Probiotic Supplements do not Increase the Effectiveness of Antibiotics in the Treatment of Bacterial Vaginosis

Objective : This study aims to assess the effect of the addition of probiotic supplement to the standard therapy on the recovery of Bacterial vaginosis infection. Methods: The research was conducted by taking samples from Obstetrics and Gynecology Department in several teaching hospitals of Faculty of Medicine, Hasanuddin University. This study was an experimental study. Consecutive sampling was conducted on 50 samples, which were then divided into two groups. Group 1 received Metronidazol therapy 2 times a day for 7 days, while group 2 received Metronidazol therapy 2 times a day supplemented with oral Probiotic of once a day for 7 days. The data were analysed by using the chi-square test. Results: There is no significant difference in the recovery of bacterial vaginosis infection between the group that received the probiotic supplementation and the group that did not. Conclusion: The addition of probiotic supplement to the standard therapy of BV infection does not show any signifcant effect. [Indones J Obstet Gynecol 2013; 1-4: 194-8] Keyword: bacterial vaginosis, probiotic supplement, recovery, standard therap

Perineal Massage during Second Stage of Labor to the Perineal Laceration Degree in Primigravida

Objective: To determine the effect of perineal massage during second stage of labor on the perineal laceration degree in primigravida. Methods: The design of this study was non randomized controlled trial by conducting massage training of the perineum to 20 obstetrics and gynecology residents. All residents had passed the normal delivery care training. Primigravida who met the inclusion criteria were included in this study. We assessed the degree of perineal laceration in this study. Data were analyzed using Chi square test in SPSS. Results: We obtained 103 subjects for massage group and 79 subjects for control group. There was a significant association between massage group and the incidence of intact perineum. In the massage group, most of perineal lacerations were first degree of laceration (52.4%); whereas, in the control group, most of them were second degree of laceration (77.2%). Statistical analysis showed a significant association between perineal massage and decreased of perineal laceration degree (

PENINGKATAN PENGETAHUAN DAN KEMAMPUAN KONSELING KONTRASEPSI JANGKA PANJANG PASCA SALIN PADA KONSELOR DI RSKDIA FATIMAH: IMPROVEMENT OF LONG-TERM POST DELIVERY CONTRACEPTION COUNSELING KNOWLEDGE AND ABILITY COUNSELOR AT FATIMAH MOTHER AND CHILDREN HOSPITAL

