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"ABSTRAKTujuan : Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan dan stigmatenaga kesehatan Indonesia, khususnya Jakarta mengenai Ibu HIV yang melaksanakanpencegahan penularan HIV dari ibu ke bayinya (PMTCT)Metode : Seratus tiga tenaga kesehatan yang bekerja di bidang obstetri dan ginekologi padaRSCM, RS. Fatmawati, RSU Tangerang dan RS Persahabatan terutama yang bekerja dikamar bersalin, ruang rawat, poliklinik dan ruang operasi yang diambil dari data rumah sakitdengan cara consecutive sampling yang memenuhi kriteria inklusi , dilakukan wawancaraterpimpin . Kuesioner tersebut telah dilakukan validasi pada tiga puluh orang tenagakesehatan . Dari jawaban kuesioner tersebut akan menggambarkan data pengetahuantentang HIV dan PMTCT, stigma , ketakutan dan diskriminasi tenaga kesehatan , yangkemudian akan dilakukan analisa bivariat serta multivariat yang terkait dengan stigma tenagakesehatan tersebut.Hasil : Kami mendapatkan tingkat pengetahuan yaitu 89 orang (80,9%) memilikipengetahuan yang baik mengenai HIV/AIDS. Akan tetapi pengetahuan khusus mengenaiPMTCT responden memiliki pengetahuan yang buruk, hanya 8 orang (7,7%) yangmenjawab benar. Dalam penelitian ini juga didapatkan faktor-faktor yang berhubungandengan tingkat pengetahuan yaitu tipe tenaga kesehatan, umur, lama berkerja, serta tingkatpendidikan. Penelitian kami juga mendapatkan stigma (skor stigma tinggi) pada 65responden (63,1%). Dilakukan analisis untuk mencari faktor-faktor yang mempengaruhitimbulnya stigma dan didapatkan umur, lama menjadi tenaga kesehatan, lama bekerja di RSsaat ini, tingkat pendidikan serta keikutsertaan pelatihan HIV/AIDS. Kami mendapatkanskor ketakutan dibagi menjadi ketakutan rendah pada 47 responden (42,7%) dan ketakutantinggi pada 63 responden (57,3%). Pada penelitian ini tidak didapatkan responden yangmenyatakan tidak pernah pada 9 buah pertanyaan tentang diskriminasi, sehingga semuaresponden dikategorikan sadar melakukan diskriminasi.Kesimpulan : Pada penelitian ini kami mendapatkan hampir semua responden memiliki stigmaterhadap HIV/AIDS. Berdasarkan faktor-faktor yang mempengaruhi timbulnya stigma makadiperlukan pelatihan HIV/AIDS untuk semua tenaga kesehatan yang modulnya disesuaikandengan umur, tingkat pendidikan serta jenis tenaga kesehatan yang terlibat.

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ABSTRACTObjective : To capture descriptive of knowledge level and stigma among health careprovider in Indonesia that focused in Jakarta concerning HIV positive motherwho received PMTCT program.Methode : one hundred and three health care provider who worked at Obstetric andgynecologic divivion at Fatmawati hospital, Tangerang hospital andPersahabatan hospital and served in delivery room, ward, outpatient clinic, andoperating theatre consisting doctors, nurses and midwives were interviewedwith quesioner that measure knowledge, fear, stigma and discrimination amongthem. Data were analyzed to get factors that related to stigma.Result : Good level of knowledge was found in 89 providers (80,9%), only 8providers (7,7%) have good knowledge in PMTCT. High level of stigma wasmeasured in 65 providers (63,1%). Factors that related to level of knowledgeare type of service provider, age, length of time as provider and level ofeducation. We found factors that related to stigma are age, length of time asprovider, length of time in current job, level education and trained inHIV/AIDS.We get a scared scores were divided into low fear in 47respondents (42.7%) and fear of height in 63 respondents (57.3%). In this studyfound no respondents who claimed never to 9 questions about discrimination,so that all respondents are categorized conscious discrimination.Conclusion : we revelead that almost all provider have stigma in HIV.AIDS. Training inHIV/AIDS is important to reduce stigma and the programs should be adjustedwith age, level of education, and type of service providers."

