Indonesian Journal of Obstetrics and Gynecology

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ISSN / EISSN : 23386401 / 23387335
Total articles ≅ 253
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Ali Baziad
Indonesian Journal of Obstetrics and Gynecology pp 118-118; doi:10.32771/inajog.v1i3.1036

Junita Indarti, Sandy Prasetyo
Indonesian Journal of Obstetrics and Gynecology pp 9-14; doi:10.32771/inajog.v7i1.638

Abstract:Objective: To investigate the knowledge of midwives about hypertensive disorders during pregnancy. Methods: The study design is cross-sectional by evaluating the knowledge of midwives regarding hypertensive disorders during pregnancy by using questionnaire. This study was conducted in Jakarta during the period between September and October 2017. The subject is a midwife member of Indonesian Midwives Association (IBI) practicing in DKI Jakarta, Indonesia. Results: Total respondents were 639 practicing midwives in Central, South, West and North Jakarta. A total of 323 (50.5%) of the respondents had a sufficient level of knowledge about the basic science of high blood pressure in pregnancy, 372 (58.2%) of respondents had a good level of knowledge related to clinical examination and early diagnosis of high blood pressure in pregnancy, and 385 (60.3%) of respondents had a good level of knowledge about the management of high blood pressure in pregnancy. The location of the clinic, physician attendance, the number of patients treated by the midwives, and the number of midwives attending the clinic had significant association with the knowledge level of the subjects (all P values < 0,05) Conclusion: The lowest knowledge level was about the basic science of hypertensive disorders during pregnancy. Factors affecting the knowledge levels of the midwives were location of the clinic, physician attendance, the number of patients treated by the midwives, and the number of midwives attending the clinic Keywords: knowledge, midwive, hypertensive disorders, pregnancy, preeclampsia
Andree Hartanto, John J. E. Wantania, Joice M.M. Sondakh
Indonesian Journal of Obstetrics and Gynecology pp 34-39; doi:10.32771/inajog.v7i1.827

Abstract:Objective: To determine the relationship of elevated serum cortisol levels in the mother with dystocia labor Methods :this study was a prospective cohort, with mother who had dystocia labor as case group and mother with normal delivery as control group at RSUP Prof.DR.RD Kandou, and affiliation hospitals from October 2016 until March 2017. Data were analyzed With SPSS version 2.0 to see the significancy level. Results: from 32 cases, 16 cases with dysocystia labor and 16 cases with normal delivery. Of all cases with abnormal postpartum serum cortisol levels, the most were housewives with 14 cases (70%), based on educational level, most of whom below bachelor degree were 18 cases (90%). While cases with EPDS(Edinburgh postpartum depresson scale) score ≥10, found the most patients who underwent a cesarean section as many as 11 cases (68.75%). In the Mann-Whitney statistical test, it showed that serum cortisol levels (p=0.007) and EPDS score (p=0.001) had a significant relationship for risk of postpartum blues in dystocia labor. Conclusions: there was a significant relationship between serum cortisol levels and EPDS score with risk of postpartum blues on dystocia labor. Keywords: dystocia labor, EPDS score, postpartum blues, serum cortisol level. Abstrak Tujuan : mengetahui adanya hubungan peningkatan kadar kortisol serum pada ibu dengan persalinan distosia. Metode : penelitian ini adalah jenis kohort prospektif (cohort prospective), dengan kelompok ibu yang melahirkan dengan persalinan distosia sebagai kelompok kasusdan ibu yang melahirkan tanpa komplikasi persalinan sebagai kelompok kontrol di Bagian Kebidanan dan Kandungan Rumah Sakit Umum Pusat (RSUP) Prof.DR.R.D Kandou, dan RS jejaring mulai Oktober 2016 sampai Maret 2017.Data dianalisa dengan SPSS versi 2.0 untuk melihat tingkat kemaknaannya. Hasil : dari 32 subjek penelitian, 16 subjek dengan persalinan distosia dan 16 subjek dengan persalinan normal. Dari seluruh subjek penelitian yang mempunyai kadar kortisol serum postpartum abnormal,berdasarkan jenis pekerjaan, paling banyak adalah ibu rumah tangga dengan 14 subjek (70 %).Berdasarkan tingkat pendidikan, didapatkan paling banyak adalah SD,SMP,SMA sebanyak 18 subjek (90%). Sedangkan subjek yang mempunyai skor EPDS ≥ 10, ditemukan paling banyak subjek yang menjalani prosedur bedah sesar sebanyak 11 pasien (68,75%). Dalam uji statistik Mann-Whitney, menunjukkan bahwa kadar kortisol serum .(p=0.007) dan skor EPDS (p=0.001) mempunyai hubungan yang kuat untuk terjadinya postpartum blues pada persalinan distosia. Kesimpulan : terdapat hubungan bermakna kadar kortisol serum dan skor EPDS dengan postpartum blues pada persalinan distosia. Kata kunci : kadar kortisol serum, persalinan distosia, postpartum blues, skor EPDS.
Ummu Hani, Fernandi Moegni
Indonesian Journal of Obstetrics and Gynecology pp 61-64; doi:10.32771/inajog.v7i1.838

