cover
Contact Name
Patricia Wulandari
Contact Email
phloxinstitute@gmail.com
Phone
+6287788090173
Journal Mail Official
sjog.editor@gmail.com
Editorial Address
Jl. Sirna Raga, Delapan Ilir, Ilir Timur Tiga, Palembang, South Sumatera, Indonesia
Location
Kota palembang,
Sumatera selatan
INDONESIA
Sriwijaya Journal of Obstetrics and Gynecology
ISSN : 29869838     EISSN : 29869838     DOI : https://doi.org/10.59345/sjog
Core Subject : Health, Science,
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.
Articles 25 Documents
Beyond Hemoglobin: The Effect of Iron Supplementation on Cognitive Function, Academic Achievement, and School Absenteeism in Anemic Indonesian Adolescents – A Randomized Controlled Trial Dewi, Yulia Ratna; Emma Ismawatie; Yulita Maulani; Eko Sumargiyanto
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (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.v2i1.106

Abstract

Introduction: Iron deficiency anemia (IDA) is a pervasive public health challenge, affecting over one-third of adolescent girls in Indonesia. While the hematological consequences are known, there is a critical lack of high-quality trial data on the functional impact—including cognition and educational outcomes—in this specific population. Methods: We conducted a 12-week, double-blind, placebo-controlled, parallel-group randomized controlled trial in Klaten, Indonesia. We enrolled 200 anemic (Hemoglobin [Hb] < 12 g/dL) female senior high school students, aged 15-18. Participants were randomized (1:1) to receive either 60 mg of elemental iron (as ferrous sulfate) or an identical placebo, taken daily. Primary outcomes were the change in Hb (hematological) and cognitive processing speed (functional), measured by the Digit Symbol Substitution Test (DSST). Secondary outcomes included anemia prevalence, serum ferritin, academic achievement (change in school-recorded grades), and school absenteeism (days missed). Results: At 12 weeks, the iron group demonstrated a significantly greater increase in mean Hb compared to the placebo group (2.7 g/dL vs. 1.4 g/dL; mean difference: 1.3 g/dL, 95% CI: 0.9-1.7, p < 0.001). Anemia prevalence was halved (20% vs. 40%, p = 0.02). Functionally, the iron group showed a marked improvement in DSST scores (mean change: +8.5 vs. +2.1; mean difference: 6.4, 95% CI: 4.1-8.7, p < 0.001), a significant improvement in academic grades (mean difference: +1.6 points, 95% CI: 0.5-2.7, p = 0.005), and a 61% reduction in mean days of school missed (1.2 vs. 3.1 days; mean difference: -1.9 days, 95% CI: -2.8 to -1.0, p < 0.001). Adverse events were mild and not significantly different between groups. Conclusion: Daily iron supplementation in anemic adolescents robustly improves hematological status and, critically, translates these gains into significant, tangible improvements in cognitive function, academic performance, and school attendance. These findings provide strong, multi-domain evidence to support the scaling of public health anemia interventions.
Fournier's Gangrene in 21 Years Old Female: A Case Report Liwanto, Michael Adriel
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (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.v2i1.108

Abstract

Introduction: Fournier's gangrene, also known as gangrene of the genital region, is an uncommon and rapidly advancing form of necrotizing fasciitis that affects the genitals. The severity and mortality of the disease are dependent upon the overall health status of the patient at the time of diagnosis and the speed at which the infection spreads. Case presentation: An unmarried 21-year-old woman presented with a persistent discharge of abscesses in the perineal area. The patient came in ambulatory and showed no indicators of heart or lung discomfort. A pelvic examination was performed, and the following observations were made: A visual examination revealed swelling in the vulvar area on both sides, along with an open wound within the swelling measuring 3×3 cm. The wound was discharging reddish, thick, and foul-smelling fluid. A glucose level of +4 was observed in the urine, and a random blood sugar test yielded a value of 324 mg/dl. The patient received wound debridement, excision, and electrocauterization of genital warts, blood sugar monitoring with insulin administration, and a 14-day course of antibiotics. The patient's condition improved, and they were discharged after receiving 14 days of intravenous antibiotic treatment. Conclusion: The treatment of Fournier gangrene requires a comprehensive approach that includes intensive systematic management, broad-spectrum antibiotic therapy, and early surgical debridement. This involves removing the necrotic tissues and surgically draining the peritoneum, scrotum, penis, and inguinal regions.
Analysis of Sociodemographic and Psychosocial Risk Factors for Teenage Pregnancy: A Cross-Sectional Study at The Teen Mom’s Clinic of Mariano Marcos Memorial Hospital and Medical Center Philippines Liwanto, Michael Adriel; Kristina Vicente Martin; Marriane Grace R. Remolacio
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (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.v2i1.109

