Jimmy Yanuar Annas
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Airlangga, Surabaya, Indonesia

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Characteristics of Polycystic Ovary Syndrome Polycystic (PCOS) at Soetomo General Hospital, Surabaya Dhifa Dwi Putra; Dewi Ratna Sari; Jimmy Yanuar Annas; Budi Santoso
Health Notions Vol 3, No 11 (2019): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.255 KB) | DOI: 10.33846/hn31105

Abstract

PCOS is an endocrine disease that occurs in women of reproductive age which is characterized by several clinical manifestations such as hyperandrogen, ovarian dysfunction, and polycystic ovarian features on ultrasound examination. PCOS is an endocrine disease that is closely related to metabolic diseases such as dyslipidemia, diabetes mellitus, and hypertension. Risk factors for this disease are age, environment, genetics, body mass index (BMI), and androgen exposure. The purpose of this study is to determine the profile of PCOS in Soetomo General Hospital, Surabaya. This study used a descriptive retrospective method, using medical record data at the obstetrical clinic at Soetomo General Hospital and fertility clinic at Graha Amerta. Most patients were found in the age range of 25-44 years. Based on the diagnosis of Rotterdam criteria, the phenotype D (Oligo / Amenorrhea and SOPK on USG) was the highest phenotype. People with PCOS who did not have metabolic diseases more than those who have. The highest number of sufferers was found in the category of overweight and obese BMI, which was 35.3% each. Most PCOS sufferers were reproductive age and most have phenotype D. Most sufferers have overweight and obese BMI and do not have metabolic diseases. Keywords: PCOS; infertile; retrospective
Pengaruh Jenis Kontrasepsi Suntik terhadap Pola Menstruasi Akseptor KB Suntik Adeylla Mayang Sari; Jimmy Yanuar Annas; Ivon Diah Wittiartika
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 2 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i2.216

Abstract

Angka drop out pada akseptor KB suntik merupakan terbesar kedua setelah pil. Penyebab utama drop out adanya perubahan pola menstruasi pada pengguna kontrasepsi suntik jenis DMPA maupun medroksiprogesteron asetat dan estradiol sipionat. Tujuan penelitian untuk mengetahui pengaruh jenis kontrasepsi suntik terhadap pola menstruasi berupa frekuensi, durasi, regularitas, volume dan kejadian intermenstrual bleeding pada akseptor KB suntik. Penelitian ini menggunakan metode kuantitatif dengan desain analitik observasional pendekatancross sectional. Jumlah sampel 40 akseptor suntik DMPA dan 40 akseptor suntik medroksiprogresteron asetat dan estradiol sipionat yang memenuhi kriteria inklusi di Kecamatan Wates Kabupaten Kediri dengan teknik purposive sampling. Instrument penelitian berupa kuisioner. Analisis data menggunakan uji statistik chi squaredan continuity correction. Hasil uji statistik menunjukkan jenis kontrasepsi suntik berpengaruh terhadap pola menstruasi berupafrekuensi (p value = 0,000), durasi(p value = 0,021), regularitas(p value = 0,010) dan volume(p value = 0,003) namun tidak berpengaruh pada kejadian intermenstrual bleeding(p value = 0,274). Pada akseptor KB suntik DMPA cenderung mengalami pola menstruasi tidak normalyang disebabkan oleh ketidakseimbangan hormon estrogen dan progesteron menekan LH sehingga menyebabkan gangguan menstruasi bahkan sampai terjadinya amenoreanamun pada jenis kontrasepsi suntik medroksiprogresteron asetat dan estradiol sipionat terdapat estrogen yang dapat menyeimbangkan hormon tersebut sehingga didapatkan pola menstruasi yang tidak mengalami gangguan.Oleh karena itu, penting untuk menjelaskan secara detailefek sampingjenis kontrasepsi suntikkepada calon akseptor KB suntik agar sesuai dengan kebutuhan dan meminimalkan angka drop out KB suntik.
Effectiveness, Safety, and Side Effect of Depo Progestin and Depo Vigestron Contraception Budi Santoso; Jimmy Yanuar Annas; Heriyadi Manan; Nizam Albadawi; Marina Marina; Maria Anggraeni; Leli Asih
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.142 KB) | DOI: 10.20473/jn.v8i1.3865

