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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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Counseling’s Impact on Reproductive-Aged Women Knowledge and Attitude at Andalas Health Center Burhan, Ida Rahmah; Chaniago, YN Zuhal Chaisart; Abdillah, Khalisha Azzahra Pramesti; Zulviyanda, Zakiya; Triananda, Claudia; Zachraina, Rifvia Mustikaweni
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.9.2.241-250.2025

Abstract

Background: Cervical cancer is the fourth most common cancer in women. In Indonesia cervical cancer is the second most common cancer among women, with 50% of women died from the disease. Prevention of cervical cancer can be done by regular screening. Therefore, a national strategy was made by the Ministry of Health to accelerate Indonesia’s progress towards the elimination of cervical cancer. The strategy was adapted in local community health center, including Andalas Health Center. Cervical cancer screening rate at Puskesmas Andalas remains inadequate with coverqge of only 1.23%. This study aimed to determine the general characteristics, evaluate the level of knowledge and attitude regarding cervical cancer screening test, and assess the impact of health promotion through counseling and SOSIALITA pocketbook on knowledge and attitude of reproductive-aged women in the working area of Andalas Health Care. Methods: This study is a pre-experimental study with one group pretest-posttest method with respondents of 25 reproductive-aged women in working area of Andalas Health Center. Results: 40% women of reproductive age are in late adulthood (36-45 years), 80% had a senior high school education, 92% are not working, and 96% are married. Most reproductive-aged women have low-level knowledge (48%) and negative attitude (76%). The results of the pretest and posttest regarding cervical cancer detection test showed an increase in high-level knowledge and positive attitude. Conclusion: There is a significant relationship between health counseling and SOSIALITA pocketbook and reproductive-aged women’s knowledge and attitude regarding cervical cancer early detection test (p<0.05) Keywords: cervical cancer, IVA test, HPV DNA test, early detection, reproductive health
Characteristics and Outcomes of Endometriosis at Dr. M. Djamil Padang General Hospital in 2023 Illahi, Fahrur Rozi; Mondale Saputra; Haviz Yuad
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.9.2.205-212.2025

Abstract

Background. Endometriosis stands as a prevalent benign gynecological condition. It involves the growth of tissue resembling the endometrium outside the uterus, typically impacting the ovaries and peritoneum. Symptoms commonly include premenstrual discomfort and dysmenorrhea. Objective. Knowing the characteristics and outcomes of endometriosis at Dr. M. Djamil Padang General Hospital for the 2023 period. Method. This study is descriptive research aimed at identifying the characteristics of endometriosis among patients at Dr. M. Djamil Padang General Hospital. Conducted in 2023, the study population initially consisted of 129 endometriosis patients. One year later, follow-up was conducted with 73 patients to assess recurrence. Result. There were more patients of reproductive age (97.7%, totaling 126 individuals) than perimenopausal age. The most common complaints reported by patients seeking treatment were dysmenorrhea (81.4%) and non-menstrual abdominal pain (7.8%). The majority of patients were nulliparous (87.6%), followed by multiparous (7%). In terms of BMI categories, most subjects were classified as normal weight (38%) or obese class I (19.4%). Endometriosis lesions were predominantly located in the internal pelvis, particularly in the ovaries (58.1%). Among patients experiencing infertility, the duration was often ≥5 years (31.8%). Nearly all patients received a three-month course of leuprolide acetate injections (97.3%), with additional therapy involving dienogest tablets for three months in 38.4% of cases. Recurrence of symptoms occurred in only 6.8% of patients, while 6.8% of patients became pregnant following treatment. Conclusion. This study concludes that the incidence of endometriosis is high in women of reproductive age. Providing good education about endometriosis is important in order to reduce the delay in diagnosis of this disease so that it can be treated when the stadium was still mild.
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.
MULTI DRUG RESISTANT TUBERCULOSIS IN PREGNANCY muharam, maulana; Firina, Dewi Wahyu; Mizarti, Dessy
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.1.1-15.2022

Abstract

Tuberculosis can develop to multi drug resistant tuberculosis, this will be a serious health problem, not only in Indonesia, also in the world. This disease complexity, length of treatment, adverse effect of drug, make it management become challenging. Pregnancy with physiological changes in it made pregnant woman susceptible to infection, include tuberculosis infection. Data about MDR TB in pregnancy were not much, because TB screening in pregnancy were not often done, also pregnancy it self almost exclude from any trial. Because of MDR TB regiment adverse effect, much of clinician suggest woman in MDR TB treatment to not get pregnant while on it. Management MDR TB on pregnancy use individual regiment, by keep secure and safety aspect of patient, also her fetus.

Page 25 of 47 | Total Record : 469

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