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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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Pregnancy with severe preeclampsia, acute kidney injury and nephrotic syndrome Serudji, Joserizal; Yuad, Haviz; Ambelina, Syntia
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.330-337.2023

Abstract

Background: Preeclampsia is one of the main causes of maternal death every year. Preeclampsia can have badconsequences for both the mother and the fetus. Complications in the mother in the form of HELLP syndrome(Hemolysis, Elevated Liver Enzyme, Low Platelet), pulmonary edema, kidney disorders, bleeding, placentalabruption and even maternal death. Complications in infants can be premature birth, fetal distress, low birthweight or intra uterine fetal death (IUFD).Case Report: A 34 year old female patient was brought to the emergency room of Dr. M. Djamil Padang, sent tothe Batusangkar Private Hospital with complaints of shortness of breath which has been increasing when lyingdown. Physical examination found blood pressure 190/136. The patient was diagnosed with G2P1A0H1 gravidpreterm 25-26 weeks, PEB on maintenance dose MgSO4 regimen from outside, suspected nephrotic syndrome,CAP with hypoxemia, pleural effusion, AKI with metabolic acidosis, UTI, hyponatremia, hypoalbuminemia.Discussion: Preeclampsia, eclampsia and HELLP syndrome are serious and life-threatening conditions faced bypregnant women. Early diagnosis and prompt treatment via a multidisciplinary team in the ICU setting canprevent complications and reduce morbidity and mortality. The most common indications for intubation andmechanical ventilation are respiratory failure and hemodynamic instability. The cause of death in this patientwas multiple organ failure which was exacerbated by suspected nephrotic syndrome and suspected SLE.
Hospital Management Functions: A Literature Review Yusrawati, Yusrawati; Muhardi, Muhardi
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.363-371.2023

Abstract

Hospital management is a process of organizing the available resources to support the efficiency and effectiveness of healthcare services provided. The main functions of hospital management include operational management, cost and financial management, materials management, and human resource management. This literature study aims to review each hospital management function based on previous studies within the last five years (2019-2023) obtained from scientific database searches. The inclusion criteria were studies with topics correlated to the four categories of hospital management functions and written in Indonesian/English. Articles that were published from books were excluded. A total of eight studies which were published in accredited journals and can be accessed in full-text form, were analyzed. The results of this study demonstrate that good management will improve overall hospital performance. High-quality financial management will support optimizing the availability of supporting materials for clinical and diagnostic services in hospitals. In addition, adequate human resources planning and organizing, as well as an appropriate work system design, will acknowledge the need for human resource development to increase the professional competence needed to provide health care in the hospital.
Adolescent Pregnancy and Child Marriage: Current Situation in Indonesia Aladin, Aladin
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran 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. 
Correlation of Neutrophil Lymphocyte Ration (NLR) Values with Severe Preeclampsia, HELLP Syndrome and Eclampsia Lisfi, Indah; Sriyanti, Roza; FIrdawati, Firdawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.379-390.2023

Abstract

Background:  Preeclampsia (PE) is the leading cause of maternal and fetal morbidity and mortality. The disease is characterized by hypertension (≥140/90 mmHg), proteinuria, thrombocytopenia, renal failure, neurological complications, liver involvement, and fetal growth retardation. HELLP syndrome is a variant of preeclampsia that causes an increase in liver enzymes and a low platelet count. Eclampsia is the heaviest complication of preeclampsia. Neutrophil lymphocyte ratio (NLR) is part of the leukocyte type count examination which is an easy, available examination parameter and can be used as an index of the severity of systemic inflammation. This study aimed to determine the relationship of neutrophil-lymphocyte ratio (NLR) values with severe Preeclampsia, HELLP syndrome, and eclampsia. Method: This research is a comparative analytical study with a case control study approach. This research was conducted from April-November 2022. This study was conducted at the emergency room (ER) and inpatient department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Andalas – RSUP Dr. M. Djamil Padang. The study sample was part of the population that met the inclusion and exclusion criteria. The study required 108 samples, namely 27 from the severe preeclampsia group, 27 from the eclampsia group, 27 from the HELLP syndrome group, and 27 from the control group. Bivariate statistical analysis using Independent T-Test. Samples were taken by the method of consecutive sampling. The data were analyzed at a 95% confidence interval, if obtained p value<0.05 then there is a significant relationship. The Data was analyzed by the SPSS computer program. Results: The results of this study obtained neutrophil-lymphocyte ratio in eclampsia has the highest average value compared with HELLP syndrome, severe preeclampsia, and control. While HELLP syndrome has a higher mean value than severe preeclampsia and control and subsequently severe preeclampsia also has a higher mean value NLR than control. This study found a significant relationship between neutrophil-lymphocyte ratio (NLR) with severe Preeclampsia, HELLP syndrome, and eclampsia (all p values=0.000). Conclusion: This study proves that neutrophil-lymphocyte ratio (NLR) has a significant relationship with severe Preeclampsia, HELLP syndrome, and eclampsia so further research can develop this study by analyzing other factors that affect preeclampsia. For clinicians can make this study as a reference in monitoring the progression of inflammation that occurs in severe preeclampsia, HELLP syndrome, and eclampsia.
Pengaruh Kadar Vitamin D dan Tumor Necrosis Factor Alpha terhadap Kehamilan Normal Trimester 1 dan Abortus Spontan Prastiwi, Olivia Oktaviani; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.391-404.2023