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Introduction: Trends in contraceptive injections increased in the last two decades. Hormonal contraceptive injection is available in single or combination dose. However, the products are available more than 1 ml (more than recommendation of WHO). This study aims to determine the effectiveness, safety and side effects of the contraceptive injection Depo Progestin® 3 ml, Depo Vigestron® 3 ml and Depo Vigestron® 1 ml.Methods: This study used randomized controlled clinical trial and open label. The research subject were 900 people in two center, Surabaya and Palembang. The samples were divided into 3 (three) groups, group Depo Progestin® vial 3 ml, group Depo Vigestron® vial 3 ml, and group Depo Vigestron® vial 1 ml. Each of consist 300 women using the "random permutation block". Analysis was performed 5 times, when an initial injection and a schedule of repeated injections in the 3rd, 6th, 9th and 12th month. The data analyzed include weight, blood pressure, menstrual pattern, and the complaints of the patients.Results: From the 900 only 862 valid samples. The results showed no signi fi cant difference between groups Depo Progestin® 3ml, Depo Vigestron® 3 ml and Depo Vigestron® 1 ml. The majority of respondents experienced an increase in weight, but still within normal limits, did not have increased blood pressure, increased menstrual blood volume, Pregnancy didn’t occured to all respondents and found no abnormalities in cervical cytology.Conclusion: Contraceptive injection of Depo Progestin® 3 ml, Depo Vigestron® 3 ml dan Depo Vigestron® 1 ml, have used during 12 months can be concluded that those tree kind of contraception were efective, safe and had no side effect.
Effect of Health Lecture using Media and Peer-Education on Long Acting and Permanent Methods of Contraception Helen Ermalia; Jimmy Yanuar Annas; Samsriyaningsih Handayani
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (538.278 KB) | DOI: 10.20473/jn.v14i1.9373

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Introduction: Long-acting and permanent methods of contraception (LAPMs) are known as highly-effective contraception. The Department of Health of East Java Province stated that LAPM participation is still below target. One of the factors is the Interpersonal Communication (IPC) skill of the Health Practitioners. This study aimed to identify the influence of health lectures using media and peer-education on the knowledge and attitude of pregnant women regarding LAPMs. Peer-education is the novelty of this study.Methods: A two-group quasi experimental design was applied with all of the pregnant women at Kesugihan Public Health Center (PHC) as the treatment group. They were given lectures with media inclusion (contraception booklets and visual aids) and peer-education during a pregnancy class. Pregnant women at Ngebel PHC were the control group. One woman who had experience with LAMPs was trained as a peer-educator. Thirty participants in each group were chosen using the total sampling technique. The data collected was analyzed using univariate and bivariate analyses by applying the Wilcoxon Signed-Rank and Mann-Whitney tests.Results: The participants showed an increased knowledge before and after the intervention in the treatment group (83%), while in control group, it was slightly increased (1%). Attitude differences were also found in both groups (treatment = 56.7%, control = 13.3%). The Mann-Whitney test resulted in significant differences on knowledge (p <0.001) and attitude (p = 0.016) between the two groups.Conclusion: The local department of health may optimize IPC using media and peer-education to improve the knowledge and attitude of pregnant women regarding LAPM participation.
KARAKTERISTIK PASIEN KANKER SERVIKS DI RSUD DR. SOETOMO SURABAYA PERIODE JANUARI – DESEMBER 2017 Ahmad Fahrur Rozi; Dwi Susanti; Jimmy Yanuar Annas
Majalah Biomorfologi Vol. 29 No. 2 (2019): Majalah Biomorfologi
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (318.716 KB) | DOI: 10.20473/mbiom.v29i2.2019.45-48

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Background: Cancer is one of mortality and morbidity throughout the world. The prevalence of cancer incidence in the world is still ranked highest after cardiovascular disease. In 2012 there were around 14 million new cancer cases and is estimated to increase around 70% over the next two decades. In Indonesia cervical cancer is cancer with highest numbers after breast cancer in women.Objective:This study aims to observe characteristics of age, marital status and clinical stage in patients with a diagnosis of cervical cancer. Material and method: The sample was all medical record of cervical cancer patients who had been treated at the Inpatient room/Obstetrics and Gynecology Installation in RSUD Dr. Soetomo Surabaya in period of January - December 2017. All patient’s medical record with cervical cancer within this period are incuded in research samples. The collected data is processed according toage, marital status and clinical stage cervical cancer. Then tabulation of data and descriptive statistical analysis of data that has been obtained. Result:The results of the study found 521 patient’s complete and unduplicated data including the age group diagnosed with cervical cancer, marital status and patient clinical stage. Conclusion: From the results of research regarding the characteristics of patients with cervical cancer diagnosis obtained information that the most age group is in the age range of 51-60 years (38.2%), almost 97.5% of married patients and mostly patients with cervical cancer are in the stage 3B (53.4%).
KARAKTERISTIK DISMENORE PADA PASIEN ENDOMETRIOSIS DI RSUD DR. SOETOMO SURABAYA Fauziah Ariviani; Jimmy Yanuar Annas; Gadis Meinar Sari
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 1 (2021)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i1.2064

