Pub Date : 2023-04-27DOI: 10.20473/mog.v31i12023.1-10
Lilik Triyawati, Esti Yuliani
HIGHLIGHTS One of the most common maternal health problems is the Chronic Energy Deficiency (CED) in pregnancy. Factors that lead to CED incidence were analyzed to be able to provide adequate precautions. It was found that knowledge, education, and information are factors that affect chronic energy deficiency among pregnant mothers. ABSTRACT Objective: To analyze the effect of knowledge, education and information on the incidence of chronic energy deficiency (CED) in pregnant women at Balen Health Center, Bojonegoro Regency, Indonesia. Materials and Methods: This research was a correlational analytic study with a cross-sectional approach. The sample of this study were several pregnant women at Public Health Center Balen, Bojonegoro Regency, Indonesia. There were 122 respondents who were recruited with simple random sampling. The independent variables were the predisposing factors, comprising age, number of children, education background, mother's occupational status and knowledge; the enabling factors of the prenatal class participation, and the reinforcing factors of the family support. The dependent variable was the occurrence of CED. Data collection was carried out using questionnaire and secondary data (maternal cohort). Data were processed by editing, scoring, coding, and tabulating. Data analysis used multiple logistic regression with a significance level of 0.05. Results: The most dominant factor influencing the occurrence of CED was the reinforcing factors of informative support with an Exp value (B) 3.918 and the instrument support with an Exp value (B) value of 3.450. The following factor that influenced the CED incidence was the predisposing factor of knowledge with an Exp value (B) of 2.677, the enabling factor of the prenatal class participation with an Exp value (B) of 1.793, and finally the predisposing factor of education with Exp value (B) of 0.176. Conclusion: In Balen Health Center Bojonegoro, Indonesia, the predisposing factors significantly affecting Chronic Energy Deficiency in pregnant women were knowledge and education level, while the enabling factors were availability of health facilities and prenatal class participation, and the reinforcing factors were informative support and instrument support.
{"title":"Knowledge, education, and information affect chronic energy deficiency among pregnant mothers in the area of Public Health Center Balen, Bojonegoro, Indonesia","authors":"Lilik Triyawati, Esti Yuliani","doi":"10.20473/mog.v31i12023.1-10","DOIUrl":"https://doi.org/10.20473/mog.v31i12023.1-10","url":null,"abstract":"HIGHLIGHTS\u0000\u0000One of the most common maternal health problems is the Chronic Energy Deficiency (CED) in pregnancy.\u0000Factors that lead to CED incidence were analyzed to be able to provide adequate precautions.\u0000It was found that knowledge, education, and information are factors that affect chronic energy deficiency among pregnant mothers.\u0000\u0000 \u0000ABSTRACT\u0000Objective: To analyze the effect of knowledge, education and information on the incidence of chronic energy deficiency (CED) in pregnant women at Balen Health Center, Bojonegoro Regency, Indonesia.\u0000Materials and Methods: This research was a correlational analytic study with a cross-sectional approach. The sample of this study were several pregnant women at Public Health Center Balen, Bojonegoro Regency, Indonesia. There were 122 respondents who were recruited with simple random sampling. The independent variables were the predisposing factors, comprising age, number of children, education background, mother's occupational status and knowledge; the enabling factors of the prenatal class participation, and the reinforcing factors of the family support. The dependent variable was the occurrence of CED. Data collection was carried out using questionnaire and secondary data (maternal cohort). Data were processed by editing, scoring, coding, and tabulating. Data analysis used multiple logistic regression with a significance level of 0.05.\u0000Results: The most dominant factor influencing the occurrence of CED was the reinforcing factors of informative support with an Exp value (B) 3.918 and the instrument support with an Exp value (B) value of 3.450. The following factor that influenced the CED incidence was the predisposing factor of knowledge with an Exp value (B) of 2.677, the enabling factor of the prenatal class participation with an Exp value (B) of 1.793, and finally the predisposing factor of education with Exp value (B) of 0.176.\u0000Conclusion: In Balen Health Center Bojonegoro, Indonesia, the predisposing factors significantly affecting Chronic Energy Deficiency in pregnant women were knowledge and education level, while the enabling factors were availability of health facilities and prenatal class participation, and the reinforcing factors were informative support and instrument support.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81772208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.20473/mog.v31i12023.17-22
A. Shabrina, B. A. Tjokroprawiro, Nila Kurniasari, H. Hidayati