Abstract

Introduction: Teenage pregnancy is a serious public health problem in the Philippines. This study aims to analyze sociodemographic and psychosocial risk factors associated with teenage pregnancy at the Teen Mom's Clinic of Mariano Marcos Memorial Hospital and Medical Center in the Philippines. Methods: A cross-sectional study was conducted on 152 adolescents who consulted at the clinic. Data were collected through a questionnaire that asked about sociodemographic and psychosocial characteristics. Univariate and bivariate statistical analyzes were used to identify risk factors associated with teenage pregnancy. Results: The prevalence of teenage pregnancy among consultation subjects at the clinic was 89%. Bivariate analysis showed that age, place of residence, education level, household income, source of income, parental relationship, sexual relationship, relationship status, source of information about sex, sexual experience, number of sexual partners, contraceptive use, STI information, sexual harassment, physical abuse, and verbal abuse were not significantly associated with teenage pregnancy. Conclusion: Sociodemographic and psychosocial risk factors do not play a significant role in teenage pregnancy in the Philippines.
Analysis of Strategies for Reducing Maternal Mortality Rates (MMR) in Developing Countries: A Meta-Analysis Mirza, Muhammad Syauqi; Ngurah Made Surya Deva W; Cynthia Monica
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (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.v2i1.140

Abstract

Introduction: Maternal mortality rate (MMR) remains a significant global health problem, especially in developing countries. This study aims to analyze MMR reduction strategies that have been implemented in developing countries through meta-analysis. Methods: This research uses a meta-analysis design. A literature search was conducted on PubMed, Scopus, and Web of Science databases to identify observational and interventional studies that reported MMR reduction strategies and outcomes in developing countries from 2018 to 2024. Extracted data included study characteristics, intervention strategies, and effect sizes (odds ratio, risk ratio, or mean difference). Meta-analysis was performed using a random effects model. Results: A total of 35 studies involving 1,254,387 participants met the inclusion criteria. The most commonly used strategies were increasing access and quality of antenatal care (6 studies), increasing access and quality of delivery services (6 studies), and increasing access and quality of postnatal care (7 studies). Meta-analysis showed that all these strategies significantly reduced MMR (OR = 0.65, 95% CI: 0.58-0.73; RR = 0.72, 95% CI: 0.65-0.80; MD = -15.8, 95% CI: -20.3 to - 11.3). Conclusion: Increasing access and quality of antenatal, delivery and postpartum services is an effective strategy in reducing MMR in developing countries. Implementing this strategy in a comprehensive and integrated manner is very important to achieve sustainable development goals in reducing MMR.
Primigravida with Fetal Malpresentation and Bicornuate Uterus: A Case Report Christofel Panggabean; Mirza, Muhammad Syauqi; Michelle Putri
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (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.v2i1.141

Abstract

Introduction: Malpresentation of the fetal head in left oblique presentation is a rare obstetric complication but has the potential to cause birth difficulties. This condition can be worsened by anatomical abnormalities of the uterus such as a bicornuate uterus. Case presentation: An 18-year-old primigravida presented with complaints of labor and premature rupture of membranes. Examination revealed malpresentation of the fetal head in left oblique presentation, and further ultrasound examination revealed a possible bicornuate uterus. Conclusion: Careful labor management and appropriate surgical intervention, in this case, an emergency caesarean section, resulted in the birth of a healthy baby girl. This case emphasizes the importance of early diagnosis and a multidisciplinary approach in treating complex cases of fetal malpresentation.
The Effect of Infusing Soursop Leaves (Annona muricata L.) on Vaginal Discharge in Women of Childbearing Age: A Randomized Clinical Trial at the Lolo Community Health Center, Kerinci Regency, Jambi, Indonesia Suganda, Yohana; Gusmadewi; Rahmatul Ulya; Mekar Zenni Radhia
Sriwijaya Journal of Obstetrics and Gynecology Vol. 3 No. 1 (2025): 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.v2i2.146

