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Patricia Wulandari
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Jl. Sirna Raga, Delapan Ilir, Ilir Timur Tiga, Palembang, South Sumatera, Indonesia
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INDONESIA
Sriwijaya Journal of Obstetrics and Gynecology
Published by Phlox Institute: Indonesian Medical Research Organization
ISSN : 29869838     EISSN : 29869838     DOI : https://doi.org/10.59345/sjog
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Focus Sriwijaya Journal of Obstetrics and Gynecology (SJOG) focused on the development of medical sciences especially obstetrics and gynecology for human well-being. Scope Sriwijaya Journal of Obstetrics and Gynecology (SJOG) publishes articles which encompass all aspects of basic research/clinical studies related to the field of obstetrics - gynecology and allied science fields, especially all type of original articles, case reports, review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Obstetrics and Gynaecology
Articles 25 Documents
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The Impact of the COVID-19 Pandemic on Maternal Mortality Rates in Indonesia: A Retrospective Cohort Study Imanuel Simbolon; Louisa Istarini; Desiree Montesinos; Habiburrahman Said; Yi-Fen Huang
Sriwijaya Journal of Obstetrics and Gynecology Vol. 1 No. 2 (2023): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i1.21

Abstract

Introduction: The COVID-19 pandemic has presented unprecedented challenges to healthcare systems worldwide. Early reports have indicated an increase in maternal mortality rates (MMR) in various settings. This study aims to investigate the impact of the COVID-19 pandemic on MMR in Indonesia, a populous country in Southeast Asia with a high MMR. Methods: A retrospective cohort study was conducted using data from the Indonesian Ministry of Health's Maternal Mortality Surveillance System (MMSS). The study population included all pregnant women who delivered in Indonesia between January 1st, 2018, and December 31st, 2022. Women were categorized into two groups: those who delivered before the pandemic (January 1st, 2018, to February 29th, 2020) and those who delivered during the pandemic (March 1st, 2020, to December 31st 2022). The primary outcome was maternal death. Multivariable logistic regression was used to assess the association between the pandemic period and maternal mortality, adjusting for potential confounders. Results: A total of 1,250,480 deliveries were included in the study. The MMR during the pandemic period was 155 per 100,000 live births, compared to 118 per 100,000 live births pre-pandemic. After adjusting for confounders such as maternal age, socioeconomic status, and access to healthcare, the pandemic period was independently associated with an increased risk of maternal mortality (adjusted odds ratio [aOR] = 1.32; 95% confidence interval [CI], 1.25-1.39). Conclusion: The COVID-19 pandemic was associated with a significant increase in MMR in Indonesia. This highlights the need for continued efforts to strengthen maternal healthcare systems and ensure access to quality care, especially during public health emergencies.
Social Determinants of Health and Their Influence on Preterm Birth in Rural Indonesian Communities Miranda Aisah; Tomiola Owkwulu; Winata Putri; Theresia Putri Sinaga; Syaifudin Syaifudin; Reza Andrianto
Sriwijaya Journal of Obstetrics and Gynecology Vol. 1 No. 2 (2023): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i1.22

Abstract

Introduction: Preterm birth (PTB), defined as birth before 37 completed weeks of gestation, is a major contributor to neonatal mortality and morbidity globally, with a disproportionate burden in low-resource settings like rural Indonesia. This study aimed to investigate the influence of social determinants of health (SDOH) on PTB in rural Indonesian communities. Methods: A retrospective cohort study was conducted using data from the Indonesian Maternal and Perinatal Health Survey (IMPHS) 2018-2021. A total of 15,480 women residing in rural areas with singleton pregnancies were included. SDOH variables examined included maternal education, socioeconomic status (SES), access to healthcare, and geographical remoteness. Multivariable logistic regression analysis was performed to assess the association between SDOH and PTB, adjusting for potential confounders. Results: The prevalence of PTB in the study population was 12.3%. Lower maternal education, lower SES, limited access to healthcare, and residing in remote areas were significantly associated with increased odds of PTB. Women with no formal education had 2.1 times higher odds of PTB compared to those with higher education (adjusted odds ratio [aOR] 2.1, 95% CI 1.8-2.5). Similarly, women in the lowest SES quintile had 1.8 times higher odds of PTB compared to the highest quintile (aOR 1.8, 95% CI 1.5-2.2). Conclusion: SDOH significantly influence PTB in rural Indonesian communities. Addressing these social inequities through targeted interventions, such as improving access to education, healthcare, and economic opportunities, is crucial for reducing the burden of PTB and improving maternal and child health outcomes.
An Overview and Management of Painful Menstrual Disorder (Dysmenorrhea): A Narrative Literature Review Juntu, Petrus; Gede Ananta
Sriwijaya Journal of Obstetrics and Gynecology Vol. 1 No. 2 (2023): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i1.23

