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Majalah Obstetri dan Ginekologi
Published by Universitas Airlangga
ISSN : 08540381     EISSN : 25981013     DOI : 10.20473/mog.V27I32019.90-93
Core Subject : Health,
Majalah Obstetri & Ginekologi (MOG) or the Journal of Obstetrics & Gynecology Science is a scientific journal published by the Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia, in collaboration with the Indonesian Obstetrics and Gynecology Association (POGI) of Surabaya branch.
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Articles 298 Documents
The differences of glycodelin and uterus NK cell expression in obese and non-obese rats (Rattus norvegicus) Diyah Nofita Ofa Ningtriyas; Arsana Wiyasa; Muhammad Nooryanto
Majalah Obstetri dan Ginekologi Vol. 29 No. 2 (2021): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I22021.63-67

Abstract

HIGHLIGHTS1. Obesity increases the risk of comorbidities especially for the pregnancy.2. The study analyzed glycodelin levels and uterine NK cell expression using Rattus norvegicus as animal model.3. uNK cell expression of the obese rats group was higher as the marker of chronic inflammation for obesity.4. Although there was increasing uNK cells in obese rats group, this result was not followed by the level of gycodelin.ABSTRACTObjectives: To prove the existence of differences in glycodelin levels and uterine NK cell expression in obese and non-obese female white rats of Wistar strain (Rattus norvegicus).Materials and Methods: . This study used a randomized post-test only controlled group design. This in vivo study used two groups of female rats (Rattus norvegicus). Group 1 was treated with the high obese diet for eight weeks, and group 2 was not treated with the high obese diet. After eight weeks, the rats were weighed, the proestrus phase was synchronized, and then the rats were terminated.Results: In this study, there was no significant difference in glycodelin levels between the obese and non-obese groups with a p= 0.821 (p >0.05). Significant differences were found in uterine NK cell expression between obese dan non-obese groups with p=0.001 (p <0.05). The correlation test of glycodelin levels and uterine NK cell expression showed insignificant results with a correlation coefficient of 0.120 and p=0.513. This proved that there was no significant correlation between glycodelin levels and uterine NK cell expression.Conclusion: There was no significant difference between glycodelin levels and uterine NK cell expression in obese and non-obese female white rats of Wistar strain (Rattus norvegicus). 
Front Matter Vol. 29 No. 2 August 2021 Obstetri Ginekologi
Majalah Obstetri & Ginekologi Vol. 29 No. 2 (2021): August
Publisher : Universitas Airlangga

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Abstract

Uterus couvelaire after caesarean section: A challenging case report Rendy Singgih; Roy Jansen Sinaga; Yanto Hansitongan Sinaga
Majalah Obstetri dan Ginekologi Vol. 29 No. 2 (2021): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I22021.68-71

Abstract

HIGHLIGHTS1. Uterus couvelaire, also known as uteroplacental apoplexy, is one of the causative post-partum haemorrhage and peripartum hysterectomy.2. The pathophysiology of uterus couvelaire are bleeding in the layer between the decidua-placenta, which then develops and infiltrates into the uterine wall.3. The uterine couvelaire is associated with placental abruption, placenta previa, coagulopathy, pre-eclampsia, uterine rupture, and amniotic fluid embolism.4. This case report shows the unknown of causative during delivery which can lead to maternal morbidity even mortality if there is no proper maternal monitoring during delivery.ABSTRACTObjectives: To discuss the discovery of uterine couvelaire events after the cesarean section without accompanying placental abruption.Case Report: Uterus Couvelaire is a rare occurrence. The incidence of this case is difficult to ascertain and its estimated incidence is as much as 20% and others’ estimatation is as low as 5%. It occurs mainly due to complications from placental abruption. When a vascular injury occurs in the placenta, it causes bleeding that infiltrates the wall of the uterus. This case is usually diagnosed accidentally because it is diagnosed only by direct visualization or biopsy. In this case, uterine couvelaire was found in a woman after a cesarean section that had been performed previously. Uterine couvelaire events are usually seen due to complications from placental abruption, but in this case, there was none.Conclusion: It was not known for sure what caused the emergence of the uterine couvelaire in this case. Hysterectomy was performed in this case due to the patient's unstable hemodynamic state.
Back Matter Vol. 29 No. 2 August 2021 Obstetri Ginekologi
Majalah Obstetri & Ginekologi Vol. 29 No. 2 (2021): August
Publisher : Universitas Airlangga

