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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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Vaginal synechiae in reproductive woman : A case report Dinata, Kurnia Ariya; Setia, Dyhan Purna; Putra, Ilham Rizka
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.203-208.2022

Abstract

Background: Vaginal synechiae is a condition which lips of labia minor was fused and covered the opening of vagina. The choice of treatment depends on the age group and the thickness. The cause is multifactorial, but during childhood it can be caused by hypoestrogenism or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. In the post-delivery hypo-estrogenic state of the female infant, the labia minora stick together in the midline. Case Report: A 23-year-old woman complained of having a different genitalia appearance compared to her friends. Patient had menarche at 13 years old, with regular cycles for 4-5 days and using 2-3 pad/day on her period. Conclusion: Vaginal synechiae in this patient maybe multifactorial, but during childhood it can be caused by hypoestrogenism during pregnancy or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. Synechiae incision was performed in this patient. Topical antibiotic and steroid maybe needed to promote healing and prevent recurrence.
Congenital Heart Defects: Risk Stratification for Pregnancy Serudji, Joserizal
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.116-121.2022

Abstract

Major advances in medicinal and operative therapy on congenital heart defects (CHD) patients have led the majority of affected women survive to childbearing age. The risk of cardiovascular complications during pregnancy and peripartum depends on the type of the underlying defect, the extent and severity of residual haemodynamic lesions and comorbidities. Thuugh pregnancy is well tolerated in patients with CHD, but for some women with particularly high-risk lesions and poor functional class, pregnancy poses significant risk for cardiovascular complications, including premature death. As a result, preconception risk stratification and counseling are mandatory and should be done in all women of childbearing age with CHD. This will enable informed decision making for pregnancy savers.
Relationship Between Placenta Accreta Index Score and Management in Placenta Accreta Patients in RSUP Dr. M. Djamil Padang Azhari, Nabilah; Defrin, Defrin; Nurhayati, Nurhayati
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.9.1.124-133.2025

Abstract

Introduction : Placenta acreta index is a scoring system using ultrasound parameters used to diagnose placenta accreta. Parameters included are the number of previous caesarean section, location of the placenta, grading of lacunae, presence of bridging blood vessels, thickness of the myometrium. The management of placenta accreta is conservative and definitive management, where the definitive management performed is hysterectomy. The purpose of this study was to determine the relationship between PAI score and placenta accreta management in patients with placenta accreta at Dr. M. Djamil Hospital Padang. Method : This type of research was observational analytic with cross sectional research design. This study was conducted in the medical record section uses a total sampling technique of 184 patients. Data analysis used univariate analysis, bivariate with Chi square test. Result : The results of this study showed that 67.9% of patients with PAI≥4 scores, 56.5% of patients who underwent hysterectomy, and after the statistical test obtained a p value <0.001, then H0 was rejected, meaning that there was a relationship between placenta accreta index scores and placenta accreta management. Conclusion : It is conclude from the results of this study there is a significant relationship between PAI score and placenta accreta management (P<0.05) in placenta accreta patients. Keywords: Hysterectomy, placenta accreta, PAI score
Management of Eclampsia Patients Post-ROSC (Return of Spontaneous Circulation) at RSUP M Djamil Padang Permatasari, Ressy; Emilzon Taslim; Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.801-808.2024

Abstract

Background: Eclampsia is a convulsive condition associated with hypertensive disorders in pregnancy which threatens maternal and fetal life which generally requires intensive care. Worsening conditions can complicate multi-organ disorders, coagulation disorders, and infections. Case: A 20 year old, nulliparous woman, preterm gestational age 35-36 weeks of gestation, referred to M Djamil General Hospital with complaints of 3 seizures at home and loss of consciousness. At the time of examination, we found apathetic consciousness; blood pressure of 210/118 mmHg. Urine protein is +3. The patient was terminated by emergency cesarean section. The patient was anesthetized under general anesthesia, and was treated in the postoperative intensive care unit with a ventilator attached. During hospitalization, the patient developed recurrent seizure, laryngeal edema and cardiac arrest, but returned to circulation spontaneously after resuscitation. Hemodynamic and metabolic monitoring is strict on the patient and managed appropriately with good result. Discussion: Eclampsia preceded by preeclampsia is known as a theoretical disease with a two-stage pathogenesis. The principles of eclampsia management are control of seizure, regulation of blood pressure, and termination of pregnancy. Collaboration between multidisciplinary teams determines the success of managing eclampsia cases and improving outcomes for the better.
Uterine Arterivenous Malformation Yulson, M.Luthfi; Mondale Saputra
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.809-814.2024