Abstract

Primary dysmenorrhea is menstrual pain associated with the release of prostaglandins in the ovulatory cycle, but not with the pelvic disease. Approximately 90% of all women experience dysmenorrhea, 15% of whom are unable to last 1 to 3 days because of the severity of the pain. This literature review aimed to describe an overview and management of dysmenorrhea. Primary dysmenorrhea usually begins with the onset of ovulation cycles, with the highest prevalence in adolescence. In contrast, secondary dysmenorrhea is associated with pelvic pathology (i.e., ovarian cysts, adenomyosis, endometriosis) that manifests in later reproductive years and can occur at any point in the menstrual cycle. Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) is the treatment of choice because these drugs reduce the activity of the cyclooxygenase (COX) enzyme and, thus, the production of prostaglandins. NSAIDs work in the majority of women with primary dysmenorrhea and are most effective when started at the first sign of bleeding or cramping.
Traditional Herbal Remedies Used During Pregnancy in Indonesia: A Qualitative Study Exploring Safety and Efficacy Fifia Ardinanti; Agnes Mariska; Dedi Sucipto
Sriwijaya Journal of Obstetrics and Gynecology Vol. 1 No. 2 (2023): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i1.24

Abstract

Introduction: Traditional herbal remedies are widely used during pregnancy in Indonesia. However, limited information exists regarding their safety and efficacy. This study aimed to explore the types of herbal remedies used, reasons for their use, perceived benefits and risks, and information sources guiding their use among pregnant women in Indonesia. Methods: A qualitative study was conducted involving in-depth interviews with 30 pregnant women residing in three different regions of Indonesia: urban Jakarta, rural West Java, and remote Papua. Participants were recruited through purposive sampling from community health centers and traditional birth attendant networks. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. Results: A wide variety of herbal remedies were reported, including ginger, turmeric, tamarind, and various leaf decoctions. Reasons for use included alleviating pregnancy-related complaints (nausea, back pain, fatigue), promoting fetal health, and easing labor. Perceived benefits included natural origin, affordability, and cultural acceptance. Concerns included potential adverse effects on the fetus and lack of scientific evidence. Information sources were primarily family members, traditional healers, and community beliefs. Notable variations in practices were observed across the three regions, reflecting diverse cultural influences and access to healthcare. Conclusion: This study highlights the widespread use of traditional herbal remedies among pregnant women in Indonesia. While perceived as natural and beneficial, safety and efficacy concerns warrant attention. Healthcare providers should engage in open dialogue with pregnant women regarding their herbal use, providing evidence-based information and culturally sensitive counseling to ensure maternal and fetal well-being.
An Overview of the Female Reproductive System: A Narrative Literature Review Andina, Indri
Sriwijaya Journal of Obstetrics and Gynecology Vol. 1 No. 2 (2023): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i1.25

Abstract

The female reproductive system is a biological system that is responsible for producing, transporting, and storing eggs and facilitating the meeting between eggs and sperm for fertilization. The female reproductive system consists of internal and external organs. This literature review aimed to describe the female reproductive system. Internal organs include the ovaries (ovaries), fallopian tubes (oviducts), uterus (womb), cervix (cervix), and vagina. The ovary is the main female reproductive organ. The two main functions of the ovaries are the secretion of female sex hormones and the development and release of female gametes, or ova. The almond-shaped ovaries are located on either side of the uterus and are supported and supported by the halves mesovarium of the broad, ovarian, and suspensory ligaments. The female reproductive system is also influenced by reproductive hormones such as estrogen, progesterone, and gonadotropins which are produced by the pituitary gland and ovaries.
The Role of Hormonal Regulation and Brain Neurotransmitters in Baby Blues Syndrome: A Systematic Literature Review Sari, Ika Novita; Susanti
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 1 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i2.49

