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Indonesian Journal of Obstetrics and Gynecology

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Published by Perkumpulan Obstetri dan Ginekologi Indonesia

ISSN : 23386401 EISSN : 23387335 DOI : -

Core Subject : Health,

Health Professions Medicine & Pharmacology Public Health

The Indonesian Journal of Obstetrics and Gynecology is an official publication of the Indonesian Society of Obstetrics and Gynekology. INAJOG is published quarterly.

Arjuna Subject : -

Articles 1,486 Documents

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The Association of Acceptance Family Planning Acceptor to Contraceptive Tools Interest Usage in the Uterine (IUD) Rajuddin, Rajuddin; Fauzan, Fauzan
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

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

Relationship of the Role of Counselor, Knowledge, Trust, Values, and Social Relationship in Contraception Acceptors’ Decision of Using Intrauterine Device (IUD) Sulbahri, Robby P.; Azhari, Azhari; Basir, Firmansyah; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

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 (p<0.05). There was statistically significant relationship between knowledge, social relationship, and the role of counselor with contraception acceptors’ decision (p<0.005), but there was no significant relationship between trust and values with contraception acceptors’ decision (p>0.05). 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). Terdapat hubungan yang signifikan antara pengetahuan, kekerabatan, dan peran konselor dengan keputusan akspetor KB IUD (p<0,05), namun tidak terdapat hubungan yang signifikan antara kepercayaan dan nilai dengan keputusan akspetor KB IUD (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.

Relationship of Serum Cortisol Levels with Postpartum Blues on Dystocia Labor Hartanto, Andree; Wantania, John J. E.; Sondakh, Joice M.M.
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

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.

Comparison between Leukocyte Esterase Activity (LEA) and Histopathology Examination in Identifying Chorioamnionitis Cases Novianesari, Putri H; Bernolian, Nuswil; Maulani, Henni; Ramadanti, Afifa; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

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 <37 weeks. Duration of membrane rupture was significantly associated with chorioamnionitis (p = 0.001 and p = 0.011). Neonatal sepsis was also significantly associated with chorioamnionitis in both groups (p = 0.014 and p = 0.036). LEA value with cut-off point >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 <37 minggu. Durasi lamanya pecah ketuban akan berpengaruh secara signifikan terhadap kejadian korioamnionitis (p = 0,001 dan p = 0,011), Sepsis neonatorum juga secara signifikan berhubungan dengan kejadian korioamnionitis pada kedua kelompok (p = 0,014 dan p = 0,036). Kadar LEA dengan cut off point >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

