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All Journal Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Eddy Tiro
Faculty of Medicine University of Hasanuddin/ Dr. Wahidin Sudirohusodo Hospital Makassar
Health Professions Medicine & Pharmacology Public Health

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Perineal Massage during Second Stage of Labor to the Perineal Laceration Degree in Primigravida Arafah, Sitti; Lotisna, David; Tiro, Eddy
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.09 KB) | DOI: 10.32771/inajog.v4i4.440

Abstract

Objective: To determine the effect of perineal massage during second stage of labor on the perineal laceration degree in primigravida. Methods: The design of this study was non randomized controlled trial by conducting massage training of the perineum to 20 obstetrics and gynecology residents. All residents had passed the normal delivery care training. Primigravida who met the inclusion criteria were included in this study. We assessed the degree of perineal laceration in this study. Data were analyzed using Chi square test in SPSS. Results: We obtained 103 subjects for massage group and 79 subjects for control group. There was a significant association between massage group and the incidence of intact perineum. In the massage group, most of perineal lacerations were first degree of laceration (52.4%); whereas, in the control group, most of them were second degree of laceration (77.2%). Statistical analysis showed a significant association between perineal massage and decreased of perineal laceration degree (p
The Effect of Cyclophosphamide Chemotherapy on Ovarian AntiMüllerian Hormone Levels in Breast Cancer Patients Liga, Elisabeth G.K.; Abdullah, Nusratuddin; Tiro, Eddy; T. Chalid, St. Maisuri
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.105 KB) | DOI: 10.32771/inajog.v6i1.761

Abstract

Objective: To evaluate cyclophosphamide effects on Anti-Müllerian hormone (AMH) levels in breast cancer patientstreated with cyclophosphamide chemotherapy.Methods: This cohort prospective study was conducted inDr. Wahidin Sudirohusodo Hospital in the Department of Obstetricsand Gynecology in collaboration with Department of Surgery,Faculty of Medicice, Universitas Hasanuddin between September2015 and June 2016. Serum levels of AMH from forty breast cancerpatients received three series of cyclophosphamide chemotherapydetermined by Enzyme Linked Immuno Sorbent Assay (ELISA).Results: Serum AMH levels decreased significant in the first series(from 2.092.04 g/ml to o.651.06 g/ml; p<0.05) through thethird series (from 1.531.34 g/ml to 0.50.65 g/ml; p<0.05) ofcyclophosphamide chemotherapy.Conclusion: AMH levels decreased significant after cyclophosphamideindicated that cyclosphosphamide decrease ovarianreserve.[Indones J Obstet Gynecol 2018; 6-1: 64-67]Keywords: anti-müllerian hormone, breast cancer, cyclophosphamide,ovarian reserveObjective: To evaluate cyclophosphamide effects on Anti-Müllerian hormone (AMH) levels in breast cancer patientstreated with cyclophosphamide chemotherapy.Methods: This cohort prospective study was conducted inDr. Wahidin Sudirohusodo Hospital in the Department of Obstetricsand Gynecology in collaboration with Department of Surgery,Faculty of Medicice, Universitas Hasanuddin between September2015 and June 2016. Serum levels of AMH from forty breast cancerpatients received three series of cyclophosphamide chemotherapydetermined by Enzyme Linked Immuno Sorbent Assay (ELISA).Results: Serum AMH levels decreased significant in the first series(from 2.092.04 g/ml to o.651.06 g/ml; p<0.05) through thethird series (from 1.531.34 g/ml to 0.50.65 g/ml; p<0.05) ofcyclophosphamide chemotherapy.Conclusion: AMH levels decreased significant after cyclophosphamideindicated that cyclosphosphamide decrease ovarianreserve.Keywords: anti-müllerian hormone, breast cancer, cyclophosphamide,ovarian reserve
The Effect of Cyclophosphamide Chemotherapy on Ovarian AntiMüllerian Hormone Levels in Breast Cancer Patients Liga, Elisabeth G.K.; Abdullah, Nusratuddin; Tiro, Eddy; T. Chalid, St. Maisuri
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.105 KB) | DOI: 10.32771/inajog.v6i1.761

