Andalas obstetrics and gynecology journal
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.
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451 Documents
<![CDATA[Uterus Didelphys dengan Agenesis Servik Bilateral ]]>
<![CDATA[Dwinda Rizary]]>;
<![CDATA[Dedy Hendry]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.133-138.2020
<![CDATA[Background : The mullerian duct anomaly is a congenital abnormality of the female reproductive system caused by abnormal embryological development during pregnancy. If accompanied by cervical agenesis and infertility, intervention must be taken. Accurate diagnosis and proper treatment are very crucial to the future of reproduction and treatment of infertility in patients.Objective: Reporting the handling of cases of uterine didelphys accompanied by bilateral cervical agenesis.Method : Case reportCase: Reported cases of women aged 34 years with primary amenorrhea and 9 years primary infertility, not typical cyclic pain, normal secondary sex development and from gynecological examination obtained cervical agenesis. Transvaginal ultrasound examination found a mass with the appearance of adenomyosis. Laparoscopic performed show 2 masses, 1 mass resembling adenomyosis with a size of 9x6x5cm located lateral to the left pelvis and another mass in the form of a hypoplastic uterus with a size of 2x2x1cm visible 2 tubes with 2 ovaries within normal limits. Uterine mass resembling adenomyosis with a location far from the vagina making it difficult to do anastomoses while other uterus hypoplasia and non-functional. Hysterectomies were performed on the mass of adenomyosis with the results of PA was adenomyosis.Conclusion: The uterus didelphys with bilateral cervical agenesis with 1 uterine adenomyosis and located in the pelvic lateral it was difficult to do uterovaginal anastomose so that hysterectomy was performed. Second uterine was hypoplasia and non-functional so that no action was taken. Need to think about "future fertility" in these patients and various options for having children. Keywords: Primary Amenorrhea, Uterine Didelphys, Cervical Agenesis, Adenomyosis]]>
<![CDATA[G2P1A0H1 Gravid 27-28 Minggu + Janin Mati Kehamilan Abdominal ]]>
<![CDATA[Irwin Fitriansyah]]>;
<![CDATA[Gerry Rifendra]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.125-132.2020
<![CDATA[Abdominal pregnancy is a rare form of pregnancy but presents a very high risk of both morbidity and mortality for the fetus and mother. This situation is one of the most serious forms of ectopic pregnancy. The incidence of abdominal pregnancy varies, Rahman et al, get an incidence of 1 in 130,200 births. In the United States between 1970-1983 there were 10.9 abdominal pregnancies / 100,000 live births and 9.2 abdominal pregnancies / 1000 ectopic pregnancies. In laparotomy, placental management is the most difficult challenge, because it must be well prepared and planned. In this case report a 36-year-old woman with a diagnosis of gravid G2P1A0H1 27-28 weeks + Abdominal Pregnancy + Dead Fetus + Mild Anemia. Laparotomy is performed to deliver the baby, Durante surgery is carried out exploration of the placental attachment. Obtained the placenta embedded in the douglas cavum by attaching to the Ascendent Colon, Rectum, descending colon, intestine and peritoneum. It appears that some of the placenta has detached from its implantation, accompanied by a pile of stout cells. Removal of the placenta was carried out throughout the attachment site. The rest of the placenta is cleaned one by one by clamping with the clam punster slowly. Keywords: Abdominal Pregnancy, Dead Fetus, Laparotomy]]>
<![CDATA[Perbandingan Skala Nyeri Pasien Kista Endometriosis Dan Adenomiosis Sebelum Operasi, Setelah Operasi Dan Setelah Pemberian GNRH Analog ]]>
<![CDATA[Wahyuridistia Marhenriyanto]]>;
<![CDATA[Dedy Hendry]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.35-47.2020