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Abstract

Back Matter Vol. 29 No. 2 August 2021
Diagnostic value of abdominal CT scan in ovarian tumors in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January 2017 to December 2018 Ida Bagus Gede Ramayuda; Lies Mardiyana; Dyah Erawati; Indra Yuliati
Majalah Obstetri dan Ginekologi Vol. 29 No. 2 (2021): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I22021.45-52

Abstract

HIGHLIGHTS1. Ovarian tumors diagnostic value has been determined using the tools on contrast-enhanced abdominal CT Scan.2. The tools including primary finding like mass size, septation, solid component, and additional finding such as ascites, peritoneal implants, lymph node enlargement.3. Most tumors were ovarian malignant tumors according to their histopathological results.4. Contrast-enhanced abdominal CT Scan of ovarian tumors evaluated by the tools gave better and more reliable diagnostic value than without using the tools.ABSTRACTObjectives: The purpose of this study was to determine the diagnostic value of contrast-enhanced abdominal CT scan in ovarian tumors in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, to provide scientific and clinical benefits.Materials and Methods: Samples were taken retrospectively by contrast-enhanced abdominal CT scan raw data in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January 2017 to December 2018. Using inclusion and exclusion criteria, a total of 88 samples were obtained and reviewed blindly by Female Organ Division of Radiology Department, Faculty of Medicine Universitas Airlangga, and by using "tools" (primary and additional findings of modified ovarian tumors malignancy). The data were correlated with histopathological findings and analyzed by statistical tests and the results with and without "tools" were compared.Results: Samples were grouped by age, distributed with a range of 20 years and the group of 41-60 years had the highest age of ovarian tumor samples (46.6%) with 84.1% being ovarian malignant tumors according to their histopathological results. It was dominated by serous, mucinous and endometroid types with sensitivity of 93.3%, specificity of 64.3%, positive predictive value of 93.3% negative predictive value of 69.2%, and accuracy value of 89.8%. More reliable results were obtained by using “tools”.Conclusion: Contrast-enhanced abdominal CT scan of ovarian tumors in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, evaluated by “tools” still had a better and more reliable diagnostic value than without tools in determining policy steps in handling ovarian tumors with a note that more in-depth research on pitfalls is needed so it may enrich the characteristic findings in imaging.
Retroperitoneum parasitic leiomyoma: Dilemmatic diagnostic Setyo Teguh Waluyo; Hariadi Yuseran; Ferry Armanza; Yuvens Richardo Wibowo
Majalah Obstetri dan Ginekologi Vol. 29 No. 2 (2021): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I22021.72-75

Abstract

HIGHLIGHTS1. Parasitic leimyoma was found in a 38 year-old woman with complaint of mass in lower abdomen and already done biopsy by laparotomy 4 months before.2. During operation, the tumor was detached from the uterus, located retroperitoneally as high as L4 – S1 vertebrae.3. The tumor had been confirmed intraoperatively and proven histopathologically as parasitic leimyoma.4. Retroperitoneal parasitic leiomyoma is of a rare type and it needs multidisciplinary examination and approaches to increase the quality of its management.ABSTRACTObjectives: To describe a retroperitoneum parasitic leiomyoma case: a dilemma in diagnosis and operation finding.Case Report: A 38 year-old woman with 3 children visited Ulin Hospital, Banjarmasin, Indonesia, with complaint of mass in lower abdomen and about 4 months before, she underwent biopsy by laparotomy which revealed leiomyoma. Parasitic leiomyoma is a rare type of leiomyoma with predilection area in broad ligament, pelvic peritoneum, pouch of douglas, and omentum. During operation, the tumor was detached from the uterus and located retroperitoneally as high as L4–S1. It had been confirmed intraoperatively and proven histopathologically as a leiomyoma.Conclusion: Retroperitoneal parasitic leiomyoma may cause a dilemma in the diagnosis. Multidiscipline examination and approaches may increase the quality of management. 
Development of auditory and palpatory educational media on pregnancy danger signs for visually impaired mothers Dian Furwasyih; Sunesni Sunesni; Ilham Akerda Edyyul
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.96-101