Abstract

Objective: To evaluate cyclophosphamide effects on Anti-Müllerian hormone (AMH) levels in breast cancer patientstreated with cyclophosphamide chemotherapy.Methods: This cohort prospective study was conducted inDr. Wahidin Sudirohusodo Hospital in the Department of Obstetricsand Gynecology in collaboration with Department of Surgery,Faculty of Medicice, Universitas Hasanuddin between September2015 and June 2016. Serum levels of AMH from forty breast cancerpatients received three series of cyclophosphamide chemotherapydetermined by Enzyme Linked Immuno Sorbent Assay (ELISA).Results: Serum AMH levels decreased significant in the first series(from 2.092.04 g/ml to o.651.06 g/ml; p<0.05) through thethird series (from 1.531.34 g/ml to 0.50.65 g/ml; p<0.05) ofcyclophosphamide chemotherapy.Conclusion: AMH levels decreased significant after cyclophosphamideindicated that cyclosphosphamide decrease ovarianreserve.[Indones J Obstet Gynecol 2018; 6-1: 64-67]Keywords: anti-müllerian hormone, breast cancer, cyclophosphamide,ovarian reserveObjective: To evaluate cyclophosphamide effects on Anti-Müllerian hormone (AMH) levels in breast cancer patientstreated with cyclophosphamide chemotherapy.Methods: This cohort prospective study was conducted inDr. Wahidin Sudirohusodo Hospital in the Department of Obstetricsand Gynecology in collaboration with Department of Surgery,Faculty of Medicice, Universitas Hasanuddin between September2015 and June 2016. Serum levels of AMH from forty breast cancerpatients received three series of cyclophosphamide chemotherapydetermined by Enzyme Linked Immuno Sorbent Assay (ELISA).Results: Serum AMH levels decreased significant in the first series(from 2.092.04 g/ml to o.651.06 g/ml; p<0.05) through thethird series (from 1.531.34 g/ml to 0.50.65 g/ml; p<0.05) ofcyclophosphamide chemotherapy.Conclusion: AMH levels decreased significant after cyclophosphamideindicated that cyclosphosphamide decrease ovarianreserve.Keywords: anti-müllerian hormone, breast cancer, cyclophosphamide,ovarian reserve
Perineal Massage during Second Stage of Labor to the Perineal Laceration Degree in Primigravida Arafah, Sitti; Lotisna, David; Tiro, Eddy
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.09 KB) | DOI: 10.32771/inajog.v4i4.440

Abstract

Objective: To determine the effect of perineal massage during second stage of labor on the perineal laceration degree in primigravida. Methods: The design of this study was non randomized controlled trial by conducting massage training of the perineum to 20 obstetrics and gynecology residents. All residents had passed the normal delivery care training. Primigravida who met the inclusion criteria were included in this study. We assessed the degree of perineal laceration in this study. Data were analyzed using Chi square test in SPSS. Results: We obtained 103 subjects for massage group and 79 subjects for control group. There was a significant association between massage group and the incidence of intact perineum. In the massage group, most of perineal lacerations were first degree of laceration (52.4%); whereas, in the control group, most of them were second degree of laceration (77.2%). Statistical analysis showed a significant association between perineal massage and decreased of perineal laceration degree (p
Analisis Hubungan Clinical Autonomy Terhadap Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional Mappaware, Nasrudin Andi; Emilia, Ova; Hadijono, Soerjo; Malinta, Umar; Hakimi, Mohammad; Soetrisno, Soetrisno; Tiro, Eddy
JURNAL KESEHATAN REPRODUKSI Vol 6, No 3 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.454 KB) | DOI: 10.22146/jkr.49209

Abstract

Background: In Indonesia, the National Health Insurance System (NHIS) is an implementation of law No. 40 of 2004 on the National Social Insurance System in health sector with universal health coverage (UHC) concept. Therefore, the satisfaction of specialist’s work will be very influence towards hospital works. The previous research (Nasruddin, 2017) about factor analysis related to job satisfaction of doctor specialist for obstetrics and gynecology (SpOG) toward Sectio Caesarea (SC) on NHI showed that medical service (transparency and remuneration) and working condition have significant correlation towards work satisfaction of doctor SpOG in SC on NHI.    Objective: to analyze the correlation of clinical autonomy on job satisfaction of doctor SpOG on Sectio Caesarea on National Health Insurance system.Method: A quantitative research by applying analytic observational study with cross sectional design.Materials and Research: This research was conducted in Makassar. A number of sample was 73 doctors SpOG. Data was obtained by clinical autonomy questionnaire having been tested its validity and reliability. The result of the research was analyzed by using chi-square test.  Result: Based on the correlation of characteristics towards work satisfaction of doctor SpOG in SC on National Health Insurance system found that age category between 36 – 45 years old is satisfied, female is satisfied, working duration more than 5 years is dissatisfied and public hospital status is dissatisfied. There is no correlation between clinical autonomy in this case is control overwork (p = 0.170) and prerogative obtain need service (p = 0.240) on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System.Conclusion: There is no relation between clinical autonomy on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Even though the doctors SpOG are not satisfied with NHI (medical service and working condition) but the doctors are able to work professionally with clinical autonomy. Keywords: clinical autonomy, doctor SpOG, National Health Insurance System 
Co-Authors Arafah, Sitti Arafah, Sitti David Lotisna Liga, Elisabeth G.K. Mappaware, Nasrudin Andi Mohammad Hakimi Nusratuddin Abdullah Ova Emilia Soerjo Hadijono Soetrisno Soetrisno T. Chalid, St. Maisuri Umar Malinta