Angka kematian ibu dan anak di Indonesia terutama di Sulawesi Selatan masih tinggi. Salah satu cara menurunkan angka kematian ibu adalah menjarangkan kehamilan dengan penggunaan kontrasepsi. Ibu pasca salin yang tidak menggunakan kontrasepsi berpotensi mengalami kehamilan dengan jarak sangat dekat, berkaitan dengan kehamilan berisiko dan kehamilan yang tidak diinginkan yang akan berkontribusi terhadap kematian ibu. Namun, sampai saat ini penggunaan kontrasepsi pasca salin masih rendah terutama untuk metode kontrasepsi jangka panjang. Berdasarkan Riskesdas tahun 2018, cakupan pemakaian IUD sebesar 6,6% dan susuk sebesar 4,7%. Faktor yang menurunkan minat untuk memakai kontrasepsi adalah kurangnya pengetahuan akseptor mengenai kelebihan, efek samping, efektivitas dan efisiensi. Pelaksanaan konseling yang baik dengan penjelasan yang optimal dari konselor dapat mempengaruhi keputusan klien dalam menggunakan kontrasepsi. Tujuan dalam intervensi kegiatan in-house training ini adalah untuk mengevaluasi tingkat pengetahuan dan kemampuan konselor mengenai konseling kontrasepsi jangka panjang pasca salin sebelum dan setelah dilakukannya in-house training. Tahapan berupa pretest, dilanjutkan dengan pemberian materi kemudian sesi tanya jawab, demonstrasi dan praktik pada model dan diakhir dengan posttest. Hasil menunjukkan tingkat pengetahuan tentang konseling kontrasepsi jangka panjang pasca salin adalah 3,51(0,51)  dan tingkat kemampuan adalah 3,41(0,57) sebelum diberikan in-house training dan meningkat signifikan menjadi tingkat pengetahuan peserta adalah 4,70(0,47) dan untuk tingkat kemampuan adalah 4,59(0,50).setelah diberikan in-house training (p<0,05). Hasil ini menunjukkan terdapat peningkatan pengetahuan dan kemampuan secara signifikan sebelum dan setelah dilakukan in-house training. Dampak dari kegiatan ini diharapkan dengan meningkatnya pengetahuan dan kemampuan tenaga kesehatan sebagai konselor maka akan meningkatkan minat penggunaan kontrasepsi pasca salin. Kata kunci: Pengetahuan, Konseling, Kontrasepsi. ABSTRACT Maternal and child mortality rates in Indonesia, particularly in South Sulawesi, still high. Using contraception to space out pregnancies is one method of lowering maternal mortality. Post delivery mothers who do not use contraception are at risk of having very close pregnancies, which can lead to risky pregnancies and unwanted pregnancies, both of which contribute to maternal mortality. However, the use of postpartum contraception is still low, particularly for long-term contraceptive methods. According to Riskesdas 2018, IUD usage is covered at 6.6 percent and implants at 4.7 percent. Acceptors’s lack of knowledge about the benefits, side effects, effectiveness, and efficiency of contraception is one factor that reduces their interest in using it. A good counseling implementation with optimal explanation from the counselor can influence the client's decision to use contraception. The goal of this intervention was to assess counselors' knowledge and ability regarding long-term post delivery contraception counseling before and after the in-house training. The stages consist of a pretest, material distribution, a question and answer session, demonstration and practice on the model, and a posttest. The results showed that the level of knowledge about long-term postpartum contraceptive counseling was 3.51(0.51) and the level of ability was 3.41(0.57) before being given in-house training and a significant increase to the level of knowledge of participants was 4.70(0.47) and the ability level is 4.59(0.50) after being given in-house training (p0.05). These findings indicate that there is a significant increase in knowledge and skills before and after in-house training. The impact of this activity is expected to increase health workers' knowledge and ability as counselors, as well as interest in the use of postpartum contraception. Keywords: Knowledge, Counseling, Contraception

The Effect of Cyclophosphamide Chemotherapy on Ovarian AntiMüllerian Hormone Levels in Breast Cancer Patients

Objective: To evaluate cyclophosphamide effects on Anti- Müllerian hormone (AMH) levels in breast cancer patients treated with cyclophosphamide chemotherapy. Methods: This cohort prospective study was conducted in Dr. Wahidin Sudirohusodo Hospital in the Department of Obstetrics and Gynecology in collaboration with Department of Surgery, Faculty of Medicice, Universitas Hasanuddin between September 2015 and June 2016. Serum levels of AMH from forty breast cancer patients received three series of cyclophosphamide chemotherapy determined by Enzyme Linked Immuno Sorbent Assay (ELISA). Results: Serum AMH levels decreased significant in the first series (from 2.092.04 ï­g/ml to o.651.06 ï­g/ml; p<0.05) through the third series (from 1.531.34 ï­g/ml to 0.50.65 ï­g/ml; p<0.05) of cyclophosphamide chemotherapy. Conclusion: AMH levels decreased significant after cyclophosphamide indicated that cyclosphosphamide decrease ovarian reserve. [Indones J Obstet Gynecol 2018; 6-1: 64-67] Keywords: anti-müllerian hormone, breast cancer, cyclophosphamide, ovarian reserveObjective: To evaluate cyclophosphamide effects on Anti- Müllerian hormone (AMH) levels in breast cancer patients treated with cyclophosphamide chemotherapy. Methods: This cohort prospective study was conducted in Dr. Wahidin Sudirohusodo Hospital in the Department of Obstetrics and Gynecology in collaboration with Department of Surgery, Faculty of Medicice, Universitas Hasanuddin between September 2015 and June 2016. Serum levels of AMH from forty breast cancer patients received three series of cyclophosphamide chemotherapy determined by Enzyme Linked Immuno Sorbent Assay (ELISA). Results: Serum AMH levels decreased significant in the first series (from 2.092.04 ï­g/ml to o.651.06 ï­g/ml; p<0.05) through the third series (from 1.531.34 ï­g/ml to 0.50.65 ï­g/ml; p<0.05) of cyclophosphamide chemotherapy. Conclusion: AMH levels decreased significant after cyclophosphamide indicated that cyclosphosphamide decrease ovarian reserve. Keywords: anti-müllerian hormone, breast cancer, cyclophosphamide, ovarian reserv