Abstract

Background : Arteriovenous malformations of the uterus are rare and cause sudden, massive vaginal bleeding.  Although rare, arteriovenous malformations can occur after a cesarean section. Patients  with uterine  arteriovenous malformations commonly manifest vaginal bleeding disorders, ranging from menorrhagia to life-threatening bleeding episodes. Management of AVM is by medication, embolization and surgery depending on the patient's condition. Case : Here we report the case of a 28 year old patient with a diagnosis of Late HPP ec Susp. AVM uteruson P4A0L4 post LSCS + moderate anemia. The patient had a history of caesarean section 2 weeks ago, and the patient was admitted for recurrent bleeding. Discussion : Diagnostic examination found an AVM on surgical scars on the uterus and performed angiography and embolization.The diagnosis of uterine arteriovenous malformation should be considered in patients with secondary postpartum hemorrhage Conclusion : Uterine arteriovenous malformation is a life-threatening disorder because it presents withcomplaints of painless bleeding. This case report reported a patient with uterinearteriovenous malformation which was established through clinical findings and supportingexaminations and ruled out other possible causes of postpartum hemorrhage.
Dicephalus Parapagus Conjoined Twins Febrianda , Alfa; Roza Sriyanti
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.815-822.2024

Abstract

Background: Conjoined twins are monoamniotic monochorionic twins resulting from incomplete division of the embryonic disk and amniotic sac. This rare condition has an incidence of 1:33,000 to 1:165,000 pregnancies. Common types include thoracopagus and omphalopagus, with less common forms like thoracoomphalopagus, pyopagus, ischiopagus, and craniopagus. Parapagus, where twins are joined at the sides with a shared pelvis and organs, occurs in less than 0.5% of cases. Case: A 27-year-old patient presented to the Fetomaternal Clinic at RSUP M. Djamil Padang, referred from Hermina Hospital, with a diagnosis of G2P1A0H1 gravid preterm and suspected conjoined twins. Ultrasound at 5 months showed two heads and one body. Initial assessment noted a family history of twins and palpable round, firm masses. Laboratory tests, Fetomaternal ultrasound, MRI, and 3D CT Scan confirmed conjoined twins (dicephalus, parapagus, dibrachius). A cesarean section was planned. Discussion: Termination involves a multidisciplinary team to manage fetal anatomical abnormalities optimally. Emergency separation has a 70% mortality rate, higher than the 20% for elective procedures. Treatment depends on cardiovascular anatomy, with higher success if only the pericardium is divided. Cardiac anomalies' severity influences prognosis, survival, and separation feasibility. Survival rates depend on the degree of union and cardiac anomalies. In cases like dicephalus, the anatomical structure often makes it unlikely for both twins to survive separation.  
Urologic Morbidity in Surgery of Placenta Accreta Spectrum in Universitas Andalas Hospital Zulfiqar Yevri
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.823-828.2024

Abstract

Background: Hysterectomy for placenta accreta spectrum disorders is known to be associated with urologic morbidity, including intentional or unintentional cystostomy, ureteral injury, and bladder fistula. Case: A 32year old woman with urine retention post total hysterectomy on indications placenta accreta spectrum Grade 3 type 4 S2 segment- 9 days ago, referred to Universitas Andalas Hospital. The patient complained difficulty to urinate, hematuria and supra pubic pain. Physical examination sign of acute abdomen unclear. A Pelvic abdominal ultrasound was performed, the result were Acites and complex acites, left renal hydronefrosis, cystitis and sludge gallblader. From the laboratory result found anemia, leucocytosis, trombositosis, ureum, creatinine and albumin were in normal limit, hyponatremia, hypokalemia, hypocalsemia. The patient were given antibiotics, blood transfusion and natrium, kalium and calcium correction. Cystoscopy was performed to explore the bladder, the result were found adhesion and ruptured at the posterior wall of the bladder a long 3 cm then proceed with laparotomy to repair the bladder and adhesiolisis. During hospitalization, the patient’s condition was good, hemodynamics was stable with sufficient diuresis. The patient was discharged on day 4 after laparotomy of bladder repair with temporary urine catheter installed. Discussion: This patient diagnose previously is placenta accreta spectrum with percreta graded so had a high risk of urologic morbidity. The bladder ruptured occurred after 9th day of hysterectomy. This can occur because the injury during dissection of the uterine vesicular fold undergoes necrosis and then become opens on the 9th day after hysterectomy. A multidisciplinary team should be made in management of placenta accreta spectrum. A team comprising a consultant maternal fetal medicine with pelvic surgery experienced, a blood bank team, an anesthesiologist, a urologist skilled, an interventional radiologist and an experienced neonatologist is advised. Keywords: urologic complication, placenta accreta, urologic morbidity
Unilateral Renal Cystic Disease Zulfiqar Yevri
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.829-833.2024

