Effectiveness, Safety, and Side Effect of Depo Progestin and Depo Vigestron Contraception

Introduction: Trends in contraceptive injections increased in the last two decades. Hormonal contraceptive injection is available in single or combination dose. However, the products are available more than 1 ml (more than recommendation of WHO). This study aims to determine the effectiveness, safety and side effects of the contraceptive injection Depo Progestin® 3 ml, Depo Vigestron® 3 ml and Depo Vigestron® 1 ml. Method: This study used randomized controlled clinical trial and open label. The research subject were 900 people in two center, Surabaya and Palembang. The samples were divided into 3 (three) groups, group Depo Progestin® vial 3 ml, group Depo Vigestron® vial 3 ml, and group Depo Vigestron® vial 1 ml. Each of consist 300 women using the "random permutation block". Analysis was performed 5 times, when an initial injection and a schedule of repeated injections in the 3rd, 6th, 9th and 12th month. The data analyzed include weight, blood pressure, menstrual pattern, and the complaints of the patients. Results: From the 900 only 862 valid samples. The results showed no signi fi cant difference between groups Depo Progestin® 3ml, Depo Vigestron® 3 ml and Depo Vigestron® 1 ml. The majority of respondents experienced an increase in weight, but still within normal limits, did not have increased blood pressure, increased menstrual blood volume, Pregnancy didn\u27t occured to all respondents and found no abnormalities in cervical cytology. Conclusion: Contraceptive injection of Depo Progestin® 3 ml, Depo Vigestron® 3 ml dan Depo Vigestron® 1 ml, have used during 12 months can be concluded that those tree kind of contraception were efective, safe and had no side effect

The Different Perceptions Among Midwives Toward Post C-section Women with HIV

Background: Puerperal post Sectio Caesarea was the period of physical and psychological drain, especially with HIV (Human Immunodeficiency Virus) as complication. In general, health workers still discriminate against HIV patients, as well as post-sectio mothers with HIV. This situation add to the psychological burden and increases the risk of depression during the puerperium. Midwife's perception in caring for post-Section mothers with HIV is needed to produce attitudes and behaviours in supporting care. This study aims to describe the perception of midwives in providing care to post-sectio patients with HIV. Method: This study used a qualitative approach in two HIV referral hospitals in Surabaya with different class types. Participants in this study were determined by purposive sampling, consisting of 6 participants and 4 triangulation participants. Researcher conducted in-depth interview and closed observation with instruments such as recorders, observation sheets and the researchers themselves. Data processing and analysis is carried out by data reduction, data presentation and conclusions. Result: Participants in Hospital ‘A' did not provide different services to post SC patients with HIV while still applying universal precautions. Participants in Hospital ‘B' think that special treatment is needed by applying exaggerated universal precautions. Conclusion: Midwives keep trying to provide comprehensive care although there are differences in perception

Increasing Duration Of Fertility In Women With Endometriosis

Introduction: Infertility is one of the common clinical symptoms in women with endometriosis. Limited ways to diagnose endometriosis, symptoms of endometriosis considered normal and overlap with other diseases that cause delaying treatment that increase the duration of infertility. This study purpose to analyze the differences in duration of infertility to women with endometriosis and without endometriosis. Method: This study is observational analytical research with retrospective case-control designed by looking at medical records in Fertility Clinic Graha Amerta RSUD Dr. Soetomo Surabaya. Total samples in this research are 50 women with infertility, it is divided into 25 people with endometriosis and 25 people without endometriosis. In the medical records, we can see the duration of infertility in each sample. Results: The duration of infertility >3 years occurs in women with and without endometriosis (72% and 80%). In bivariate analysis using the chi-square test, there was no difference that showed increasing duration of infertility (P = 0.508) between women with endometriosis and without endometriosis. Conclusion: There was no differences in the duration of female infertility with endometriosis and without endometriosi

Hubungan Usia dan Tingkat Stres dengan Kejadian Infertilitas di Poli Obgyn RSUD Dr. Soetomo Surabaya

Latar Belakang : Infertilitas merupakan problem yang dihadapi oleh pasangan suami istri yang telah menikah selama minimal satu tahun, melakukan hubungan seksual teratur tanpa menggunakan kontrasepsi tetapi belum berhasil memperoleh kehamilan. usia dan tingkat stres merupakan faktor yang berhubungan erat dengan tingkat kesuburan seorang wanita. Penelitian ini bertujuan untuk mengetahui hubungan antara usia dan tingkat stres dengan kejadian infertilitas. Metode : Penelitian ini adalah penelitian analitik observasional dengan desain hospital based case control di Poli Obgyn RSUD dr. Soetomo Surabaya yang dilakukan sejak bulan maret sampai bulai april 2019. Sampel yang digunakan dalam penelitian ini terdari dari 42 orang wanita infertil dan 42 orang wanita fertil yang diambil dengan metode Purposive Sampling. Data dianalisa menggunakan analisis bivariat menggunakan uji Chi Square dan uji Spearman. Hasil : Hasil penelitian menunjukkan pada kelompok kasus 76,2% responden berada pada kategori usia kurang dari 35 tahun dan pada kelompok kontrol sebanyak 81% pada kategori yang sama. Tingkat stress pada kelompok kasus dan kontrol masing - masing sebanyak 83,3% berada pada kategori normal. Hasil uji chi square antara usia dan kejadian infertilitas didapatkan p value = 0,595 (p value > 0,05). Hasil uji Spearman antara tingkat stress dengan kejadian infertilitas didapatkan p value = 0,906 (p value > 0,05). Kesimpulan: Hasil uji statistik menunjukkan tidak terdapat hubungan yang bermakna antara usia dan tingkat stress dengan kejadian infertilitas