"ABSTRAKTujuan : Penelitian ini bertujuan untuk mendapatkan suatu model prediksi diagnosis adenomiosis berdasarkan faktor risiko, tanda dan gejala klinis.Metode : Penelitian ini merupakan uji diagnostik, didapatkan 62 subjek penelitian dari data sekunder rekam medis dari pasien yang terdiagnosis adenomiosis dari pemeriksaan patologi anatomi dan 62 subjek yang didiagnosis bukan adenomiosis berdasarkan pemeriksaan patologi anatomi sebagai kontrol. Faktor risiko, tanda dan gejala klinis yang diteliti adalah usia, paritas, indeks massa tubuh, dismenorea, perdarahan uterus abnormal, massa uterus, disparunea, dan infertilitas. Dan dilakukan uji statistik dengan menggunakan analisa bivariat setiap variabel. Variabel-variabel yang dianggap bermakna selanjutnya akan dilakukan analisis multivariat dengan regresi logistik. Dari faktor risiko yang didapatkan akan dibuat model prediksi diagnosis adenomiosis.Hasil : Berdasarkan analisa bivariat dan analisa multivariat dengan regresi logistik pada variabel yang dinilai didapatkan hanya dismenorea yang menjadi faktor risiko adenomiosis dengan OR 12.972 dan nilai P <0.001. Didapatkan dari dismenorea nilai sensifiitas 91%, nilai spesifisitas 78%, nilai prediksi positif 66% dan nilai prediksi negatif 86%.Kesimpulan : Hanya dismenorea yang memiliki hubungan yang bermakna terhadap adenomiosis dibandingkan non adenomiosis.Suatu model prediksi diagnosis adenomiosis tidak dapat dibentuk karena tidak ada variabel lain seperti usia, IMT, Paritas, disparunea, PUA, maupun infertilitas yang bermakna.

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ABSTRACTObjectives : We sought to formulate a predictive model for diagnosis of Adenomyosis by means of risk factors, clinical signs and symptoms.Method : This was a diagnostic study.From medical record, We obtained 62 subjects diagnosed as Adenomyosis with another 62 patients as control subjects. Both groups have had proven diagnosis by pathology examination. Age, parity, body mass index, dysmenorrhea, abnormal uterine bleeding, uterus mass, dyspareunia, and infertility were the items researched. For statistical analysis, bivariate analysis was done for every variable. Significant associations will further be analyzed with logistic regression to formulate a predictive model for diagnosis of Adenomyosis.Result : from bivariate analysis, followed by logistic regression, only dysmenorrhea stands out as risk factor for Adenomyosis. Odds ratio for dysmenorrhea was 12.972 with P value <0.001. Sensitivity and specificity for dysmenorrhea to diagnose Adenomyosis were 91% and 78%,respectively. Positive predictive value 66%. Negative predictive value 86%.Conclusion : We found only dysmenorrhea with strong association with Adenomyosis. Thus, no predictive model for diagnosis of Adenomyosis can be made. Variables such as age, body mass index, parity, dyspareunia, abnormal uterine bleeding and infertility did not show any significance statistically."

"ABSTRAKTelah diketahuinya PMTCT sebagai cara menurunkan angka transmisi vertikal ibu hamil HIV ke anaknya. Sejauh mana langkah-langkah PMTCT yang dilakukan di RSCM adalah dengan melihat luarannya yaitu status Human Immunodeficiency Virus (HIV) pada anak. Oleh karena itu kami mencari adanya perbedaan transmisi vertikal pada anak dari ibu hamil HIV positif pada PMTCT tidak lengkap dengan lengkap serta faktor-faktor yang mempengaruhi.Ini merupakan penelitian Kohort retrospektif dengan mengambil data dari rekam medis dan/atau menghubungi ibu dengan HIV dan anaknya dari Januari 2010-Februari 2012, secara retrospektif diambil. Dikumpulkan karakteristik dari para subjek, program PMTCT yang didapat dan faktor-faktor risiko sesuai dengan literatur sebelumnya yang mempengaruhi transmisi vertikal.Terdapat 75 ibu hamil dengan HIV positif namun hanya 54 pasang ibu-anak (72%) dengan data yang lengkap. Pada 27 ibu hamil yang mendapat PMTCT lengkap tidak ditemukan transmisi vertikal, sedangkan pada 27 ibu hamil lainnya dengan PMTCT tidak lengkap ditemukan 7 anak positif HIV. Dengan regresi logistik didapatkan hanya ketuban pecah ≥ 4 jam yang menjadi faktor risiko terjadinya transmisi vertikal (p 0.001, RR 64.5, CI 95% 6.14-677.6, uji regresi logistik).Terdapat perbedaan bermakna antara PMTCT tidak lengkap dan lengkap dan dengan melakukan PMTCT lengkap dapat memberikan efek protektif terhadap terjadinya transmisi vertikal sebesar 25.9% (RR 0.741).

