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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 310 Documents
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The effect of date fruit consumption on delivery outcomes: A systematic review Kharizmatika; Soediono, Mochammad Ridhwan
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.61-69

Abstract

HIGHLIGHTS Consuming date fruit in late pregnancy may enhance labor outcomes by reducing labor duration, speeding up cervical dilation, and decreasing the need for induction. Healthcare providers might recommend it as a natural dietary intervention, while further research should standardize protocols and determine optimal dosages.   ABSTRACT Objective: This systematic review examines the impact of date fruit consumption during pregnancy on labor and delivery outcomes. Materials and Methods: A systematic search was carried out utilizing PubMed, Cochrane Library, and ScienceDirect databases to identify systematic reviews and meta-analyses published within the last five years. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria were adhered to in order to identify studies and extract data. Quality evaluation was carried out utilizing the AMSTAR tool to ensure methodological rigor. Results: Among 3,528 initial records, 255 articles met eligibility criteria, with 4 systematic reviews included for analysis. Date fruit consumption was associated with shortened first stage of labor (pooled effect size: -50.09 to -76.16 minutes), reduced second stage duration (pooled effect size: -7.7 to -15.05 minutes), accelerated cervical dilatation (pooled effect size: 0.94 to 1.15 cm), and decreased gestation duration (pooled effect size: -0.30 weeks to -1.97 days). Improved Bishop score (MD/WMD: 2.45 to 2.47) and decreased labor induction frequency (RR: 0.48 to 0.6) were also observed. Heterogeneity in outcomes suggests variable effects across studies. Conclusion: Date fruit consumption in late pregnancy shows potential benefits for labor outcomes, including shorter duration of labor stages, accelerated cervical dilation, and reduced need for labor induction. Healthcare providers may consider recommending date fruit as a natural dietary intervention to enhance maternal and neonatal health during childbirth. Further research should standardize protocols, explore optimal dosages, and elucidate mechanisms to strengthen evidence-based recommendations.
The role of curcumin in enhancing endometrial receptivity in a rat model of adenomyosis: A preclinical basis for herbal therapeutics development Sihotang, Jojor; Hutagaol, Imelda EB; Adriansyah; Yusuf, Muhammad
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.9-15

Abstract

HIGHLIGHTS Nano-curcumin increases expression of endometrial receptivity markers HOXA10, LIF, and integrin ß3 in adenomyosis rat models. Nano-curcumin shows potential as a non-surgical therapy to improve implantation in adenomyosis without affecting lesion severity.   ABSTRACT Objective: This study aimed to evaluate the effects of nano-curcumin on markers of endometrial receptivity in a rat model of adenomyosis, focusing on lesion characteristics and gene expression related to embryo implantation. Materials and Methods: An experimental study was conducted using 30 female Wistar rats (Rattus norvegicus) at the Biomedical Laboratory, Faculty of Medicine, Universitas Riau, from March to October 2024. The rats were randomly assigned into five groups: control, adenomyosis model, and adenomyosis treated with nano-curcumin at doses of 25, 50, and 75 mg/kg body weight. Adenomyosis was induced via oral administration of tamoxifen (2.7 µmol/kg) from postnatal day 2 to 5. Nano-curcumin was administered orally for 15 consecutive days starting 75 days after induction. Adhesion scores, lesion number, and lesion volume were evaluated, while expression levels of HOXA10, Leukemia Inhibitory Factor (LIF), and integrin β3 were quantified using polymerase chain reaction assays during days 4–6 of pregnancy. Results: Nano-curcumin reduced lesion count, lesion volume, and adhesion scores in a dose-dependent manner; however, these changes were not statistically significant (all p > 0.05). In contrast, nano-curcumin demonstrated a clear dose-dependent enhancement of endometrial receptivity. Expression of HOXA10, LIF, and integrin β3—markers suppressed in the adenomyosis group—was progressively restored toward control levels with increasing doses, indicating improved endometrial readiness for implantation despite minimal changes in lesion morphology. Conclusion: Nano-curcumin enhances the expression of key endometrial receptivity markers without significantly affecting lesion characteristics in rats with adenomyosis, suggesting its potential as a therapeutic agent to improve fertility outcomes.
Survival patterns of cervical cancer patients in South Sumatra, Indonesia: Insights from a 3-year hospital-based cohort Sanif, Rizal; Inggarsih, Rara; Agustiansyah, Patiyus; Kurniawaty, Nyiayu Fauziah; Putra, Muhammad Iqbal Hari; Stevanny, Bella
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.23-32