Abstract

These hormonal fluctuations affect various aspects of maternal health and well-being, including brain neurotransmitters such as serotonin, dopamine, and oxytocin. This is an important aspect in understanding the emotional changes and psychological responses that mothers often experience during this period. This study aimed to present the role of hormonal regulation and brain neurotransmitters in baby blues syndrome. The literature search process was carried out on various databases (PubMed, Web of Sciences, EMBASE, Cochrane Libraries, and Google Scholar). This study follows the preferred reporting items for systematic reviews and meta-analysis (PRISMA) recommendations. The period of pregnancy and childbirth brings significant hormonal changes in the mother's body. A sharp drop in hormone levels, such as estrogen and progesterone after giving birth, can affect the mother's mood and emotions. Decreased levels of serotonin, a neurotransmitter involved in mood regulation, may contribute to the feelings of sadness and anxiety often experienced by mothers with Baby Blues. Dopamine, a neurotransmitter involved in the regulation of motivation and emotional responses, can also fluctuate due to postnatal hormonal changes, affecting the mother's mood and motivation. Increased cortisol levels in response to physical and emotional stress can impact the mother's mood and can affect the activity of neurotransmitters such as serotonin. Prolactin plays a role in bonding between mother and baby, as well as in breast milk production. These hormonal fluctuations can affect the mother's emotions and feelings.
The Prevalence and Risk Factors for Polycystic Ovary Syndrome (PCOS) among Adolescents in Indonesia: Implications for Early Intervention Habiburrahman Said; Rheina Weisch Fedre; Saurie Hernandez; Sophia Lucille Rodriguez; Fatimah Mursyid; Irna Nettles
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 1 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i2.83

Abstract

Introduction: Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting adolescents, with potential long-term health implications. This study aimed to determine the prevalence and identify risk factors associated with PCOS among Indonesian adolescents. Methods: A cross-sectional study was conducted involving adolescent girls aged 15-19 years from selected schools in Jakarta, Indonesia. Data were collected through questionnaires, physical examinations, and biochemical assessments. PCOS diagnosis was based on the Rotterdam criteria. Logistic regression analysis was used to identify risk factors associated with PCOS. Results: The prevalence of PCOS among Indonesian adolescents was found to be 6.5%. Significant risk factors associated with PCOS included obesity (OR=3.2, 95% CI 2.1-4.8), family history of PCOS (OR=2.5, 95% CI 1.6-3.9), irregular menstrual cycles (OR=4.1, 95% CI 2.8-6.0), and hirsutism (OR=2.8, 95% CI 1.9-4.2). Conclusion: PCOS is prevalent among Indonesian adolescents. Early identification of risk factors such as obesity, family history, irregular menstruation, and hirsutism is crucial for early intervention and management to mitigate potential long-term health consequences.
Factors Influencing the Success Rates of In Vitro Fertilization (IVF) in Indonesian Couples: A Multicenter Study Sony Sanjaya; Wisnu Wardhana Putra; Theresia Putri Sinaga; Tanvir Ahmed
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 1 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i2.85

Abstract

Introduction: In vitro fertilization (IVF) has become an increasingly important assisted reproductive technology for infertile couples in Indonesia. However, success rates remain variable. This multicenter study aimed to identify the factors influencing IVF success rates in Indonesian couples. Methods: A retrospective cohort study was conducted involving 1,245 couples who underwent IVF at three fertility centers in Indonesia between January 2019 and December 2022. Data were collected on demographic characteristics, infertility diagnoses, IVF protocols, and treatment outcomes. The primary outcome was live birth rate per embryo transfer. Multivariable logistic regression analysis was performed to identify independent predictors of IVF success. Results: The overall live birth rate per embryo transfer was 32.7%. Female age was a significant predictor of live birth, with success rates declining steadily after age 35. Other factors associated with higher success rates included the use of intracytoplasmic sperm injection (ICSI), blastocyst transfer, and a higher number of oocytes retrieved. Male factor infertility, endometriosis, and a history of previous failed IVF attempts were associated with lower success rates. Conclusion: This study identified several key factors influencing IVF success rates in Indonesian couples. Female age, ICSI utilization, blastocyst transfer, and oocyte yield were significant predictors of live birth. These findings can help clinicians counsel patients and optimize treatment strategies to improve IVF outcomes.
Assessing the Effectiveness of Telemedicine for Cervical Cancer Screening in Remote Areas of Indonesia Kristianti, Silvia; Reza Andrianto; Sonya Syarifah; Taryudi Suharyana
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 1 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i2.86

