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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 451 Documents
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PERBEDAAN RERATA KADAR AKTIVIN A SERUM MATERNAL ANTARA PREEKLAMSIA BERAT DENGAN BUKAN PREEKLAMSIA BERAT Dovy Djanas; Bayu Pramudyo Ariwibowo; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol 1, No 1 (2017)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.1.1.30-37.2017

Abstract

At the start of preelampsia there is a failure of cytotrophoblst invasion into the maternal spiral arteries that will lead to decreased uteroplacetal perfusion which will be followed by the failure of the unit fetoplacenter to get enough oxygen from the room intervillous that ultimately lead to a state of hypoxia in placenta. This will cause the expenditure of TNF-α dan IL-1β from placenta and a factors called hypoxia-inducible transcription factors that will spur the trophoblast to produce activin A lot more. This research was conducted by cross sectional method in maternal room of obstetrics and gynecology department of Central General Hospital of Dr. M. Djamil Padang from August 2015 until February 2016 with 20 patients of severe preeclampsia and 20 patients not severe preeclampsia, who met inclusion criteria and there is no exclusion criteria. Then performed statistical analysis using Mann-Whitney test to determine difference in mean maternal activin A serum levels of severe preeclampsia and not severe preeclampsia. The mean maternal serum levels of activin A in severe preeclampsia is 32,55 ± 1,84 ng/ml and in pregnancy with no severe preeclampsia is 8,59 ± 0,59 ng/ ml. Difference in mean maternal serum level of activin A in the two groups was statistically significant (p=0,001). Ma-ternal serum activin A levels is significantly higher in severe preeclampsia than pregnancy with no severe preeclampsia.Keywords: Activin A, severe preeclampsia, not severe preeclampsia
KEHAMILAN DENGAN GANGGUAN JIWA Desmiwarti Desmiwarti
Andalas Obstetrics And Gynecology Journal Vol 1, No 2 (2017)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.1.2.93-99.2017

Abstract

Pregnancy is a dramatic episode of the biological and psychological changes and adaptations of a woman who never experienced it. The incidence of mental disorders in pregnancy was lower than postpartum and outside of pregnancy with 10 - 15% on post partum 10-15% and 2-7% beyond pregnancy. However Ohara reported that 10% of pregnant women was eligible if diagnosed with major and minor depression. There are two phases of pharma- cological management is described in the guidelines panel: the acute phase, symptoms are treated, drug dosage adjusted to prevent the adverse effects and patient given counseling, severe phase, patients were monitored at an effective dose to prevent relapse . In the maintenance phase, patients at risk for relapse is often still treated with medicines. Reported here the case of a female patient aged 31 years diagnosed with G2P1A0H1 term gravid 37- 38 weeks + bipolar affective disorder, current episode manic with psychotic symptoms. Patients have been known to suffer from a mental disorder since 2000 and has been submitted to psychiatry ward for as much as 9 times. Trigger disorder is unknown at this time, the patient suddenly angry for no apparent reason. Patients treated with pharmacotherapy of haloperidol 2x2 mg, roboransia and psychotherapy. Treatments including consideration of the patient to provide pharmacological therapy in a minimun dosage and psychotherapy to effectively reduce teratogenic risk to the fetus. Patients have been known to suffer from a mental disorder since 2000 and has been submitted to psychiatry ward for as much as 9 times. Trigger disorder is unknown at this time, the patient suddenly angry for no apparent reason. Patients treated with pharmacotherapy of haloperidol 2x2 mg, roboransia and psychotherapy. Treatments including consideration of the patient to provide pharmacological therapy in a minimun dosage and psychotherapy to effectively reduce teratogenic risk to the fetus. Patients have been known to suffer from a mental disorder since 2000 and has been submitted to psychiatry ward for as much as 9 times. Trigger disorder is unknown at this time, the patient suddenly angry for no apparent reason. Patients treated with pharmacotherapy of haloperidol 2x2 mg, roboransia and psychotherapy. Treatments including consideration of the patient to provide pharmacological therapy in a minimun dosage and psychotherapy to effectively reduce teratogenic risk to the fetus.Keywords: Mental disorders, bipolar affective disorder, pregnancy, psychotherapy
KARAKTERISTIK PENDERITA ENDOMETRIOSIS DAN ADENOMIOSIS DI RSUP DR. M. DJAMIL PADANG PERIODE JANUARI 2017 – OKTOBER 2018 Hidayat, Arde; Hendry, Dedy
JOURNAL ANDALAS OBSTETRIC & GYNAECOLOGY Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aogj.3.1.29-41.2019