HIGHLIGHTS This study aimed to identify the characteristics of Gestational Trophoblastic Neoplasia (GTN). GTN is chemosensitive, but without appropriate therapy and follow-up, GTN will develop into complications and fatalities. ABSTRACT Objective: Gestational Trophoblastic Neoplasia (GTN) is a pregnancy-related malignancy due to abnormal proliferation of trophoblastic tissue. This study aimed to identify the characteristics of patients with GTN to help diagnose cases of GTN earlier and provide better treatment. Materials and Methods: This was a descriptive retrospective study on medical records of patients with GTN in Dr. Soetomo General Academic Hospital Surabaya, Indonesia, during the period of January 2018 to December 2020 with a total sampling technique. There were 41 patients with GTN included as study subjects. Results: Forty-one cases of GTN met the inclusion criteria out of the fifty medical records collected. The majority of patients aged 21 – 30 years old (34%) and had parity status without data (42%). Regarding the clinical profile based on prognostic factors, the predominant patients (71%) also had no data about the time interval between the end of the last pregnancy and the first time diagnosed by GTN, Those with more than 100,000 mIU/ml of beta-hCG levels were 32%, and those without metastases were 41.5%. Most patients belonged to the low-risk group (49%) and received chemotherapy (71%) with the MTX LD regimen (69%). Conclusion: GTN occurred predominantly in reproductive women that belonged to the low-risk group. Furthermore, chemotherapy is one of the chosen therapy for those patients.
{"title":"A profile of Gestational Trophoblastic Neoplasia in a tertiary hospital in Surabaya, Indonesia","authors":"A. Shabrina, B. A. Tjokroprawiro, Nila Kurniasari, H. Hidayati","doi":"10.20473/mog.v31i12023.17-22","DOIUrl":"https://doi.org/10.20473/mog.v31i12023.17-22","url":null,"abstract":"HIGHLIGHTS\u0000\u0000This study aimed to identify the characteristics of Gestational Trophoblastic Neoplasia (GTN).\u0000GTN is chemosensitive, but without appropriate therapy and follow-up, GTN will develop into complications and fatalities.\u0000\u0000 \u0000ABSTRACT\u0000Objective: Gestational Trophoblastic Neoplasia (GTN) is a pregnancy-related malignancy due to abnormal proliferation of trophoblastic tissue. This study aimed to identify the characteristics of patients with GTN to help diagnose cases of GTN earlier and provide better treatment.\u0000Materials and Methods: This was a descriptive retrospective study on medical records of patients with GTN in Dr. Soetomo General Academic Hospital Surabaya, Indonesia, during the period of January 2018 to December 2020 with a total sampling technique. There were 41 patients with GTN included as study subjects. \u0000Results: Forty-one cases of GTN met the inclusion criteria out of the fifty medical records collected. The majority of patients aged 21 – 30 years old (34%) and had parity status without data (42%). Regarding the clinical profile based on prognostic factors, the predominant patients (71%) also had no data about the time interval between the end of the last pregnancy and the first time diagnosed by GTN, Those with more than 100,000 mIU/ml of beta-hCG levels were 32%, and those without metastases were 41.5%. Most patients belonged to the low-risk group (49%) and received chemotherapy (71%) with the MTX LD regimen (69%). \u0000Conclusion: GTN occurred predominantly in reproductive women that belonged to the low-risk group. Furthermore, chemotherapy is one of the chosen therapy for those patients.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88845283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.20473/mog.v31i12023.52-60
Vienda Leony Agustina, Siti Khaerunnisa, S. Dwiningsih
HIGHLIGHTS Dysmenorrhea pain could be reduced through various non-pharmacological treatments, including administration of ginger (Zingiber officinale) and Fennel (Foeniculum vulgare) which had been shown to significantly reduce the dysmenorrhea pain intensity. The dysmenorrhea pain intensity reduction due to the administration of the natural herbs was not as significant as compared to the ibuprofen or mefenamic acid administration. ABSTRACT Objective: We aimed to compare the effect of ginger and fennel herbs treatment in reducing dysmenorrhea pain intensity. Materials and Methods: We used a systematic review method employing the PRISMA chart. PubMed, Science Direct, Scopus, and EBSCO were searched which resulted in 418 compatible literature. Among the studies found, 13 works of literature that met the PICO inclusion criteria were included in this study. The study subjects involved women aged 15 to 25 years old who experienced dysmenorrhea, had normal or high BMI levels, consumed or did not consume oral contraceptive pills (OCP), and had normal menstrual cycles. Results: The results presented significant decreases in pain intensity in 11 studies, while the two others have shown otherwise. The two studies, with insignificant results, failed to determine the optimum dose to produce the desired analgesic effects. Conclusion: The administration of herbal ginger is considered more effective in reducing the intensity of dysmenorrhea pain.