Abstract:Objective: To know the difference of recovery time and the urinary residual volume between group of patient with different time of urinary residual collecting. Method: A randomized controlled trial was held at Dr. Cipto Mangunkusumo central general hospital and central Karawang hospital between March and Desember 2017. Postpartum women with urinary retention risks, willing to contribute to the trial, and diagnosed as post partum urinary retention were divided into 2 groups. Urinary residual volume was measured in 4th hour and 6th hour in each group. Patient then treated according to RSCM guideline, and the time of recovery was documented. Result: Both group have similar characteristic. The median length of recovery in the group which the urinary residual was measured in 4th hour was 30 hours, 21 hours shorter than 6th hour group, 51 hours (p< 0.001). The median of urinary residual volume of the 4th hour group was 600 ml, 400 ml lesser than the 6th hour group, 1000 ml (p< 0.001) Conclussion: time of recovery are shorter in the 4th hour group and the urinary residual volume are less in the 4th hour group compared to the 6th hour group. Keywords: post partum urinary retention, urine residual, urinary residual collecting time Abstrak Tujuan: untuk mengetahui lama pemulihan dan volume residu urin pada kelompok pasien dengan retensio urin pascapersalinan dengan beda waktu pengukuran, Metode: Penelitian ini menggunakan desai uji klinis acak di RSUPN Dr. Cipto Mangunkusumo dan RSUD Karawang bulan Maret-Desember 2017. Perermpuan pascasalin dengan risiko retensio urin pasca persalinan, bersedia mengikuti penelitian, dan terdiagnosis retensio urin dibagi menjadi dua kelompok. Kelompok pertama diukur residu urinnya dalam 4 jam, kelompok kedua dalam 6 jam. Pasien lalu diberikan tatalaksana retensio urin sesuai protokol RSUPNCM dan dicatat waktu pulihnya. Hasil: Karakteristik pasien pada kedua kelompok dianggap setara. Median lama pemulihan pasien retensio urin yang diukur residu urin 4 jam adalah 30 jam, berbeda 21 jam dengan pasien yang diukur resiudnya 6 jam, yaitu 51 jam (p
Johanes C Mose
Indonesian Journal of Obstetrics and Gynecology pp 3-4; doi:10.32771/inajog.v7i1.986

Noroyono Wibowo, Peby M Lestari
Indonesian Journal of Obstetrics and Gynecology pp 27-33; doi:10.32771/inajog.v7i1.826

Abstract:Objective: To identify the differences of hemodynamic profile and morphometric changes of maternal heart in normotensive and severe preeclampsia (early-onset and late-onset) pregnant women. Method: Cross-sectional study on consecutively selected 34 pregnant women which divided into three groups: normotensive group (n = 12), early-onset group (n = 11), and the late-onset group (n = 11). Conducted in the ER and inpatient care unit of Obstetrics and Gynecology Department, Faculty of Medicine Sriwijaya University / Dr. Moh. Hoesin Hospital Palembang, from April 2015 - June 2015. Results: There are significant differences in CO and SVR among three groups. In early onset groups, CO values ​​are lower (3.4 + 0:27, p 0.05). Conclusions: In severe preeclampsia there are changes in hemodynamic, ventricular morphometry, and left ventricular function. But the changes that occurred seems to be more evident in the early onset preeclampsia group of compared than late-onset preeclampsia. Keywords: Normotensive, early onset PEB, PEB late-onset, hemodynamic profile, cardiac morphometry.
Putri H Novianesari, Nuswil Bernolian, Henni Maulani, Afifa Ramadanti, Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology pp 15-21; doi:10.32771/inajog.v7i1.823

