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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,
Health Professions Medicine & Pharmacology
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
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The comparison of maternal stress level during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic Farisya Nurliana Fatin; Gatut Hardianto; Dwi Izzati
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.23-29

Abstract

HIGHLIGHTS Maternal stress level during pregnancy in the COVID-19 pandemic had normal category. There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic. Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic.   ABSTRACT Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia. Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test. Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102). Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
Abnormal Uterine Bleeding (AUB) at Haji Adam Malik General Hospital, Medan, North Sumatera, Indonesia Putri Ardina Sari Nainggolan; Muhammad Rusda; Dwi Faradina; Aridamuriany Dwiputri Lubis
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.30-35

Abstract

HIGHLIGHTS Leiomyoma is still the most common case in women aged 41–50 years. Women who have an obese BMI are the main risk factor for abnormal uterine bleeding, so it is urged for women to maintain an ideal weight because it can be bad for health.   ABSTRACT Objective: This study identified the incidence of Abnormal Uterine Bleeding (AUB) at Haji Adam Malik General Hospital, Medan, Indonesia, in 2020-2021. Materials and Methods: This was a descriptive study with a cross-sectional design. Sampling was taken using total sampling and using retrospective data in the form of medical records with a diagnosis of AUB at Haji Adam Malik General Hospital Medan in 2020–2021. Results: There were 197 cases of AUB, with the highest distribution in the age group of 41–50 years with 84 people (42.6%). The most cases of AUB with an obese BMI were 91 people (46.2%), married status as many as 176 people (89.3%), had the last education level of senior high school as many as 99 people (50.3%), 144 people (73.1%) got their first menstruation when they were >12 years old, 80 people (40.6%) had multiparity, 90 people (45.7%) received medical therapy. Based on the PALM-COEIN classification, the most AUB cases were AUB-L with 99 people (50.3%). Based on the classification of AUB-L locations, most locations were submucosa with 38.6%. Conclusion: AUB-L cases were still the most common cases at Haji Adam Malik General Hospital, Medan, Indonesia, in 2020–2021.
Clinical profile of geriatric cervical cancer patients in a tertiary hospital in Surabaya, Indonesia Natasya Dyah Ayu Purnamasari; Brahmana Askandar Tjokroprawiro; Budi Utomo; Nila Kurniasari
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.36-44

Abstract

HIGHLIGHTS Squamous cell carcinoma majorly covered in histopathologic of the records, while adenosquamous followed second. Most of the subjects were referral patients to Dr. Soetomo General Academic Hospital. They were mostly originated from Java outside Surabaya.   ABSTRACT Objective: To identify the distribution of age, histopathology type, clinical stage, treatment type, parity, first complaint, and referral origin of geriatric cervical cancer patients at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Materials and Methods: This study was a retrospective study observing data from medical records and presented the data descriptively. The medical records were taken from Oncology Outpatient Clinic in Dr. Soetomo Hospital, from 2020-2021, covering geriatric patients aged more than 55 years old. The data were screened and processed. Results: At Dr. Soetomo Hospital, in 2020-2021 there were 228 cervical cancer patients. From 176 patient data that met the inclusion criteria, the average age was 65.38 ± 4.86 years, with 4 types of histopathology dominated by squamous cell carcinoma (82.39%), adenocarcinoma (11.93%), adenoquamous (3.41%) and others (4%), divided into 8 clinical stages and dominated by stages IIIB (77.27%), IIB (15.9%), IVB (2.84%), IIIA and IB had same number (1.14%), 1A (0.57%) and no cases of IIA were found. The treatments were dominated by chemotherapy (86.36%), radiation therapy (7.38%), no treatment (3.41%), hysterectomy (1.7%), while for conization and palliative therapy each in 1 case (0.57%). Most experienced 3 parity (29.5%), followed by 4 parity (17.61%), >5 (13.07%), 5 (10.23%), 1 (6.82%) and no parity (2.27%). The three first complaints were. vaginal bleeding (82.38%), vaginal discharge (46.02%), and pain (82.38%), and the patients were dominated by referrals from Java Island other than Surabaya City (78.40%), outside Surabaya in Java Island as many as 36 referrals (20.45%) and outside Java Island 2 referrals (1.14%). Conclusion: There were 176 geriatric patients with cervical cancer at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, in the 2020-2021 period, dominated by age 56-65 years, the histopathology type of squamous cell carcinoma, stage IIIB patients, most received therapy was chemotherapy, most were multiparous with 3 parities, the majority experienced complaints of vaginal bleeding when diagnosed with cervical cancer, and were dominated by referrals from Java Island outside Surabaya.
Obstetric complications and delivery methods in Indonesia Hadi Ashar; Sri Supadmi; Ina Kusrini; Arita Murwani; Ismil Khairi Lubis; Muhamad Arif Musoddaq; Mohamad Samsudin; Hastin Dyah Kusumawardani; Diah Yunitawati; Felly Philipus Senewe; Tuti Susilowati
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.45-51