{"title":"Comparison of the potencies of ginger (Zingiber officinale) and fennel (Foeniculum vulgare) in ameliorating dysmenorrhea pain: A systematic review","authors":"Vienda Leony Agustina, Siti Khaerunnisa, S. Dwiningsih","doi":"10.20473/mog.v31i12023.52-60","DOIUrl":"https://doi.org/10.20473/mog.v31i12023.52-60","url":null,"abstract":"HIGHLIGHTS\u0000\u0000Dysmenorrhea pain could be reduced through various non-pharmacological treatments, including administration of ginger (Zingiber officinale) and Fennel (Foeniculum vulgare) which had been shown to significantly reduce the dysmenorrhea pain intensity.\u0000The dysmenorrhea pain intensity reduction due to the administration of the natural herbs was not as significant as compared to the ibuprofen or mefenamic acid administration.\u0000\u0000 \u0000ABSTRACT\u0000Objective: We aimed to compare the effect of ginger and fennel herbs treatment in reducing dysmenorrhea pain intensity.\u0000Materials and Methods: We used a systematic review method employing the PRISMA chart. PubMed, Science Direct, Scopus, and EBSCO were searched which resulted in 418 compatible literature. Among the studies found, 13 works of literature that met the PICO inclusion criteria were included in this study. The study subjects involved women aged 15 to 25 years old who experienced dysmenorrhea, had normal or high BMI levels, consumed or did not consume oral contraceptive pills (OCP), and had normal menstrual cycles.\u0000Results: The results presented significant decreases in pain intensity in 11 studies, while the two others have shown otherwise. The two studies, with insignificant results, failed to determine the optimum dose to produce the desired analgesic effects.\u0000Conclusion: The administration of herbal ginger is considered more effective in reducing the intensity of dysmenorrhea pain.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74699417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.20473/mog.v31i12023.36-44
Natasya Dyah Ayu Purnamasari, B. A. Tjokroprawiro, B. Utomo, Nila Kurniasari
HIGHLIGHTS Squamous cell carcinoma majorly covered in histopathologic of the records, while adenosquamous followed second. Most of the subjects were referral patients to Dr. Soetomo General Academic Hospital. They were mostly originated from Java outside Surabaya. ABSTRACT Objective: To identify the distribution of age, histopathology type, clinical stage, treatment type, parity, first complaint, and referral origin of geriatric cervical cancer patients at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Materials and Methods: This study was a retrospective study observing data from medical records and presented the data descriptively. The medical records were taken from Oncology Outpatient Clinic in Dr. Soetomo Hospital, from 2020-2021, covering geriatric patients aged more than 55 years old. The data were screened and processed. Results: At Dr. Soetomo Hospital, in 2020-2021 there were 228 cervical cancer patients. From 176 patient data that met the inclusion criteria, the average age was 65.38 ± 4.86 years, with 4 types of histopathology dominated by squamous cell carcinoma (82.39%), adenocarcinoma (11.93%), adenoquamous (3.41%) and others (4%), divided into 8 clinical stages and dominated by stages IIIB (77.27%), IIB (15.9%), IVB (2.84%), IIIA and IB had same number (1.14%), 1A (0.57%) and no cases of IIA were found. The treatments were dominated by chemotherapy (86.36%), radiation therapy (7.38%), no treatment (3.41%), hysterectomy (1.7%), while for conization and palliative therapy each in 1 case (0.57%). Most experienced 3 parity (29.5%), followed by 4 parity (17.61%), >5 (13.07%), 5 (10.23%), 1 (6.82%) and no parity (2.27%). The three first complaints were. vaginal bleeding (82.38%), vaginal discharge (46.02%), and pain (82.38%), and the patients were dominated by referrals from Java Island other than Surabaya City (78.40%), outside Surabaya in Java Island as many as 36 referrals (20.45%) and outside Java Island 2 referrals (1.14%). Conclusion: There were 176 geriatric patients with cervical cancer at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, in the 2020-2021 period, dominated by age 56-65 years, the histopathology type of squamous cell carcinoma, stage IIIB patients, most received therapy was chemotherapy, most were multiparous with 3 parities, the majority experienced complaints of vaginal bleeding when diagnosed with cervical cancer, and were dominated by referrals from Java Island outside Surabaya.