Abstract:Objective: To compare sensitivity and specificity of LEA to histopathology examination in diagnosing chorioamnionitis. Methods: We compared diagnostic tests in dr. Mohammad Hoesin hospital, Palembang, from September 2015 to April 2016. Ninety-one pregnant women were included. LEA and histopathology examination were carried out with neonatal sepsis as main outcome. Data were analysed by SPSS version 21.0 and Med-calc statistic. Results: Chorioamnionitis was detected in 54 (77.1%) patients with gestational period ≥37 weeks and in 16 (22.9%) patients with gestational period 0.5 was able to significantly predict chorioamnionitis with 98.6% sensitivity and 95.2% specificity, providing better accuracy in diagnosing chorioamnionitis in preterm pregnancy group. Conclusion: LEA had a very good predictive value for chorioamnionitis with better accuracy in diagnosing chorioamnionitis in preterm pregnancy. Keywords: Chorioamnionitis, Histopathology, Leukocyte esterase activity, Neonatal sepsis, Salafia criteria Tujuan: Membandingkan sensitifitas dan spesifisitas diagnosis korioamnionitis antara pemeriksaan Leukocyte esterase activity (LEA) terhadap histopatologi. Metode: Penelitian uji diagnostik dilakukan di RSUP dr. Mohammad Hoesin Palembang selama periode September 2015 – April 2016, 91 wanita hamil yang memenuhi kriteria inklusi selanjutnya dilakukan pemeriksaan LEA, Histopatologi dan luaran sepsis neonatorum. Data kemudian dianalisis dengan menggunakan software SPSS versi 21.0 dan Med-calc statistic. Hasil: Korioamnionitis terdeteksi pada 54 (77,1%) pasien dengan usia gestasi ≥37 minggu dan 16 (22,9%) pada usia gestasi 0,5 secara signifikan mampu memprediksi kejadian korioamnionitis dengan sensitivitas 98,6%, spesifisitas 95,2% dan nilai akurasi yang lebih baik ditemukan dalam penegakan diagnosis korioamnionitis pada kelompok kehamilan preterm. Kesimpulan: Pemeriksaan LEA memiliki kekuatan prediksi yang sangat baik terhadap kejadian korioamnionitis dengan akurasi yang lebih baik dalam mendiagnosis korioamnionitis pada kehamilan preterm. Kata kunci: Korioamnionitis, Histopatologi, Leukocyte Esterase Activity,Sepsis Neonatorum, Kriteria Salafia
Andrijono Andrijono, Wahyu Ginealdy
Indonesian Journal of Obstetrics and Gynecology pp 65-69; doi:10.32771/inajog.v7i1.872

