Indonesian Journal of Obstetrics and Gynecology (INAJOG)
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Cystatin C Serum Level and the Severity of Preeclampsia
Get PDFObjective: Determining the cystatin C serum level among normotensive,
mild preeclamptic, severe preeclamptic pregnant women
and their relationship with the severity of preeclampsia.
Method: The study was held using cross sectional design in Prof. Dr.
RD Kandou Hospital in Manado and its network hospitals. We did on
51 samples at term pregnant women, consisting of 17 samples for
each group in normotensive, mild preeclampsia, and severe
preeclampsia. The data were analyzed using SPSS version 22.0 software
through ANOVA and Kruskal Wallis statistical test.
Result: The mean cystatin C serum concentration in normotensive
pregnant women, mild preeclampsia, and severe preeclampsia were
0.82 mg/l, 1.03 mg/l, and 1.32 mg/l; respectively. The ANOVA statistical
test showed the significant association between cystatin C level
and severity of preeclampsia (
Heat Shock Protein 70 (HSP 70) Level in Threatened Abortion
Get PDFObjective: To determine the level of Heat Shock Protein 70 (HSP 70)
in threatened abortion compared with normal pregnancy.
Method: This was a cross-sectional analytic study design conducted
to examine the HSP 70 level on 25 subjects of pregnant women wit
Comparison of the Levator Hiatal Area
Get PDFObjective: To determine the relationship of the levator hiatal area
among nulliparous, primiparous, and multiparous women so that
we can assess the prevalence of avulsion.
Method: A cross-sectional study design was used by evaluating the
transperineal ultrasound results of all nulliparous, primiparous, and
multiparous women in the Obstetrics and Gynecology Clinic of
Dr. Cipto Mangunkusumo hospital from May to December 2015. We
analyzed the data through SPSS using one way ANOVA to compare
the levator hiatal dimension among the groups of women during
Valsava maneuver and at rest.
Result: There were significant differences in levator hiatal area
among nulliparous, primiparous, and multiparous women during
Valsalva maneuver and at rest, which the mean (SD) was 22.26
(5.45) cm2 (p=0.028) and 10.70 (2.26) cm2 (p=0.012), respectively.
Levator ani muscle avulsion was occurred in 1 out of 46 (2.2%)
women from the primiparous and multiparous group.
onclusion: There are significant differences in levator hiatal area
during Valsalva and at rest among the groups.
[Indones J Obstet Gynecol 2016; 4-4: 208-211]
Keywords: avulsion, levator hiatal area, multiparous, nulliparous,
primiparou
Characteristics of Patients with Obstetric and Gynecologic Fistula in Jakarta
Get PDFObjective: To know the characteristics of patients with obstetrics
and gynecologic fistula in Dr. Cipto Mangunkusumo Hospital,
Jakarta.
Method: This study was a descriptive design using secondary data
from medical records and patient database during 2011-2016.
Result: There were 68 subjects with fistula. From 2011-2016, there
were 5 cases (7.4%), 19 cases (27.9%), 16 cases (23.5%), 11 cases
(16.2%), 8 cases (11.8%), and 9 cases (13.2%) of fistula; respectively.
The average age of subjects was 38 years old and only 34
subjects have complete data. Gynecologic and obstetric fistula were
17 cases each. As total 28% of fistula cases were vesicovagina fistula,
12% were rectovaginal fistula, 9% were anovagina fistula, and the
other types of fistula were 2%. Among 34 subjects, there were 21%
of vesicovagina fistula and 3% of rectovagina fistula, which were
caused by iatrogenic. There were 7% of vesicovagina and rectovagina
fistula each and 9% of anovagina fistula were caused by
obstetric problems. The iatrogenic procedures found from this study
were total abdominal hysterectomy (16%), vaginal hysterectomy
(3%), and neovagina (3%).
Conclusion: The trend of cases is decreasing during the present
years (2011-2016). Gynecologic fistula cases caused by iatrogenic
are the major problems, but the obstetrics fistula cases decreasing
following the labor monitoring is much better nowadays.
[Indones J Obstet Gynecol 2016; 4-4: 212-217]
Keywords: gynecologic fistula, iatrogenic, obstetric fistul
A Simple Ultrasound Examination as Diagnostic Tool for Malignant Ovarian Tumor
Get PDFObjective: To know the diagnostic value of simple ultrasound examination to detect malignant ovarian tumor.