Informatic Video Increased The Number of Acceptors in Post Placental Insertion of Intrauterine Device (IUD): Video Informasi Meningkatkan Jumlah Akseptor Alat Kontrasepsi Dalam Rahim (AKDR) Pascaplasenta

Abstract Objective: To find out the role of informatic video in obtaining consent for post placental insertion of Intrauterine Device (IUD) Methods: This was a prospective randomized controlled trial. The informatic video was given to the study group compared by the level of acceptance of the respondents in the control group that was given conventional methods. This research was carried out in Pertiwi, Fatimah, and Khadijah I Mother and Child Hospital Makassar. The data were analyzed by chi-square test with significant level p&lt;0.05. Results: There was a significant correlation between informatic video groups to the consent (p=0.026) and the insertion (p=0.034) of post placental IUCD. The informatic video had the effects to increased the number of acceptors post placental IUCD with the value of significance as 0.018, therefore if the informatic video was increased, then the consent of insertion IUCD was also increased. Conclusions: Informatic video had the effects of increased the number of acceptors post placental IUCD. Keywords: informatic video, postplacental insertion of Intra-Uterine Contraceptive Device (IUCD) &nbsp; Abstrak Tujuan: Mengetahui hubungan antara video informasi dalam pengambilan persetujuan tindakan medis pada pemasangan AKDR pasca plasenta. Metode: Penelitian ini merupakan penelitian kohort dengan uji acak terkontrol prospektif. Jenis penelitian ini adalah penelitian uji kohort dimana peneliti memberikan tayangan video informasi pada kelompok penelitian serta membandingkan tingkat penerimaan pasien terhadap AKDR dengan kelompok kontrol. Penelitian ini dilaksanakan di Rumah Sakit Khusus Daerah Ibu dan Anak Pertiwi, Rumah Sakit Khusus Daerah Ibu dan Anak Fatimah, Rumah Sakit Ibu dan Anak Khadijah I Makassar. Data dianalisis dengan uji chi-square dengan kemaknaan p&lt;0,05. Hasil: Terdapat hubungan yang bermakna antara pemberian video informasi terhadap persetujuan (p=0,026) dan pemasangan (p=0,034) AKDR pascaplasenta. Video informasi memiliki pengaruh dalam meningkatkan jumlah akseptor AKDR pascaplasenta dengan nilai signifikansi sebesar 0,018, sehingga jika bantuan video informasi meningkat maka keputusan dalam pemasangan AKDR juga meningkat. Kesimpulan: Video informasi memiliki pengaruh dalam meningkatkan jumlah akseptor AKDR pasca plasenta. Kata kunci: AKDR pascaplasenta, video informas

Analisis Hubungan Clinical Autonomy Terhadap Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional

Background: In Indonesia, the National Health Insurance System (NHIS) is an implementation of law No. 40 of 2004 on the National Social Insurance System in health sector with universal health coverage (UHC) concept. Therefore, the satisfaction of specialist’s work will be very influence towards hospital works. The previous research (Nasruddin, 2017) about factor analysis related to job satisfaction of doctor specialist for obstetrics and gynecology (SpOG) toward Sectio Caesarea (SC) on NHI showed that medical service (transparency and remuneration) and working condition have significant correlation towards work satisfaction of doctor SpOG in SC on NHI.    Objective: to analyze the correlation of clinical autonomy on job satisfaction of doctor SpOG on Sectio Caesarea on National Health Insurance system.Method: A quantitative research by applying analytic observational study with cross sectional design.Materials and Research: This research was conducted in Makassar. A number of sample was 73 doctors SpOG. Data was obtained by clinical autonomy questionnaire having been tested its validity and reliability. The result of the research was analyzed by using chi-square test.  Result: Based on the correlation of characteristics towards work satisfaction of doctor SpOG in SC on National Health Insurance system found that age category between 36 – 45 years old is satisfied, female is satisfied, working duration more than 5 years is dissatisfied and public hospital status is dissatisfied. There is no correlation between clinical autonomy in this case is control overwork (p = 0.170) and prerogative obtain need service (p = 0.240) on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System.Conclusion: There is no relation between clinical autonomy on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Even though the doctors SpOG are not satisfied with NHI (medical service and working condition) but the doctors are able to work professionally with clinical autonomy. Keywords: clinical autonomy, doctor SpOG, National Health Insurance System