Abstract:Objective: This study was designed to determine a difference in prognosis of stage IIA1 cervical cancer compared to stage IIA2 based on the incidence of metastasis to pelvic lymph nodes by radical hysterectomy. Methods:A cross sectional study was conducted among 108 stage II cervical cancer patient post radical hysterectomy in obstetric gynecologic department of Dr. CiptoMangunkusumo hospital since 2006-2016. Results: From 108 patients with cervical cancer stage IIA, 80 (74%) patients are stage IIA1 and the remaining the remaining 28 (26%) patients are stage IIA2. The average age of patients at stage IIA2 (47.79 years) younger than IIA1 (55.85 years) and also patient at stage IIA1 having a higher parity number which is 4 compare to stage IIA2 with the number of parity 2. The Involvement of lymph node metastasis in patients with stage IIA1 and IIA2 cervical cancer were 51 (63.75%) and 16 (57.14%) respectively. Conclusion: Metastatic factor to lymphnode in both stage have the same result. There was no difference in the proportion of lymph node metastasis occurring in both stage IIA cervical cancer stage which was corrected with radical hysterectomy and pelvic lymphadenectomy with p = 0,535. Changing staging does not seem to improve the prognosis. Keywords: cervical cancer, stage IIA, lymphnode metastatic Tujuan:Membuktikan adanya perbedaan prognosis kanker servik stadium IIa1 dibanding stadium IIa2 berdasarkan kejadian metastasis ke kelenjar getah bening pelvik yang dilakukan histerektomi radikal. Metode: Dengan menggunakan metode potong lintang dilakukan pengambilan data 108 sampel pasien kanker serviks stadium IIA yang dilakukanpembedahanhisterektomiradikal di Departemen OnkologiGinekologi RSUP. Dr. Cipto Mangunkusumo Jakarta sejak tahun 2006 hingga tahun 2016. Hasil: Pasien kanker serviks stadium IIA1 sebanyak 80 (74%) pasien dan stadium IIA2 sebanyak 28 (26 %) pasien. Pada stadium IIA2 (47.79 tahun) didapatkan rata ratausiapasienlebihmudadibandingkan IIA1 (55.85 tahun). Pada stadium IIA1 jugadidapatkanjumlahparitas yang lebihtinggiyaitu 4 sedangkanpada stadium IIA2 denganjumlahparitas 2. Keterlibatan metastasis kelenjar getah bening pada pasien kanker serviks stadium IIA1 dan IIA2 berjumlah 51 (63.75%) dan 16 (57.14%) secara berurutan. Tidak terdapat perbedaan proporsi kejadian metastasis kelenjar getah bening pada kedua kelompok stadium kanker serviks pada stadium IIA dengan nilai p = 0,535. Kesimpulan: Faktor metastasis kelenjar getah bening pada kedua stadium memiliki hasil yang serupa.Tidak terdapat perbedaan proporsi kejadian metastasis kelenjar getah bening pada kedua kelompok stadium kanker serviks stadium IIA1 dan IIA2 yang ditatalaksna dengan histerektomi radikal dan limfadenektomi pelvis. Perubahan penetapan stadium sepertinya tidak memperbaiki prognosis. Kata kunci : Kanker serviks, stage IIA, kelenjar getah bening, faktor prognostik
Rajuddin Rajuddin, Fauzan Fauzan
Indonesian Journal of Obstetrics and Gynecology pp 46-49; doi:10.32771/inajog.v7i1.829

Abstract:Objective:to determine acceptance of family planning acceptors from age, numbers ofparity, mother education, spouse’s support, mother's culture and religion, maternalknowledge, gestational age, family income and number of living children to the IUD usage interest in dr. Zainoel Abidin General Hospital (RSUDZA) Banda Aceh. Method: This research wasa correlative design with analytical survey method with cross sectional approach. 286 respondents were interviewed and filled out a questionnaire that has been prepared, consist ofpatients in the clinic, Emergency Unit, and Delivery Room Hospital RSUDZA Banda Aceh. The data taken related tofactors influencing the acceptance of the family planning acceptors against the IUD usage interests. This study was conducted duringSeptember 18 th to October 18 th 2017. Results: The chi-square test result showed that there was a significant correlation between family planning acceptor from previous pregnancy distance and IUD usageinterest in RSUDZA Banda Aceh where p-value (0.088) <α (0.1). There was a significant correlation between maternalknowledgeand IUD usage interest in RSUDZA Banda Aceh where p-value (0.067) <α (0.1). Conclusion: Bivariate analysis results showed there was a strong relationship between previous pregnancy distance and maternal knowledgetoIUD usage interest in RSUDZA Banda Aceh. Keywords:acceptor family planning, acceptance factor, IUD Abstrak Tujuan:untuk mengetahui hubungan penerimaan akseptor KB dari faktor usia, jumlah paritas, pendidikan ibu, izin suami, budaya dan agama ibu, pengetahuan ibu, jarak usia kehamilan, pendapatan keluarga dan jumlah anak hidup terhadap minat penggunaan AKDR di Rumah Sakit Umum dr. Zainoel Abidin (RSUDZA) Banda Aceh. Metode:Penelitian ini menggunakan desain korelatif dengan metode penelitian survei analitik dengan pendekatan cross sectional. Terdapat 286 responden yang telah diwawancarai dan mengisi kuisioner yang telah disediakan, terdiri dari pasien-pasien di poliklinik, Instalasi Gawat Darurat, dan kamar bersalin RSUDZA Banda Aceh. Data yang diambil mengenai faktor- faktor yang mempengaruhi peneriman akseptor KB terhadap minat penggunaan AKDR. Penelitian ini dilakukan dalam kurun periode tanggal 18 September sampai 18 Oktober 2017. Hasil: uji chi-square menunjukkan terdapat hubungan secara signifikan penerimaan akseptor KB dari faktor jarak kehamilan ibu sebelumnya terhadap minat penggunaan AKDRdimana p-value (0,088) <α (0,1). Terdapat hubungan pengetahuan ibu dengan terhadap minat penggunaan AKDRdi RSUDZA Banda Aceh dengan nilai p-value (0,067) <α (0,1) Kesimpulan: Hasil analisis bivariat didapatkan terdapat hubungan yang kuat antara jarak kehamilan ibu dan pengetahuan ibu terhadap minat penggunaan AKDR di RSUDZA Banda Aceh. Kata kunci: akseptor KB, AKDR, faktor penerimaan
Robby P. Sulbahri, Azhari Azhari, Firmansyah Basir, Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology pp 40-45; doi:10.32771/inajog.v7i1.828