Abstract

HIGHLIGHTS1. Pregnancy dangers should be known by any pregnant mothers, including those with visual impairment. 2. Educational media for visually impaired pregnant mothers can be in the form of auditory and palpatory media. 3. Auditory and palpatory media has been researched and developed in this study.4. The auditory and palpatory media increase the knowledge in health education of visually impaired pregnant mothers as they overcoming difficulties the often found. ABSTRACTObjectives: This study was a preliminary study (pilot project) on auditory and palpatory educational media of pregnancy danger signs for blind mothers. With the development of auditory and palpatory educational media, it was hoped that it helps blind mothers to understand pregnancy danger signs.Materials and Methods: The design of the study was a research and development study adapted into two stages, namely the needs analysis and the product design stages.Results: The results of the development of auditory and palpatory educational media included braille-lettered health education media and audio mp4 media which contained material on the danger signs of pregnancy in blind mothers.Conclusion: Auditory and palpatory media can increase the knowledge in health education because of their function to help overcoming many problems of difficulties in understanding and facilitating the reception of information by blind mothers.
Maternal outcome in accreta cases. Conservative surgery and hysterectomy in Cipto Mangunkusumo General Hospital, Jakarta, Indonesia, from January 2017 to January 2018 Fita Maulina; Mohammad Adya Firmansha Dilmy; Yudianto Budi Saroyo; Yuditiya Purwosunu
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.129-135

Abstract

HIGHLIGHT1. As the incidence of placenta accreta is increasing which seems to parallel the increasing cesarean delivery rate, advance planning should be made for the management of delivery. 2. Maternal outcome of placenta accreta cases in a national hospital was reported based on the surgical technique performed.3. No significant results of maternal outcome undergoing conservative surgery and conventional hysterectomy in managing accreta cases in the national hospital.ABSTRACTObjectives: To report maternal outcome based on surgical technique on the management of accreta. The study was conducted in Cipto Mangunkusumo Hospital, Jakarta, Indonesia from January 2017 to January 2018.Case Report: There were 1609 cases of pregnant women delivered during the study period. From these, the prevalence of previous caesarean section was 73 cases, including 20 cases of accreta. Total maternal mortality for 1 year in Cipto Mangunkusumo Hospital, Jakarta, Indonesia, was 11, and accreta contributed 3 cases. We reported 20 cases of accreta in pregnancy The maternal outcomes, including bladder injury, duration of operation, intraoperative bleeding, length of hospitalization, and mortality, were evaluated. From 20 cases, 8 patients had one previous caesarean history, 11 had second previous caesarean section, while 2 patient had third previous caesarean section history. Of women with placenta accreta, about 7 patients (35%) had delivery in fullterm pregnancies, while 13 (65%) had delivery in preterm pregnancy. Surgical technique in accreta management mostly was hysterectomy to override bleeding complication along the delivery. From 20 cases, 16 caesarean sections were followed-up with hysterectomy. Four cases were with conservative management. From all the hysterectomy performed, four were complicated with bladder injury. The mean intraoperative bleeding was 600 - 5500 cc of blood, while the mean of post-operative transfusion was 1000 -3000 cc. There were 2 maternal deaths in this study. Thirteen patients were admitted to the ICU after the procedure.Conclusion: Accreta increases morbidity due to massive bleeding. It is important to have algorithm for managing abnormal implantation of the placenta. Our cases revealed no significant results of maternal outcome between conservative surgery and conventional hysterectomy in managing accreta cases in Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Relationship of pregnant mother’s anxiety level with preparation for childbirth during Covid-19 pandemic in Surabaya, Indonesia Irma Maya Puspita; Nova Elok Mardliyana
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.102-107