Evaluation of Pelvic Floor Muscle Strength and Anal Spinchter Defects in Women Post Repair Obstetric Anal Spinchter Injuries

Tujuan: penelitian ini bertujuan untuk mengevaluasi defek sfingter ani dan disfungsi otot dasar panggul pada perempuan pasca repair trauma sfingter ani obstetri.Metode: Analitik observasional yang dikembangkan dengan desain kohort prospektif. Perempuan yang mengalami Repair Trauma Sfingter Ani Obstetri pada Bulan Januari 2020-Juni 2021 di beberapa RS jejaring Makassar dinilai defek pasca repair dan keluhan subjektif menggunakan USG Transperineal (Alpinion cube 5 dengan probe transvaginal), Skor Wexner, Numeric Pain Rating Scale dan Perineometer (Peritron 9300 V) yang dilakukan dalam 3 kali pengukuran yaitu pada bulan 1, 3 dan 6 pasca repair. Data diuji menggunakan Mann-Whitney test, Cochrane dan Independent T test. Data diolah menggunakan SPSS 24.Hasil: Dari 51 sampel yang dilakukan pemeriksaan, didapatkan rata-rata usia 27.82±4.04 tahun dengan rerata IMT 24.52±4.31 kg/m2. Sampel didominasi oleh primipara sebanyak 41(80,4%). Rerata berat bayi 3312.75±424.24 gram. Terdapat 5 (9,8%) Pasien yang mengalami defek pasca repair, rerata skor wexner pada sampel dengan defek sfingter ani 1.60±1.14 pada bulan pertama, terdapat perbedaan yang signifikan pada dispareunia (p<0.05) dengan rerata 3.33±1.15 pada sampel dengan defek sfingter ani pada bulan keenam. Tampak peningkatan rerata skor kekuatan otot panggul pada perempuan tanpa defek sfingter ani. Kesimpulan: Gejala subjektif dapat ditemukan pada perempuan tanpa defek sfingter ani. Peningkatan kekuatan otot dasar panggul dapat terjadi seiring bertambahnya waktu pasca repair.Evaluation of Pelvic Floor Muscle Strength and Anal Sphincter Defects in Post Obstetric Anal Sphincter Injuries Repair WomenAbstractObjectives: The goal of this study was to look at anal sphincter deficiencies and pelvic floor muscle dysfunction in women who had obstetric anal sphincter injuries and had them repaired.Methods: Analytical was created as an observational study with a cohort prospective design. Women who underwent OASIS Repair in multiple Makassar hospitals between January 2020 and June 2021 were assessed subjectively using Transperineal Ultrasound (Alpinion cube 5 ultrasound with transvaginal probe), Wexner Score, Numeric Pain Rating Scale, and Perineometer (Peritron 9300 V) at 1, 3, and 6 months after repairs. The data was analyzed using the Mann-Whitney test, Cochran test, and Independent T test in SPSS 24. Result: The average age of the 51 samples that underwent the assessment was 27.82.04 years, with a mean BMI of 24.524.31 kg/m2. Up to 41 percent of the sample was dominated by primiparas (80.4 percent ). The average infant weighs 3312.75424.24 grams. There were 5 (9.8%) patients who had a defect after repair, with an average score of 1.601.14 on the first month and a significant difference in dyspareunia (p0.05) with a mean of 3.331.15 on the sixth month in the sample with anal sphincter defect. In women who do not have an anal sphincter dysfunction, there is an average increase in look strength of the pelvic muscle.Conclusion: Women without an anal sphincter abnormality had subjective complaints. With more time passed after surgery, the pelvic floor muscle may improve.Key words: pelvic floor, OASIS, Wexner score, Anal Sphincter defect, Transperineal ultrasoun