Abstract:Objective: to assess the relationship of the role of counselor, knowledge, trust, values, and social relationship regarding acceptors’ decision in using intrauterine device at Dr. Mohammad Hoesin Hospital Palembang. Method: An observational analytical cross-sectional research carried out on June 2017 until September 2017 in the Department of Obstetrics and Gynecology Dr. Mohammad Hoesin General Hospital. 40 subjects were included. The frequency and distribution data were described in table form, bivariate analysis was performed to assess the relationship between independent and dependent variables statistically using Chi-square/Fisher Exact test. Multivariate analysis using logistic regression test was performed to assess which independent variable affects acceptors’ decision the most. Data analysis was performed using SPSS 18.0 version. Results: There were no statistically differences in age, duration of marriage, parity, number of children born alive, abortion, education, and jobs between the two groups (p0.05). Meanwhile, the logistic regression analysis showed that the role of counselor significantly affects contraception acceptors’ decision (PR=108.989, p value=0.002). Concluson: The role of counselor is a factor that affects contraception acceptors’ decision in using IUD. Keywords: IUD, role of counselor, social relationship, trust, values, knowledge Abstrak Tujuan: untuk mengetahui hubungan faktor peran konselor, pengetahuan, kepercayaan, nilai, dan kekerabatan terhadap keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD di Rumah Sakit Mohammad Hoesin Palembang. Metode: Penelitian analitik observasional rancangan cross sectional ini dilakukan di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang sejak bulan Juni sampai September 2017. Didapatkan sampel sebanyak 40 wanita melahirkan memenuhi kriteria inklusi. Frekuensi dan distribusi data dijelaskan dalam bentuk tabel, analisa bivariat untuk mengetahui ada tidaknya hubungan secara statistik antara variabel bebas dan dengan variabel terikat menggunakan uji Chi Square/Fisher Exact dan analisis multivariat untuk mengetahui variabel independen mana yang paling besar pengaruhnya terhadap keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD menggunakan uji Regresi Logistik. Analisa data menggunakan SPSS versi 18.0. Hasil: Tidak terdapat perbedaan karakteristik pasien baik usia, lama pernikahan, paritas, jumlah anak hidup, abortus, pendidikan dan pekerjaan antara kedua kelompok (p 0,05). Pada analisis regresi logistik didapatkan hasil peran konselor berpengaruh secara signifikan terhadap keputusan akseptor KB IUD (PR = 108,989, p value = 0,002). Keimpulan: Peran konselor merupakan faktor yang mempengaruhi keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD. Kata Kunci: IUD, Peran Konselor, Kekerabatan, Kepercayaan Nilai, Pengetahuan.