Abstract

Background: Unilateral renal cystic disease of kidney is a non familial and non progressive disorder, characterized by replacement of the renal parenchyma by a cluster of multiple cysts with a normal contralateral kidney. Case: A 2-day-old newborn baby came to the Urology Department of the Perinatology Department of Andalas University Hospital. The baby with prenatal ultrasound results showed unilateral hydronephrosis and multicystic kidneys. From the postnatal ultrasound, it was found: The right kidney was normal in shape and size; clear differentiation of the cortex and medulla; the pelvic calyx system was not dilated; No stones were seen; There were multiple cystic lesions with regular borders in the renal cortex, the largest cyst size was 5.5x4 cm. The left kidney was normal in shape and size; clear differentiation of the cortex and medulla; The pelvic calyx system was not dilated; No stones or sludge were seen. The impression of multiple renal cysts. The patient was followed up for renal function and cyst development. Conclusion : This case highlights the importance of early diagnosis and follow-up in infants with unilateral renal cystic lesions. Differentiating URCD from other cystic renal diseases is essential for appropriate management and counseling. Further studies are needed to elucidate the pathogenesis and long-term outcomes of URCD.    
Gambaran Kadar Hemoglobin pada Remaja Putri; Studi Kasus di SMP Negeri 27 Padang Burhan, Ida Rahmah; Firdawati, Firdawati; Asy Syukri, Muhammad Hasbi; Fauziah Nur; Fikri Rahman; Putri, Rizqy Nurfathonah; Asyifa Delfilaura; Rahadi, Didan Ariadapa; Dharma, Fitri Yeni
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.9.1.105-114.2025

Abstract

Introduction: The prevalence of anemia in adolescent girls worldwide is reported to be around 40-88%. Adolescent girls with anemia can affect work productivity or academic ability at school due to a lack of enthusiasm for learning and focus. Anemia in adolescent girls can continue throughout their lives and put them at risk of becoming anemic pregnant women who can give birth to premature babies and leading to stunting. This study aims to determine the description of hemoglobin levels in female adolescents at SMP Negeri 27 Padang. Method: The research was descriptive, using a sample of 116 adolescent girls selected by proportionate stratified random sampling. Hemoglobin levels were examined using the Point of Care Testing (POCT) method using capillary blood. Results: The results show that most hemoglobin levels are normal, namely 60 respondents (51,7%), low hemoglobin levels are 55 respondents (47,4%), and high hemoglobin levels are 1 respondents (0,9%). Conclusion: It can be concluded that hemoglobin levels among adolescent girls at SMP Negeri 27 Padang generally have normal hemoglobin levels. Keywords: Adolescent girls, anemia, hemoglobin
Uterine Corpus Endometrial Carcinoma in Young Women Caesar Muhammad Wijaya; Antonius, Puja Agung; Syamel Muhammad; Anugrah, Mutia Paramadita
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.9.1.161-166.2025

Abstract

Introduction : Endometrial carcinoma is a malignant epithelial tumor that forms in the uterus's inner lining, or endometrium. The average age at diagnosis is 61 years, with cases diagnosed after 50 years more than 90%. Endometrial carcinoma is rare in young women, usually defined as occurring under age 50 or menopause, with rare cases occurring under age 40. Case Report : A 35-year-old woman nulliparous complaints of abdominal pain since 3 months ago and complained of weight loss. Based on the anamnesis, the patient is not married. On physical examination, revealed an area of firmness in the suprapubic region associated with pain on palpation. On ultrasound examination, the uterus was found to be anteflexed, with an inhomogeneous appearance, and a solid cystic mass along the uterus. Adnexa measuring 10.02 x 10.20 x 12.02 cm, vascular scale 4, not clearly defined. The patient was diagnosed with suspected uterine corpus carcinoma. Result : In this patient, a total hysterectomy and bilateral salpingo-oophorectomy were performed because the patient did not want fertility. Conclussion : In young women who want to preserve fertility, conservative management is often implemented. But, when fertility-sparing treatment is not considered, the rate of recurrence and progression is considerably low in this case. Ultimately, although fertility-sparing treatments are an attractive alternative to surgery resulting in permanent loss of fertility, unfortunately, they can only be applied in a subset of cases. The standard surgical procedure recommended is a total extra-fascial hysterectomy with bilateral salpingo-oophorectomy. Keywords: Uterine Corpus Endometrial Carcinoma, Young Women

Page 26 of 47 | Total Record : 469

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