Differences in Serum Lipid Profile Value in Pregnancy and Postpartum on Severe Preeclampsia White, I Putu F I; Wantania, John J E; Mewengkang, Maya E
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract                     Objective:Uncovering the connection of serum lipid profile (total cholesterol, triglyceride, HDL, LDL, VLDL) with preeclampsia in pregnancy and postpartum, and its outcome. Method:This is a cross-sectional comparative analytic study Result:From 28 preeclampsia subject were found, mean value of systole 165.36 mmHg and 105.71 diastole. Serum lipid profile in pregnancy and postpartum has a significant differences and correlated with preeclampsia, total cholesterol 234.5 mg/dl and 192.71 mg/dl, p=0.000; medium positive in pregnancy with systole r=0.461; p=0.013, weak positive with diastole r=0.380; p=0.046; postpartum with systole medium positive r=0.615; p=0.001, and weak positive with diastole r=0.317; p=0.100. LDL 140.5 mg/dl and 102.5 mg/dl, p=0.000; pregnancy and systole r=0.446; p=0,017; and postpartum were medium positive r=0.546; p=0.003. HDL 51.5 mg/dl and 43.5 mg/dl, p=0.003; not correlated with BP. Triglyceride 268.89 mg/dl and 208.96 mg/dl, p=0.000; pregnancy r=0.516; p=0.005; postpartum r= 0.515; p=0.005 has medium correlation with systole. VLDL 53.78 mg/dl and 41.79, p=0.000; pregnancy r=0.461; p=0.013 systole medium positive; r=0.380; p=0.046 diastole weak positive; postpartum r=0,615; p=0,001 systole strong positive. Conclusion:All parameter of serum lipid profile in pregnancy and postpartum has significant differences and related with severe preeclampsia. Total cholesterol, LDL, triglyceride, and VLDL correlated with BP in severe preeclampsia. Key word:endothelial dysfunction, lipid profile, preeclampsia.   Abstrak Tujuan: Untuk mengetahui hubungan profil lipid serum (kolesterol total, trigliserida, HDL, LDL, VLDL) dengan preeklampsia dan luarannya dalam kehamilan dan postpartum. Metode: Penelitian ini merupakan studi potong lintang analitik komparatif Hasil: Dari 28 subjek dengan preeklamsia, ditemukan rerata systole 165,36 mmHg dan 105,71 diastole. Profil lipid serum dalam kehamilan dan postpartum ditemukan berbeda bermakna dan berhubungan dengan preeklampsia berat, kolesterol total 234,5 mg/dl dan 192,71 mg/dl, p=0,000; kehamilan dengan sistole positif sedang  r=0,461; p=0,013, diastole positif lemah r=0,380; p=0,046; postpartum dengan sistole positif sedang r=0,615; p=0,001,  dan diastole postitif lemah r=0,317; p=0,100. LDL 140,5 mg/dl dan 102,5 mg/dl, p=0,000; dalam kehamilan dengan sistole r=0,446; p=0,017;  dan postpartum positif sedang r=0,546; p=0,003. HDL 51,5 mg/dl dan 43,5 mg/dl, p=0,003; tidak berkorelasi dengan TD. Trigliserida 268,89 mg/dl dan 208,96 mg/dl, p=0,000; kehamilan r=0,516; p=0,005; postpartum  r= 0,515; p = 0,005 korelasi positif sedang dengan sistole.  VLDL 53,78 mg/dl dan  41,79, p=0,000; kehamilan r=0,461; p=0,013 positif sedang dengan sistole; r=0,380; p=0,046 positif lemah dengan diastole; postpartum r=0,615; p=0,001 positif kuat dengan sistole. Kesimpulan: Seluruh parameter profil lipid serum kehamilan dan postpartum ditemukan memiliki perbedaan bermakna dan berhubungan dengan preeklampsia berat. Kolesterol total, LDL, trigliserida, dan VLDL ditemukan berhubungan dengan TD pada PEB. Kata kunci: disfungsi endothel, lipid, preeklampsia.

Socio-Demographic and Nutritional Determinants of Birth Weight in Coastal Areas Saimin, Juminten; Azizah, Amalia N; Wicaksono, Satrio
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective :  To identify socio-demographic and nutritional determinant associated with birth weight in coastal areas. Method : A cross sectional study using simple random sampling method. Data of labour in coastal areas of Kendari City was analyzed. Total of 215 women who aterm delivery in Community Health Centre of Mata, Nambo and Abeli on January to December 2016 were included in this study. Birth weight was examined in association with independent variable as maternal age, education, occupation, husband’s job, parity, antenatal care, iron tablets consumption and upper arm circumference. Results : Most participants were aged 20-25 years old, primary education, as housewife, multiparity and husband work as self-employed. There was 8.9% low birth weight in coastal areas. Maternal age, education and ANC visits were significantly associated with birth weight (p < 0.05). Consumption of iron tablets and upper arm circumference were significantly associated with birth weight (p < 0.05). Conclusion :Maternal age, education and ANC visits were socio-demographic determinant that associated with birth weight. Iron tablets consumption and upper arm circumference were nutritional determinant that significantly associated with birth weight. Keywords : age, antenatal care, birth weight, education, iron tablets, upper arm circumference   Abstrak Tujuan :Mengidentifikasi determinan sosio-demografik dan gizi yang berhubungan dengan berat badan lahir bayi di daerah pesisir. Metode :Penelitian potong lintangdengan pengambilan sampel secara simple random sampling. Dilakukan analisis terhadap 215 ibu hamil yang melahirkan bayi cukup bulan di wilayah kerja Puskesmas Mata, Nambo dan Abelipada bulan Januari sampai Desember 2016. Varia beli independen berupa usia ibu, tingkat pendidikan, pekerjaan, pekerjaan suami, paritas, antenatal care, konsumsi tablet besi dan ukuran lingkar lengan atas. Hasil :Responden terbanyak berusia 20-25tahun, berpendidikan rendah, bekerja sebagai ibu rumah tangga, multiparitas dan pekerjaan suami wiraswasta. Terdapat8,9% bayi BBLR. Terdapat hubungan yang bermakna antara usia ibu, tingkat pendidikan dan ANC dengan BBL (p < 0.05). Terdapat hubungan yang bermakna antara konsumsi tablet besi dan ukuran LILA dengan BBL (p < 0.05). Kesimpulan :Determinan sosio-demografik yang berhubungan dengan BBL adalah usia, tingkat pendidikan, dan ANC. Sedangkan determinan gizi yang berhubungan dengan BBL adalah konsumsi tablet besi dan ukuran LILA. Kata kunci: ANC, BBL, LILA, pendidikan, tablet besi, usia