Method: This study used cross-sectional design in gynecology outpatientclinic at Dr. Cipto Mangunkusumo Hospital. We recruited the patients with ovarian tumor undergoing surgery between March
and July 2015. Samples were taken using consecutive sampling.
Analysis was done using Chi-square test and logistic regression to
find the relationship between ultrasound morphologic patterns with
histopathologic findings, where the significant relationship was p
value less than 0.05. Furthermore, a model derived from logistic regression was made to calculate the probability having ovarian malignancy.
Result: There were 80 subjects which 58 subjects (72.5%) had
benign tumor and 22 subjects (27.5%) had malignant tumor. Ultrasound examination result using  2 morphologic patterns gave malignant result in 53.8% subjects with the sensitivity of 100%, specificity of 82.8%, positive predictive value of 68.8%, and negative predictive value of 100%. The most important patterns were irregular
internal cyst wall, multilocular, presence of papillary projection, and
presence of solid component. The probability of subject having ovarian
malignancy with  3 morphologic patterns was more than
88.9%.
Conclusion: Simple ultrasound examination can be used to detect
malignant ovarian tumor.
[Indones J Obstet Gynecol 2016; 4-4: 222-226]
Keywords: diagnostic, histopathology, morphology pattern; ovarian
tumor; ultrasonograph
Efficacy and Safety of Cryotherapy in "See and Treat" Program in Jakarta Primary Health Centre
Get PDFObjective: To evaluate the efficacy and safety of cryotherapy in "See
and Treat" program in Jakarta Primary Health Care.
Method: Using descriptive cross-sectional design, data from medical
records were taken with total sampling method. We took the VIA
result, cryotherapy procedure, first-marriage age, number of
marriage, parity, smoking habit, and the use of contraception. Data
were analyzed univariately.
Result: Of 86 data, the percentage of cryotherapy to change from
positive to negative of VIA result was 90.70%. We did not find the
progressivity to invasive cancer.
Conclusion: Cryotherapy is effective to manage the cervical precancerous
lesion in "See and Treat" program.
[Indones J Obstet Gynecol 2016; 4-4: 227-233]
Keywords: cryotherapy, Indonesia, see and treat, visual inspection
of acetic acid (VIA
Educational program for enhancing parental competency and outcomes of preterm infants
Get PDFTujuan: Menilai efektivitas program edukasi terhadap kompetensi
orang tua dan status kesehatan bayi kurang bulan di JABOTABEK, Indonesia.
Bahan dan cara kerja: Studi ini menggunakan rancangan posttest
only, time series. Sebanyak 54 orang tua dan bayinya diambil secara
purposif, dan dikelompokkan menjadi kelompok kontrol (n=27 pasang) dan kelompok perlakuan (n=27 pasang) dengan cara teknik menjodohkan berat badan lahir dan usia kehamilan bayi. Kelompok perlakuan mendapat program edukasi yang dikembangkan oleh peneliti berdasarkan teori pembelajaran sosial dari Bandura dan studi literatur. Kelompok kontrol mendapat asuhan konvensional.
Hasil: Para Ibu dan Bapak yang berpartisipasi dalam program
edukasi memperlihatkan tingkat kompetensi yang lebih tinggi pada saat bayi keluar dari rumah sakit (RS), 2 minggu, dan 6 minggu setelah bayi keluar dari RS dibandingkan dengan kelompok kontrol dengan tingkat kemaknaan (p < .05). Bayi-bayi yang orang tuanya berpartisipasi dalam program edukasi mempunyai berat badan lebih tinggi pada 2 minggu dan 6 minggu setelah keluar dari RS dibandingkan dengan bayi-bayi dari kelompok kontrol. Walaupun demikian, perbedaan tersebut tidak bermakna. Bayi-bayi dari orang tua yang berpartisipasi dalam program edukasi mempunyai frekuensi kunjungan akut yang lebih rendah pada 2 minggu dan 6 minggu setelah bayi keluar dari RS dibandingkan dengan bayi-bayi dari kelompok kontrol, tetapi perbedaan ini tidak bermakna. Tidak ditemukan adanya rawat ulang pada bayi-bayi yang orang tuanya
berpartisipasi dalam program edukasi dalam 2 minggu setelah bayi
keluar dari RS. Sebagai perbandingan, 7,4% bayi pada kelompok kontrol mengalami rawat ulang pada periode ini. Perbedaan ini tidak bermakna.