Abstract

Latar Belakang?: Endometriosis adalah suatu kelainan ginekologi jinak ditandai dengan adanya kelenjar dan stroma endometrium diluar lokasi normal. Endometriosis merupakan suatu??kelainan kronik merupakan penyebab utama dari infertilitas, dismenorea, dyspareunia dan??nyeri pelvis kronis dengan berbagai tingkat nyeri. Tatalaksana??endometriosis dapat berupa terapi medikamentosa dan atau terapi pembedahan. Terapi pembedahan dapat bersifat koservatif maupun definitif.?Tujuan?: Mengetahui karakteristik penderita endometriosis dan adenomiosis yang ditindak di RSUP Dr. M. Djamil Padang periode Januari 2017- Oktober 2018.?Metode?: Jenis penelitian ini adalah deskriptif retrospektif, menggunakan rekam medis penderita endoetriosis yang ditindak di RSUP Dr. M. Djamil Padang.?Hasil penelitian?:??pada penelitain ini didapatkan 160 kasus pasien endometriosis yang ditindak selama periode tersebut tetapi pasien yang memiliki data rekam medis yang lengkap hanya 154 kasus. Distribusi penderita endometriosis terbanyak kelompok usia 36-45 tahun (42.2%), kawin (87,7%), nulipara (61,7%), kista endometriosis ( 44,8%),?metode laparatomi (54.6%), dan jenis operasi terbanyak?kistektomi ( 44,8%) , serta keluhan nyeri berkurang setelah operasi (62.7%)Kesimpulan?:?Karakteristik penderita endometriosis yang ditindak terbanyak pada kelompok usia 36-45 tahun, kawin, nulipara, kista endometriosis, metode laparotomy, jenis operasi kistatektomi, dan keluhan nyeri berkurang setelah operasi?
UTERUS BIKORNU Herti Marni; Ferdinal Ferry; Bobby Indra Utama
Andalas Obstetrics And Gynecology Journal Vol 2, No 2 (2018)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.2.115-118.2018

Abstract

Background : Uterus bicornis subseptum is a deformity of the uterus such as the shape of the heart, the fundus appears to be curved inward, and has a barrier or wall inside to the uterine cavity. This abnormality occurs due to failure of the fusion of the left and right mullerian ducts. If pregnant, women who have this form of the uterus will usually experience a location abnormality, in which the fetus is often transverse or breech. However, women who have this disorder sometimes find it difficult to get pregnant so they experience infertility. In addition, there is usually a disturbance in the formation of the kidneys, but in this patient there was no abnormality in the urinary tract. In cases where the patient does not have children and a bicornu uterine abnormality is found, uterine repair is performed and it is hoped that with the uterine anatomy returning to normal, the patient can become pregnant.Objective : Discuss the management of cases of congenital abnormalities of the internal genital organs in patients with a bicornu uterus.Method : Case Report.Case : Reported a patient aged 25 years with primary infertility 4 years and a bicornu uterus. In patients, chromotubation was performed first, after chromotubation, the patient was performed metrosplasty to remove the bulkhead in the uterus and to repair the uterus. During the post-op follow-up at the hospital the patient did not show any signs of infection or acute abdomen, then the patient was discharged on day 5. The patient was advised to go to the OBGYN polyclinic regularly for further follow-up to the success of his uterine repair. Assessment can be done in several ways including transvaginal ultrasound to assess whether there is adhesions to the endometrium from the results of uterine repair, HSG, SIS or hysteroscopy can also be done in assessing the success of metroplasty in this patient.Conclusion : After metrosplasty in a patient with a bicornu uterus, further follow-up is required to determine the success of this procedure by performing a follow-up ultrasound.Keywords: Bicornu uterus, metroplasty
EVALUASI KOMPETENSI BIDAN DALAM PEMASANGAN ALAT KONTRASEPSI DALAM RAHIM COPPER T 380A BERDASARKAN UMUR, PENDIDIKAN, PENGALAMAN PEMASANGAN DAN LAMA PRAKTIK DI KOTA PADANG Desmiwarti Desmiwarti; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.37-45.2019