Abstract

HIGHLIGHT1. Due to Covid-19 pandemics, anxiety among pregnant mothers is increasing and good preparation for childbirth is needed.2. A survey was carried out to find pregnant mothers level of anxiety and preparation for childbirth during the pandemics.3. Most of the pregnant mothers were severely anxious, but most of them also felt prepared for childbirth. No relationship was found between anxiety and preparedness for childbirth. ABSTRACTObjective: Corona Virus (Covid-19) currently occurring in Indonesia greatly affects the health of the entire community, both physically and psychologically. During the pandemic period, social restrictions are required in an effort to reduce the spread of the virus, especially for pregnant women who are vulnerable to infection because of their weak immune system. This causes increased maternal anxiety during pregnancy. Therefore, good preparation for childbirth is needed so that mothers receive sufficient information and receive safe services from exposure to viruses.Materials and Methods: This research used an analytic survey method with cross-sectional approach by distributing closed questions on online questionnaires to pregnant women in Surabaya, Indonesia, through social media networks. The sampling technique used simple random sampling and managed to collect a sample of 90 persons.Results: This research showed that pregnant women during the Covid-19 pandemic in Surabaya, Indonesia, experienced 13% mild anxiety, 24% moderate anxiety, and 63% severe anxiety. In regard with preparation for childbirth during the Covid-19 pandemic in Surabaya, 20% were unprepared and 80% ready.Conclusion: There is no relationship between the anxiety experienced by pregnant women during the Covid-19 pandemic and their preparation for delivery. Pregnant women were worried that they can be exposed to the virus. Therefore, they can prepare for childbirth properly so that they can go through delivery safely and comfortably. 
Trends in delivery mode occurring during the Covid-19 pandemic and risks in long-term urogynecology cases: A narrative review Eighty Mardiyan Kurniawati; Gatut Hardianto; Hari Paraton; Azami Denas Azinar; Tri Hastono Setyo Hadi; Nur Anisah Rahmawati
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.136-140

Abstract

HIGHLIGHT 1. Trend of delivery types during Covid-19 pandemic and the risk of urogynecology cases, particularly sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence, was reviewed.2. Cesarean section was found higher than normal deliveries due to the consideration of possiblee exposure to the virus.3. Sexual dysfunction was found not to have relations to mode of delivery, but those with mode of delivery other than normal likely had dyspareunia at 18 months postpartum.4. The choice of method of delivery needs to be determined wisely by considering medical indications and the risk factors. ABSTRACTWomen's quality of life in the long term is also influenced by their reproductive health. Various diseases appear related to urogynecology cases such as sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence. The study reviews the trend of types of delivery during the pandemic and the risk of urogynecology cases, especially in the three cases. The narrative review study was conducted using the PubMed, Science Direct, and Google Scholar databases. The results showed that the percentage of cesarean section was higher than normal deliveries because of the view on the safety of exposure to the virus. Several studies have found that sexual dysfunction was not related to mode of delivery but women who delivered by emergency caesarean section, vacuum extraction, or caesarean section were more likely to report dyspareunia at 18 months postpartum but adjusted for maternal age and other confounders. Meanwhile, compared with spontaneous vaginal delivery, cesarean delivery with a protective effect or reduction of stress urinary incontinence, overactive bladder, and pelvic organ prolapse. There is a tendency to choose a certain pattern of delivery so that the choice of method needs to be chosen wisely and through medical indications and consider risk factors for long-term reproductive health problems.