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Andalas obstetrics and gynecology journal
Published by Universitas Andalas
ISSN : 25798324     EISSN : 25798413     DOI : https://doi.org/10.25077/aogj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Nursing Public Health
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.
Arjuna Subject : Kedokteran - Obstetrics and Gynaecology
Articles 19 Documents
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Search results for , issue "Vol 7, No 2 (2023): VOL 7, NO 2 (2023)" : 19 Documents clear
Retrospective analysis of 277 cases of placenta accreta spectrum diagnosed with ultrasound at a single tertiary care center Hadikagusti Adora; Yusrawati Yusrawati
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.422-430.2023

Abstract

Introduction : Placenta accreta spectrum (PAS) is characterized by abnormal placental adherence and failure to separate from the uterine wall after delivery. The PAS-associated morbidities include peripartum hysterectomy (loss of fertility), massive hemorrhage and the requirement of blood transfusion (leading to consumptive coagulopathy and multisystem organ failure), admission to the intensive care unit (ICU), injury to adjacent organs, and death. Its incidence is on the rise due to an increasing number of caesarean deliveries.Objective : The goal of our study is to analyze the characteristics and outcomes of PAS managed at a tertiary care center with a high volume of PAS.Methods : The design of analytic observation research with a retrospective cross sectional method with ultrasound diagnosis of PAS at M. Djamil Central General Hospital from January 2020 to December 2022 was reviewed. Details of obstetric backgrounds, predelivery diagnosis, peripartum management, and outcomes were analyzed with mean difference test and chi square.Results : Two hundred and seventy-seven women with PAS were identified with ultrasound from 4,500 deliveries during the study period (6.15%). Approximately 45.48% of women with PAS had hysterectomy, while 54.52% did not; 3 cases were conservatively performed. Emergency and elective caesarean sections were accomplished in 32.85% and 67.15%, respectively. There was 3.25% maternal mortality. Anterior PAS (83.3%) is associated with attachment to the previous uterine scar and intraoperative blood loss compared to posterior PAS (15.88%) (p<0.05). The PAS patients with previous uterine surgery had the highest chance of peripartum hysterectomy (p<0.001).Conclusion : The placenta accreta diagnosed by antepartum ultrasound is approximately 6.15%. Almost half of the women in the study had hysterectomies. Only one-third of women with PAS in our study underwent emergent surgery. Anterior PAS is associated with placental attachment to the previous uterine scar and greater intraoperative blood loss compared with posterior PAS. The history of previous uterine surgery in women with PAS increased the chance of peripartum hysterectomy even further. The placenta accreta spectrum should be managed in a center with a high level of surgical expertise.
High Grade Appendiceal Mucinous Neoplasma Reviewing Primary Tube Malignancy : A Case Report Irfan Kurnia; Puja Agung Antonius; Syammel Muhammad
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.467-472.2023

Abstract

Appendiceal mucinous neoplasms (AMNs) are rare tumors accounting for less than 1% of all cancers. The clinical presentations of AMN vary significantly and the diagnosis of most patients is during surgery for suspected appendicitis, peritonitis or gynecological cancer. There were many case reports AMN mimicking an ovarian cancer. In this case, we reported a 64-year postmenopause woman with diagnosed peritonum carcinomatosis dd/ ovarian cancer and it actually AMN in RSUP dr. M. Djamil Padang, West Sumatera. The diagnosis is estimated by ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI) and diagnostic laparoscopy followed by histopathologic verification. The evaluation of the prognosis of appendix mucinous adenocarcinoma mainly depends on whether the tumour is in an advanced stage, the degree of malignancy, and whether an AMN is formed
Correlation of Neutrophil Lymphocyte Ration (NLR) Values with Severe Preeclampsia, HELLP Syndrome, and Eclampsia Indah Lisfi; Roza Sriyanti; Firdawati FIrdawati
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.379-390.2023