Abstract

Introduction: Vaginal discharge (leukorrhea) is a common gynecological complaint among women of childbearing age. While physiological discharge is normal, pathological discharge can be indicative of underlying infections or conditions. This study aimed to investigate the efficacy of soursop leaf infusion (Annona muricata L.) as a complementary treatment for vaginal discharge in women of childbearing age. Methods: A randomized controlled trial was conducted at the Lolo Community Health Center, Kerinci Regency, Jambi, Indonesia. Women aged 15-49 years presenting with vaginal discharge were randomly assigned to either the intervention group (soursop leaf infusion) or the control group (standard care). The intervention group received soursop leaf infusion twice daily for seven days, while the control group received standard care as per the health center's protocol. The primary outcome was the reduction in vaginal discharge symptoms (amount, color, odor, and associated discomfort) after seven days. Secondary outcomes included changes in vaginal pH and microbiological assessment. Results: A total of 130 women participated in the study (65 in each group). After seven days, the intervention group showed a significantly greater reduction in vaginal discharge symptoms compared to the control group (p < 0.05). The amount, color, and odor of discharge improved significantly in the intervention group, along with a reduction in associated discomfort such as itching and irritation. Vaginal pH was also normalized in the intervention group, and microbiological assessment revealed a decrease in pathogenic microorganisms. Conclusion: Soursop leaf infusion (Annona muricata L) appears to be a safe and effective complementary treatment for vaginal discharge in women of childbearing age. Its antimicrobial and anti-inflammatory properties may contribute to its beneficial effects. Further research is warranted to explore its long-term efficacy and potential use in combination with conventional therapies.
The Effect of Red Spinach Juice on Hemoglobin Levels in Pregnant Women: A Randomized Controlled Trial Sari, Endang; Mekar Zenni Radhia; Hanifa Zaini S
Sriwijaya Journal of Obstetrics and Gynecology Vol. 3 No. 1 (2025): 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.v2i2.147

Abstract

Introduction: Iron deficiency anemia is a prevalent health concern among pregnant women globally, including Indonesia. Red spinach (Amaranthus tricolor), rich in iron and other nutrients, holds promise as a natural intervention. This randomized controlled trial aimed to investigate the efficacy of red spinach juice in improving hemoglobin levels in pregnant women in West Sumatra. Methods: This study enrolled 180 pregnant women (18-35 years) with mild anemia (hemoglobin 10.0-10.9 g/dL) in their second trimester. Participants were randomly assigned to either the intervention group (daily red spinach juice, 200 mL) or the control group (standard iron supplementation) for eight weeks. Hemoglobin levels were measured at baseline, week four, and week eight. Results: A significant increase in hemoglobin levels was observed in both groups (p < 0.001). However, the intervention group exhibited a greater mean increase in hemoglobin (1.8 g/dL) compared to the control group (1.2 g/dL) at week eight. There were no significant differences in adverse events between the groups. Conclusion: Red spinach juice demonstrates potential as an effective adjunct or alternative to standard iron supplementation in improving hemoglobin levels in pregnant women with mild anemia. Further research is warranted to confirm these findings and investigate long-term effects.
Barriers and Facilitators to Optimal Midwife Competence in Normal Delivery Care: Perspectives from Community Health Centers in Padang Pariaman, Indonesia Elwitri Silvia; Dewi Asmawati; Wiwi Syaptiani
Sriwijaya Journal of Obstetrics and Gynecology Vol. 3 No. 1 (2025): 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.v2i2.169

Abstract

Introduction: Midwives are essential healthcare providers for maternal and neonatal health, particularly in normal deliveries. Their competence directly affects the health outcomes of both mothers and newborns. This study aimed to identify the barriers and facilitators influencing midwife competence in providing normal delivery care in Community Health Centers (CHCs) in Gasan Gadang, Padang Pariaman, Indonesia. Methods: A cross-sectional study was conducted among 31 midwives in CHCs in Gasan Gadang, Padang Pariaman, Indonesia. Data were collected using questionnaires assessing midwife competence, workload, work environment, and disciplinary adherence. Descriptive statistics, inferential analysis (Chi-square), and multivariate analysis were performed using SPSS v.16. Results: 61.3% of midwives demonstrated good competence in normal delivery care. A significant association was found between workload and competence (p=0.001). No significant association was observed between the work environment and competence (p=0.149) or between disciplinary adherence and competence (p=0.567). Multivariate analysis revealed that workload had the most significant impact on midwife competence. Conclusion: Workload is a significant factor influencing midwife competence in normal delivery care. Interventions aimed at optimizing workload, such as adequate staffing and resource allocation, are crucial for ensuring competent care and positive health outcomes.
Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP) in Jakarta, Indonesia: A Comprehensive Assessment of Clinical Features, Risk Factors, and Management Outcomes Rini Kuswohadi Pramono; Felicia Sari; Muhammad Yusuf; Nadia Khoirina
Sriwijaya Journal of Obstetrics and Gynecology Vol. 3 No. 1 (2025): 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.v2i2.179

