Andalas obstetrics and gynecology journal
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.
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<![CDATA[Adult Women with Congenital Adrenal Hyperplasia (CAH) ]]>
<![CDATA[Muhammad Rudi Setiawan]]>;
<![CDATA[Ichsan Arif]]>;
<![CDATA[Bobby Indra Utama]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.110-115.2022
<![CDATA[Introduction : Congenital Adrenal Hyperplasia (CAH) is the most common cause of ambiguous genitalia. It is a genetic disorder that occurs due to failure or disruption of the formation of enzymes which play a role in the production of cortisol and aldosterone and can cause fusion of the labia, clitoromegaly, and a fusion of the vagina and distal urethra.Case Reports:A 32-year-old patient, unmarried, came to the urogynecology department complaining of thickening of the upper genitalia that resembles male genitalia. This problem has been known to the patient since she was 16 years old and was brought to the doctor at the age of 21 and diagnosed with congenital adrenal hyperplasia. The patient has had menstruation since she was 14 years old, but it is irregular. Since 8 years ago, the patient has been regularly taking hydrocortisone from an internal medicine specialist but has never been to the obstetrics and gynecology department for 8 years, now the patient comes to the urogynecology department because she wants to get married. When the patient was in school, she grew up like a normal woman and have good academic abilities. In the family history, there was no family history of congenital abnormalities. From physical examination, her height is 150 cm. She shows the habitus of external body like a woman. On genital examination found no formation of labia, clitoromegaly. Karyotype 46, XX. Ultrasonography found uterus and ovaries within normal limits.Conclusion:Counseling, both surgical and non-surgical treatment with a multidisciplinary approach, will give good results in patients with CAH. Rapid diagnosis and treatment will provide good management for patients with CAH. Surgery in the form of reducing the size of the clitoris (while maintaining the function of sensation), as well as expanding the vaginal opening can help in these patients to improve the patient's quality of life.Keywords: Congenital Adrenal Hyperplasia; clitoromegaly; unmarried]]>
<![CDATA[Semen Quality of Infertile Men and Correlation with Demographic Characterictics ]]>
<![CDATA[Muhammad Iqbal]]>;
<![CDATA[Hudila Rifa Karmia]]>;
<![CDATA[Alvarino Alvarino]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.58-64.2022
<![CDATA[Objective: To analyze semen quality of infertile men and its correlation with demographics characteristics.Methods: This was an analytic observational study with cross-sectional retrospective study design on 92 infertile men. The study began in May 2021 to December 2021 in the Obstetrics and Gynecology Clinics at BMC Hospital Padang.Results:The correlation between age and marital duration was positively correlated (r= 0,558), with a weak correlation and there is statistically significant relationship between age and marital duration. Age and sperm concentration was positively correlated (r=0.048), with a weak correlation. Marital duration and sperm concentration was positively correlated (r=0.052), with a weak correlation. The correlation between age and progressive motility and non-progressive motility percentage were positively correlated (r = 0.009 and 0.035),with a weak correlation. The correlation between age and progressive immotile sperm percentage were negatively correlated (r = - 0,030),with a weak correlation.Conclusion: There was a positive correlation between age and sperm concentration, and progressive and non progressive motility with a weak correlation. There was a positive correlation between age and marital duration with a strong correlation. There was negative correlation between and sperm immotility with a weak correlation.Keywords: male infertility, semen, age, marital duration]]>
<![CDATA[MODE OF DELIVERY DOES NOT CORRELATE FETAL OUTCOME IN PREGNANCY WITH COVID-19 AT DR. M. DJAMIL HOSPITAL PADANG ]]>
<![CDATA[Heri Farnas]]>;
<![CDATA[Roza Sriyanti]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
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DOI: 10.25077/aoj.6.1.42-49.2022