Abstract

Background: Preeclampsia (PE) is the leading cause of maternal and fetal morbidity and mortality. The disease is characterized by hypertension (≥140/90 mmHg), proteinuria, thrombocytopenia, renal failure, neurological complications, liver involvement, and fetal growth retardation. HELLP syndrome is a variant of preeclampsia that causes an increase in liver enzymes and a low platelet count. Eclampsia is the heaviest complication of preeclampsia. Neutrophil lymphocyte ratio (NLR) is part of the leukocyte type count examination which is an easy, available examination parameter and can be used as an index of the severity of systemic inflammation. This study aimed to determine the relationship of neutrophil-lymphocyte ratio (NLR) values with severe Preeclampsia, HELLP syndrome, and eclampsia.Method: This research is a comparative analytical study with a case control study approach. This research was conducted from April-November 2022. This study was conducted at the emergency room (ER) and inpatient department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Andalas – RSUP Dr. M. Djamil Padang. The study sample was part of the population that met the inclusion and exclusion criteria. The study required 108 samples, namely 27 from the severe preeclampsia group, 27 from the eclampsia group, 27 from the HELLP syndrome group, and 27 from the control group. Bivariate statistical analysis using Independent T-Test. Samples were taken by the method of consecutive sampling. The data were analyzed at a 95% confidence interval, if obtained p value<0.05 then there is a significant relationship. The Data was analyzed by the SPSS computer program.Results: The results of this study obtained neutrophil-lymphocyte ratio in eclampsia has the highest average value compared with HELLP syndrome, severe preeclampsia, and control. While HELLP syndrome has a higher mean value than severe preeclampsia and control and subsequently severe preeclampsia also has a higher mean value NLR than control. This study found a significant relationship between neutrophil-lymphocyte ratio (NLR) with severe Preeclampsia, HELLP syndrome, and eclampsia (all p values=0.000).Conclusion: This study proves that neutrophil-lymphocyte ratio (NLR) has a significant relationship with severe Preeclampsia, HELLP syndrome, and eclampsia so further research can develop this study by analyzing other factors that affect preeclampsia. For clinicians can make this study as a reference in monitoring the progression of inflammation that occurs in severe preeclampsia, HELLP syndrome, and eclampsia.
CHARACTERISTICS OF PREGNANT WOMEN WITH OLIGOHYDRAMNIONS TREATED WITH AMNIOINFUSION AT DR. M. DJAMIL PADANG Yusrawati Yusrawati; Andio Rahman
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.%p.2023

Abstract

Introduction: Oligohydramnios is a condition of reduced amniotic fluid. This is often detected accidentally during ultrasonography examination so that there is often a delay in diagnosis. Amnioinfusion is one of the therapies given to pregnant women with oligohydramniosAim: This study aims to determine the characteristics of pregnant women with oligohydramnios who are treated with amnioinfusion Method: This was a descriptive study using medical record data of inpatients at the Fetomaternal Polyclinic, Dr. M. Djamil Hospital Padang from March 2022 to March 2023. The inclusion criteria were pregnant women diagnosed with oligohydramnios and the exclusion criteria were multiple pregnancies. Sampling was done by total sampling. Result: There were 12 pregnant womens who met the inclusion and exclusion criteria. Most of the subject aged 20-35 years (91.7%), high school graduates (58.3%), and multiparous (66.7%). There are as many as 50% of fetuses with congenital abnormalities. Most of the oligohydramnios were diagnosed in the third trimester (83.3%). Pregnant women with oligohydramnios have a relatively high proportion of preterm births (41.7%). Most of the subject still have good fetal outcome (alive) (66.7%). Conclusion: Pregnant women with oligohydramnios had age, education and parity who were not at high risk but more often had fetuses with congenital abnormalities and premature births. Amnioinfusion reduces fetal mortality
Correlation between Menopause and Changes in Women's Sexual Function at Lubuk Buaya Public Health Center Marcella Ilham; Syahredi Adnani
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.431-445.2023

