cover
Contact Name
Defrizal, S.Kom.M.Kom
Contact Email
-
Phone
+6275139246
Journal Mail Official
redaksi_jurnalobgin@fk.unand.ac.id
Editorial Address
RSUP DR. M. Djamil Padang, Jl. Perintis Kemerdekaan Padang, Sumatera Barat 25127
Location
Kota padang,
Sumatera barat
INDONESIA
Andalas obstetrics and gynecology journal
Published by Universitas Andalas
ISSN : 25798324     EISSN : 25798413     DOI : https://doi.org/10.25077/aogj
Core Subject : Health, Science,
Andalas Obstetrics And Gynecology Journal (AOJ) (e-ISSN: 2579-8324) is a peer-reviewed, open-access national journal published by Universitas Andalas and is dedicated to publish and disseminate research articles, literature reviews, and case reports, in the field of obstetrics, gynecology, and other related disciplines.
Articles 12 Documents
Search results for , issue "Vol 3, No 1 (2019)" : 12 Documents clear
Inferior Vena Caval Syndrom in Paraaortic Metastastic Lession of Ovarian Dysgerminoma in Pregnancy Manage with Chemotherapy : a Case Report Dewi, Madona Utami; Muhammad, Syamel
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aogj.3.1.1-19.2019

Abstract

Background : Inferior caval syndrom is a rare case. It can caused by compresssion of the tumor mass and paraaortic metastastasis lession of ovarian dysgerminoma.  Dysgerminoma is one of the most common germ cell tumor, approximately 3-5% of all ovarian cancers.1 Rate of dysgerminoma metastasis to lymph node is around 28%. In all type of germ cell, dysgerminoma has higher insidens to lymph node metastasis compare to the others. The first level of lymph node metastsis is paraaortic lymph node. However, the insidens is unknown because there is no research about it yet.2,3Dysgerminoma frequently in young age, less then 30 years. The exact etiology of dysgerminomas has not been determined, although recent molecular studies have implicated loss function of potential tumor suppressor gene TRC8/RNF139, abnormality of Y chromosome and gonadal dysgenesis.4 The problem arises when dysgerminoma is diagnosed in pregnancy woman as clinically has inferior vena cava syndrom sign and symptoms which acquired efective and fast management.Objective : Discuss inferior caval syndrom  as effect of compression by tumor mass, metastasis tumor lesion and chemotherapy management in dysgerminoma with pregnancyCase Report : Patient 32 years old admitted to M. Djamil central general hospital referred from Batusangkar hospital with diagnosis G3P2A0L2 25-26 weeks of preterm pregnancy + dysgerminoma + obs. Dyspnue. Patient has symptoms dispnue, exercise intolerance, oedem extremity. Physical examination : blood pressure was 100/70 mmHg, HR 120 dpm, RR 35 bpm, T 37 C. Abdomen : uterus fundal was palpated 2 fingers above umbilical, ballotement (+), FHR 150-158 bpm. Genitalia : I V/U normal, vaginal bleeding (-), oedem extremity +/+. From ultrasonography  found dysgerminoma ovary with compression to inferior vena cava and  paraaortic metastatic. Patient was diagnosed with dispnue ec. inferior vena cava syndrom caused by compression of tumor mass + paraaortic lymph node metastasis lession of ovarian dysgerminoma on G3P2A0L2 25-26 weeks of preterm pregnancy. Patient was managed by BEP chemotherapy and symptom was dissapeared. Patient was admitted to M. Djamil  again with 34-35 weeks of preterm pregnancy in active phase of first stage. Because obtructed of labor patient was decide to performed LSCS. Female baby was born 1800 gram, baby?s length was 45 cm, A/S 7/8, there is no congenital anomaly. Patient was followed up 1 month after surgery, there is no symptoms, but fromUltrasonograhy found corpus metastasis and  CT scan impressed paraaortic lymph node metastasis + copus metastasis. Chemotherapy was continue one month after caesarean section. She was completed 4 cycles chemothrapy and the disease was cureable.Conclusion :Caval syndrom is a rare case  and fatal, caused by direct compression of dysgerminoma mass and paraaortic lymph node metastasisDiagnosis of dysgerminoma is anatomy pathology diagnoseManagement of dysgerminoma is surgical staging and 3-4 cycle of chemoterapy with BEP regimenChemoterapy with  BEP (Bleomisin-Etopuside-Cisplatin) is safe to performed at second trimester with inferior vena cava syndrom ec paraaorta lymph nodes metastasisDysgerminoma has a good response to chemotherapy  with survival rate 96%
AKURASI INSPEKSI VISUAL ASAM ASETAT PADA LOW SQUAMOUS INTRAEPITHELIAL LESIONDIBANDINGKAN DENGAN KOLPOSKOPI DI POLI GINEKOLOGI RS M.DJAMIL PADANG Vera Nirmala; Desmiwarti Desmiwarti; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.9-14.2019