<![CDATA[Introduction: Corona Virus Disease 2019 (COVID-19) was first reported in Wuhan, China. Knowledge about COVID-19 infection in relation to pregnancy and the fetus is still limited. Report from China shows high rate of caesarean delivery (> 90%) due to the suspicion for vertical transmission. Globally there is an increase of caesarean delivery in women with COVID-19 infection. Clinical implications mode of delivery in pregnancies with COVID-19 infection are not fully understood.Objective: The aims of this study to assess differences in fetal outcome based on the mode of delivery in pregnancies with COVID-19 infection.Methods: This observational analytic study with cross sectional study design was conducted in single center at dr. M. Djamil General Hospital Padang from March 2020-March 2021. All study subjects qualified to inclusion and exclusion criteria included. The fetal outcome analyzed based on APGAR scores and COVID-19 status in newborn baby using Mann-Whitney test.Results: A total of 49 patients were analyzed. The results showed mean APGAR score 1 minute in the vaginal delivery was lower than caesarean delivery (6.87±1.06 vs 7.38±0.82) but not significant (p=0.09). No significant difference between vaginal delivery and caesarean delivery based on APGAR score 5 minutes (p=0.19). None newborn babies infected with COVID-19 in both groups.Conclusions: There was no difference of fetal outcome based on the APGAR score in pregnancies with COVID-19 infection by mode of delivery. There were no cases of infants with COVID-19 infection in both groups.Keywords: COVID-19, mode of delivery, APGAR score]]>
<![CDATA[The relationship delay in referral with maternal mortality Dr. M. Djamil central general hospital Padang ]]>
<![CDATA[Ibnu Razi Mulya Hasjmy]]>;
<![CDATA[Ferdinal Ferry]]>;
<![CDATA[Hafni Bachtiar]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.71-81.2022
<![CDATA[Introduction: Maternal mortality is maternal death during pregnancy, childbirth, and 42 days after delivery. Maternal Mortality Rate (MMR) is the number of maternal deaths per 100,000 live births. There was an increase in MMR in Indonesia on 2012 compared to 2007 which is 228 per 100,000 population. There were 17 maternal deaths at Dr. M. Djamil Hospital throughout 2019. Delay in referral can cause death for both mother and infantObjectives: This study aims to determine the relationship between delay in referral and maternal mortality in obstetric emergencies that came to the emergency unit at Dr. M. Djamil Hospital, Padang.Methods: This study used a cross-sectional comparative study design conducted on 90 pregnant women who visited Dr. M. Djamil Padang Hospital from January - February 2021. All data were then analyzed using univariate and bivariate analysis with appropriate statistical tests.Results: The mean age of the study subjects was 25.34 ± 5.99 years old with 12.21% of sample were nullipara, 21.27% primipara, 61.83% multipara, and 4.58% grande multipara. From the questionnaire, 54.3% were late to refer. From the medical records, it was found that in the group who died, 94.5% experienced a delay in referral and bivariate analysis showed a relationship between late referral and maternal mortality (p = 0.000).Conclusion: There is a significant relationship between late referral and maternal mortality at Dr. M. Djamil Central General Hospital PadangKeywords: Maternal Mortality Rate; late referrals; pregnant women]]>
<![CDATA[Determinants of Insecticide-treated Net use among Pregnant Women with Malaria in West Papua, Indonesia ]]>
<![CDATA[Tita Husnita Madjid]]>;
<![CDATA[KI Mantilidewi]]>;
<![CDATA[H Susiarno]]>;
<![CDATA[Ari Irawan Romulya]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.16-20.2022
<![CDATA[Introduction: Malaria in pregnancy is still a major cause of neonatal adverse outcome in West Papua, Indonesia. In accordance to the recommendation of the World Health Organization, local government have attempted to prevent malaria in pregnant women by distributing insecticide-treated nets (ITNs). Objective: This study aimed to assess the pattern of malaria infection and the use of ITNs among pregnant women in the city of Manokwari, West Papua, Indonesia.Methods: We recorded all pregnant women who were admitted to the Manokwari District Hospital during May 2017 to April 2018 with malaria. From a total of 335 cases, 125 women agreed to be interviewed on their ITN use at home.Results : Out of a total of 335 cases during the enrolment period, 175 (52%) were found to be infected with Plasmodium falciparum. Chief complaints were fever (28.8%), hyperemesis (25.6%); cephalgia (18.4%); anaemia (15.2%); preterm labor (8.8%) and diarrhoea (3.2%). Only 23.2% of the 125 samples used ITN at home. Most did not have access government-distributed free nets (43.8%); others did not use it due to the foul smell of the nets (17.7%); the heat experienced when sleeping under nets (29.1%); and fear of insecticide side-effect (9.4%). Conclusion: There is suboptimal use of ITN as a preventive measure against malaria in pregnancy in Manokwari, West Papua. Better distribution and other alternative to physical barriers should be considered by the governmentKeywords: Malaria, pregnancy, insecticide-treated net]]>