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ABSTRACTPMTCT program has been known as a way to decrease the rate of vertical transmission of HIV pregnant women to their children. The extent to which the steps are performed in the RSCM was to look at the HIV status in their children. Therefore this study analyzed any differences on vertical transmission in group with incomplete program and group with complete program as well as the factors influencing completion.This was a retrospective cohort study performed by data collection from medical records and / or interviews with the HIV-infected women from January 2010-February 2012. Variables analyzed were characteristics of the subjects, applied PMTCT program and risk factors that affect transmission.Seventy-five pregnant women with HIV-positive were initially recruited, but 21 subjects were excluded due to incomplete medical record. In first group (n=27) who received complete PMTCT, the vertical transmission were not found, while the second group (n=27) with incomplete PMTCT, seven children were HIV- positive. Rupture of membrane lasted for more than 4 hours was the only significant risk factor for vertical transmission (p 0.001, RR 64.5, CI 95% 6.14-677.6, logistic regression test).There was a significant difference between complete and incomplete PMTCT program. Complete PMTCT program may provide protective effect against the occurrence of vertical transmission of 25.9% (p 0.010, RR 0.741, CI 95% 0.593-0.926, Fisher’s test)."

"ABSTRAK Latar belakang: Data demografi dan survey kesehatan dunia mengemukakan bahwa 92-98% perempuan tidak ingin hamil dalam 2 tahun pertama setelah persalinan, dan 66,5% ingin menggunakan kontrasepsi dengan unmet need 40%. Kontrasepsi pascasalin yang dapat diandalkan, efektif, dan jangka panjang seperti Alat Kontrasepsi Dalam Rahim (AKDR) sangat dibutuhkan.Tujuan: Mengevaluasi penerimaan, efektivitas dan efek samping AKDR pascaplasenta pada persalinan pervaginam di RSCM selama periode 6 bulansetelah pemakaian.Metode: Penelitian observasional dengan disain kohort prospektif. Semua subjek yang memenuhi kriteria penelitian, dilakukan pemasangan AKDR Cu T380A pascaplasenta dan dicatat hingga mencapai jumlah sampel yang dibutuhkan.Penelitian dilakukan di RS Cipto Mangunkusumo Jakarta periode Agustus – Oktober 2012. Penerimaan, efektivitas dan efek samping termasuk angka ekspulsi dinilai pada kunjungan 40-42 hari pascasalin dan 6 bulan kemudian.Hasil: Jumlah total subjek 234 orang, dengan 19,2% tidak datang pada kunjungan ulang pertama dan kedua. Tidak terdapat perbedaan bermakna pada karakteristik subjek yang datang maupun tidak datang pada kunjungan ulang. Pada kunjungan I, 5,1% subjek mengalami ekspulsi dan 4,5 % subjek melakukan pelepasan AKDR. Pada kunjungan II, didapatkan 7,5% ekspulsi dan 4,8% subjek melepasAKDR di luar RS. Dari keseluruhan tersebut terdapat 8,5% yang bersedia dipasang ulang. Efektivitas AKDR mencapai 100% dengan 68,9% subjek masih menyusui hingga 6 bulan. Ekspulsi total pada kunjungan I dan kunjungan II adalah 4,1% dan 0,6%, sedangkan ekspulsi parsial adalah 1% dan 6,9%. Efek samping tersering lainnya adalah keputihan (23%), nyeri haid (4-21%) danperdarahan bercak (2-10%).Kesimpulan: Penerimaan dan efektivitas selama 6 bulan adalah 86,8% dan 100%.Efek samping ekspulsi secara kumulatif selama 6 bulan adalah 12,6%, dengan efek samping lain seperti keputihan, nyeri haid dan perdarahan bercak

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ABSTRAK Background: Current world demographics and health surveys show that 92-98% of women want to delay their future pregnancy for at least 2 years after giving birth. A majority (66,5%) of these mothers require contraception of which 40% are unmet (unmet needs).The Intra Uterine Contraceptive Device (IUCD) can be a reliable, effective long term option to fulfill these unmet needsObjectives: To evaluate the acceptability, effctivity and side effects of Postplacental IUCD after vaginal delivery at Cipto Mangunkusumo Hospital after 6 months period of insertionMethods: We conducted a prospective observational cohort study, Subjects were recruited in Cipto Mangunkusumo Hospital, Jakarta at August-October 2012.Postplacental IUCD was inserted intu the subjects’ uterus until it reached the fundus. The data for acceptibility, effectivty and side effects, including the expulsion rate was obtained at 40-42 days and 6 months after delivery.Result: A total of 234 women were included in this study, with 19,2% loss of follow up. There is no significant difference on subjects’ characteristics who came and loss of follow up in this study. At the first follow up, 5,1% subjectsexperienced IUCD expulsion, and 4,5% had the IUCD removed by request. On the second follow up, expulsion was found in 7,5% of the subjects and 4,8% had the IUCD removed by request or outside our hospital. Eight and a half percent of those subjects were willing to receive IUCD reinsertion. The IUCD effectivity in six months follow up was 100%, with 68,9% of the subjects were still breastfeeding at 6 months after delivery. Total expulsion rate on first follow up compared to 6 months follow up was 4,1% and 0,6%, and the partial expulsion was 1% and 6,9%. The most common side effects were vaginal discharge (23%), dysmenorea (4-21%), and spotting (2-10%).Conclusion: The acceptability and effectivity of postplacental IUCD after 6 months were 86,8% and 100%. Cummulative expulsion rate after 6 months were 12,6%, and the most common other side effects were vaginal discharge, dysmenorea, and spotting"