Kesimpulan: Temuan ini mengindikasikan bahwa program edukasi
dapat meningkatkan kompetensi orang tua dalam merawat bayi prematur. Terdapat kecenderungan peningkatan berat badan, penurunan kunjungan akut bayi, dan juga penurunan rawat ulang pada bayi. [Maj Obstet Ginekol Indones 2006; 30-1: 59-66]
Kata kunci: bayi kurang bulan, program edukasi, kompetensi, rawat
ulang.
Objective: To test the effectiveness of an educational program on parental competency and outcomes of preterm infants in JABOTABEK region, Indonesia.
Materid and methods: This study was a posttest only, time series design. Purposive sampling was used to recruit 54 parents and their infant who were assigned to a control group (n = 27 pairs) and an experimental group (n = 27 pairs) by matching infant’s weight and gestational age. The experimental group received an educational program deve-loped by the researcher based on Bandura’s Social Learning Theory and a review of the literature. The control group received only conventional care.
Result: Mothers and fathers who participated in the educational
program demonstrated higher level of competency at the time of the infant’s hospital discharge, at 2 weeks, and at 6 weeks after the infant’s discharge than those in the control group with a significant level of (p < .05). Infants of parents who participated in educational program had higher weight at 2 weeks and at 6 weeks after discharge than those in the control group. However, the differences were not significant. Infants of parents who participated in an educational program had fewer acute care visits at 2 weeks and at 6 weeks after discharge than those in the control group but, the differences were not significant. There were no hospital readmissions in infants of parents who participated in the educational program during the first 2 weeks after discharge. In comparison, 7.4% of control group infants had hospital readmissions during this period. This difference was not significant, however.
Conclusion: These findings indicated that educational program
could enhance parental competency in caring for their preterm infants. There was the inclination to increase infant’s weight, reduce infant’s acute care visits, and also reduce infant’s hospital readmissions. [Indones J Obstet Gynecol 2006; 30-1: 59-66]
Keywords: preterm infants, educational program, competency, hospital
readmission
Paradigma baru mengenai Miomektomi pada saat seksio sesarea*
Get PDFTindakan miomektomi saat seksio sesarea tetap merupakan prosedur yang mudah dan aman apabila dilakukan secara tepat. Upaya untuk meningkatkan keamanan dilakukan dengan melakukan hemostasis,
enukleasi secara tajam serta mendekatkan miometrium dengan baik agar tidak terbentuk rongga mati (dead space) yang dapat menimbulkan hematoma. Teknik "double circle stitching" bila dikombinasi dengan
uterotonika dapat lebih memperkecil jumlah perdarahan yang mungkin terjadi
Prevalence of Postpartum Anxiety and Depression after Intrapartum Oxytocin
Get PDFObjective: To know the prevalence of postpartum anxiety and depression
in patients who received intrapartum oxytocin.
Method: Across-sectional observational study was conducted in Dr.
Cipto Mangunkusumo hospital. Observation used Edinburgh Postnatal
Depression scale and Beck Anxiety Inventory before delivery
day, on the first and fourteenth day of postpartum.
Result: Of 112 patients, we found the prevalence of mild and moderate
anxiety were 94.6% and 5.4%. There were no anxiety women
before delivery and on the first day of postpartum. The prevalence
of mild and moderate anxiety on the fourteenth day of postpartum
were 83% and 16.9%. There was no severe anxiety found at those
time. On the other hand, the prevalence of postpartum depression
on the first and fourteenth day of postpartum were 31.3% and
32.1%. There was no association between exogenous oxytocin and
postpartum anxiety also depression. In multivariate analysis, we
found that women with low self image were more prone to postpartum
anxiety (OR 0.16, 95% CI 0.06-0.46). Meanwhile, postpartum
depression was associated significantly to self image (OR 0.17, 95%
CI 0.07-0.83), low income (OR 10.35, 95% CI 1.72-62.45) and pregnancy
plan (OR 0.17, 95% CI 0.06-0.53)
Conclusion: The patients who received intrapartum oxytocin are
more prevalent to have mild anxiety. The prevalence of depression
before delivery day, on the first and fourteenth day of postpartum
are similar. In statistic, there is no relationship between intrapartum
oxytocin administration and postpartum anxiety or depression.
[Indones J Obstet Gynecol 2016; 4-2: 59-63]
Keywords: anxiety, depression, oxytocin intrapartum, postpartu