Abstract

HIGHLIGHTS The survival rate of cervical cancer patients at Dr. Mohammad Hoesin Hospital was significantly higher for those undergoing surgery combined with chemotherapy or chemoradiation, with a median survival of 87.5% at 36 months, compared to other treatments such as chemotherapy or radiation alone. The loss to follow-up rate among cervical cancer patients at Dr. Mohammad Hoesin Hospital decreased over three years but remained high at 62%, with patients over 51 years old and those living far from healthcare facilities being more likely to miss follow-up appointments.   ABSTRACT Objective: To describe survival patterns and associated clinical factors among cervical cancer patients treated at a tertiary referral hospital in South Sumatra over a three-year period. Materials and Methods: This retrospective cohort study analyzed cervical cancer patients diagnosed and treated at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia, between January 2021 and December 2023. A total of 494 patients (59 in 2021, 156 in 2022, and 279 in 2023) meeting the inclusion criteria were selected through total sampling. Survival analysis was conducted using the Kaplan-Meier method, and outcomes were stratified by stage, histopathological type, and treatment modality. Results: The median age of patients was 51 years, with most classified as multiparous and presenting at stage III (68.2%). Squamous cell carcinoma was the most common histopathological type (75.3%). The overall 3-year survival rate was 70.8%, with stage-specific survival rates of 82.8% (stage I), 78.2% (stage II), 70.3% (stage III), and 48.8% (stage IV). Survival was higher in patients with squamous cell carcinoma (74.5%) compared to those with adenocarcinoma (57.3%). Combination therapies, particularly surgery with chemoradiation (87%), resulted in better outcomes than monotherapies such as radiotherapy alone (28.1%). However, the study also reported a high loss to follow-up rate (62%), which may impact long-term survival evaluation. Conclusion: Survival patterns among cervical cancer patients in South Sumatra are strongly influenced by cancer stage, histological subtype, and treatment approach. Multimodal treatments were associated with improved survival, emphasizing the need for early diagnosis and comprehensive care. Addressing the high rate of loss to follow-up is essential for improving long-term outcomes in this population.
Limb-Body Wall Complex: A rare case report and systematic review Sutandi, Chatrine; Sanjaya , I Nyoman Hariyasa
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.84-98