{"title":"Clinical profile of geriatric cervical cancer patients in a tertiary hospital in Surabaya, Indonesia","authors":"Natasya Dyah Ayu Purnamasari, B. A. Tjokroprawiro, B. Utomo, Nila Kurniasari","doi":"10.20473/mog.v31i12023.36-44","DOIUrl":"https://doi.org/10.20473/mog.v31i12023.36-44","url":null,"abstract":"HIGHLIGHTS\u0000\u0000Squamous cell carcinoma majorly covered in histopathologic of the records, while adenosquamous followed second.\u0000Most of the subjects were referral patients to Dr. Soetomo General Academic Hospital. They were mostly originated from Java outside Surabaya.\u0000\u0000 \u0000ABSTRACT\u0000Objective: To identify the distribution of age, histopathology type, clinical stage, treatment type, parity, first complaint, and referral origin of geriatric cervical cancer patients at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.\u0000Materials and Methods: This study was a retrospective study observing data from medical records and presented the data descriptively. The medical records were taken from Oncology Outpatient Clinic in Dr. Soetomo Hospital, from 2020-2021, covering geriatric patients aged more than 55 years old. The data were screened and processed.\u0000Results: At Dr. Soetomo Hospital, in 2020-2021 there were 228 cervical cancer patients. From 176 patient data that met the inclusion criteria, the average age was 65.38 ± 4.86 years, with 4 types of histopathology dominated by squamous cell carcinoma (82.39%), adenocarcinoma (11.93%), adenoquamous (3.41%) and others (4%), divided into 8 clinical stages and dominated by stages IIIB (77.27%), IIB (15.9%), IVB (2.84%), IIIA and IB had same number (1.14%), 1A (0.57%) and no cases of IIA were found. The treatments were dominated by chemotherapy (86.36%), radiation therapy (7.38%), no treatment (3.41%), hysterectomy (1.7%), while for conization and palliative therapy each in 1 case (0.57%). Most experienced 3 parity (29.5%), followed by 4 parity (17.61%), >5 (13.07%), 5 (10.23%), 1 (6.82%) and no parity (2.27%). The three first complaints were. vaginal bleeding (82.38%), vaginal discharge (46.02%), and pain (82.38%), and the patients were dominated by referrals from Java Island other than Surabaya City (78.40%), outside Surabaya in Java Island as many as 36 referrals (20.45%) and outside Java Island 2 referrals (1.14%).\u0000Conclusion: There were 176 geriatric patients with cervical cancer at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, in the 2020-2021 period, dominated by age 56-65 years, the histopathology type of squamous cell carcinoma, stage IIIB patients, most received therapy was chemotherapy, most were multiparous with 3 parities, the majority experienced complaints of vaginal bleeding when diagnosed with cervical cancer, and were dominated by referrals from Java Island outside Surabaya.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80984792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.20473/mog.v31i12023.45-51
H. Ashar, Sri Supadmi, I. Kusrini, A. Murwani, Ismil Khairi Lubis, M. A. Musoddaq, M. Samsudin, H. D. Kusumawardani, Diah Yunitawati, F. P. Senewe, T. Susilowati
HIGHLIGHTS Nearly a quarter of pregnant women experience pregnancy complications during the delivery process Caesarean section delivery is dominant among other methods, and 8.4% of mothers do not have any complications but choosing cesarean section delivery. ABSTRACT Objective: This study aimed to determine the delivery methods, indications and any associations between delivery methods and obstetric complications in Indonesia in 2018. Materials and Methods: This study analyzed data from the Basic Health Research (Riskesdas) 2018. The population and sample were married eligible women of 10 – 54 years old who had children, as many as 78,737 mothers. The variable taken in this study was the problems/complications during pregnancy as the independent variable, and the methods of delivery as the dependent variable. Chi-square test was used for comparison purposes. Logistic regression was run to relationship between complications and delivery methods. Results: Delivery indications were complications during the delivery process (23.23%), premature rupture of membranes (5.07%), obstructed labor (3.37%), transverse fetus (3.09%), bleeding (2.36%), and other complications (3.98%). Methods of delivery were expected delivery (81.45%), cesarean section (17.64%), and with other procedures (0.90%). Conclusion: Complications of labor correlate significantly with the methods of cesarean section. The cesarean section still dominated among other delivery modes, and there are still many mothers who did not have complications or no medical indications but choosing cesarean section delivery.