Abstract

Introduction: Pruritic urticarial papules and plaques of pregnancy (PUPPP), also known as polymorphic eruption of pregnancy (PEP), is a common, self-limiting dermatosis of pregnancy. However, its specific characteristics and management outcomes in Indonesia, a diverse and populous nation, remain understudied. This study aimed to comprehensively assess the clinical features, risk factors, and management outcomes of PUPPP in an Indonesian population. Methods: A retrospective cohort study was conducted at Private Hospital in Jakarta, Indonesia, between January 2019 and December 2023. Medical records of pregnant women diagnosed with PUPPP were reviewed. Data collected included demographics, gestational age at onset, clinical presentation (lesion morphology, distribution, pruritus severity), associated symptoms, parity, pre-pregnancy BMI, weight gain during pregnancy, smoking history, presence of comorbidities, treatment modalities, and treatment outcomes (symptom resolution time, recurrence). Statistical analysis was performed using SPSS version 28. Results: A total of 285 pregnant women were included in the study. The mean age was 29.5 years (SD ± 4.8). The majority (72.3%) were primigravida. Onset was most common in the third trimester (88.4%). The most frequent presenting symptom was severe pruritus (94.7%), followed by erythematous papules (98.2%) and urticarial plaques (91.6%). Lesions predominantly affected the abdomen (96.5%), particularly the striae distensae (89.1%), with frequent involvement of the thighs (75.4%) and buttocks (62.1%). Higher pre-pregnancy BMI (p=0.012) and excessive gestational weight gain (p=0.003) were significantly associated with PUPPP development. Topical corticosteroids (85.6%) were the most commonly used treatment, followed by oral antihistamines (68.4%). Symptom resolution occurred within a mean of 10.2 days (SD ± 3.5) after treatment initiation. Recurrence was observed in 8.4% of cases. Conclusion: PUPPP in Indonesian women predominantly affects primigravida in the third trimester, presenting with severe pruritus and characteristic lesions on the abdomen, thighs, and buttocks. Higher pre-pregnancy BMI and excessive gestational weight gain appear to be significant risk factors. Topical corticosteroids and oral antihistamines are effective in achieving symptom resolution. These findings highlight the need for increased awareness and appropriate management of PUPPP in Indonesia.
First Trimester Ultrasound Biomarkers for Predicting Preeclampsia: A Prospective Cohort Study in Surabaya, Indonesia Reisha Notonegoro; Aline Hafidzah; Reza Andrianto; Tanvir Ahmed
Sriwijaya Journal of Obstetrics and Gynecology Vol. 3 No. 1 (2025): 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.v2i2.180

Abstract

Introduction: Preeclampsia (PE) remains a leading cause of maternal and perinatal morbidity and mortality worldwide, particularly in developing countries like Indonesia. Early identification of high-risk women is crucial for timely intervention. This study aimed to evaluate the predictive performance of first-trimester ultrasound biomarkers, specifically uterine artery pulsatility index (UtA-PI) and mean arterial pressure (MAP), combined with maternal characteristics, for predicting PE in a cohort of pregnant women in Surabaya, Indonesia. Methods: This prospective cohort study enrolled pregnant women attending their first-trimester antenatal care visit at Private Hospital, Surabaya, between January 2022 and December 2023. Inclusion criteria were singleton pregnancies, gestational age between 11 and 13 weeks 6 days, and availability of complete follow-up data until delivery. Maternal characteristics (age, body mass index, parity, smoking history, family history of PE) were recorded. UtA-PI was measured using transabdominal Doppler ultrasound, and MAP was calculated from blood pressure measurements. The primary outcome was the development of PE, defined according to the International Society for the Study of Hypertension in Pregnancy (ISSHP) criteria. Logistic regression analysis was used to develop a prediction model, and its performance was assessed using receiver operating characteristic (ROC) curves and area under the curve (AUC). Results: A total of 850 pregnant women were included in the final analysis. The incidence of PE was 8.2% (n=70). The prediction model incorporating maternal age, BMI, prior history of PE, UtA-PI, and MAP demonstrated good predictive performance for overall PE (AUC = 0.85; 95% CI, 0.81-0.89). For early-onset PE (delivery <34 weeks), the AUC was 0.92 (95% CI, 0.87-0.97), and for late-onset PE (delivery ≥34 weeks), the AUC was 0.78 (95% CI, 0.73-0.83). UtA-PI and MAP were significant independent predictors of PE (p<0.001). A risk score was developed, with a cut-off value showing a sensitivity of 80% and specificity of 75% for overall PE. Conclusion: The combination of maternal characteristics, UtA-PI, and MAP in the first trimester provides a valuable tool for predicting PE in an Indonesian population. This model demonstrates particularly strong performance for predicting early-onset PE, which is associated with greater maternal and fetal morbidity. Early identification of high-risk women allows for targeted surveillance and potential preventative strategies.

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