Abstract

Introduction: Cervical cancer remains a significant public health issue in Indonesia, particularly in remote areas with limited access to healthcare facilities. Telemedicine offers a potential solution to overcome geographical barriers and improve cervical cancer screening rates. This study aimed to assess the effectiveness of a telemedicine-based cervical cancer screening program in remote areas of Indonesia. Methods: A cross-sectional study was conducted in five remote villages in Indonesia. Women aged 30-49 years were invited to participate in cervical cancer screening using a telemedicine platform. The program involved self-sampling for human papillomavirus (HPV) DNA testing, followed by teleconsultation with healthcare providers for result interpretation and referral for further management if required. The primary outcome was the participation rate in the telemedicine-based screening program. Secondary outcomes included the positivity rate for high-risk HPV, the rate of referral for colposcopy, and participant satisfaction with the program. Results: A total of 500 women were invited to participate in the study, of whom 380 (76%) completed the screening process. The high-risk HPV positivity rate was 12%, and 46 women (12.1%) were referred for colposcopy. Participant satisfaction with the telemedicine program was high, with 92% of women reporting that they were satisfied with the convenience and accessibility of the service. Conclusion: Telemedicine-based cervical cancer screening is a feasible and effective strategy for reaching women in remote areas of Indonesia. The program achieved a high participation rate and enabled timely referral for further management. This approach has the potential to improve cervical cancer screening coverage and reduce mortality rates in underserved populations.
Knowledge, Attitudes, and Practices Regarding Contraception Among Young Women in Urban Indonesia: A Mixed-Methods Approach Hidayat, Rachmat; Cinthya Callathea; Taufiq Indera Jayadi; Maximillian Wilson
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 1 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v1i2.95

Abstract

Introduction: Unintended pregnancies and unsafe abortions remain significant public health concerns in Indonesia, particularly among young women in urban areas. This study aimed to explore the knowledge, attitudes, and practices (KAP) regarding contraception among young women residing in urban Indonesia, employing a mixed-methods approach to gain an in-depth understanding of this complex issue. Methods: This study used a sequential explanatory mixed-methods design. The quantitative phase involved a cross-sectional survey of 500 young women aged 18-24 years residing in Jakarta, Indonesia. A structured questionnaire assessed their knowledge about various contraceptive methods, attitudes towards contraception, and current contraceptive practices. The qualitative phase comprised in-depth interviews with 30 participants purposively selected from the survey sample to explore their experiences, beliefs, and perspectives on contraceptive use. Quantitative data were analyzed using descriptive statistics and logistic regression, while thematic analysis was employed for qualitative data. Results: The quantitative findings revealed that while the majority of participants had good knowledge about contraception, misconceptions and gaps existed regarding specific methods, particularly long-acting reversible contraceptives (LARCs). Attitudes towards contraception were generally positive, although concerns about side effects and social stigma were prevalent. The prevalence of current contraceptive use was moderate, with condoms and oral contraceptive pills being the most common methods. Qualitative findings provided deeper insights into the factors influencing contraceptive use, including perceived susceptibility to pregnancy, partner communication, family and social influences, access to healthcare services, and religious beliefs. Conclusion: This study highlights the need for comprehensive sexuality education programs tailored to address misconceptions and promote informed decision-making about contraception among young women in urban Indonesia. Strategies to improve access to youth-friendly contraceptive services and address social and cultural barriers to contraceptive use are also essential.

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