<![CDATA[Background: Endometriosis is the growth of the epithelium and endometrial glands outside the uterine cavity. In endometriosis there is a process of neurogenesis and angiogenesis. The degree of endometriosis pain depends on the depth of endometrial implant infiltration in nerve fibers and / or neurogenesis. Operative action and postoperative hormone therapy are the main choices for preventing recurrence and reducing pain complaints.Purpose: to determine the comparison of pain scales of patients with endometriosis before surgery, after surgery and after administration of GnRH analogues.Method: This study was an observational analytic with a retrospective cohort design in the Obstetrics and Gynecology Clinic of RSUP Dr. M. Djamil Padang in June 2017 to January 2018. The sample size were of 35 people with inclusion and exclusion criteria. The inclusion criteria were the diagnosis of endometriosis (endometriosis cysts and adenomyosis) from ultrasonography and anatomical pathology, had surgery and received analogue GnRH injection three times. Exclusion criteria were not proven endometriosis, hysterectomy surgery, using analgesics and not following analogue GnRH injection procedures. The pain scale is assessed by the Wong-Baker Faces Pain Rating Scale. The pain scale is assessed during menstruation before surgery, first menstruation after surgery and first menstruation after three analogues of GnRH injections. Data analysis using SPSS version 22, where univariate analysis is used to see the characteristics of respondents and bivariate analysis using Wilcoxon Test. Statistical test results were significant if p <0.05.Result: Based on the Wilcoxon statistical test results obtained p value = 0.0001 (p value <0.05) which can be concluded that there is a significant reduction in the pain of endometriosis of patients after surgery compared to before surgery.Conclusion: There was a significant decrease in pain in endometriosis patients before surgery.Keywords: Endometriosis, Adenomyosis, Pain Scale, GnRH anaologist]]>
<![CDATA[Pengaruh Pemberian Antibiotik Profilaksis Sefazolin, Seftriakson dan Antibiotik Seftriakson Sebelum dan Sesudah Operasi Terhadap Infeksi Luka Pasca Operasi ]]>
<![CDATA[Herti Marni]]>;
<![CDATA[Dovy Djanas]]>;
<![CDATA[Hafni Bachtiar]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.77-86.2020
<![CDATA[Objective : To determine the effect of giving prophylactic antibiotic ceftriaxone and cefazolin and giving ceftriaxone before and after surgery to the risk of postoperative wound infection in postoperative patients.Method: This study was an experimental study with a post test control group design that looked at the differences in the effect of administration of ceftriaxone, cefazolin, and ceftriaxone before and after surgery on the risk of postoperative wound infection. The population in this study were patients planned for surgery in the Obstetric and Gynelologic Departement of Dr. M. Djamil General Hopital, Padang. The number of samples used by 30 people with a group of 10 people each group. The study began in August until the number of samples was fulfilled. Univariate analysis was used to see the frequency, percentage, mean, and standard deviation. Bivariate analysis using Chi-square test with 95% CI (α <0.05) was used to see differences in the effect of the three antibiotic procedures.Results: There were no cases of postoperative wound infection based on the three procedures used. There was no difference in the effect of prophylactic antibiotics in postoperative infections. Conclusion: There was no difference in the effect of the three procedures for prophylactic antibiotics in postoperative infections.Keywords: Prophylactic Antibiotics, Surgical Wound Infections, Cefazolin, Ceftriaxone, Superficial incisional SSI]]>
<![CDATA[The Mean Difference of Hemostatic Factors in Severe Preeclampsia and Eclampsia ]]>
<![CDATA[Dyhan Purna Setia]]>;
<![CDATA[Ferdinal Ferry]]>;
<![CDATA[Dovy Djanas]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.22-27.2020
<![CDATA[The aim of this study was to see the difference in the mean ratio of sodium levels between pregnancy with severe preeclampsia and eclampsia. The method in this research is an analytical study using a cross sectional design. The research was conducted in the delivery room Dr. M. Djamil Padang from 15 January 2016 to 31 December 2017. There were 60 patients as research subjects, the sample was divided into 2 groups, namely severe preeclampsia (PEB) and eclampsia. Anamnesis and physical examination were then carried out to obtain data and clinical diagnosis. The data were recorded in a research form that had been provided, then the blood electrolytes were examined for sodium and potassium. Statistical analysis to assess meaning using the T-test. The results showed that in the PEB and Eclampsia groups, it was found that multiparity parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at gestational age near term. The conclusion of this study there was no significant difference in the mean sodium ratio between preeclampsia, PEB and eclampsia. Keywords: pregnancy condition, PEB, eclampsia, platelet, PT, APTT, and D-Dimer]]>