Abstract

LSIL is a low grade cervical cancer prelesion, which through prompt diagnosis and therapy, could reduce cervical cancer incidence to 90% and reducing mortality rate for 70-80%. Colposcopy will speed up diagnosis of cervical precancer lesions thus gaining prompt management, and beneficial for patients from afar. Combination of Pap’s smear, colposcopy and biopsy is a good diagnostic package to perform in medical practice. This study was conducted using statistics diagnostic test with cross-sectional design. This research was carried out among women diagnosed with LSIL (Pap’s smear) which then colposcopy was performed in Gynaecology Clinic in Dr.M.Djamil Hospital Padang, during July to December 2014. The study was performed to determine the definitive diagnosis of LSIL (Pap’s smear). Total number of women included in this study were 70, which were divided into 2 groups: 35 women in VIA positive group and 35 in VIA negative group and statistical anal- ysis was performed using unpaired t test and chi square in SPSS 18.0 for windows. From statistical analysis using chi-square test, obtained a statistical significance between VIA test and colposcopy, it can be seen from the p-value 0.002 (p <0.05). There is a statistical significance between VIA test and colposcopy.Keywords: VIA, colposcopy, LSIL, biopsy
Pyometra Dimas Satria Yolanda
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.64-69.2019

Abstract

Background : Pyometra is a rare condition with an incidence ranging from 0.01 - 0.5% among all gynecological patients.2 Pyometra is known to be rare in the general population and is more common in elderly women.3 In postmenopausal elderly patients, the incidence increases to 13.6% .4. The classic triometry of pyometra is postmenopausal bleeding, purulent vaginal discharge, and lower abdominal pain,Objective : Report the handling of pyometra casesCase Report : reportedly a 73-year-old woman came to the ER of RSUP Dr. M. Djamil on December 10, 2018 at 14.30, a referral from BMC Padang hospital with a diagnosis of abdominal pain susp. intraabdominal tumor. Ultrasound examination showed the uterus in normal size which was not in accordance with the picture of pyometra. Laparotomy with adhesionolysis and aspiration of pus in the patient was performed. This is appropriate for evacuating the pyometra mass in this case.Conclusion : In this case, to overcome the infection and evacuate the masses. The recommended antibiotics are broad-spectrum antibiotics, such as penicillin, piperacillin tazobactam, imipenem, meropenem, metronidazole, and vancomycin. Mass evacuation can be done by laparotomy or curettage accompanied by cervical dilatation.Keywords: Pyometra, pascamenoupose
PERBANDINGAN KEJADIAN PENINGKATAN TEKANAN DARAH PADA TRIMESTER II BERDASARKAN LAJU FILTRASI GLOMERULUS (LFG) Joserizal Serudji; Rizanda Machmud
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.15-26.2019

Abstract

During normal pregnancy, glomerolus filtration rate (GFR) is increased so that the concentration of urea and creatinine decreased. With the onset of hypertension in pregnancy, renal perfusion and glomerular filtration decreases, the greater of decline showed more severe illness. This was an observational analytic study with Cohort design and performed in Obgyn Department of M. Djamil Hospital Padang, general district hospital in Batusangkar and Achmad Mukhtar, Private Practice Midwife in Batusangkar from June-December 2014. 100 samples of first trimester of pregnancy, each subject were examined ureum, creatinine, cystatin-c and glomerular filtration rate (GFR) based on CKD-EPI Cystatin and Creatinine 2012 Equation formula. Then divided into two groups, high glomerular filtration rate (GFR) high and low glomerular filtration rate (GFR) group. Each subject was evaluated blood pressure every 3 weeks and statistical analysis was done using the Independent samples test and chi square. There was significant association difference in the levels of urea, creatinine and cystatin-c between high GFR group and low GFR group (p <0.05). There was a statistically significant relationship between low GFR group of pregnant women with changes in systolic and diastolic blood pressure that persists or increases of 5-10 mmHg (p <0.05).Keywords: Preeclampsia, glomerular filtration rate (GFR), ureum, creatinine, cystatin-c, blood pressure
KARAKTERISTIK PENDERITA ENDOMETRIOSIS DAN ADENOMIOSIS DI RSUP DR. M. DJAMIL PADANG PERIODE JANUARI 2017 – OKTOBER 2018 Hidayat, Arde; Hendry, Dedy
JOURNAL ANDALAS OBSTETRIC & GYNAECOLOGY Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aogj.3.1.29-41.2019