Abstract

Background: Sexuality is a fundamental need, as is eating and sleeping. Post-menopausal women experience many psychological changes and have feelings about their negative reactions to menopausal transformations. Decreased sexual function is considered one of the important complications of this period that plays a negative effect on sexual function. This study aims to determine the relationship of menopause stage with sexual function of women in Lubuk Buaya Public Health Center (PHC).Method: This research method is observational analytic with a cross-sectional method. This study was conducted starting in March 2021 until the number of samples was reached. The study was conducted in the working area of Lubuk Buaya PHC. The minimum number of samples studied in this study was determined 140 samples. The sampling technique is stratified random sampling. Univariate analysis of data in the form of tables and bivariate analysis using normality test using Kolmogorov-Smirnov test, if the data is normally distributed Anova test or Kruskal Wallis test. If the p-value <0.05 is significant.Results: The average age of respondents was 48 years This study found the frequency of premenopausal stage found the most (43.6%), followed by postmenopausal stage (21.4%), perimenopause (17.9%), and menopause stage (17.1%). The domain of desire (2.7±1.0) and arousal (2.7±1.3) achieved the lowest score, indicating major sexual problems, while the domain of pain was the domain where women obtained the highest score (3.6±1.5) indicating minor sexual problems. In this study, it was found that the menopause stage affects five domains of sexual function changes in the FSFI, namely desire, arousal, lubrication, orgasm, and satisfaction, while in the pain domain, there was no significant relationship.Conclusion: Menopausal status is significantly related to the domains of lust, lust, lubrication, orgasm, and satisfaction. There is a significant relationship between the stage of menopause with FSFI domain scores.
Myxoid ovaries that resemble malignancy in young girls: a case report Fajriman Fajriman; Puja Agung Antonius; Syammel Muhammad
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.473-478.2023

Abstract

In the most recent publications on Mayer-Rokitansky-Küster-Hauser (MRKH) Myxoma is a benign tumor that generally occurs in the heart, soft tissue, muscle, skin and bone. But in this case, we present myxoma that occurs primarily in the ovary. Ovarian myxsoma is a rare benign tumor.In this case report, it was found that a 12-year-old girl was brought by her parents to the M. Djamil Hospital in the city of Padang, West Sumatra. After performing the gynecological physical examination and ultrasonography, there was a hypoechoic mass with an indeterminate solid part of the right adnexa, which was suspected of being an ovarian malignancy. Then it was decided to carry out a procedure in the form of a conservative surgical staging laparotomy. The results of the Anatomical Pathology examination confirmed the myxoid ovarian appearance and the patient was decided for regular monitoring. 
Pengaruh Kadar Vitamin D dan Tumor Necrosis Factor Alpha terhadap Kehamilan Normal Trimester 1 dan Abortus Spontan Olivia Oktaviani Prastiwi; Bobby Indra Utama
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.391-404.2023

Abstract

Latar Belakang: Abortus masih merupakan masalah besar dalam pelayanan obstetri karena merupakan salah satu penyebab kematian ibu dan janin sampai saat ini. Kekurangan vitamin D mempengaruhi kehamilan dan dapat berdampak terhadap risiko komplikasi pada ibu hamil dan pada pertumbuhan janin. Tumor necrosis factor-alpha (TNF-α) adalah sitokin Th1 multifungsi dan sangat penting untuk kontrol awal kejadian abortus. Tujuan penelitian ini melihat apakah terdapat perbedaan kadar vitamin D, dan TNF-α pada pasien kehamilan normal trimester 1 dan pasien dengan kejadian abortus.Metode: Desain penelitian adalah potong-lintang. Penelitian ini dilakukan pada Maret 2022 hingga selesai penelitian di Poliklinik Obstetri dan Ginekologi, PONEK RSUP Dr. M. Djamil Padang, Rumah Sakit Universitas Andalas, Rumah Sakit dr. Reksodiwiryo Padang, RSUD M Zein Painan, RSUD Pariaman untuk pengambilan sampel darah. Pemeriksaan kadar 1,25 dihidroksi vitamin D3, TNF-α serum maternal dilakukan di Laboratorium Biomedik Universitas Andalas Padang. Sampel penelitian ini adalah seluruh ibu hamil trimester 1 dan ibu dengan abortus berjumlah 44 orang. Teknik pengambilan sampel dengan consecutive sampling. Analisis data univariat dan bivariat dengan menggunakan uji T-independen (p<0,05) pada taraf signifikansi dan uji Mann-whitney berdasarkan distribusi data. Hasil: primipara lebih banyak pada kehamilan normal yaitu 19 orang (86,4%) dan abortus paritas multipara lebih banyak yaitu 12 orang (54,5%). Rerata kadar serum 1,25 dihidroksi vitamin D3 sebesar 52,81 ng/ml dan rerata kadar TNF-α sebesar 351,07 ng/ml. Terdapat perbedaan bermakna pada kadar 1,25 dihidroksi vitamin D3 antara kehamilan normal dengan kehamilan abortus dengan p value 0,047. Perbedaan kadar TNF-α antara abortus dan kehamilan normal didapatkan p value 0,108.Kesimpulan: Terdapat perbedaan bermakna pada kadar vitamin D antara kehamilan normal dengan kehamilan abortus. Tidak terdapat perbedaan bermakna pada kadar TNF-α antara kehamilan abortus dengan kehamilan normal.
A Literature Review : The Role of Genetics in Women of Reproductive Age with Anemia Ida Rahmah Burhan; Delmi Sulastri
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.%p.2023