Abstract

Midwives are health providers influential in helping families to choose appropriate contraception for patients. Midwives must have competence in providing midwifery services in particular IUD insertion. This study’s aim was to evaluate the competency of midwives in the insertion of an intrauterine device Copper T 380A based on their age, education, experience of insertion and duration of practice in Padang City. This study was done in puskesmas and private midwivery practice in Padang from September to December 2014 using cross-sectional method on 24 samples who met the inclusion criteria and not exclusion criteria. We conducted interviews and observed how the respondents perform IUD insertion by using a check- list. From this study, there was no significant association between age (p: 0.540, p> 0.05), education (p: 0.439, p> 0.05), experience of insertion (p: 0.472, p> 0.05) and duration of practice (p: 0.505, p> 0.05) with competency of IUD insertion. Most respondents have a good competence in IUD insertion. Part of the checklist the respondents frequently missed out were conseling to the patients and prevention of infection.Keywords: Midwives Competency, IUD insertion, Copper T-380a
ISOLATION OF AMNIOTIC FLUID MESENCHYMAL STEM CELLS (AF MSCs) OBTAINED FROM CAESAREAN SECTIONS Bobby Indra Utama
Andalas Obstetrics And Gynecology Journal Vol 2, No 1 (2018)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.1.1-9.2018

Abstract

Amniotic fluid is a liquid that fills the amniotic cavity which has defense and nutritional functions in fetal development. Human aterm amniotic fluid can be an ideal alternative as a source of mesenchymal stem cells, originating from the neonate. Preclinical studies of second and third trimester amnion fluid cells confirmed the number of potential donors from this wasted material. In several studies, AF-MSCs express mesenchymal markers such as CD90, CD73 (SH3, SH), CD105 (SH2), CD29, CD166, CD49e, CD58 and CD44 (MHC class I). These cells also express HLA-ABC antigens, CD 34, CD 45 which are hematopoietic markers, and endothelial CD31 markers. There is no expression of CD10, CD11b, CD14, CD34, CD117, EMA and HLA-DR, DP, DQ antigens. Most of AF-MSCs have pluripotent properties which are characterized by the discovery of octamer binding protein 3/4 (Oct-3/4), transcription factors Nanog (Nanog), and stage-specific embryonic antigen 4 (SSEA-4) on RT-PCR examination. From this study, 8 million cells was isolated. These cells will be used for research on pelvic organ prolapse therapy by using AF-MSCs. AF-MSCs isolation totally takes 6 weeks. From 1 flask, 2 million of stem cells was obtained. Keywords: amniotic fluid, AF-MSCs
PERBEDAAN EFEK MISOPROSTOL DAN OKSITOSIN SEBAGAI PEMATANGAN SERVIKS Lasmini, Putri Sri; Yunitra, Imelda; Bachtiar, Hafni
Andalas Obstetrics And Gynecology Journal Vol 3, No 2 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aogj.3.2.119-122.2019

Abstract

Berbagai penelitian dilakukan untuk menilai efektifitas misoprostol dan oksitosin tersebut, bahkan be- berapa penelitian membandingkan pemakaian misoprostol dan oksitosin sebagai induksi persalinan, Berdasarkan bebagai penelitian tersebut terlihat bahwa tampak pengaruh yang berbeda dari misoprostol dan oksitosin pada fase perturisi mulai pematangan serviks, kontraksi uterus hingga keberhasilan persa- linan. Bila dibandingkan dengan oksitosin, maka misoprostol sebagai obat yang mudah didapatkan, mu- rah dan efektif, sebagai agen pematangan serviks dibanding dengan oksitosin. Penelitian ini merupakan penelitian eksperimental pre-post kontrol group desain untuk menilai proporsi perbedaan efek pemberi- an misoprostol dan oksitosin pada pematangan serviks, Penelitian dilakukan di RS Dr.M.Djamil Padang dan RS jejaring. Waktu penelitian mulai januari 2014 sampai bulan oktober 2014, Variabel bebas adalah pematangan serviks dengan menggunakan misoprostol 25 ?g dan drip oksitosin. Variabel tergantung adalah terjadi atau tidaknya pematangan serviks dan penilaian kenaikan Bishop skor. Rata-rata pematan- gan serviks dengan misoprostol lebih tinggi atau lebih besar dibanding dengan oksitosin yaitu 7,0968 ± 2,11904 berbanding dengan 2,5806±3,36427. Secara statistik perbedaan ini signifikan dengan p < 0,05. Misoprostol adalah agen pematangan serviks yang lebih baik daripada oksitosin, Oksitosin sebaiknya diberikan pada serviks yang matang.Kata Kunci : Preeklampsia berat, asam folat, hamil normal.
FAKTOR RESIKO INDIVIDUAL PADA PREEKLAMPSIA PADA RSUP DR M DJAMIL PADANG Yusrawati Yusrawati; Rizanda Machmud
Andalas Obstetrics And Gynecology Journal Vol 1, No 2 (2017)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.1.2.64-71.2017

