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Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section Suntoro, Suntoro; Kayika, I Putu G
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual function was measured at three months post-delivery with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for comparative nonpaired categorical variables was done using Chi square or Fisher analysis. Analysis for confounding variables was carried out using multivariate logistic regression. Result: From 150 respondents, 43.3% had sexual dysfunction, with 52% of the spontaneous labor group and 34% of the cesarean section group. Bivariate analysis showed that occurrence of sexual dysfunction at three months post-spontaneous labor was 1.5 times higher (95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement shows a two-fold difference (95% CI 1.17-3.40) compared to cesarean section. However, orgasm disturbance was 8 times higher (95% CI 1.90-3.58) in the spontaneous labor group, with confounding variable of perineal rupture. Disturbance of sexual stimuli, satisfaction, and pain were not significantly different between spontaneous labor and cesarean section. Multivariate analysis found that spontaneous labor was statistically significant for sexual dysfunction at three months post-delivery in patients with sexual encouragement (RR=2.716, p=0.008) and orgasm accession dysfunction (RR= 6.952, p=0.031). However, the more than 30 years old of age variable was statistically significant in sexual dysfunction variable with RR= 2.60 and p=0.021. Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months post-delivery, especially for sexual encouragement and orgasm accession. Meanwhile, the variables with the age of 30 years old or older of age were influential on sexual dysfunction, especially to the sexual stimuli variable. Keywords: labor method, sexual dysfunction, three months postdelivery

Prevalence of Postpartum Anxiety and Depression after Intrapartum Oxytocin Valentine, Grace; Kayika, I Putu G
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: 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, postpartum

The Prevalence and Outcome of Teenage Pregnancies in a Tertiary Care Teaching Hospital Kayika, I Putu G; Lidyasna, Farrah
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objectives: To examine the prevalence as well as maternal and perinatal outcome of teenage pregnancies. Methods: For analyzing the prevalence of the teenage mothers, we used cross-sectional study design by evaluating the medical records of all pregnant mothers who went to the obstetric clinic of Cipto Mangunkusumo Hospital, Jakarta, Indonesia, during January 2014 until December 2016. For the outcome of the teenage mothers, we used retrospective study design by analyzing medical records of teenage mothers who had delivery at the delivery ward of Cipto Mangunkusumo Hospital during January 2014 until December 2016. We compared their outcomes to outcomes of pregnant women aged 20 to 30 years old delivered at the same hospital in the same period. Maternal outcomes that were measured include preeclampsia, methods of delivery, anemia, and postpartum hemorrhage, as well as perinatal outcomes including preterm delivery, and low birthweight. Results: Among 3.578 outpatients at Obstetric Clinic, RSUPN Cipto Mangunkusumo, we got 503 pregnant subjects, 16 (3.2%) were teenagers. Among 520 subjects who had delivery, 78 (15%) subjects were ≤ 19 years old. Teenage pregnancy was significantly associated with anemia (p < 0.05, adjusted OR = 2,08) and low birthweight (p < 0.05, adjusted OR = 1.83). Teenage pregnancy was not significantly associated with preeclampsia, methods of delivery, postpartum hemorrhage, and preterm delivery. Conclusion: The prevalence of teenage pregnancy at Cipto Mangunkusumo Hospital is 3.2% and teenage mothers who had delivery is 15%. Teenage mothers are at increased risk of anemia and delivering low birth weight babies. Keywords: maternal outcome, perinatal outcome, prevalence,teenage pregnancies   Abstrak Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi kehamilan remaja serta luarannya. Metode: Untuk menganalisis prevalensi ibu remaja, kami menggunakan desain studi potong lintang dengan mengeavaluasi rekam medis dari seluruh ibu hamil yang berobat ke klinik obstetri RSUPN Cipto Mangunkusumo pada periode Januari 2014 sampai Desember 2016. Pada luaran ibu hamil, kami menggunakan desain studi retrospektif dengan menganalisis rekam medis ibu remaja yang bersalin di RSUPN Cipto Mangunkusumo pada periode yang sama. Luaran ibu remaja dibandingkan dengan ibu yang bersalin yang berusia 20-30 tahun. Luaran ibu yang kami ukur meliputi preeklampsia, metode persalinan, anemia, perdarahan pasca persalinan, sedangkan luaran perinatal yang kami ukur meliputi kelahiran prematur dan BBLR. Hasil: Dari seluruh 3.578 pasien di Poliklinik Obstetri RSUPN Dr. Cipto Mangunkusumo, diperoleh 503 subjek yang hamil,sebanyak 16 (3.2%) subjek adalah remaja. Dari seluruh 520 subjek yang bersalin, 78 (15%) subjek adalah remaja. Kehamilan remaja berhubungan signifikan dengan anemia (p < 0.05, adjusted OR = 2.08) dam BBLR (p < 0.05, adjusted OR = 1.83).  Kehamilan remaja tidak berhubungan signifikan dengan preeklamsia, metode persalinan, perdarahan pascapersalinan, dan kelahiran prematur. Kesimpulan: Prevalensi kehamilan remaja di RSUPN Dr. Cipto Mangunkusumo adalah 3.2% dan persalinan remaja di RSUPN Dr. Cipto Mangunkusumo adalah 15%. Ibu remaja berada pada peningkatan risiko anemia dan melahirkan bayi BBLR. Kata kunci: kehamilan remaja, luaran ibu, luaran perinatal, prevalensi,

Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section Suntoro, Suntoro; Kayika, I Putu G
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual function was measured at three months post-delivery with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for comparative nonpaired categorical variables was done using Chi square or Fisher analysis. Analysis for confounding variables was carried out using multivariate logistic regression. Result: From 150 respondents, 43.3% had sexual dysfunction, with 52% of the spontaneous labor group and 34% of the cesarean section group. Bivariate analysis showed that occurrence of sexual dysfunction at three months post-spontaneous labor was 1.5 times higher (95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement shows a two-fold difference (95% CI 1.17-3.40) compared to cesarean section. However, orgasm disturbance was 8 times higher (95% CI 1.90-3.58) in the spontaneous labor group, with confounding variable of perineal rupture. Disturbance of sexual stimuli, satisfaction, and pain were not significantly different between spontaneous labor and cesarean section. Multivariate analysis found that spontaneous labor was statistically significant for sexual dysfunction at three months post-delivery in patients with sexual encouragement (RR=2.716, p=0.008) and orgasm accession dysfunction (RR= 6.952, p=0.031). However, the more than 30 years old of age variable was statistically significant in sexual dysfunction variable with RR= 2.60 and p=0.021. Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months post-delivery, especially for sexual encouragement and orgasm accession. Meanwhile, the variables with the age of 30 years old or older of age were influential on sexual dysfunction, especially to the sexual stimuli variable. Keywords: labor method, sexual dysfunction, three months postdelivery

Prevalence of Postpartum Anxiety and Depression after Intrapartum Oxytocin Valentine, Grace; Kayika, I Putu G
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: 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, postpartum

The Prevalence and Outcome of Teenage Pregnancies in a Tertiary Care Teaching Hospital Kayika, I Putu G; Lidyasna, Farrah
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objectives: To examine the prevalence as well as maternal and perinatal outcome of teenage pregnancies. Methods: For analyzing the prevalence of the teenage mothers, we used cross-sectional study design by evaluating the medical records of all pregnant mothers who went to the obstetric clinic of Cipto Mangunkusumo Hospital, Jakarta, Indonesia, during January 2014 until December 2016. For the outcome of the teenage mothers, we used retrospective study design by analyzing medical records of teenage mothers who had delivery at the delivery ward of Cipto Mangunkusumo Hospital during January 2014 until December 2016. We compared their outcomes to outcomes of pregnant women aged 20 to 30 years old delivered at the same hospital in the same period. Maternal outcomes that were measured include preeclampsia, methods of delivery, anemia, and postpartum hemorrhage, as well as perinatal outcomes including preterm delivery, and low birthweight. Results: Among 3.578 outpatients at Obstetric Clinic, RSUPN Cipto Mangunkusumo, we got 503 pregnant subjects, 16 (3.2%) were teenagers. Among 520 subjects who had delivery, 78 (15%) subjects were ≤ 19 years old. Teenage pregnancy was significantly associated with anemia (p < 0.05, adjusted OR = 2,08) and low birthweight (p < 0.05, adjusted OR = 1.83). Teenage pregnancy was not significantly associated with preeclampsia, methods of delivery, postpartum hemorrhage, and preterm delivery. Conclusion: The prevalence of teenage pregnancy at Cipto Mangunkusumo Hospital is 3.2% and teenage mothers who had delivery is 15%. Teenage mothers are at increased risk of anemia and delivering low birth weight babies. Keywords: maternal outcome, perinatal outcome, prevalence,teenage pregnancies   Abstrak Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi kehamilan remaja serta luarannya. Metode: Untuk menganalisis prevalensi ibu remaja, kami menggunakan desain studi potong lintang dengan mengeavaluasi rekam medis dari seluruh ibu hamil yang berobat ke klinik obstetri RSUPN Cipto Mangunkusumo pada periode Januari 2014 sampai Desember 2016. Pada luaran ibu hamil, kami menggunakan desain studi retrospektif dengan menganalisis rekam medis ibu remaja yang bersalin di RSUPN Cipto Mangunkusumo pada periode yang sama. Luaran ibu remaja dibandingkan dengan ibu yang bersalin yang berusia 20-30 tahun. Luaran ibu yang kami ukur meliputi preeklampsia, metode persalinan, anemia, perdarahan pasca persalinan, sedangkan luaran perinatal yang kami ukur meliputi kelahiran prematur dan BBLR. Hasil: Dari seluruh 3.578 pasien di Poliklinik Obstetri RSUPN Dr. Cipto Mangunkusumo, diperoleh 503 subjek yang hamil,sebanyak 16 (3.2%) subjek adalah remaja. Dari seluruh 520 subjek yang bersalin, 78 (15%) subjek adalah remaja. Kehamilan remaja berhubungan signifikan dengan anemia (p < 0.05, adjusted OR = 2.08) dam BBLR (p < 0.05, adjusted OR = 1.83).  Kehamilan remaja tidak berhubungan signifikan dengan preeklamsia, metode persalinan, perdarahan pascapersalinan, dan kelahiran prematur. Kesimpulan: Prevalensi kehamilan remaja di RSUPN Dr. Cipto Mangunkusumo adalah 3.2% dan persalinan remaja di RSUPN Dr. Cipto Mangunkusumo adalah 15%. Ibu remaja berada pada peningkatan risiko anemia dan melahirkan bayi BBLR. Kata kunci: kehamilan remaja, luaran ibu, luaran perinatal, prevalensi,

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