Abstract

One of the main nutritional problems in Indonesia is anemia. Iron deficiency anemia can occur due to the interaction of two factors, namely iron intake itself and the role of genetics. The genes in humans and animals involved in iron mechanism is Transmembrane Protease Serine 6 (TMPRSS6). The purpose of this literature review is to determine the role of genetics in reproductive age women with anemia. The search was conducted with Google Schoolar database and Pubmed database looking for articles of the last 10 years from 2012 - 2022. From the number of articles found, only about 10 articles have full criteria. The results of a review of a number of articles found that there is a genetic role in women of reproductive age with anemia associated with the process of iron metabolism with the role of TMPRSS 6 gene mutations that can inhibit hepsidin activation so that it can reduce the ability to absorb iron and have an impact on the occurrence of iron deficiency anemia.
Skene Duct Cyst in Childhood: A Case Report Agung Wijaya Kusuma; Bobby Indra Utama; Yulia Margaretta Sari
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.446-452.2023

Abstract

Introduction. Vaginal cysts are uncommon and may be either congenital or acquired. the most common vaginal cysts is a urothelial cyst or a paraurethral cyst. With an incidence of 1 in every 2000–7000 live births, paraurethral cysts are an uncommon cause of interlabial mass in newborns and account for less than 0.5 per cent of all congenital urinary system anomalies. Study Purpose. This report describes a rare Vaginal cyst in a child at the posterior vaginal wall.. Results.this is a case report study about a girl 1-year-8-months old with vaginal cyst since the age of 2 months. Physical examination and ultrasound finding revealed a cystic mass size 3x3x1 cm in posterolateral of the right vaginal wall extended to right periurethral. Management of this case was extirpation of the vaginal cyst.Conclusion. A vaginal cyst is an uncommon case in a child. Vaginal cysts have several possible etiologies, such as possibly embryological origin, ectopic inclusion tissue or possibly due to urological abnormalities. Diagnosis requires a thorough understanding of diagnostic possibilities and a systematic evaluation. This patient has been treated with surgical excision due to a high success rate.
Hospital Management Functions: A Literature Review Yusrawati Yusrawati; Muhardi Muhardi
Andalas Obstetrics And Gynecology Journal Vol 7, No 2 (2023): VOL 7, NO 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.363-371.2023

Abstract

Hospital management is a process of organizing the available resources to support the efficiency and effectiveness of healthcare services provided. The main functions of hospital management include operational management, cost and financial management, materials management, and human resource management. This literature study aims to review each hospital management function based on previous studies within the last five years (2019-2023) obtained from scientific database searches. The inclusion criteria were studies with topics correlated to the four categories of hospital management functions and written in Indonesian/English. Articles that were published from books were excluded. A total of eight studies which were published in accredited journals and can be accessed in full-text form, were analyzed. The results of this study demonstrate that good management will improve overall hospital performance. High-quality financial management will support optimizing the availability of supporting materials for clinical and diagnostic services in hospitals. In addition, adequate human resources planning and organizing, as well as an appropriate work system design, will acknowledge the need for human resource development to increase the professional competence needed to provide health care in the hospital.

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