<![CDATA[Hubungan Tingkat Ansietas dengan Siklus Menstruasi pada Mahasiswi S1 Kedokteran Universitas Andalas Tahun 2019 ]]>
<![CDATA[Alma Sylvhanie Lufthi]]>;
<![CDATA[Yaslinda Yaunin]]>;
<![CDATA[Aladin Aladin]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.53-61.2020
<![CDATA[Background: The medical education system is known as a stressful environment that might cause anxiety for the students. Student at the pre-clinical last degree (fourth degree) are also required to do a thesis so that the final year students will had anxiety even though they have adapted to the lecture environment. Anxiety can influence fluctuation Folikel Stimulating Hormone (FSH) and Lutenzing. Hormone (LH) level until the proliferation and secretion process indicate shorten or elongated that cause disruption on the menstruation cycle.Objective: To determine the relationship between anxiety level and menstrual disruption to student the fourth degree at Faculty of Medicine in Andalas University.Method: This research was an observational analytic with a cross-sectional approach. This research was done by a guided interview to 137 female medical students the last degree at Faculty of Medicine in Andalas University. The anxiety level was measured by using the Taylor Minnesota Anxiety Scale (TMAS) questionnaire while the menstrual disruption was acceded by using a menstruation questionnaire.Results: The univariate analysis showed 47.4% of the respondents had a low anxiety level, 19% of the respondents had a middle anxiety level, and 33.6% of the respondents had a serious anxiety level. Meanwhile, the study also showed that 76.6% of the respondents had normal menstrual patterns, while 10.2 % of them were having polymenorrhea. The statistical analysis Chi-square showed p-value was 0.232 (p > 0.05).Conclusion: The conclude that there was no significant relationship between anxiety level and menstrual disruption to student the last degree at Faculty of Medicine in Andalas UniversityKeywords: stress, anxiety level, menstruation disruption]]>
<![CDATA[Diagnostic Value of Cyclooxygenase-2 Serum Levels in Predicting Preterm Labor ]]>
<![CDATA[Wiwin Suhandri]]>;
<![CDATA[Dovy Djanas]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.28-34.2020
<![CDATA[Objective: To determine the value of serum cyclooxygenase 2 in predicting preterm laborMethod: Examination of serum COX-2 levels by ELISA method in pregnant women with 28 weeks to 36 weeks of pregnancy compared with pregnant women with ≥37 weeks of gestation at the time of first stage of active phaseResults: It is known that the average COX-2 level in preterm labor is 21.88 ± 18.22 higher than in term labor which is 4.88 ± 2.35 ng / ml, the statistical test results obtained p = <0.001 serum Cyclooxygenase 2 at preterm deliveries and term deliveries. The value of serum cyclooxygenase 2 levels in predicting preterm labor is at a cut point of 7.0.0 ng / ml with a sensitivity of 86.1% and a specificity of 86.1%Conclusion: There were significant differences in serum cyclooxygenase 2 levels in preterm labor and term delivery Keywords: cyclooxygenase 2, memprediksi persalinan preterm, persalinan preterm.]]>
<![CDATA[RELATIONSHIPS BETWEEN HISTOPATHOLOGY TYPE AND NEOADJUVANT CHEMOTHERAPY RESPONSE IN IB2 AND IIA2 CERVICAL CANCER ]]>
<![CDATA[Muhammad, Syamel]]>
<![CDATA[ JOURNAL OBGIN EMAS Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.125-136.2020