Abstract

Latar Belakang?: Endometriosis adalah suatu kelainan ginekologi jinak ditandai dengan adanya kelenjar dan stroma endometrium diluar lokasi normal. Endometriosis merupakan suatu??kelainan kronik merupakan penyebab utama dari infertilitas, dismenorea, dyspareunia dan??nyeri pelvis kronis dengan berbagai tingkat nyeri. Tatalaksana??endometriosis dapat berupa terapi medikamentosa dan atau terapi pembedahan. Terapi pembedahan dapat bersifat koservatif maupun definitif.?Tujuan?: Mengetahui karakteristik penderita endometriosis dan adenomiosis yang ditindak di RSUP Dr. M. Djamil Padang periode Januari 2017- Oktober 2018.?Metode?: Jenis penelitian ini adalah deskriptif retrospektif, menggunakan rekam medis penderita endoetriosis yang ditindak di RSUP Dr. M. Djamil Padang.?Hasil penelitian?:??pada penelitain ini didapatkan 160 kasus pasien endometriosis yang ditindak selama periode tersebut tetapi pasien yang memiliki data rekam medis yang lengkap hanya 154 kasus. Distribusi penderita endometriosis terbanyak kelompok usia 36-45 tahun (42.2%), kawin (87,7%), nulipara (61,7%), kista endometriosis ( 44,8%),?metode laparatomi (54.6%), dan jenis operasi terbanyak?kistektomi ( 44,8%) , serta keluhan nyeri berkurang setelah operasi (62.7%)Kesimpulan?:?Karakteristik penderita endometriosis yang ditindak terbanyak pada kelompok usia 36-45 tahun, kawin, nulipara, kista endometriosis, metode laparotomy, jenis operasi kistatektomi, dan keluhan nyeri berkurang setelah operasi?
EVALUASI KOMPETENSI BIDAN DALAM PEMASANGAN ALAT KONTRASEPSI DALAM RAHIM COPPER T 380A BERDASARKAN UMUR, PENDIDIKAN, PENGALAMAN PEMASANGAN DAN LAMA PRAKTIK DI KOTA PADANG Desmiwarti Desmiwarti; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.37-45.2019

Abstract

Midwives are health providers influential in helping families to choose appropriate contraception for patients. Midwives must have competence in providing midwifery services in particular IUD insertion. This study’s aim was to evaluate the competency of midwives in the insertion of an intrauterine device Copper T 380A based on their age, education, experience of insertion and duration of practice in Padang City. This study was done in puskesmas and private midwivery practice in Padang from September to December 2014 using cross-sectional method on 24 samples who met the inclusion criteria and not exclusion criteria. We conducted interviews and observed how the respondents perform IUD insertion by using a check- list. From this study, there was no significant association between age (p: 0.540, p> 0.05), education (p: 0.439, p> 0.05), experience of insertion (p: 0.472, p> 0.05) and duration of practice (p: 0.505, p> 0.05) with competency of IUD insertion. Most respondents have a good competence in IUD insertion. Part of the checklist the respondents frequently missed out were conseling to the patients and prevention of infection.Keywords: Midwives Competency, IUD insertion, Copper T-380a
Agenesis Serviks Meiza Martadinata; Dedy Hendry
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.70-75.2019

Abstract

Background : Cervical agenesis is an extremely rare congenital anomaly of female reproductive system with manifestation on the absence of uterine cervix with normal development of uterine and secondary sex signs. According to the American Fertility Society, cervical agenesis is classified as type IB Müllerian anomaly. Symptoms are include primary amenorrhea, cyclic abdominal lower pain and infertility.Objective : To report the treatment of cervical agenesis.Case Report : Reportedly, a woman, 28 years old, came with complaints of primary amenorrhea, cyclic abdominal lower pain and 3 years of primary infertility. From speculum and transvaginal ultrasonography examination, the uterine was slightly smaller than normal, without cervical uterine, found adhesion, both ovarian were normal. Laparoscopic utero-vaginal anastomosis was performed and catheter condom was maintained in the cervical canal for 3 months. Two weeks after catheter was removed, a hysteroscopy was performed, but the canal was found closed.Conclusion : In this case, after the laparoscopic utero-vaginal anastomosis was performed, the cervical canal which has been made, is found closed. So, a further evaluation is needed to get more effective results.Keywords: Type IB Müllerian anomaly, cervical agenesis, primary amenorrhea, infertility, laparoscopic utero-vaginal anastomosis
PERBEDAAN RERATA FAKTOR HEMOSTASIS PADA PEB, EKLAMPSIA DAN KEHAMILAN NORMAL Yogi Syofyan; Joserizal Serudji; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.27-36.2019