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ABSTRACT Endometriosis is a disordered growth of the endometrial glands outside the uterus that often affects women of reproductive age. Endometriosis could reduce the quality of life and prone to bear the infertility. The most common symptom is dysmenorrhea, and this is often times misunderstood by most of women who thought menstruating women commonly experienced this. The purpose of the research is to determine the characteristics of dysmenorrhea in endometriosis patients. This research was an observational study by conducting direct interview with patients and analyzing descriptively. There are 42 respondents in this research, the highest frequencies in variable were as follows: age diagnosed is 30-39 years (42.8%), age of dysmenorrhea onset is 2 days (66.7%), pain intensity on a scale of 8 (33.3%), and the pain description is like squeezing (61.9%). In this research the average delay in diagnosis of endometriosis for 10.6 years, patients begin experiencing dysmenorrhea during menstruation for more than two days, the pain intensity of dysmenorrhea is on a scale of 8, and the pain description is like squeezing.
DESCRIPTION ON THE PATIENTS’ CHARACTERISTICS OF ABNORMAL UTERINEBLEEDING BASED ON STRUCTURAL AND NON-STRUCTURAL ETIOLOGY Silvia Maya Ananta; Jimmy Yanuar Annas; Lilik Herawati
SEAJOM: The Southeast Asia Journal of Midwifery Vol 7 No 1 (2021): SEAJOM: The Southeast Asia Journal of Midwifery
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/seajom.v7i1.105

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Abnormal uterine bleeding (AUB) is a problem frequently experienced by women in the world. AUB is not a disease but a symptom that indicates a problem in the female reproductive system or organs. The purpose of research was to determine the description of the patients’ caracteristics of AUB with structural (PALM) and non-structural (COEIN) etiologies. This analytical description study used medical record data from AUB patient in Dr. Soetomo District General Hospital Surabaya in January-December 2019. The number of samples of this study was 65 data, with 36 data for structural etiologies (PALM) and 29 data for non-structural etiologies (COEIN). Caracteristic of patient were seen from 3 categories, i.e., age, parity status, and body mass index (BMI) from 2 etiological categorie
HUBUNGAN USIA MENARCHE DENGAN KEJADIAN ENDOMETRIOSIS Sri Purwati Puji Lestari; Jimmy Yanuar Annas; Juniastuti Juniastuti
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.30-36

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AbstrakLatar belakang : Endometriosis adalah penyakit ginekologi yang bersifat menahun dan progresif dengan angka kejadiannya mengalami peningkatan dari tahun ke tahun namun penyebabnya sebagian besar masih belum diketahui. Usia menarche adalah salah satu faktor resiko yang berhubungan dengan kejadian endometriosis. Tujuan penulisan ini adalah untuk mengetahui hubungan antara usia menarche dengan kejadian endometriosis di Rumkital Dr. Ramelan Surabaya. Metode : Penelitian ini merupakan penelitian analitik retrospective dengan pendekatan case control. Kelompok kasus adalah wanita yang telah menjalani operasi kandungan dengan hasil Patologi Anatomi menunjukkan endometriosis dan kelompok kontrol adalah pasien wanita yang telah menjalani operasi laparaskopi MOW (Metode Opetratif Wanita). Sampel yang diambil sebanyak 70 responden (35 kasus, 35 kontrol) selama periode tahun 2017-2018 dengan teknik purposive sampling berdasarkan kriteria inklusi.. Analisa data menggunakan uji chi square pada tingkat kemaknaan α 0,05. Hasil : Responden dengan endometriosis sebagian besar mengalami menarche pada usia 12-13 tahun (62,9%). Usia menarche tidak memiliki hubungan yang signifikan dengan kejadian endometriosis (p=0,484). Kesimpulan: Tidak ada hubungan antara usia menarche dengan kejadian endometriosis di Rumkital Dr. Ramelan Surabaya. AbstractBackground: Endometriosis is a chronic and progressive gynecological disease with an increased incidence every year but the cause is largely unknown. Age of menarche is one of the risk factors associated with the incidence of endometriosis. The purpose of this study was to determine the association between age of menarche the incidence of endometriosis in Dr. Ramelan Hospital Surabaya. Method: This was a retrospective analytic study with a case control approach. The case group was women who had undergone uterine surgery with Anatomical Pathology results showing endometriosis and the control group were women who had undergone laparoscopic tuba ligation. 70 respondents (35 cases, 35 controls) taken during the period of 2017-2018 with a purposive sampling technique based on inclusion criteria. Analyzed data used chu square test at significant level of α 0,05. Results: Most respondent who got endometriosis had menarche at 12-13 years old (62.9%). The age of menarche had no significant association with the incidence of endometriosis (p = 0.484). Conclusion: We found no association between age of menarche and the incidence of endometriosis with the incidence of endometriosis in the Dr. Ramelan Hospital Surabaya. 
HUBUNGAN USIA DAN TINGKAT STRES DENGAN KEJADIAN INFERTILITAS DI POLI OBGYN RSUD Dr. SOETOMO SURABAYA Dessy A Ningsi; Zakiyatul Faizah; Jimmy Yanuar Annas
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.179-186

