. This condition grow rapidly and can metastasize to the lung and liver. There are few cases of choriocarcinoma metastases to the spine that have been reported.Case Report : A 28-year-old woman with complaints of haemoptoe and shortness of breath. Previously the patient complained of not feeling the sensation for defecation and micturition. The patient had been diagnosed with choriocarcinoma since 3 years ago, refused to have a hysterectomy and had received chemotherapy 12 times in the first year with choriocarcinoma, but dropped out of chemotherapy in the second year, then came with a worsening condition a year later. The results of the chest x-ray and lumbar MRI showed suspicion of metastases to the lungs and spine. The patient was continued with chemotherapy with paclitaxel and carboplatin and was monitored with periodic beta HCG evaluation. Choriocarcinoma a have different prognoses depending on stage and onset. In these patients, based on FIGO staging, she has reached stage IV and also suspected chemotherapy-resistant Gestational Trophoblastic Neoplasia (GTN), worsened by disobedience to previous treatment. Many patients with GTN require multiple regimens with or without surgery to achieve complete remission.
Relationship between Serum Magnesium Status and the Incidence of Preeclampsia at 8 Padang Primary Health Care Hifzhillah Fajriati; Bobby Indra Utama; Nurhayati Nurhayati
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.592-598.2024

Abstract

Introduction: Preeclampsia is one of the main causes of maternal morbidity and mortality, with its etiology and pathophysiology not fully understood. Several studies have shown that magnesium plays an important role in preeclampsia. Magnesium plays a role in modulating endothelial function. Decreased serum magnesium levels in pregnancy can trigger endothelial dysfunction that has an impact on the occurrence of preeclampsia.Objective: Determine the relationship between serum magnesium status with incidence of preeclampsia in pregnant women at 8 Padang Primary Health Care.Method: An observational analytic with cross-sectional design. Sampling was carried out using total sampling technique from research master data at 8 Padang Primary Health Care for period June 2019 – May 2020. The total sample was 45 pregnant women who met the inclusion and exclusion criteria. Data were analyzed using Fisher’s.Result: The serum magnesium status of pregnant women in the 8 Padang Primary Health Care was dominated by normal serum magnesium status (91.1%) and only 8.9% of pregnant women had preeclampsia. Fisher’s test showed that there was a significant relationship between serum magnesium status and the incidence of preeclampsia (p-value = 0,034).Conclusion: There is a significant relationship between serum magnesium status and preeclampsia (with overlook the factors of previous preeclampsia history, family history of preeclampsia, and magnesium intake during pregnancy). Hypomagnesemia status in pregnant women can exacerbate the occurrence of preeclampsia.
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.

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