{"title":"Obstetric complications and delivery methods in Indonesia","authors":"H. Ashar, Sri Supadmi, I. Kusrini, A. Murwani, Ismil Khairi Lubis, M. A. Musoddaq, M. Samsudin, H. D. Kusumawardani, Diah Yunitawati, F. P. Senewe, T. Susilowati","doi":"10.20473/mog.v31i12023.45-51","DOIUrl":"https://doi.org/10.20473/mog.v31i12023.45-51","url":null,"abstract":"HIGHLIGHTS\u0000\u0000Nearly a quarter of pregnant women experience pregnancy complications during the delivery process\u0000Caesarean section delivery is dominant among other methods, and 8.4% of mothers do not have any complications but choosing cesarean section delivery.\u0000\u0000 \u0000ABSTRACT\u0000Objective: This study aimed to determine the delivery methods, indications and any associations between delivery methods and obstetric complications in Indonesia in 2018.\u0000Materials and Methods: This study analyzed data from the Basic Health Research (Riskesdas) 2018. The population and sample were married eligible women of 10 – 54 years old who had children, as many as 78,737 mothers. The variable taken in this study was the problems/complications during pregnancy as the independent variable, and the methods of delivery as the dependent variable. Chi-square test was used for comparison purposes. Logistic regression was run to relationship between complications and delivery methods.\u0000Results: Delivery indications were complications during the delivery process (23.23%), premature rupture of membranes (5.07%), obstructed labor (3.37%), transverse fetus (3.09%), bleeding (2.36%), and other complications (3.98%). Methods of delivery were expected delivery (81.45%), cesarean section (17.64%), and with other procedures (0.90%).\u0000Conclusion: Complications of labor correlate significantly with the methods of cesarean section. The cesarean section still dominated among other delivery modes, and there are still many mothers who did not have complications or no medical indications but choosing cesarean section delivery.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79378742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIGHLIGHTS Maternal stress level during pregnancy in the COVID-19 pandemic had normal category. There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic. Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic. ABSTRACT Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia. Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test. Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102). Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
{"title":"The comparison of maternal stress level during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic","authors":"Farisya Nurliana Fatin, Gatut Hardianto, Dwi Izzati","doi":"10.20473/mog.v31i12023.23-29","DOIUrl":"https://doi.org/10.20473/mog.v31i12023.23-29","url":null,"abstract":"HIGHLIGHTS\u0000\u0000Maternal stress level during pregnancy in the COVID-19 pandemic had normal category.\u0000There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic.\u0000Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic.\u0000\u0000 \u0000ABSTRACT\u0000Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.\u0000Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test.\u0000Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102).\u0000Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84975192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-07DOI: 10.20473/mog.v30i32022.146-153
I. G. S. Winata, I. W. A. S. Pradnyana, Maria Septiana Parmonang Aroean
HIGHLIGHTS 1. Preeclampsia, or hypertension in pregnancy, remains a serious problem that has negative short and long-term consequences for the mother and the baby.2. The use of antihypertensive medications has its own precautions as it they may harm the fetus.3. Prophylactic measures with minimal or moderate impact may be beneficial for mothers with hypertension in pregnancy. ABSTRACT Treatment of hypertension in pregnancy, such as preeclampsia (PE), is still a difficult issue with negative short and long-term consequences for both the mother and the baby. Screening for preeclampsia at 11-13 weeks' gestation using a combination of maternal demographic characteristics and medical history with biomarker measurements can identify approximately 75% of women who develop premature preeclampsia with delivery at 37 weeks gestation and 90% of those with early preeclampsia. Preeclampsia has a 10% positive screen rate at 32 weeks. Another important worry on the use of antihypertensive medications during pregnancy is the potential harm to the fetus. Methyldopa, hydralazine, labetalol, and nifedipine are some common antihypertensive medications. Aspirin use is frequently related to a decrease in the prevention of early preeclampsia, but it must be accompanied by medication adherence. Aspirin can be coupled with heparin. Recent investigations on the use of furosemide and nifedipine in preeclampsia have also revealed a new combination.