Abstract

Latar Belakang: Abortus masih merupakan masalah besar dalam pelayanan obstetri karena merupakan salah satu penyebab kematian ibu dan janin sampai saat ini. Kekurangan vitamin D mempengaruhi kehamilan dan dapat berdampak terhadap risiko komplikasi pada ibu hamil dan pada pertumbuhan janin. Tumor necrosis factor-alpha (TNF-α) adalah sitokin Th1 multifungsi dan sangat penting untuk kontrol awal kejadian abortus. Tujuan penelitian ini melihat apakah terdapat perbedaan kadar vitamin D, dan TNF-α pada pasien kehamilan normal trimester 1 dan pasien dengan kejadian abortus.Metode: Desain penelitian adalah potong-lintang. Penelitian ini dilakukan pada Maret 2022 hingga selesai penelitian di Poliklinik Obstetri dan Ginekologi, PONEK RSUP Dr. M. Djamil Padang, Rumah Sakit Universitas Andalas, Rumah Sakit dr. Reksodiwiryo Padang, RSUD M Zein Painan, RSUD Pariaman untuk pengambilan sampel darah. Pemeriksaan kadar 1,25 dihidroksi vitamin D3, TNF-α serum maternal dilakukan di Laboratorium Biomedik Universitas Andalas Padang. Sampel penelitian ini adalah seluruh ibu hamil trimester 1 dan ibu dengan abortus berjumlah 44 orang. Teknik pengambilan sampel dengan consecutive sampling. Analisis data univariat dan bivariat dengan menggunakan uji T-independen (p<0,05) pada taraf signifikansi dan uji Mann-whitney berdasarkan distribusi data. Hasil: primipara lebih banyak pada kehamilan normal yaitu 19 orang (86,4%) dan abortus paritas multipara lebih banyak yaitu 12 orang (54,5%). Rerata kadar serum 1,25 dihidroksi vitamin D3 sebesar 52,81 ng/ml dan rerata kadar TNF-α sebesar 351,07 ng/ml. Terdapat perbedaan bermakna pada kadar 1,25 dihidroksi vitamin D3 antara kehamilan normal dengan kehamilan abortus dengan p value 0,047. Perbedaan kadar TNF-α antara abortus dan kehamilan normal didapatkan p value 0,108.Kesimpulan: Terdapat perbedaan bermakna pada kadar vitamin D antara kehamilan normal dengan kehamilan abortus. Tidak terdapat perbedaan bermakna pada kadar TNF-α antara kehamilan abortus dengan kehamilan normal.
Early Congenital Syphilis: The Impact of Bad Antenatal Care Hidayatullah A, Hidayatullah; Zulmaeta, Zulmaeta
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.411-415.2023