"ABSTRAK Latar belakang: Penilaian kualitas oosit merupakan bagian terpenting dan tersulit dalam fertilisasi in vitro (FIV). Metode yang saat ini tersedia tidak dapat menilai jumlah dan maturasi oosit secara optimal pada prosedur petik oosit pada FIV. Anti Mullerian Hormone (AMH) dalam cairan folikel dihasilkan langsung oleh sel granulosa, yang diharapkan dapat menjadi parameter alternatif untuk meramalkan kuantitas dan kualitas oosit pada program FIV.Tujuan: Mengembangkan metoda nir-invasif pada program FIV dengan mengetahui nilai prognostik kadar AMH serum dan cairan folikel sebagai parameter alternatif untuk meramalkan kualitas oosit pada program FIV.Metode: Penelitian ini merupakan uji prognostik dengan desain potong lintang selama periode April 2012 hingga Juni 2013 di Poliklinik Yasmin, RSCM, Jakarta. Subjek penelitian merupakan pasien infertilitas yang menjalani program IVF. Pengukuran kadar AMH dan estradiol serum dilakukan pada awal siklus, sementara kadar AMH cairan folikel, jumlah oosit total, jumlah oosit matur dan morfologi oosit dinilai pada saat hari petik ovum. Kualitas oosit dinilai dari skor morfologi oosit modifikasi Xia. Analisis data menggunakan korelasi Pearson dan analisis regresi linier untuk mencari nilai prognostik kadar AMH serum dan cairan folikel sebagai peramal kualitas oosit.Hasil: Didapatkan 102 pasien FIV dengan protokol stimulasi pendek, yang diperiksa kadar AMH serum, kadar AMH cairan folikel, kadar estradiol serum kemudian dinilai jumlah oosit total, jumlah oosit matur dan skor morfologi.Berdasarkan hasil analisis multivariat didapatkan bahwa usia dan AMH serum dapat digunakan dalam meramalkan kualitas oosit (r = - 0,038; r = 0, 183; p < 0,05).Kesimpulan: Kadar AMH serum dan cairan folikel berkorelasi dengan kuantitas oosit. Kadar AMH serum dapat digunakan sebagai parameter untuk meramalkan kualitas oosit, namun tidak untuk AMH cairan folikel

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ABSTRAK Background: Assessment of oocyte quality is an important but difficult component in in vitro fertilization (IVF). Current methods available cannot predict ooctye number and maturation in oocyte pick-up optimally during IVF.Anti Mullerian Hormone (AMH) in follicular fluid is produced directly by granulosa cells, and it could be an alternative parameter to predict oocyte quantity and quality in IVF.Objective: To develop nir-invasif method in IVF program with knowing prognostic value of serum and follicular fluid AMH as alternative parameters to predict oocyte quality.Method: This is a prognostic study with cross sectional design, during a period of April 2012 until June 2013 in Yasmin Clinic, RSCM, Jakarta. The subjects of this study were infertile couples who underwent IVF. The measurement of serum AMH level and serum estradiol serum was done in the beginning of IVF cycles, while follicular fluid AMH, number of oocyte retrieved, number of mature oocyte, and oocyte morphology were measured at the day of ovum pick-up.Oocyte quality using morphological score modified from Xia criteria as parameter. Statistical analysis was done using Pearson correlation and linear regression analysis to measure predictive value of AMH as oocyte qualitypredictors.Result: We obtained 102 short protocol IVF patients. Serum AMH level, AMH level in follicular fluid, serum estradiol, oocyte count, number of mature ooctye, and morphological score were assessed. Based on multivariate analysis, we found that age and serum AMH level can be used to predict oocyte quality (r = - 0,038; r = 0, 183; p < 0,05).Conclusion: There were correlation between serum and follicular fluid AMH with oocyte quantity. AMH level in serum, but not follicular fluid, can be used as a parameter to predict oocyte quality."