Abstract

Abstrak Latar Belakang : Infertilitas merupakan problem yang dihadapi oleh pasangan suami istri yang telah menikah selama minimal satu tahun, melakukan hubungan seksual teratur tanpa menggunakan kontrasepsi tetapi belum berhasil memperoleh kehamilan. usia dan tingkat stres merupakan faktor yang berhubungan erat dengan tingkat kesuburan seorang wanita. Penelitian ini bertujuan untuk mengetahui hubungan antara usia dan tingkat stres dengan kejadian infertilitas. Metode : Penelitian ini adalah penelitian analitik observasional dengan desain hospital based case control di Poli Obgyn RSUD dr. Soetomo Surabaya yang dilakukan sejak bulan maret sampai bulai april 2019. Sampel yang digunakan dalam penelitian ini terdari dari 42 orang wanita infertil dan 42 orang wanita fertil yang diambil dengan metode Purposive Sampling. Data dianalisa menggunakan analisis bivariat menggunakan uji Chi Square dan uji Spearman. Hasil : Hasil penelitian menunjukkan pada kelompok kasus 76,2% responden berada pada kategori usia kurang dari 35 tahun dan pada kelompok kontrol sebanyak 81% pada kategori yang sama. Tingkat stress pada kelompok kasus dan kontrol masing - masing sebanyak 83,3% berada pada kategori normal. Hasil uji chi square antara usia dan kejadian infertilitas didapatkan p value = 0,595 (p value > 0,05). Hasil uji Spearman antara tingkat stress dengan kejadian infertilitas didapatkan p value = 0,906 (p value > 0,05). Kesimpulan: Hasil uji statistik menunjukkan tidak terdapat hubungan yang bermakna antara usia dan tingkat stress dengan kejadian infertilitas.AbstractBackground: Infertility is a problem faced by married couples who have been married for at least one year, have regular sexual intercourse without using contraception but have not succeeded in obtaining a pregnancy. Age and stress level are factors that are closely related to a woman's fertility rate. This study aims to identify the relationship between age and stress levels with the incidence of infertility. Method: This study was an observational analytic study with a hospital based case control design at Poli Obgyn RSUD dr. Soetomo Surabaya was carried out from March until April 2019. The samples used in this study were from 42 infertile women and 42 fertile women taken using the Purposive Sampling method. Data were analyzed by bivariate analysis with Chi Square test and Spearman test. Result: The results of the study showed that in the case group 76.2% of respondents were in the age group of under 35 years and the control group as much as 81% in the same category. Stress levels in the case and control groups were 83.3% in the normal category respectively. The results of the chi square test between age and the incidence of infertility obtained p value = 0.595 (p value> 0.05). The Spearman test results between stress levels and infertility events obtained p value = 0.906 (p value> 0.05). Conclusion: The results of the statistical test showed no significant relationship between age and stress level with the incidence of infertility.
INCREASING DURATION OF FERTILITY IN WOMEN WITH ENDOMETRIOSIS Fitria Nengsih; Jimmy Yanuar Annas; Reny I'tishom
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 4 (2021): Indonesian Midwifery and Health Sciences Journal, October 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i4.2021.359-366

Abstract

AbstractIntroduction: Infertility is one of the common clinical symptoms in women with endometriosis. Limited ways to diagnose endometriosis, symptoms of endometriosis considered normal and overlap with other diseases that cause delaying treatment that increase the duration of infertility. This study purpose to analyze the differences in duration of infertility to women with endometriosis and without endometriosis. Method: This study is observational analytical research with retrospective case-control designed by looking at medical records in Fertility Clinic Graha Amerta RSUD Dr. Soetomo Surabaya. Total samples in this research are 50 women with infertility, it is divided into 25 people with endometriosis and 25 people without endometriosis. In the medical records, we can see the duration of infertility in each sample. Results: The duration of infertility >3 years occurs in women with and without endometriosis (72% and 80%). In bivariate analysis using the chi-square test, there was no difference that showed increasing duration of infertility (P = 0.508) between women with endometriosis and without endometriosis. Conclusion: There was no differences in the duration of female infertility with endometriosis and without endometriosis