{"title":"The role of antihypertensive drugs in patients with preeclampsia and how to prevent it","authors":"I. G. S. Winata, I. W. A. S. Pradnyana, Maria Septiana Parmonang Aroean","doi":"10.20473/mog.v30i32022.146-153","DOIUrl":"https://doi.org/10.20473/mog.v30i32022.146-153","url":null,"abstract":"HIGHLIGHTS\u00001. Preeclampsia, or hypertension in pregnancy, remains a serious problem that has negative short and long-term consequences for the mother and the baby.2. The use of antihypertensive medications has its own precautions as it they may harm the fetus.3. Prophylactic measures with minimal or moderate impact may be beneficial for mothers with hypertension in pregnancy.\u0000 \u0000ABSTRACT\u0000Treatment of hypertension in pregnancy, such as preeclampsia (PE), is still a difficult issue with negative short and long-term consequences for both the mother and the baby. Screening for preeclampsia at 11-13 weeks' gestation using a combination of maternal demographic characteristics and medical history with biomarker measurements can identify approximately 75% of women who develop premature preeclampsia with delivery at 37 weeks gestation and 90% of those with early preeclampsia. Preeclampsia has a 10% positive screen rate at 32 weeks. Another important worry on the use of antihypertensive medications during pregnancy is the potential harm to the fetus. Methyldopa, hydralazine, labetalol, and nifedipine are some common antihypertensive medications. Aspirin use is frequently related to a decrease in the prevention of early preeclampsia, but it must be accompanied by medication adherence. Aspirin can be coupled with heparin. Recent investigations on the use of furosemide and nifedipine in preeclampsia have also revealed a new combination. ","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88412885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-07DOI: 10.20473/mog.v30i32022.128-133
Benjamin Sihite, M. Sitepu, K. Sukatendel, Sarma Nursani Lumbanraja, Iman Helmi Effendi, Rizki Yaznil, E. Ardiansyah
HIGHLIGHTS 1. COVID-19 raises concern in regard with its effect on pregnancy.2. The serological descriptions of umbilical cord of neonates born from mothers suffering from COVID-19 were identified.3. Most of the serology was non-reactive IgG and IgM, followed was reactive IgG and the least was the reactive IgM. ABSTRACT Objective: To evaluate the serological description of the neonatal umbilical cord in COVID-19 mothers confirmed by RT-PCR at Rumah Sakit Umum Pusat (RSUP) H. Adam Malik Medan in January-June 2021. Materials and Methods: This study was an observational study with a case series approach where the cases were mothers infected with SARS CoV-2 confirmed by RT-PCR. The study was conducted at Universitas Sumatera Utara (USU) Hospital Laboratory and RSUP H. Adam Malik for 6 months, from January 2021 to June 2021. The data collected were analyzed using descriptive statistics. If the data were normally distributed, they were presented as mean + SD; otherwise, they were presented as median (min-max) for each variable. The Statistical Package for Social Sciences version 22.0 (IBM SPSS Corp.; Armonk, NY, USA) was used for statistical analysis. Results: Neonatal umbilical cord serology results (IgM and IgG) were predominantly non-reactive, where IgM was non-reactive in 43 neonates (97.7%) and IgG was non-reactive in 37 neonates (84.1%). In mothers without COVID-19 symptoms, neonate umbilical cord serology results were dominated by non-reactive IgM (88.6%) and IgG (79.5%). In mothers who recovered from COVID-19, neonate umbilical cord serology results were also dominated by non-reactive IgM (95.5%) and IgG (81.8%). Conclusion: The neonatal umbilical cord serology results from the mother confirmed with positive COVID-19 were nonreactive IgG and IgM in the majority of 35 (79%) samples, reactive IgG in 7 (15.9%), and reactive IgM in 1 (2%) sample.