Abstract

There will be multiple organs changes in preeclampsia and eclampsia. One of them is a change in hemostasis system which is platelet activation, extrinsic and intrinsic cascade reaction and increasing of fibrinolytic activation. This is a cross sectional study conducted at Obstetric and Gynecologic Departement of Medical Faculty of Andalas University/ M Djamil Central Hospital in Padang on July 2014 with the number of samples are 44 persons. Samples are divided into 3 groups: Severe preeclampsia, eclampsia, and normal pregnancy. Platelet, PT,APTT, and D-Dimer counting were conducted and statistic analyzed was done with Anova dan Post Hoc Bonferoni. The more severe pregnancy, the lower platelet count and PT, but the dif- ference is not statistically significant between three groups: severe preeclampsia, eclampsia, and normal pregnancy (p < 0,05). Mean of APTT and D-Dimer is statistically significant due to condition of pregnancy. Post Hoc Bonferroni analysis showed a significant difference of APTT mean in the eclampsia, severe pre-eclampsia, and normal pregnancy (p <0,05 ). D-Dimer Mean shows a significant difference between normal pregnancy, severe preeclampsia, and eclampsia (p <0,05).Keywords: Pregnancy condition, severe preeclampsia, eclampsia, normal pregnancy, platelet, PT, APTT, and D-Dimer
ECTOPIC PREGNANCY WITH ACCEPTOR IMPLANT Zen, Putri Zelfitri; Yusrawati, Yusrawati
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aogj.3.1.48-55.2019

Abstract

Objective: To report a case of Ectopic pregnancy with implant receptorsMaterials and Methods: This article describes the case of a 41-year-old woman, diagnosed with an Ectopic Pregnancy on the gravid G5P4A0H4 11-12 weeks. Patients are using implant contraception, which has been used since 2009-2018 (3 installations). The patient came to the obstetrics and gynecology clinic Dr. M. Djamil Padang. The ultrasound gives the impression of Ectopic pregnancy in the infindibule tube. Analysis Ectopic pregnancy can also occur due to the influence of hormonal contraceptive use (progesterone).Results: Patient gets intervention performed laparotomy After the peritoneum is opened it appears fresh red blood amounting to ± 500 cc filling the abdominal cavity. Blood evacuation and exploration are performed, it appears that the source of bleeding originates from the left tubal rupture (Infundibulum) Impression of the left tubal rupture (Infundibulum) ecectic ectopic pregnancy is impaired. Sinistal salpingectomy is performed.Conclusion: Ectopic pregnancy Ectopic pregnancy is all pregnancies where the ovum fertilized by spermatozoa implant and grows outside the uterine cavity endometrial.
KARAKTERISTIK PENDERITA ENDOMETRIOSIS DAN ADENOMIOSIS DI RSUP DR. M. DJAMIL PADANG PERIODE JANUARI 2017 – OKTOBER 2018 Arde Hidayat; Dedy Hendry
Andalas Obstetrics And Gynecology Journal Vol 3, No 1 (2019)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.1.1-8.2019

Abstract

Background : Endometriosis is a benign gynecological disorder characterized by the presence of endometrial glands and stroma outside the normal location. Endometriosis is a chronic disorder which is a major cause of infertility, dysmenorrhea, dyspareunia and chronic pelvic pain with varying degrees of pain. Management of endometriosis can be in the form of medical therapy and/ or surgical therapy. Surgical therapy can be conservative and definitive.Objective : This study aims to obtain the characteristics of patients with endometriosis and adenomiosis who are operated at Dr. M. Djamil Padang for the period of January 2017 - October 2018.Method : This was descriptive retrospective study, using medical records data of endometriosis patient at Dr. RSUP M. Djamil Padang.Result : The results of the study obtained 160 cases of endometriosis patients who were operated during that period but only 154 patients had complete data in the medical record. Endometriosis cases were common among age of 36-45 years old (42.2%), married (87.7%), nullipara (61.7%), ovarian endometrioma (44.8%),laparotomy method (54.6%), type of surgery was cystectomy (44.8%), and pain reduced post operation (62.7%).Conclusion : Most frequent characteristics of endometriosis patient were operated in the 36-45 year age group, married, nullipara, ovarian endometrioma, laparotomy method, type of surgery was cystectomy and pain reduced post operationKeywords: endometriosis, adenomiosis, dysmenorrhea

Page 1 of 2 | Total Record : 12