Abstract

Syphilis is a systemic infectious disease caused by Troponema palidum. Syphilis is generally transmitted through sexual contact, but can also be transmitted vertically during pregnancy. Until now syphilis has become a world wide problem for pregnant women, WHO recommends syphilis tested by triple elimination (syphilis, hepatitis B, and HIV) during antenatal care for better pregnancy outcomes.21 year old female, diagnosed with primipara 32-33 weeks of gestational age active phase of labor, latent syphilis + intrauterine single live fetus with head presentation. The patient had never checked her pregnancy until the current gestational age, and only found out that she had syphilis accompanied by clinical symptoms. Birth of a baby with suspected congenital syphilis. 
Correlation between Estradiol and Progesterone Hormone Levels and Endometrial Thickness, Pattern, and Vascularization in Patients Undergoing In Vitro Fertilization Afrilia, Inayah; Hendry, Dedy
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran 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.
Retrospective Analysis of 277 Cases of Placenta Accreta Spectrum Diagnosed with Ultrasound at A Single Tertiary Care Center Adora, Hadikagusti; Yusrawati, Yusrawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.422-430.2023

Abstract

Introduction : Placenta accreta spectrum (PAS) is characterized by abnormal placental adherence and failure to separate from the uterine wall after delivery. The PAS-associated morbidities include peripartum hysterectomy (loss of fertility), massive hemorrhage and the requirement of blood transfusion (leading to consumptive coagulopathy and multisystem organ failure), admission to the intensive care unit (ICU), injury to adjacent organs, and death. Its incidence is on the rise due to an increasing number of caesarean deliveries. Objective : The goal of our study is to analyze the characteristics and outcomes of PAS managed at a tertiary care center with a high volume of PAS. Methods : The design of analytic observation research with a retrospective cross sectional method with ultrasound diagnosis of PAS at M. Djamil Central General Hospital from January 2020 to December 2022 was reviewed. Details of obstetric backgrounds, predelivery diagnosis, peripartum management, and outcomes were analyzed with mean difference test and chi square. Results : Two hundred and seventy-seven women with PAS were identified with ultrasound from 4,500 deliveries during the study period (6.15%). Approximately 45.48% of women with PAS had hysterectomy, while 54.52% did not; 3 cases were conservatively performed. Emergency and elective caesarean sections were accomplished in 32.85% and 67.15%, respectively. There was 3.25% maternal mortality. Anterior PAS (83.3%) is associated with attachment to the previous uterine scar and intraoperative blood loss compared to posterior PAS (15.88%) (p<0.05). The PAS patients with previous uterine surgery had the highest chance of peripartum hysterectomy (p<0.001). Conclusion : The placenta accreta diagnosed by antepartum ultrasound is approximately 6.15%. Almost half of the women in the study had hysterectomies. Only one-third of women with PAS in our study underwent emergent surgery. Anterior PAS is associated with placental attachment to the previous uterine scar and greater intraoperative blood loss compared with posterior PAS. The history of previous uterine surgery in women with PAS increased the chance of peripartum hysterectomy even further. The placenta accreta spectrum should be managed in a center with a high level of surgical expertise.
Skene Duct Cyst in Childhood: A Case Report Kusuma, Agung Wijaya; Utama, Bobby Indra; Sari, Yulia Margaretta
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.446-452.2023

Abstract

Introduction. Vaginal cysts are uncommon and may be either congenital or acquired. the most common vaginal cysts is a urothelial cyst or a paraurethral cyst. With an incidence of 1 in every 2000–7000 live births, paraurethral cysts are an uncommon cause of interlabial mass in newborns and account for less than 0.5 per cent of all congenital urinary system anomalies. Study Purpose. This report describes a rare Vaginal cyst in a child at the posterior vaginal wall.. Results.this is a case report study about a girl 1-year-8-months old with vaginal cyst since the age of 2 months. Physical examination and ultrasound finding revealed a cystic mass size 3x3x1 cm in posterolateral of the right vaginal wall extended to right periurethral. Management of this case was extirpation of the vaginal cyst.Conclusion. A vaginal cyst is an uncommon case in a child. Vaginal cysts have several possible etiologies, such as possibly embryological origin, ectopic inclusion tissue or possibly due to urological abnormalities. Diagnosis requires a thorough understanding of diagnostic possibilities and a systematic evaluation. This patient has been treated with surgical excision due to a high success rate.
A Case Report: Unusual Case of Heterotopic Pregnancy with Chronic Ectopic Pregnancy Pagi, Putri Embun; Yuad, Haviz
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran 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. 

Page 43 of 47 | Total Record : 469

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