<![CDATA[Background: Cervical cancer was the fourth common cancer in women in the world and the second most in Indonesia. Chemotherapy has been evaluated as a therapy strategies to treat stage IB2 and IIA2 cervical cancer. Neoadjuvant chemotherapy was still being a controversy for the chemotherapy resistance patient. This would delay the provision of definitive therapy. A marker is needed to identify patient which more relatively resistant to chemotherapy. Squamous Cell Carcinoma (SCC) type was known be have better response to neoadjuvant chemotherapy than non-Squamous Cell Carcinoma (nSCC) type, but there no studies at Dr.M.Djamil General Hospital yet on this matter before.Objective: To obtain the relationship between histopathology type and neoadjuvant chemotherapy response on cervical stage IB2 and IIA2 cervical canser.Method: This cohort analytic study conducted at Dr.M.Djamil Padang Hospital which obtained 35 samples of stage IB2 and IIA2 cervical cancer patients whom treated with neoadjuvant chemotherapy. Sampling was done by consecutive sampling technique. Results of histopathology and results of ultrasound examinations before and after given neoadjuvant chemotherapy were included to data. Data analysis used Chi-Square test.Results: CR + PR in the SCC and NSCC group were 32% and 50%, while SD + PD was 68% in SCC group and 50% in NSCC group.Conclusion: There was no significant relationship between histopathological type and neoadjuvant chemotherapy response to stage IB2 and IIA2 cervical cancer (p = 0.44).Keywords :histopatolgi, chemotherapy, cervical cancer]]>
<![CDATA[Perbedaan Rerata Rasio Kadar Natrium Kalium Maternal Antara Preeklamsia Berat Dan Eklamsia ]]>
<![CDATA[Gunawan Efri Syaputra]]>;
<![CDATA[Dovy Djanas]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.48-52.2020
<![CDATA[Background: Preeclampsia is a pregnancy-specific syndrome in the form of reduced organ perfusion due to vasospasm and endothelial activation that occurs after 20 weeks of gestational age. eclampsia is the occurrence of seizures in a woman with preeclampsia, Sodium (Na +) and Potassium (K +) play an important role in preeclampsia and eclampsia.Objective: To see the difference in mean sodium potassium ratio between pregnancy with severe preeclampsia and eclampsia.Methods: The study was analytic descriptive using a cross sectional study design by looking at the medical records of the subjects according to the time and place of the study. Samples are all medical records of pregnant women who suffer from pre-eclampsia and eclampsia in the obstetric and gynecology section of RSUP DR.M.Djamil padang in the period of 15 January 2016 to 31 December 2017, the values of which are sodium, potassium levels and sodium and potassium ratios. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using a consecuvite sampling technique which was taken from the medical records of RSUP DR. M. Djamil Padang Statistical analysis to assess significance using the T-test.Results: In the Severe preeclampsia and Eclampsia groups it was found that multipara parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at near term gestational age.Conclusion: There is no significant difference in the average sodium potassium ratio between Severe preeclampsia and EclampsiaKeywords: Severe preeclampsia, eclampsia, sodium and potassium]]>
<![CDATA[Hubungan Tingkat Stres dengan Gejala Vaginitis pada Mahasiswi Program Studi Kedokteran FK UNAND 2019 ]]>
<![CDATA[Melsi Megawati]]>;
<![CDATA[Syahredi Syaiful Adnani]]>;
<![CDATA[Sukri Rahman]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.4.1.62-69.2020
<![CDATA[Objective: determine the relationship between stress levels with symptoms of vaginitis in medical students at the Faculty of Medicine, Andalas University batch 2019.Method: was observational analytic with cross-sectional approach. Sampling was conducted by non-probability sampling. The sample was 140 by conducting a guided interview on 140 female students of the Medical Education Faculty of Andalas University batch 2019. The stress level of the female students was measured by a stress questionnaire from the Depression Anxiety Stress Scale (DASS 42) and vaginitis symptoms questionnaire. Data analysis used Chi-Square test.Result: more than half of respondents which is 71 respondents (50,6%) has stress. Then, moderate stress levels is the largest percentage, that is 31 respondents (43,6%). Most respondents, 121 respondents (86.4%) have experienced symptoms of vaginitis. The statistical test results obtained p-value = 0.943.Conclusion: more than half of repondents has stress and most respondents have experienced symptoms of vaginitis. The p-value showed that there is no significant relationship between stress levels and symptoms of vaginitis.Keywords: Stress, vaginitis, adolescent]]>