HIGHLIGHTS1。COVID-19对怀孕的影响令人关切。对感染COVID-19的母亲所生的新生儿脐带进行血清学描述。血清学以无反应性IgG和IgM居多，其次为反应性IgG，反应性IgM最少。【摘要】目的:评价2021年1 - 6月亚当马利克棉兰医院(Rumah Sakit Umum Pusat, RSUP)经RT-PCR确诊的新冠肺炎母亲的新生儿脐带血清学特征。材料和方法:本研究是一项观察性研究，采用病例系列方法，病例为经RT-PCR确诊的感染SARS CoV-2的母亲。该研究于2021年1月至2021年6月在苏门答腊北方大学(USU)医院实验室和RSUP H. Adam Malik进行，为期6个月。收集的数据采用描述性统计进行分析。如果数据为正态分布，则以mean + SD表示;否则，它们被表示为每个变量的中位数(最小-最大)。社会科学统计软件包22.0版(IBM SPSS Corp.;Armonk, NY, USA)进行统计分析。结果:新生儿脐带血清学结果(IgM和IgG)以无反应为主，其中IgM无反应43例(97.7%)，IgG无反应37例(84.1%)。在无COVID-19症状的母亲中，新生儿脐带血清学结果以非反应性IgM(88.6%)和IgG(79.5%)为主。在COVID-19康复的母亲中，新生儿脐带血清学结果也以非反应性IgM(95.5%)和IgG(81.8%)为主。结论:确诊COVID-19阳性母亲的新生儿脐带血清学结果35例(79%)多数为IgG和IgM无反应，7例(15.9%)为IgG反应，1例(2%)为IgM反应。
{"title":"Serological description of neonatal umbilical cord blood from pregnant woman confirmed with positive COVID-19 by RT-PCR at Rumah Sakit Umum Pusat H. Adam Malik, Medan, Indonesia","authors":"Benjamin Sihite, M. Sitepu, K. Sukatendel, Sarma Nursani Lumbanraja, Iman Helmi Effendi, Rizki Yaznil, E. Ardiansyah","doi":"10.20473/mog.v30i32022.128-133","DOIUrl":"https://doi.org/10.20473/mog.v30i32022.128-133","url":null,"abstract":"HIGHLIGHTS\u00001. COVID-19 raises concern in regard with its effect on pregnancy.2. The serological descriptions of umbilical cord of neonates born from mothers suffering from COVID-19 were identified.3. Most of the serology was non-reactive IgG and IgM, followed was reactive IgG and the least was the reactive IgM.\u0000 \u0000ABSTRACT\u0000Objective: To evaluate the serological description of the neonatal umbilical cord in COVID-19 mothers confirmed by RT-PCR at Rumah Sakit Umum Pusat (RSUP) H. Adam Malik Medan in January-June 2021.\u0000Materials and Methods: This study was an observational study with a case series approach where the cases were mothers infected with SARS CoV-2 confirmed by RT-PCR. The study was conducted at Universitas Sumatera Utara (USU) Hospital Laboratory and RSUP H. Adam Malik for 6 months, from January 2021 to June 2021. The data collected were analyzed using descriptive statistics. If the data were normally distributed, they were presented as mean + SD; otherwise, they were presented as median (min-max) for each variable. The Statistical Package for Social Sciences version 22.0 (IBM SPSS Corp.; Armonk, NY, USA) was used for statistical analysis.\u0000Results: Neonatal umbilical cord serology results (IgM and IgG) were predominantly non-reactive, where IgM was non-reactive in 43 neonates (97.7%) and IgG was non-reactive in 37 neonates (84.1%). In mothers without COVID-19 symptoms, neonate umbilical cord serology results were dominated by non-reactive IgM (88.6%) and IgG (79.5%). In mothers who recovered from COVID-19, neonate umbilical cord serology results were also dominated by non-reactive IgM (95.5%) and IgG (81.8%).\u0000Conclusion: The neonatal umbilical cord serology results from the mother confirmed with positive COVID-19 were nonreactive IgG and IgM in the majority of 35 (79%) samples, reactive IgG in 7 (15.9%), and reactive IgM in 1 (2%) sample.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77567075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-07DOI: 10.20473/mog.v30i32022.139-145
Nurul Ima Suciwiyati, N. Rochmah, M. Faizi, Fadhil Abiyyu Yofi
HIGHLIGHTS 1. Presents a longitudinal case of a child with Organic Central Precocious Puberty (CPP).2. Focused on psychological aspect during the COVID-19 pandemic. ABSTRACT Objective: To present a longitudinal case of a child with organic Central Precocious Puberty (CPP) that focused on medical, growth and development, and parent’s psychological aspect during the COVID-19 pandemic. Case Report: A 14-month old girl attended with major complaints of breasts enlargement and menstruation. The Tanner's stage was at A1M3P1 and the vagina showed reddish-brown spots. The patient’s bone age was advanced (3 years and 6 months). USG examination showed a corpus uterine: cervix ratio of 2:1. GnRH stimulation test showed an elevated of FSH/LH and estradiol. MRI showed an extra-axial dense mass that leads to Hypothalamic Hamartoma (HH). The definitive diagnosis of this patient was organic CPP with HH. The patient was managed with GnRH analog. Precocious puberty (PP) becomes a financial and psychosocial burden for parents. The COVID-19 pandemic adds a double burden for the parents. Conclusion: During the COVID-19 pandemic, parents with PP children had a good psychological aspect if the child was comprehensively handled with adequate motivation and psychoeducation.