<![CDATA[MULTI DRUG RESISTANT TUBERCULOSIS IN PREGNANCY ]]>
<![CDATA[maulana muharam]]>;
<![CDATA[Dewi Wahyu Firina]]>;
<![CDATA[Dessy Mizarti]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.1-15.2022
<![CDATA[Tuberculosis can develop to multi drug resistant tuberculosis, this will be a serious health problem, not only in Indonesia, also in the world. This disease complexity, length of treatment, adverse effect of drug, make it management become challenging. Pregnancy with physiological changes in it made pregnant woman susceptible to infection, include tuberculosis infection. Data about MDR TB in pregnancy were not much, because TB screening in pregnancy were not often done, also pregnancy it self almost exclude from any trial. Because of MDR TB regiment adverse effect, much of clinician suggest woman in MDR TB treatment to not get pregnant while on it. Management MDR TB on pregnancy use individual regiment, by keep secure and safety aspect of patient, also her fetus.]]>
<![CDATA[Amnioinfusions to Treat Early Onset Anhydramnios Caused by Bilateral Renal Agenesis : Potter’s Syndrome ]]>
<![CDATA[Yusrawati Yusrawati]]>;
<![CDATA[Rizka Fadhillah Yusra]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.89-97.2022
<![CDATA[Introduction: Anhydramnios is a very small amount of amniotic fluid where the MVP measurement is 2cm by ultrasound. The most common cause of anhydramnios that persists into the second trimester of pregnancy is bilateral renal agenesis. Bilateral renal agenesis is closely related to Potter's Syndrome. Potter's syndrome is a picture of reduced amniotic fluid regardless of the cause. The most common cause of newborn death in cases of anhydramnios is pulmonary hypoplasia. Amnioinfusion is an action of adding fluid into the amniotic cavity which is expected to reduce uterine pressure due to anhydramnios and maintain alveolar distension to increase fetal lung growth.Objective: The aim of this case report is to share amnioinfusion on anhydramnios.Case Report: A 26-year-old woman G3P1A1H1 gravid 27-28 weeks was referred to the fetomaternal polyclinic of RSUP M. Djamil Padang with suspicion of anhydramnios caused by bilateral renal agenesis. Physical and obstetric examinations were found to be within normal limits. On ultrasound examination, there was no amniotic fluid, so MVP was difficult to assess, no fetal kidney and bladder were seen, so it is suspected that this is a bilateral renal agenesis disorder and leads to Potter's Syndrome. The patient was subjected to amnioinfusion to prevent contractures and pulmonary hypoplasia in the fetus. From the first amnioinfusion, the MVP increased to 2.99 cm. Monitoring and amnioinfusion are carried out periodically until the fetus is viable to be bornConclusion: Amnioinfusion in bilateral renal agenesis is useful for assisting diagnosis and as a preventive therapy for pulmonary contractures and hypoplasia in the fetus as well as increasing life expectancy when the fetus is born.Keywords: Bilateral Renal Agenesis, Anhydramnios, Amnioinfusion, Potter's Syndrome]]>
<![CDATA[Prevalence of pregnant women with reactive HBsAg in Padang City in 2019 ]]>
<![CDATA[Try Genta Utama]]>;
<![CDATA[Defrin Defrin]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.21-26.2022
<![CDATA[Introduction: Hepatitis B is an infectious disease that occurs in the liver caused by the hepatitis B virus (HBV). Transmission vertically 95% occurs in the perinatal period (during delivery) and 5% intra uterine. Hepatitis B infection can be acute to chronic. Chronic infection was defined as hepatitis B surface antigen (HBsAg) persistently in blood or serum for more than 6 months with or without active viral replication and evidence of hepatocellular injury or inflammation. Indonesia as a country with high endemicity of Hepatitis B is currently focusing on preventing mother to child transmission (PPIA) because 95% of hepatitis B transmission is vertical, namely from hepatitis B positive mothers to their babies. The number of pregnant women who have been tested for Hepatitis B using the HBsAg Rapid Diagnostic Test (RDT) in 2018 in