Abstract

HIGHLIGHTS Evolution from suspected gastroschisis (17+1 weeks) to confirmed LBWC at 20 weeks with classic features (thoracoabdominal wall defect, intestinal malrotation, limb anomalies), aligned with a systematic review of 23 studies (155 cases) showing mainly second-trimester ultrasound diagnosis and uniformly poor prognosis. Early diagnostic pathways (2D/3D ultrasound ± Doppler; adjunct MRI/AFP/genetics) sharpen differentiation from gastroschisis/omphalocele and strengthen evidence for prenatal counseling, management (including termination and delivery planning), and postmortem confirmation.   ABSTRACT Objective: To report a rare case of Limb-Body Wall Complex (LBWC) and to synthesize current evidence regarding its diagnostic features, clinical presentation, and outcomes through a structured literature review. Case Report: This study integrates a single case report with a structured review of published cases. A 29-year-old gravida 2 para 0 woman at 20 weeks of gestation presented with absent fetal movement and was diagnosed with intrauterine fetal death accompanied by multiple congenital anomalies. Initial antenatal ultrasound at 17 weeks and 1 day suggested gastroschisis; however, subsequent evaluation confirmed LBWC, characterized by thoracoabdominal wall defect, intestinal malrotation, and limb anomalies. Pregnancy termination was performed using misoprostol, and the fetus was delivered vaginally as a stillbirth. Diagnosis was confirmed macroscopically post-delivery. The literature review, conducted in accordance with PRISMA 2020 guidelines using PEOS criteria, identified 23 eligible studies comprising 155 cases. Most diagnoses were established in the first and second trimesters using ultrasound, with adjunctive imaging or genetic testing in selected cases. Across studies, LBWC consistently demonstrated a uniformly poor prognosis, with outcomes including intrauterine fetal demise, termination of pregnancy, or early neonatal death. Common findings included limb agenesis, scoliosis, short or absent umbilical cord, and organ evisceration. Most included studies were of moderate to high methodological quality. Conclusion: LBWC is a rare and lethal congenital anomaly. Early and accurate antenatal diagnosis, particularly through repeated ultrasound evaluation, is essential to guide clinical decision-making, parental counseling, and pregnancy management
Baseline hemoglobin as a prognostic factor for radiotherapy outcomes and survival in advanced cervical cancer at Dr. Kariadi General Hospital, Semarang, Indonesia Marpaung, Mona Galatia; Iskandar, Teukur Mirza; Pramono, Noor; Suhartono
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.16-22

Abstract

HIGHLIGHTS Baseline hemoglobin level is a relevant predictive factor in cervical cancer management, emphasizing the importance of maintaining optimal hematological status to enhance therapeutic effectiveness and improve patient survival. Patients with hemoglobin levels =11 g/dL demonstrated higher two-year survival rates and longer median survival times compared with those with levels <11 g/dL, supporting the role of hemoglobin as an important prognostic indicator of long-term clinical outcomes.   ABSTRACT Objective: This study aimed to evaluate the relationship between baseline hemoglobin concentration and the effectiveness of radiotherapy in patients with advanced cervical cancer, with emphasis on survival outcomes and therapeutic response. Materials and Methods: A retrospective observational study was conducted using medical records from the Oncology Clinic and Radiotherapy Unit between January 2017 and December 2022. Eligible subjects included women diagnosed with stage IIB–IIIB cervical cancer who had completed radiotherapy, either alone or combined with chemotherapy. Hemoglobin levels were compared between treatment groups using the chi-square test. Survival probabilities were assessed using Kaplan–Meier analysis and compared with the log-rank test, with p <0.05 considered statistically significant. Results: A total of 939 patients met the inclusion criteria. Among them, 89 patients received box system radiotherapy and 850 underwent brachytherapy. Hemoglobin levels <11 g/dL were observed in 55.1% of patients in the box system group and 42.7% in the brachytherapy group. Conversely, hemoglobin levels ≥11 g/dL were more frequent in the brachytherapy group (57.3%) than in the box system group (44.9%) (p = 0.034). Patients with hemoglobin levels ≥11 g/dL had a higher two-year survival rate (67.4%) compared with those with hemoglobin levels <11 g/dL (54.9%). Mean survival time was also longer in patients with higher hemoglobin levels (19.8 vs 17.4 months). Conclusion: Baseline hemoglobin level is significantly associated with radiotherapy outcomes and survival in advanced cervical cancer. Higher hemoglobin levels (≥11 g/dL) are associated with improved survival and reduced mortality, highlighting its role as an important prognostic indicator. Maintaining adequate hemoglobin levels may improve treatment effectiveness and clinical outcomes.
Maternal death trends in Bantul District, Indonesia, over a decade (2015-2024) Dhiya An, Alfun; Maulidya, Asri Nur; Utari, Kinanti Wilujeng Hayuning
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.33-41