{"title":"Psychological aspects of precocious puberty child during the COVID-19 pandemic","authors":"Nurul Ima Suciwiyati, N. Rochmah, M. Faizi, Fadhil Abiyyu Yofi","doi":"10.20473/mog.v30i32022.139-145","DOIUrl":"https://doi.org/10.20473/mog.v30i32022.139-145","url":null,"abstract":"HIGHLIGHTS\u00001. Presents a longitudinal case of a child with Organic Central Precocious Puberty (CPP).2. Focused on psychological aspect during the COVID-19 pandemic.\u0000 \u0000ABSTRACT\u0000Objective: To present a longitudinal case of a child with organic Central Precocious Puberty (CPP) that focused on medical, growth and development, and parent’s psychological aspect during the COVID-19 pandemic.\u0000Case Report: A 14-month old girl attended with major complaints of breasts enlargement and menstruation. The Tanner's stage was at A1M3P1 and the vagina showed reddish-brown spots. The patient’s bone age was advanced (3 years and 6 months). USG examination showed a corpus uterine: cervix ratio of 2:1. GnRH stimulation test showed an elevated of FSH/LH and estradiol. MRI showed an extra-axial dense mass that leads to Hypothalamic Hamartoma (HH). The definitive diagnosis of this patient was organic CPP with HH. The patient was managed with GnRH analog. Precocious puberty (PP) becomes a financial and psychosocial burden for parents. The COVID-19 pandemic adds a double burden for the parents.\u0000Conclusion: During the COVID-19 pandemic, parents with PP children had a good psychological aspect if the child was comprehensively handled with adequate motivation and psychoeducation.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79067541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-07DOI: 10.20473/mog.v30i32022.108-115
Ummu Kulsum, Dwi Izzati, E. Kurniawati, S. Sulistiawati
HIGHLIGHTS 1. One aspect of holistic care to women with cervical cancer is how they are able to cope with their disease.2. Coping process among women with cervical cancer was explored qualitatively.3. Social support, hobbies, and spirituality were found to have influence on coping and acceptance of the condition. ABSTRACT Objective: To explore how the process of coping among women with cervical cancer. Materials and Methods: This study used a qualitative method with phenomenological design. Data were obtained through in-depth interviews. The sampling technique used was purposive sampling. Seven participants were selected according to the inclusion and exclusion criteria. Data analysis techniques used were transcribing verbatim data, data coding, categorizing, developing thematic contexts, and interpreting data. Results: The results of this study revealed that social support, hobbies, and spirituality helped women to cope with their illnesses. The results of this study have implications for health care providers to provide holistic care to women with cervical cancer. Conclusion: The process of coping and acceptance of the condition was different among women with cervical cancer, which was influenced by social support, hobbies, and spirituality.
{"title":"The coping process and acceptance among women with cervical cancer","authors":"Ummu Kulsum, Dwi Izzati, E. Kurniawati, S. Sulistiawati","doi":"10.20473/mog.v30i32022.108-115","DOIUrl":"https://doi.org/10.20473/mog.v30i32022.108-115","url":null,"abstract":"HIGHLIGHTS\u00001. One aspect of holistic care to women with cervical cancer is how they are able to cope with their disease.2. Coping process among women with cervical cancer was explored qualitatively.3. Social support, hobbies, and spirituality were found to have influence on coping and acceptance of the condition.\u0000 \u0000ABSTRACT\u0000Objective: To explore how the process of coping among women with cervical cancer.\u0000Materials and Methods: This study used a qualitative method with phenomenological design. Data were obtained through in-depth interviews. The sampling technique used was purposive sampling. Seven participants were selected according to the inclusion and exclusion criteria. Data analysis techniques used were transcribing verbatim data, data coding, categorizing, developing thematic contexts, and interpreting data.\u0000Results: The results of this study revealed that social support, hobbies, and spirituality helped women to cope with their illnesses. The results of this study have implications for health care providers to provide holistic care to women with cervical cancer.\u0000Conclusion: The process of coping and acceptance of the condition was different among women with cervical cancer, which was influenced by social support, hobbies, and spirituality.","PeriodicalId":52893,"journal":{"name":"Majalah Obstetri dan Ginekologi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84332240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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