Indonesia is still relatively small, which is only 39.95% of the target pregnant women who should be examined. In West Sumatra itself occupies the 30th position out of 34 provinces with the percentage of HBsAg reactive pregnant women as much as 0.97%.Objective: This study aims to determine the incidence of pregnant women with reactive HBsAg in the city of Padang.Methods: This research is a descriptive study. The data was taken from the recap of the number of pregnant women who were screened for hepatitis B in all public health centers in the city of Padang during 2019.Result : There are 13,174 (72%) pregnant women who have been tested for HBsAg. Found 131 (0.95%) people with reactive HBsAg. The highest cases were found in the Lubuk Kilangan Public Health Center with 14 cases and the lowest in the opposite health center and Ulak Karang health center with 0 cases. The highest case finding occurred in June with 17 cases and the lowest in November with 7 cases.Conclusion: The prevalence of pregnant women with reactive HBsAg was 0.95% in Padang City in 2019.Keywords: Hepatitis B, HBsAg, Pregnant Women]]>
<![CDATA[Comparison of womwne's quality of life post abdominal and vaginal hysterectomy ]]>
<![CDATA[Fauzan F]]>;
<![CDATA[Bobby Indra Utama]]>;
<![CDATA[Firdawati Firdawati]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.35-41.2022
<![CDATA[Introduction:Hysterectomy is the most common major surgical procedure in gynecology. Approximately 90% of hysterectomies are performed on indications of benign gynecological disease. The number of women affected by hysterectomy is relatively low, but the impact of these complications often changes the quality of life. There are several types of hysterectomy, from partial/supravaginal, complete/total, to radical. Hysterectomy with any surgical technique can cause complications. This can be minimized by careful surgical planning and preparation before surgeryAssessing changes in quality of life after surgery is important for patient decision making and for health care evaluation, as health care becomes more standardized. Objective: This study aims to determine the difference in quality of life between women who have undergone abdominal hysterectomy surgery and women who have undergone vaginal hysterectomy surgery.Methods: This research is an analytic observational study with a cross sectional comparative study approach which was conducted on 54 women who had undergone hysterectomy at Dr. RSUP. M. Djamil, Padang. 27 of them underwent abdominal hysterectomy, and 27 others underwent vaginal hysterectomy. All patients were interviewed using the Short Form-36 (SF-36) questionnaire. The assessment is carried out with a scoring system where a score of 0 is the lowest value, and 100 is the highest value.Results: The average quality of life of the woman's post abdominal and vaginal hysterectomy was 91.71 ± 6.73 and 99.07 ± 1.66 respectively. There is a difference in the mean value of quality of life of women and post abdominal and vaginal hysterectomy (p<0.05).Conclusion: There was a significant difference between the quality of life of women after hysterectomy, where women who underwent vaginal hysterectomy had a higher quality of life than women who underwent abdominal hysterectomyKeywords: Hysterectomy, Abdominal, Vaginal, Quality of life]]>
<![CDATA[Omphalocele ]]>
<![CDATA[Revivo Rinda Pratama]]>;
<![CDATA[Roza Sri Yanti]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol 6, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/aoj.6.1.98-103.2022
<![CDATA[Objective: Reporting a case of omphalocele.Method: Case report.Result:Acaseofa32years-oldwoman, diagnosedwithG2P1A0H134-35weeksofpretermpregnancy+ previous Cesaran Section + omphalocele + fetal distress. According to ultrasonography, biometric measurements of the fetus were: BPD: 8.5 cm, FL: 6.4 cm, HL: 5.2 cm, AC: 27.8 cm, AFI: 23.3 cm, there were no image of abdominal wall, but a membrane surrounding the abdomen was visible. From the USG examination, the conclusion was Omphalocele.ChromosomalanalysiswasdoneusingG-Comparativetechnic,withresult46,XY,which means the amount of the chromosomes was 46, and sex chromosomes were XY. There was no major structural defect. Mostly, the disorders causing these conditions are 13, 18 and 21 trisomy, and Beckwith-WiedemannSyndrome.Conclusion: Omphalocele is a genetic disorder marked by failure of the abdominal organs to return into the abdominal cavity. It requires thorough and accurate prenatal examinations to establish a diagnosis. Keywords: Omphalocele, prenatal diagnosis]]>