"ABSTRAK Pencegahan kematian maternal merupakan salah satu tujuan terpenting dari pelayanan maternal dan neonatal. Intervensi untuk menurunkan angka kematian ibu adalah kombinasi dari adanya tenaga terlatih, pelayanan obstetri emergensi dan tersedianya sistem rujukan. Saat ini usaha untuk menurunkan kematian maternal lebih mengarah pada penyediaan pelayanan obstetri dan neonatal emergensi dasar (PONED). Tingginya rujukan dari puskesmas dan angka kematian ibu di daerah kotamadya Jakarta Timur pada tahun 2012 menjadi perhatian peneliti sehingga kinerja puskesmas mampu PONED perlu dievaluasi.Jenis penelitian observasional dengan menggunakan pendekatan cross-sectional. Jumlah sampel yang diteliti adalah 8 puskesmas PONED yang berada dikotamadya Jakarta Timur.Pengumpulan data menggunakan kuosioner. Data dianalisa secara kuantitatif dengan menggunakan program statistik komputer stata 21. Penelitian inimengambil 8 sampel puskesmas PONED dan didapatkan faktorkinerja masukan yaitu struktur fisik ruangan, peralatan dan obat dan sumber daya manusia tidak memiliki hubungan yang bermakna dengan kelengkapan paket rujukan dan ketepatan waktu rujukan (0.196;0,196; 0,107; 0,107; 1,000; 0,143).Hubungan antara kinerja proses yaitu standard operating procedure (SOP), catatan medis dan tindakan PONED dengan kinerja keluaran pada puskesmas PONED di wilayah Jakarta Timur tidak dapat dianalisis secara statistik karenahasil sebaran data kinerja proses di puskesmas PONED wilayah Jakarta Timur seragam. Faktor lain yang mempengaruhi kinerja keluaran adalah keaktifan warga siaga, umpan balik rujukan dan adanya maklumat pelayanan yang belum ditelaahpada penelitian ini.

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ABSTRAK Prevention of maternal mortality is one of the most important goals of maternal and neonatal care. Interventions to reduce maternal mortality rate involve several aspects, including presence of trained personnel, obstetric emergency care andavailability of referral system. Current efforts to reduce maternal mortality rate are focused on the provision of Basic Emergency Obstetric and Newborn Care (BEmONC). However, the number of referral from community health centers andmaternal mortality rate in East Jakarta in 2012 are still high. Thus, it’s importantto evaluate the performance of community health centers which provide BEmONC. This study used cross-sectional design and involved 8 communityhealth centers which provide BEmONC in East Jakarta. The collected data were analyzed quantitatively by using statistical program Stata 21. We found that the performance indexes in input sector, including physical structures of the building, equipment, drugs and human resources, have no significant relationship with the completeness of referral documents and time of referral (p= 0196; 0.196; 0.107; 0.107; 1.000; 0.143). Performance in process sector, including standard operating procedure (SOP), medical records and BEmONC care, at community healthcenters in East Jakarta were couldn’t analyzed due to similarity of data. We also identified several factors affecting performance in output sectors which have not been explored in this study. They are activity of warga siaga (communityprogram involving husbands to support his pregnant wife), referral feedback, and availability of notice service"

"[ABSTRAKPenelitian ini bertujuan untuk mengetahui gambaran umum kanker ovarium di Rumah Sakit Ciptomangunkusumo (RSCM) 5 tahun terakhir beserta faktor-faktor yang berhubungan dengan kanker ovarium. Penelitan ini mengambil data pasien kanker ovarium selain tipe borderline yang terdapat di Cancer Registry divisi Ginekologi Onkologi dan masih memiliki rekam medis di RSCM pada periode Januari 2010 – Desember 2014, dilakukan follow up untuk mengetahui kesintasan hidup selama 4 tahun. Kami mendapatkan 98 subyek penelitian. Pada penelitian ini didapatkan insidensi kanker ovarium terbanyak pada usia 45-54 tahun (33,6%), insidensi kanker ovarium menurun dengan bertambahnya jumlah anak, sebagian besar kanker ovarium merupakan tipe epitelial (76,5%) dan sebagian besar pasien didiagnosa pada stadium lanjut (55.1%). Kesintasan hidup 4 pasien kanker ovarium tipe epitelial 77%; tipe germinal 83.3%; tipe stroma 100%. Kesintasan hidup 4 tahun dengan terapi pembedahan 84.1%; pembedahan disertai kemoterapi adjuvan 83.3%; kemoterapi neoadjuvan sebelum pembedahan 68.4%. Terdapat 63% respon komplit pada kelompok kemoterapi adjuvan; dan 41.2% pada kelompok kemoterapi neoadjuvan.