Abstract

HIGHLIGHTS Nearly a quarter of pregnant women experience pregnancy complications during the delivery process Caesarean section delivery is dominant among other methods, and 8.4% of mothers do not have any complications but choosing cesarean section delivery.   ABSTRACT Objective: This study aimed to determine the delivery methods, indications and any associations between delivery methods and obstetric complications in Indonesia in 2018. Materials and Methods: This study analyzed data from the Basic Health Research (Riskesdas) 2018. The population and sample were married eligible women of 10 – 54 years old who had children, as many as 78,737 mothers. The variable taken in this study was the problems/complications during pregnancy as the independent variable, and the methods of delivery as the dependent variable. Chi-square test was used for comparison purposes. Logistic regression was run to relationship between complications and delivery methods. Results: Delivery indications were complications during the delivery process (23.23%), premature rupture of membranes (5.07%), obstructed labor (3.37%), transverse fetus (3.09%), bleeding (2.36%), and other complications (3.98%). Methods of delivery were expected delivery (81.45%), cesarean section (17.64%), and with other procedures (0.90%). Conclusion: Complications of labor correlate significantly with the methods of cesarean section. The cesarean section still dominated among other delivery modes, and there are still many mothers who did not have complications or no medical indications but choosing cesarean section delivery.
Front Matter Vol. 31 No. 1 April 2023 Majalah Obstetri & Ginekologi
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

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Abstract

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Back Matter Vol. 31 No. 1 April 2023 Majalah Obstetri & Ginekologi
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

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Abstract

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The difference of Bishop score change and labor event between oral and vaginal misoprostol in pregnancy beyond 41 weeks Maskasoni Maskasoni; Julian Dewantiningrum
Majalah Obstetri & Ginekologi Vol. 31 No. 2 (2023): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I22023.61-67

Abstract

HIGHLIGHTS Oral misoprostol is more effective than vaginal misoprostol in cervical ripening as a part of induction of labor. Oral misoprostol is as safe as vaginal misoprostol.   ABSTRACT Objective: To compare Bishop score changes and labor event between oral and vaginal misoprostol in pregnancy beyond 41 weeks. Materials and Methods: A total of 52 pregnant women with more than 41 weeks of gestation, had a Bishop score less than 5, and were undergoing induction labor were randomly divided into two groups: oral and vaginal misoprostol. In the oral misoprostol group, participants were given 25 mg of misoprostol in a solution with a concentration of 1 ug/ml every 2 hours. In the vaginal misoprostol group, a 25 mg misoprostol tablet was inserted into the posterior fornix every 6 hours. The two groups were compared in terms of Bishop score during the first 6 hours, changes in Bishop score, labor at term events, neonatal outcomes, complications, and side effects after the administration of misoprostol. Results: The oral group showed significantly higher changes in Bishop score compared to the vaginal group (5.5 vs 3.6; p=0.0001). The median interval times for induction of labor at term, induction at stage II, and induction at birth were found to be shorter in the oral misoprostol group compared to the vaginal group (7.3 hours vs 10.6 hours, 14.0 hours vs 16.8 hours, and 14.6 hours vs 17.6 hours; p=0.002, 0.003, 0.002). Labor at term occurred much more frequently in the oral group (53.8% vs 15.4%). Additionally, the oral misoprostol group had a 3.5 times higher likelihood of experiencing labor at term within the first 6 hours after the initial administration compared to the vaginal group (OR 3.5, 95% CI 1.33-9.23). Conclusion: Oral administration of misoprostol for cervical ripening has been demonstrated to be more effective than vaginal administration, greater bishop score changes while maintaining an equivalent level of safety.
Characteristics of outpatient gynecology oncology services before and after COVID-19 pandemic at Ulin Regional General Hospital, Banjarmasin, Indonesia Setyo Teguh Waluyo; Ferry Armanza; Hariadi Yuseran; Kevin Stanley Halim
Majalah Obstetri & Ginekologi Vol. 31 No. 2 (2023): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I22023.68-74