Concordance of Human Papillomavirus Type 16 and 18 in Cervical and Oral Specimen of Cervical Cancer Patients Akbar, Willy; Rauf, Syahrul; S. Riu, Deviana; T. Chalid, St. Maisuri
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective : To determine the conformity of HPV type 16 and 18 in cervical and oral/buccal specimens from cervical cancer patients. Methods :A cross-sectional study was conducted in March - September 2016 at several hospitals in Makassar. HPV 16 and 18 genotyping in cervical and oral fluid of 77 patients with cervical cancer performed with PCR method. Results : The prevalence of HPV type 18 infection both in the cervical and the oral fluid was higher than HPV type 16 [9(47.4%) vs 5(26.3%)]. The aggreement of HPV type 18 infection (r=0.328;p=0.000) in the cervical-oral sites was higher than HPV type 16 (r=0.194;p=0.042). Conclusion : HPV type 16 and 18 could infect both cervix and oral cavity although type-specific concordance is low. Keywords :Human papillomavirus,servix, oral cavity   Abstrak Tujuan: Mengetahui tingkat kesesuaian hasil pemeriksaan HPV tipe 16 dan 18 antara spesimen serviks dan oral/buccal pada penderita kanker serviks. Metode: Penelitian cross sectional ini dilakukan pada Maret – September 2016 pada beberapa rumah sakit di Makassar. Pemeriksaan HPV 16 dan 18 pada cairan serviks dan oral dari 77 orang penderita kanker serviks menggunakan teknik PCR. Hasil: Prevalensi infeksi bersama pada serviks dan oral HPV tipe 18 lebih tinggi dibandingkan HPV tipe 16 [9(47,4%) vs 5(26,3%)]. Tingkat kesesuaian antara HPV tipe 18 (r=0,328;p=0,000) pada serviks dan oral lebih tinggi dibandingkan tipe 16 (r=0,194;p=0,042). Kesimpulan: HPV tipe 16 dan 18 dapat menginfeksi serviks dan oral meskipun tingkat kesesuaian kedua tipe ini lemah. Kata kunci : Human papillomavirus, serviks, kavum oral

Endoglin Expression (CD105) in Ephithelial Ovarian Cancer Jumsa, Rizkinov; Rambulangi, John; Arifuddin, Sharvianty; Miskad, Upik
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 2 April 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: Endoglin ( CD105 ) is one of the factors that play a role in vascular development , angiogenesis and vascular homeostasis. The aim of this research is to address the endoglin expression (CD105) in primary tumor and metastasis tumor (omentum) and their relation with clinicopathological factor: stadium, differentiation level, and histological epithelial ovarian cancer. Method: The research was performed at Public Service Hall of Dr. Wahidin Sudirohusodo Hospital and educational networking hospital of Obstetrics and Gynecology Departement of Medical Faculty Hasanuddin University Makassar. The research design is cross sectional with 55 samples consisting of 55 samples of primary tumor and 55 matastasis tumor. Imunohistochemistry examination was performed to all samples. Result:The results show a significant relation between endoglin (CD105) at omentum metastasis tumor and stadium and cell differentiation level of epithelial ovarian cancer. There is no significant relation between endoglin (CD105) expression at primary tumor of ovarian cancer and stadium and differentiation and type of histopathological cell. In addition, there is no significant relation between endoglin expression (CD105) at omentum metastasis tumor and type of histophatological cell of ovarian cancer. There is a significant correlation (strong category) between endoglin expression at omentum metastasis tumor and endoglin expression at primary tumor of epithelial ovarian cancer. Conclusion: Endoglin expression in ovarian cancer metastatic tumor to omentum is correlated to clinical stage and differentiation level of ovarian cancer. And endoglin is one of the pro angiogenic and pro metastasis factors. Keywords:epithelial ovarian cancer, endoglin expression, CD105, immunohistochemistry  