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ABSTRACTThe aim of this research is to describe the incidence of ovarian cancer and its characteristic in Ciptomangunkusumo Hospital in the last 5 year. The data was collected from Gynecology Oncology Division’s Cancer Registry and RSCM’s medical record from Januari 2010 – December 2014, follow up was performed to know the survival. There was 98 subject in this research. The result was : majority incidence of ovarian cancer was in the age 45-54 years old (33,6%); ovarian cancer incidence decrease in parity’s group; the majority histotype was epithelial (76.5%); and most of them were diagnosed on advanced stage (55.1%). The 4 year survival rate for epithelial was 77%; germinal was 83,3%; and stromal was 100%. Based on therapy the 4 year survival rate was 84.1%; 83.3% in adjuvant chemotherapy group; and 68.4% in neoadjuvan chemotherapy. In the group of adjuvant chemotherapy there was 63% complete respon and 41.2% in neoadjuvan chemotherapy.;The aim of this research is to describe the incidence of ovarian cancer and its characteristic in Ciptomangunkusumo Hospital in the last 5 year. The data was collected from Gynecology Oncology Division’s Cancer Registry and RSCM’s medical record from Januari 2010 – December 2014, follow up was performed to know the survival. There was 98 subject in this research. The result was : majority incidence of ovarian cancer was in the age 45-54 years old (33,6%); ovarian cancer incidence decrease in parity’s group; the majority histotype was epithelial (76.5%); and most of them were diagnosed on advanced stage (55.1%). The 4 year survival rate for epithelial was 77%; germinal was 83,3%; and stromal was 100%. Based on therapy the 4 year survival rate was 84.1%; 83.3% in adjuvant chemotherapy group; and 68.4% in neoadjuvan chemotherapy. In the group of adjuvant chemotherapy there was 63% complete respon and 41.2% in neoadjuvan chemotherapy.;The aim of this research is to describe the incidence of ovarian cancer and its characteristic in Ciptomangunkusumo Hospital in the last 5 year. The data was collected from Gynecology Oncology Division’s Cancer Registry and RSCM’s medical record from Januari 2010 – December 2014, follow up was performed to know the survival. There was 98 subject in this research. The result was : majority incidence of ovarian cancer was in the age 45-54 years old (33,6%); ovarian cancer incidence decrease in parity’s group; the majority histotype was epithelial (76.5%); and most of them were diagnosed on advanced stage (55.1%). The 4 year survival rate for epithelial was 77%; germinal was 83,3%; and stromal was 100%. Based on therapy the 4 year survival rate was 84.1%; 83.3% in adjuvant chemotherapy group; and 68.4% in neoadjuvan chemotherapy. In the group of adjuvant chemotherapy there was 63% complete respon and 41.2% in neoadjuvan chemotherapy., The aim of this research is to describe the incidence of ovarian cancer and its characteristic in Ciptomangunkusumo Hospital in the last 5 year. The data was collected from Gynecology Oncology Division’s Cancer Registry and RSCM’s medical record from Januari 2010 – December 2014, follow up was performed to know the survival. There was 98 subject in this research. The result was : majority incidence of ovarian cancer was in the age 45-54 years old (33,6%); ovarian cancer incidence decrease in parity’s group; the majority histotype was epithelial (76.5%); and most of them were diagnosed on advanced stage (55.1%). The 4 year survival rate for epithelial was 77%; germinal was 83,3%; and stromal was 100%. Based on therapy the 4 year survival rate was 84.1%; 83.3% in adjuvant chemotherapy group; and 68.4% in neoadjuvan chemotherapy. In the group of adjuvant chemotherapy there was 63% complete respon and 41.2% in neoadjuvan chemotherapy.]"