Abstract

HIGHLIGHTS The characteristics of gynecology oncology services at Ulin Regional General Hospital before and after the COVID-19 pandemic were evaluated. There was a decrease of 19% in the number of visits by Gynecology Oncology Clinic patients at Ulin Regional General Hospital between the period of March 2019 - February 2020 and March 2020 - February 2021.   ABSTRACT Objective: The aim of this study was to investigate the characteristics of the Gynecology Oncology Outpatient Clinic at Ulin Hospital Banjarmasin before and after the COVID-19 pandemic. Materials and Methods: This descriptive study utilized existing patient data from the Gynecology Oncology Outpatient Clinic at Ulin Hospital Banjarmasin covering the period from March 2019 to February 2021. The study received ethical approval from the Ulin General Hospital ethics committee with clearance number 10/I-Reg Research/RSUDU/23. The collected data was presented in a tabular format to compare the service characteristics before the pandemic (March 2019 - February 2020) and after the pandemic (March 2020 – February 2021). Results: During the periods of March 2019 – February 2020 and March 2020 – February 2021, there was a reduction of 19% in patient visits. The number of patients undergoing treatment also decreased, from 1081 patients (53.9%) in the period of March 2019 – February 2020 to 926 patients (46.1%) in the period of March 2020 – February 2021. Notably, there was a decrease in the number of patients undergoing surgical procedures, dropping from 76 patients (70.4%) in the period of March 2019 – February 2020 to 32 patients (29.6%) in the period of March 2020 – February 2021. A similar trend was seen in patients receiving chemotherapy, with the count decreasing from 1005 patients (52.9%) in the period of March 2019 – February 2020 to 894 patients (47.1%) in the period of March 2020 – February 2021. These changes were attributed to various hospital measures implemented to address the COVID-19 pandemic, including a reduction in outpatient clinic visits and the temporary suspension of surgical procedures from March 2020 to October 2020 to minimize potential exposure. Conclusion: The study highlights a noticeable decline in both the frequency of visits to the Gynecology Oncology Outpatient Clinic at Ulin Regional General Hospital Banjarmasin and the number of patients receiving treatment during the periods before and after the onset of the COVID-19 pandemic.  
Description of the implementation of complementary therapy in midwifery services in Surabaya, Indonesia Annisa' Wigati Rozifa; Nova Elok Mardliyana; Irma Maya Puspita
Majalah Obstetri & Ginekologi Vol. 31 No. 2 (2023): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I22023.75-79

Abstract

HIGHLIGHTS Midwifery services are carried out by combining conventional and complementary midwifery services Types of complementary therapies applied by 52% of independent midwifery services in Surabaya consisted of aromatherapy, hypnotherapy, herbal medicine, baby massage and spa, maternity massage, oxytocin massage, and yoga.   ABSTRACT Objectives: This study aimed to describe the implementation of complementary therapy among the independent midwifery practices in Surabaya, Indonesia. Materials and Methods: Employing a quantitative approach with a survey methodology, this study involved data collection through surveys administered to independent midwives practicing in Surabaya and midwives affiliated with independent midwifery practices. The questionnaires were containing the characteristics of the participants, the implementation of complementary therapies, and the complementary therapies integrated into the practice settings. Results: The findings revealed that 25 midwives (comprising 52%) provided complementary midwifery services, whereas 23 midwives (comprising 48%) abstained from incorporating complementary midwifery services into their independent midwifery practices. The types of complementary therapies implemented consisted of aromatherapy, hypnotherapy, herbal medicine, baby massage and spa, maternity massage, oxytocin massage, and yoga. Conclusion: This study concluded that 52% of independent midwives in Surabaya applied complementary therapy into their practices.  
The effect of micronutrients on postpartum pelvic organ prolapse patients Rahajeng; Mukhamad Nooryanto; Muhammad Dzikrifishofa
Majalah Obstetri & Ginekologi Vol. 31 No. 2 (2023): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I22023.92-96

Abstract

HIGHLIGHTS Serum vitamin D levels were significantly different between POP and in healthy women. Micronutrient MMP-1 expression is increased in POP patients.   ABSTRACT Objective: Pelvic Organ Prolapse (POP) is when pelvic tissues sink into the vagina due to weakened ligaments or muscles. POP is common globally. Adequate nutrition, including Vitamin D, is vital for prevention. Vitamin D maintains bone and muscle health, regulates MMP-9 to control collagen, essential for pelvic support. Increased MMPs lead to collagen breakdown and POP. Recognizing vitamin D's role in collagen and POP is crucial for prevention. This study aimed to determine definitive association between vitamin D, collagen type I and MMP-1 in POP patients. Materials and Methods: Our search yielded 1375 studies, of which 7 were included in the present investigation. Two studies addressed the micronutrient status of vitamin D, four investigated the micronutrient status of type 1 collagen, and two studied the micronutrient status of MMP-1 in postpartum POP patients. Results: The results showed that the mean of vitamin D levels from POP group was substantially decreased compared to a those of healthy women in the control group (95% confidence interval (CI), -3.64; -3.44 and p <0.05). There was a decrease of collagen I protein in POP (95% CI, -3.26; -2.45. p <0.05). Additionally, MMP-1 expression increased in POP patient (95% CI. 1.48-2.23, p <0.05) Conclusion: Micronutrient status was severely compromised in POP group compared to control subjects.

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