Abstract

Preeclampsia is an important issue in obstetrics because it is still a major cause of maternal mortality compared to bleeding and infection. Similarly, the national prevalence, preeclampsia prevalence in West Sumatra is also constantly increasing. Many factors have been identified as risk factors. This study purposed to identify and analyze risk factors of preeclampsia consist of individual factors. This study was an analytical observational study with case-control design, done in Obstetrics and Gynaecology Department of RSUP DR. M. Djamil Padang on January-December 2013 until samples were completed. Samples consist of 70 preeclampsia patients as the treatment group and 70 healthy maternity patients as the control group in RSUP DR. M. Djamil Padang. The results showed there were significant differences between individual risk factors in the preeclampsia group than the control group.Keywords: Individual Risk Factors, Preeclampsia
Ovarian Pregnancy Widayat, Widayat; Ariadi, Ariadi
JOURNAL ANDALAS OBSTETRIC & GYNAECOLOGY Vol 3, No 2 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aogj.3.2.96-106.2019

Abstract

Tujuan: Melaporkan kasus Kehamilan OvariumBahan dan Metode: Artikel ini menggambarkan laporan kasus seorang wanita berusia 33 tahun, dengan diagnosa Kehamilan Ovarium pada G2P0A1H0 gravid 6-7 minggu. Pasien datang ke IGD RSUP Dr. M. Djamil Padang. Pemeriksaan USG tersebut memberikan kesan Ectopic pregnancy in right ampula tube. Setelah dilakukan laparoskopi tampak kehamilan ektopik di ovarium kanan tanpa dengan perdarahan. Kesan kehamilan ovarium kanan. Dilakukan dilakukan tindakan Oophorektomi partial dan evakuasi jaringan dengan perdarahan selama tindakan ? 30 cc.Hasil: Pasien mendapatkan intervensi tindakan laparoskopi tampak kehamilan ektopik di ovarium kanan tanpa dengan perdarahan, ovarium kiri ukuran dalam batas normal. Kesan kehamilan ovarium kanan. Dilakukan dilakukan tindakan Oophorektomi partial dan evakuasi jaringan dengan perdarahan selama tindakan ? 30 cc. Jaringan dilakukan pemeriksaan histologi Patologi Anatomi.Kesimpulan: Kehamilan ovarium merupakan salah satu bentuk kehamilan ektopik yang paling jarang, kadang sulit didiagnosa karena dapat dibingungkan dengan kehamilan ektopik tuba atau kista ovarium hemoragik. Kehamilan ovarium dapat rupture pada trimester pertama kehamilan.Kata Kunci: Ovarian Pregnancy, Laparoscopi, Oophorektomi partial
PERBANDINGAN ANTARA KADAR VITAMIN C PLASMA DARAH HAMIL ATERM PADA KETUBAN PECAH DINI DENGAN HAMIL ATERM TANPA KETUBAN PECAH DINI Defrin Defrin; Rosfita Rasyid
Andalas Obstetrics And Gynecology Journal Vol 2, No 2 (2018)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.2.101-108.2018

Abstract

Premature rupture of membranes is the most common complication of pregnancy. The incidence of premature rupture of membranes in pregnancy ranged from 6% to 10%, and 20% of these cases occur before 37 weeks gestation. The incidence of premature rupture of membranes in Indonesia ranges from 4.5% to 7.6% of all pregnancies. This research was conducted to determine the cross-sectional differences in the blood plasma levels of vitamin C in term pregnancy premature rupture of membranes with blood plasma levels of vitamin C in term pregnancy without premature rupture of membranes in M. Jam- il Padang hospital, Achmad Muchtar Bukittinggi hospital, and Pariaman Hospital. There are significant differences in vitamin C blood plasma levels in term pregnancy with premature rupture of membranes and term pregnancy without premature rupture of membranes ( P < 0.05). Mean levels of vitamin C in blood plasma at term pregnancy with premature rupture of membranes lower than in the blood plasma levels of vitamin C in term pregnancy without premature rupture of membranes.Keywords: Premature rupture of membrane in aterm, blood plasma levels of vitamin C

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