Abstract

HIGHLIGHTS This study reveals a shifting pattern of maternal death causes over the decade, with Indirect Obstetric Death (IOD) increasing significantly in the last five years, replacing tuberculosis with cardiac diseases as the leading cause of IOD. Postpartum remains the most critical period, accounting for 68.1% of maternal deaths, suggesting that postpartum care is an under-prioritized area that needs urgent health system attention. Health system strategies must move beyond ANC coverage and focus on continuity of care, maternal health literacy, and postpartum surveillance.   ABSTRACT Objective: This study aimed to examine trends and shifting patterns of maternal deaths in Bantul District over ten years (2015–2024) to support the development of more targeted and responsive maternal health strategies. Materials and Methods: A retrospective cross-sectional study was conducted using secondary data from the Bantul District Health Office. Maternal death was defined according to the WHO criteria as the death of a woman during pregnancy or within 42 days of termination, irrespective of the pregnancy’s duration or location, excluding accidental or incidental causes. Data sources included official maternal mortality audit reports compiled from medical records and community-based investigations. All eligible cases with complete cause-of-death information were included through total sampling. Data were then grouped into two periods (2015–2019 and 2020–2024) to reflect contextual changes such as the COVID-19 pandemic and evolving maternal healthcare policies. Descriptive statistics, chi-square, and odds ratios (OR) were calculated, with a p-value < 0.05 considered significant. Results: A total of 144 maternal deaths were analyzed: 52.1% were Direct Obstetric Death (DOD), and 68.1% occurred during the postpartum period. Hemorrhage and hypertensive disorders of pregnancy were consistently dominant causes. In the late period, cardiac diseases emerged as a leading indirect cause of obstetric death. Although differences were not statistically significant, higher odds of DOD were observed among women with fewer antenatal care (ANC) visits and lower socioeconomic status during 2020–2024. Conclusion: The findings emphasize the urgent need to shift from access-focused to quality-focused maternal care through early detection of comorbidities, improved postpartum surveillance, and better integration between levels of obstetric care.
Placental micro- and nanoplastic contamination: A systematic review of eco-exposome pathways to preterm birth and neonatal outcomes Sanjaya, I Nyoman Hariyasa; Andonotopo, Wiku; Bachnas, Muhammad Adrianes; Dewantiningrum, Julian; Pramono, Mochammad Besari Adi; Mulyana, Ryan Saktika; Pangkahila, Evert Solomon; Akbar, Muhammad Ilham Aldika; Yeni, Cut Meurah; Aldiansyah, Dudy; Bernolian, Nuswil; Wiradnyana, Anak Agung Gede Putra; Pribadi, Adhi; Sulistyowati, Sri; Stanojevic, Milan; Kurjak, Asim
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.70-83

Abstract

HIGHLIGHTS First comprehensive synthesis of human and mechanistic evidence linking placental micro- and nanoplastic (MNP) contamination to preterm birth and neonatal outcomes. Quantitative human studies demonstrate higher placental MNP burdens in preterm versus term pregnancies. Molecular pathways identified include oxidative stress, ferroptosis-driven syncytiotrophoblast senescence, trophoblast invasion impairment, inflammatory signaling, endocrine disruption, and epigenetic modifications. Clinical and policy relevance: Findings support the need for standardized biomonitoring, maternal exposure mitigation, and the integration of eco-exposome considerations into perinatal care.   ABSTRACT Objective: To systematically review emerging evidence on micro- and nanoplastic (MNP) contamination of the human placenta, explore molecular pathways underlying placental dysfunction, and evaluate associations with preterm birth and neonatal outcomes. Materials and Methods: Following PRISMA 2020 guidelines, literature searches (in PubMed, Web of Science, and Scopus) and grey sources were conducted through July 2025. Inclusion criteria comprised studies detecting MNPs in the human placenta or fetal compartments, mechanistic experiments using human placental models, or reviews addressing pregnancy outcomes. Methodological quality was assessed using AMSTAR-2, ROBIS, or the Newcastle–Ottawa Scale. Data were synthesized into three evidence domains: human biomonitoring, molecular pathways, and clinical implications. Results: Twenty studies met the inclusion criteria. MNPs were consistently detected in the human placenta, amniotic fluid, cord blood, and meconium, with higher burdens in preterm versus term placentae. Mechanistic studies demonstrated oxidative stress, ferroptosis-mediated syncytiotrophoblast senescence, impaired trophoblast invasion, inflammatory responses (IL-6, TNF-a, NLRP3 activation), endocrine disruption (altered ß-hCG and progesterone signaling), and epigenetic modifications. These pathways converge to impair nutrient and oxygen exchange and immune tolerance, increasing the risks of preterm birth, fetal growth restriction, low birth weight, and neonatal respiratory and metabolic vulnerability. Conclusion: Micro- and nanoplastic contamination of the human placenta is increasingly documented and biologically plausible as a contributor to preterm birth and neonatal morbidity. These findings support urgent investigation of exposure mitigation, standardized biomonitoring, and the integration of eco-exposome risks into perinatal clinical practice and policy.
Emerging role of Transvaginal Ovarian Needle Drilling in CC-resistant PCOS: A meta-analytical comparison with LOD Huzna, Nanda Cynthia; Maulana, Rifqi Fadhil; Deswindra, Mohamad Reihansyah; Saputra, Gede Ardi; Megawati, Melia; Pratama, Muhammad Reqza
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.42-52

Abstract

HIGHLIGHTS This meta-analysis compares the effectiveness of transvaginal ovarian needle drilling (TND) versus laparoscopic ovarian drilling (LOD) in clomiphene citrate-resistant PCOS patients, focusing on pregnancy outcomes and ovarian reserve indicators. The findings indicate comparable pregnancy rates between TND and LOD, while TND may offer the advantage of better ovarian reserve preservation and a minimally invasive approach suitable for outpatient settings.   ABSTRACT Objective: Clomiphene citrate-resistant polycystic ovary syndrome (CC-resistant PCOS) remains a therapeutic challenge, often requiring second-line surgical interventions to induce ovulation. Laparoscopic ovarian drilling (LOD) is the standard approach, whereas transvaginal ovarian needle drilling (TND) has emerged as a minimally invasive alternative with potential advantages in preserving ovarian reserve. This study compared the effectiveness and safety of TND versus LOD by evaluating pregnancy rates and postoperative anti-Müllerian hormone (AMH) levels. Materials and Methods: A systematic review and meta-analysis was conducted following PRISMA guidelines. Literature searches were performed in PubMed, Cochrane Library, and ScienceDirect up to June 2025. Studies involving women with CC-resistant PCOS comparing TND and LOD were included. Primary outcomes were pregnancy rates and postoperative AMH levels. Risk of bias was assessed using Cochrane RoB-2 and ROBINS-I tools. Pooled estimates were calculated using a random-effects model. Results: Four studies involving 660 participants were included. The pooled relative risk for pregnancy in the TND group compared to the LOD group was 0.74 (95% CI: 0.39–1.41; p = 0.36; I² = 71%), indicating no statistically significant difference. The mean difference in postoperative AMH levels favored TND (+1.12 ng/mL; 95% CI: -0.06–2.3; p = 0.06; I² = 90%), suggesting a trend toward better ovarian reserve preservation. TND demonstrated comparable pregnancy outcomes with a potential advantage in minimizing ovarian damage. Conclusion: TND may offer similar pregnancy outcomes with better ovarian reserve preservation than LOD; however, further high-quality studies are required to confirm these findings.
Front Matter Vol. 34 No. 1 April 2026 Majalah Obstetri & Ginekologi
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.%p

Abstract

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Back Matter Vol. 34 No. 1 April 2026 Majalah Obstetri & Ginekologi
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.%p

Abstract

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