"[ABSTRAKTujuan : Mengetahui gambaranpemilihan gender dokter obgin di RSUDZA Banda Aceh secara umum dan berdasarkan tindakan medis (pemeriksaan pelvik, kontrol kehamilan, bedah sesar, dan bedah ginekologi). Mengetahui apakah terdapat hubungan antara pemilihan gender dokter obgin dengan prosedur tindakan medis. Mengetahui adakah pengaruh umur, agama, status perkawinan, jumlah paritas, tingkat pendidikan, dan pekerjaan terhadap pemilihan gender dokter obgin.Metode : Penelitian observasionaldengan desain potong lintang. Penelitian berlangsung dari Juli sampai Desember 2013 di Poli Obgin RSUDZA Banda Aceh. Sebanyak 186 sampel diwawancara menggunakan kuesioner. Dilakukan deskriptif kategorikuntuk mengetahui gambaranpemilihan gender dokter obgin sehingga didapatkan jumlah dan persentase dari tiap-tiap variabel. Untuk mengetahui adakah hubungan antara pemilihan gender dokter obgin berdasarkan tindakan medisdilakukan penelitian analitik komparatif kategorik tidak berpasangan menggunakan uji Chi Square (p < 0,05 hipotesis terbukti benar). Analisis multivariat dengan regresi logistik untuk mencari pengaruh variabel independen (umur, agama, status perkawinan, jumlah paritas, tingkat pendidikan, pekerjaan) secara bersama-sama terhadap tindakan medis.Hasil : Pasien yang memilih dokter obgin perempuan 72%, laki-laki 5,4%, tidak memilih gender dokter 22,6%. Pada tindakan pemeriksaan pelvik, sebanyak 86,6% memilih dokter perempuan, 10,8% tidak memilih gender dokter, dan 2,7% memilih dokter laki-laki. Pada tindakan kontrol kehamilan, sebanyak 67,2% memilih dokter perempuan, 24,2% tidak memilih gender dokter, dan 8,6% memilih dokter laki-laki. Pada tindakan bedah sesar, sebanyak 59,7% memilih dokter perempuan, 25,8% tidak memilih gender dokter, dan 14,5% memilih dokter laki-laki. Pada tindakan bedah ginekologi, sebanyak 59,1% memilih dokter perempuan, 26,3% tidak memilih gender dokter, dan 14,5% memilih dokter laki-laki. Jumlah paritas mempengaruhi pemilihan gender dokter obgin untuk pemeriksaan pelvik, dengan nilai p 0,046 (< 0,05), namun tidak berpengaruh terhadap tindakan medis lainnya.Kesimpulan : Faktor umur, status perkawinan, jumlah paritas, tingkat pendidikan, dan pekerjaan, tidak berpengaruh terhadap pemilihan gender dokter obgin di RSUDZA Banda Aceh. Terdapat pengaruh jumlah paritas terhadap pemilihan gender dokter obgin khusus untuk tindakan pemeriksaan pelvik. Diharapkan dapat dilakukan pengembangan penelitian dengan metode berbeda di daerah lain agar dapat meningkatkan pelayanan dokter obgin di Indonesia.