Vaginal Delivery in Placental Abruption Adjie, JM Seno; Ghazali, M Farid; Khusen, Denny
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

    Objective: To describe the case of vaginal delivery in placental abruption.   Methods: A case report   Results: In the case of placental abruption, we could perform vaginal delivery.   Conclusion: The treatment of placental abruption can be vaginally or by cesarean section depending on the severity of disease, gestational age, and state of the mother and fetus. Keywords: IUFD, placental abruption, vaginal delivery

Changes in Cortisol Levels before and after Supportive Psychotherapy in Patients with Comorbid Cervical Cancer Distress with Depression Type Nuranna, Laila; Nuryanto, Kartiwa H; Andriansyah, Andriansyah; Elvira, Sylvia D; Sutrisna, Bambang
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To prove the success of supportive psychotherapy thatwas provided as a distress therapy on advanced cervical cancer.Knowing the prevalence of distress type of depression in patientwith epithelial cervical cancer, proving the benefits of psychotherapysupportive for distress can decreasing cortisol level in cervicalcancer patient, can assess distress thermometer score, HAM-D17score and scoring incident predictors of distress with depressiontype.Methods: There were 32 subjects from 71 advanced cervical cancerpatients had mild-moderate depression. Then randomizationblocking was performed to determine a subject who entered thetreatment group (n = 16) who got supportive psychotherapy orcontrol group who got common psychotherapy (n = 16). All ofparticipants assessed the distress level with cortisol value, distressthermometer score, and HAM-D17 score before and after they gotsupportive psychotherapy.Results: After the intervention of psychotherapy in the treatmentgroup decreased HAM-D17 score, the average decline 7.53 (SB 3.34).The mean decreasing in the control group was 3.98 (SB 2.85). Thereis a significant difference in mean reduction in HAM-D17 scores ontreatment and control groups with p = 0.003 (p <0.005). There wasdecreasing blood cortisol level in the treatment group amounted to39.43, while the control group there was a drop of 1.59. The reductionof cortisol level in the treatment group and the control has a pvalue0.302. After got supportive psychotherapy, found a decreasingthe average value of the thermometer distress in the treatmentgroup 3.02 and the control group 2.51, with a p value more than0.492.Conclusion: There were 45% of cervical cancer patients in the clinicexperiencing distress disorder with depressive type. The bloodcortisol level could be decreased by giving supportive psychotherapywith a mean decrease of 39.43 nmol/l. There was a significantreduction in the level of depression (HAM-D17 score) of 7.53 pointsand distress thermometer impairment by 3 points after givensupportive psychotherapy. Obtained scoring predictors for theoccurrence of distress type of depression in patients with advancedcervical cancer with a sensitivity of 46.15% and a specificity of89.47%.[Indones J Obstet Gynecol 2018; 6-3: 179-187]Keywords: cervical cancer, cortisol, distress, distress thermometer,HAM-D17 score

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eko subaktiansyah

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name eko subaktiansyah

Contact Email eko.subaktiansyah@gmail.com

Phone -

Journal Mail Official support@inajog.com

Editorial Address -

Location Kota adm. jakarta pusat, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
eko subaktiansyah

Contact Email
eko.subaktiansyah@gmail.com

Phone
-

Journal Mail Official
support@inajog.com

Editorial Address
-

Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA