Indonesian Journal of Obstetrics and Gynecology (INAJOG)
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A Mixed-Methods Evaluation of an Iron Supplementation Program for Adolescent Girls in Magelang City
Full text linkAbstractObjective: To evaluate the implementation of the iron supplementation program for adolescent girls in Magelang City andidentify supporting and inhibiting factors.Methods: This study used a mixed-methods triangulation design with purposive sampling. Quantitative data from the MagelangCity Health Office were analyzed descriptively, while qualitative data from interviews and FGDs explored implementationbarriers.Results: The program achieved 72.2% coverage, meeting the national target. Supporting factors included regulatory planning,digital reporting via e-PPGBM, cross-sectoral collaboration, and the Aksi Bergizi initiative. However, barriers such as lack ofbudget, SOPs, human resources, and low adherence were identified.Discussion: Quantitative findings provided an overview of program success, while qualitative insights revealed operationalchallenges. Low adherence was influenced by limited awareness, unclear benefits, and perceived barriers like nausea and lackof parental support. Reporting delays and system closures also hindered performance.Conclusion: Despite meeting coverage targets, the program faces significant implementation challenges. Strengtheningbudgeting, SOPs, and human resources, along with improving adolescent awareness, is essential for future success.Keywords: Adolescent girls, iron supplementation, mixed-methods study, program evaluation
Socioeconomic and Parental Determinants of Adolescent Pregnancy: A Cross-Sectional Study at Pekauman Community Health Center, Banjarmasin
No full textObjective:This study examined the relationship between parental economic status, parental role, and the incidence of teenage pregnancy among adolescents at the Pekauman Community Health Center in Banjarmasin.
Methods:An observational, cross-sectional analytic study was conducted with 50 randomly selected respondents. Data collection utilized validated questionnaires and in-depth interviews. Independent variables included education level, economic status, parental role, and reproductive health knowledge. Data analysis was performed using chi-square tests at a significance level of ? = 0.05 (SPSS, IBM).
Results:Adolescent pregnancy was found to be significantly associated with low reproductive health knowledge (p = 0.0219; OR = 0.16), low economic status (p = 0.0008; OR = 10.40), low education level (p < 0.0001; OR = 19.43), and inadequate parental role (p = 0.034; OR = 4.0). The majority of adolescent mothers were under 18 years of age and had not completed high school. Health complications were prevalent, with 32% of adolescent mothers experiencing anemia.
Conclusion:Adolescent pregnancy is primarily influenced by inadequate reproductive health knowledge, low educational attainment, economic hardship, and insufficient parental support. Comprehensive strategies are required, including reproductive health education, socioeconomic empowerment, and active parental engagement. These interventions are essential for reducing adolescent pregnancy rates and improving maternal and child health outcomes. Local health authorities should prioritize community-based reproductive health education programs that involve both adolescents and their parents to facilitate accurate knowledge dissemination and open communication.
Keywords:Adolescent pregnancy, parental role, reproductive health knowledge, socioeconomic status
Vitamin D Levels and Its Influence on Maternal Blood Glucose, Blood Pressure, and Fetal Weight: A Cross-Sectional Study
No full textObjectives: Vitamin D is needed for many physiological functions. Vitamin D deficiency is a global problem, including vitamin D deficiency in pregnancy. Maternal vitamin D deficiency has been associated with an increased risk of adverse gestational outcomes. This cross-sectional study was conducted to assess the influence of vitamin D levels on the maternal blood glucose, blood pressure, and fetal weight.
Methods: Twenty-six women with gestational age 12-16 weeks as participants of this study were recruited from two Primary health care in Semarang, Indonesia between September - October 2023. were analyzed for serum 25 hydroxy vitamin D (25 (OH) D ). The samples then were assessed for blood glucose, blood pressure and fetal weight using ultrasonography.
Results: The results of the Pearson's correlation rank test for Vitamin D with estimated fetal weight, blood glucose, systolic blood pressure, and gestational ages as covariate showed a value of P>0.05. Statistically, it means that there is no correlation between vitamin D and other variables.
Conclusion: Our study showed level of vitamin D has no influence on of blood glucose level, incidence of hypertension, and low fetal weight
Keywords: blood pressure, fetal weight, maternal blood glucose, vitamin
Antifertility Effects of Ethanol-Extracted Turmeric on Male Rats: ELISA-Based Evaluation
Full text linkAbstractObjective: To determine the effect of administering 96% ethanol extract of turmeric (Curcuma longa Linn, syn. Curcuma domestica Val.) on the antifertility effect on male rats.
Methods: 18 Male and 18 Female Sprague-Dawley Rats were grouped into 6 Groups, namely the Control Group, Positive Control Group (Birth Control Pills), Treatment Group 1 with a dose of 25 mg/KgBW, Treatment Group 2 with a dose of 50 mg/KgBW, Treatment Group 3 with a dose of 25 mg/KgBW, Treatment Group Mating of Male and Female Rats given turmeric with a dose of 50 mg/KgBW, Treatment Group Mating of Male and Female Rats given turmeric is Male with a dose of 50 mg/KgBW. Turmeric extract was given orally every day for 30 days. Results: The data obtained were statistically analyzed using a one-way ANOVA test. Testosterone levels increased compared to the control group, indicating no significant difference, with a P value of 0.317 (p>0.05), and in vivo male sperm motility at doses of 25 mg/kgBW, 50 mg/kgBW, and 100 mg/kgBW was significantly different from the control group (p 0.00 < 0.05).Conclusion: Giving 96% turmeric ethanol extract (Curcuma longa Linn, syn. Curcuma domestica Val.) did not affect testosterone levels in male rats in vivo at doses of 25 mg/kgBW, 50 mg/kgBW, and 100 mg/kgBW, with a significance value of p 0.317 > 0.05, indicating no significant difference. Meanwhile, sperm motility testing showed a significant difference with a result of p = 0.00 < 0.05. For further research, it is hoped that further observations will be made regarding the potential of turmeric ethanol extract by conducting histological tests, and a mating test will be carried out as evidence of whether or not the treated rats are fertile.
Keywords: antifertility, concentration testosterone, effectiveness, Sprague-Dawley Rats, turmeric extract
Precision of Ultrasound During Peripartum for Predicting and Diagnosing Obstetric Anal Sphincter injuries
Full text linkAbstract
Objectives: To assess the accuracy of transperineal ultrasound (TPUS) in diagnosing obstetric anal sphincter injuries (OASIs) in primiparous women between 37 and 41 weeks of gestation.
Design: Cohort observational study.
Setting: Kasr Alainy Hospital, Cairo University.
Subjects: 697 nulliparous women with singleton pregnancies between 37 and 41 weeks' gestation.
Outcome Measures: Ano-vaginal distance (AVD), body mass index (BMI), fetal parameters (biparietal diameter [BPD], head circumference [HC]), and anal sphincter contraction.
Results: Significant differences were found between women with and without OASIs in BMI, fetal parameters, and AVD. The AVD's area under the ROC curve (AUC) was 0.659, showing moderate predictive value for OASIs. Multivariate analysis revealed that AVD and second-stage labor duration were the strongest predictors of OASIs.
Conclusions: TPUS is a valuable tool in identifying women at risk of OASIs and may improve detection when combined with clinical examination.
Keywords: Obstetric Anal Sphincter Injuries (OASIs), Transperineal Ultrasound (TPUS), Ano-Vaginal Distance (AVD), Vaginal Delivery, Primiparous Women, Diagnostic Accuracy
Screening of Preeclampsia for the Reduction of Maternal Morbidity and Mortality in Indonesia
Full text linkN/
Midwifery Students' Experiences in Learning Pelvic Anatomy and Childbirth Mechanisms: A Phenomenological Study
Full text linkObjectives: To determine students' competence in pelvic anatomy and labor mechanisms through multimedia-based learning media at University Hangtuah Pekanbaru and Helvetia Health Institute Pekanbaru
Methods: The design of this study is a qualitative study with a descriptive phenomenological approach using the framework standards for reporting qualitative research a synthesis of recommendations approach. The number of informants in this study was 10 people, consisting of 8 midwifery students, 2 lecturers. Recruitment of informants in this study used purposive sampling. Analysis of research data using the Collaizi's framework, namely first familiarization, identifying related statements, formulating meaning, grouping themes, developing in-depth descriptions, creating basic structures of statements and final validation.
Results: The results of the analysis obtained two themes, namely the parts of the pelvic bone and the process of childbirth. Informants revealed that during the learning process they got a method of the process of childbirth so that it made it easier for students to practice in the field
Conclusion: Learning methods can be accessed not only during learning but also when outside the classroom or in the field
Keywords: Pelvic Anatomy, Labor Mechanism, Midwifery Curriculum, Learning Media, Multimedi
Effectiveness of Long Bean Leaf Green Noodles in Enhancing Prolactin Levels in Breastfeeding Mothers
Full text linkAbstract
Breastfeeding plays an important role in meeting the nutritional needs of infants and is useful in preventing malnutrition in children. However, insufficient breast milk is one of the obstacles in this process. Interventions that can be done to increase breast milk can be done pharmacologically using Domperidone. On the other hand, the drug can trigger side effects, then the use of herbs is recommended. Long bean leaves (Vigna sinensis L.) are plants that are rich in nutrients and can stimulate prolactin through the phytocemichal contents(1)(2)(3).
Objectives: The aims of the research to be carried out is to formulate and analyze the effectiveness of Green Noodles based on long bean leaves (Vigna sinensis L.) to help increase prolactin of breasfeed mother.
Methods: The research method used is a quasi-experimental with a Nonrandomized Control Group Pretest-Postest Design consisting of an experimental group (given green noodles) and a control group (given plain Noodles). The intervention was carried out for 14 days by giving green noodles 2 times a day for 14 days.
Results: Green noodles contain 4 times higher levels of polyphenols than white noodles with amounts of 384.55 mg/kg and 85.39 mg/kg respectively. Based on the results of pre and post interventions in both intervention and control groups, it was found that breastfeeding mothers who consumed Green Noodles experienced an increase in prolactin levels (p value 0.004) and mothers who consumed White Noodles did not experience a significant increase in prolactin levels (p value 0.283).
Conclusion: Green noodles is rich in polyphenols which can help increasing prolactin hormone on breastfeed mother.
Keywords: Breastmilk; Long Bean Leaves; Breastfeeding; Prolactin; Vigna sinensis L
Feasibility Study For Birth Defect’s and Congenital Abnormalities’s Integrated Service In A Low-Middle Income Country
No full textBackground: Congenital abnormalities are anatomical and physiological abnormalities that are present in babies from birth. One of the main causes of high infant mortality and neonatal mortality in Indonesia is congenital abnormalities in babies. This study describes the prevalence of congenital abnormalities in Dr. Cipto Mangunkusumo Hospital, as a tertiary referral hospital in Indonesia, which requires integrated healthcare service to be treated well.
Methods: Data obtained from 323 patients at Dr. Cipto Mangunkusumo General Hospital are collected in a year, to be further analyzed in retrospective cohort study. Collected data includes the patients’ age, birth date, reproductive history, gestational age, and congenital abnormalities of the baby.
Results: The data shows that patients with the age group of 30-39 years old dominated the cases of pregnancy with congenital abnormalities. Cases are also more dominant in the gestational age of 13 – 28 weeks (second-trimester). Most cases of abnormalities are from the central nervous system with 159 cases and followed by cardiovascular system with 130 cases. Overall prevalence of congenital abnormalities are detected within patients during prenatal screening in Dr. Cipto Mangunkusumo General Hospital.
Conclusion: This study highlights the importance in managing congenital abnormalities and birth defects by developing an integrated service in the healthcare system to lower infant and neonatal mortality.
Keywords: birth defect, congenital abnormalities, prenatal screenin
Relationship of History of Hypertension with Severity and Onset of Preeclampsia: A Cross-Sectional Study
No full textObjective: This study aimed to find correlation between a history of hypertension with severity and onset of preeclampsia.Methods: A retrospective cohort study with retrospective analysis of medical record data in patients with preeclampsia and severe preeclampsia from November 2021 – February 2022 was conducted at dr. Soediran Mangun Sumarso Regional General Public Hospital, Wonogiri, Central Java. Analysis was performed between the history of hypertension with severity and onset (<34 weeks and age ? 34 weeks gestational age). Data analysis was performed using SPSS software with univariate Chi-Square analysis.Results: A total of 44 medical record data were obtained in this study. A total of 20 patients (45.5%) had a history of hypertension and 24 (55.5%) patients had no history of hypertension. A total of 23 patients (52.3%) were diagnosed with severe preeclampsia and 21 patients (47.7%) were diagnosed with preeclampsia. Based on statistical analysis, it was found that there was no significant correlation between the history of hypertension and the severity of preeclampsia (p=0.741; OR (CI 95%): 0,818 (0,249 – 2,690)) and onset (p=0.88; OR (CI 95%): 1,133 (0,222 – 5,788)).Conclusion: There is no relationship between history of hypertension with the severity and onset of preeclampsia. Further studies with larger populations are needed to analyze the relationship between history of hypertension and preeclampsia.Keywords: blood pressure, cardiovascular disease, hypertension, onset, preeclampsia