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ABSTRACTAim : To know the description of women's preferences in selecting their obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh in general and based on medical treatments (pelvic examination, control of pregnancy, cesarean section, and surgical gynecology). To know is there any influence of gender selection towards medical treatments. To know is there any influence of age, religion, marital status, parity, educational level, and work towards women's preferences in selecting their obstetrician and gynecologist.Methods : This study was an observational cross-sectional design starting from July to December 2013 at Obstetrics and Gynecology Policlinic ofZainoel Abidin Hospital Banda Aceh. A total of 186 samples were interviewed using a questionnaire. To find a description of the gender preferences for obstetrician and gynecologist, we performed a descriptive categorical to get the number and percentage of each variable. To determine whether there's a relationship between women's preferences in selecting their obstetrician and gynecologist with medical treatment procedures (pelvic examination, ANC, cesarean section, and gynecology surgical), we used an unpaired categorical comparative analytic study using Chi Square (p < 0,05 hypothesis proved correct). Multivariate analyze using logistic regression to find the influence of the independent variables (age, religion, marital status, parity, education level, occupation) jointly based on medical treatments.Results : The most gender preferences for obstetrician and gynecologist was female (72%), 5.4% choosing male, and 22.6% did not choose gender. Based on pelvic examination, 86.6% choosing female physician, 10.8% did not choose gender, and 2.7% choosing male physician. In the act of ANC, 67.2% choosing female physician, 24.2% did not choose gender, and 8.6% choosing male physician. Based on cesarean section, as many as 59.7% choosing female physician, 25.8% did not choose gender, and 14.5% choosing male physician. At gynecological surgery, as much as 59.1% choosing female physician, 26.3% did not choose gender, and 14.5% choosing male physician. There is the effect of parity on gender preferences of obstetrician and gynecologist for pelvic examination, with p value 0.046 (<0.05), but no effect on other treatments.Conclusion : Age, marital status, parity, education level, and employment did not influence the gender preferences of obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh. There is the effect of parity on gender preferences specifically for pelvic examination.It is hoped that further research by using difference methods can be developed at other regions in order to improve obstetrician and gynecologist services in Indonesia.;Aim :To know the description of women?s preferences in selecting their obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh in general and based on medical treatments (pelvic examination, control of pregnancy, cesarean section, and surgical gynecology). To know is there any influence of gender selection towards medical treatments. To know is there any influence of age, religion, marital status, parity, educational level, and work towards women?s preferences in selecting their obstetrician and gynecologist.Methods : This study was an observational cross-sectional design starting from July to December 2013 at Obstetrics and Gynecology Policlinic ofZainoel Abidin Hospital Banda Aceh. A total of 186 samples were interviewed using a questionnaire. To find a description of the gender preferences for obstetrician and gynecologist, we performed a descriptive categorical to get the number and percentage of each variable. To determine whether there?s a relationship between women?s preferences in selecting their obstetrician and gynecologist with medical treatment procedures (pelvic examination, ANC, cesarean section, and gynecology surgical), we used an unpaired categorical comparative analytic study using Chi Square (p < 0,05 hypothesis proved correct). Multivariate analyze using logistic regression to find the influence of the independent variables (age, religion, marital status, parity, education level, occupation) jointly based on medical treatments.Results : The most gender preferences for obstetrician and gynecologist was female (72%), 5.4% choosing male, and 22.6% did not choose gender. Based on pelvic examination, 86.6% choosing female physician, 10.8% did not choose gender, and 2.7% choosing male physician. In the act of ANC, 67.2% choosing female physician, 24.2% did not choose gender, and 8.6% choosing male physician. Based on cesarean section, as many as 59.7% choosing female physician, 25.8% did not choose gender, and 14.5% choosing male physician. At gynecological surgery, as much as 59.1% choosing female physician, 26.3% did not choose gender, and 14.5% choosing male physician. There is the effect of parity on gender preferences of obstetrician and gynecologist for pelvic examination, with p value 0.046 (<0.05), but no effect on other treatments.Conclusion : Age, marital status, parity, education level, and employment did not influence the gender preferences of obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh. There is the effect of parity on gender preferences specifically for pelvic examination.It is hoped that further research by using difference methods can be developed at other regions in order to improve obstetrician and gynecologist services in Indonesia., Aim :To know the description of women’s preferences in selecting their obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh in general and based on medical treatments (pelvic examination, control of pregnancy, cesarean section, and surgical gynecology). To know is there any influence of gender selection towards medical treatments. To know is there any influence of age, religion, marital status, parity, educational level, and work towards women’s preferences in selecting their obstetrician and gynecologist.Methods : This study was an observational cross-sectional design starting from July to December 2013 at Obstetrics and Gynecology Policlinic ofZainoel Abidin Hospital Banda Aceh. A total of 186 samples were interviewed using a questionnaire. To find a description of the gender preferences for obstetrician and gynecologist, we performed a descriptive categorical to get the number and percentage of each variable. To determine whether there’s a relationship between women’s preferences in selecting their obstetrician and gynecologist with medical treatment procedures (pelvic examination, ANC, cesarean section, and gynecology surgical), we used an unpaired categorical comparative analytic study using Chi Square (p < 0,05 hypothesis proved correct). Multivariate analyze using logistic regression to find the influence of the independent variables (age, religion, marital status, parity, education level, occupation) jointly based on medical treatments.Results : The most gender preferences for obstetrician and gynecologist was female (72%), 5.4% choosing male, and 22.6% did not choose gender. Based on pelvic examination, 86.6% choosing female physician, 10.8% did not choose gender, and 2.7% choosing male physician. In the act of ANC, 67.2% choosing female physician, 24.2% did not choose gender, and 8.6% choosing male physician. Based on cesarean section, as many as 59.7% choosing female physician, 25.8% did not choose gender, and 14.5% choosing male physician. At gynecological surgery, as much as 59.1% choosing female physician, 26.3% did not choose gender, and 14.5% choosing male physician. There is the effect of parity on gender preferences of obstetrician and gynecologist for pelvic examination, with p value 0.046 (<0.05), but no effect on other treatments.Conclusion : Age, marital status, parity, education level, and employment did not influence the gender preferences of obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh. There is the effect of parity on gender preferences specifically for pelvic examination.It is hoped that further research by using difference methods can be developed at other regions in order to improve obstetrician and gynecologist services in Indonesia.]"

"Latar belakang: Menurunkan angka kematian ibu menjadi prioritas program kesehatan global, dan merupakan salah satu target dalam United Nation Millennium Development Goals (MDGs), yaitu menurunkan angka kematian ibu hingga 75% pada tahun 2015. Angka kematian ibu di Indonesia tahun 2012 adalah 359/100.000 kelahiran hidup, dan merupakan salah satu negara dengan angka tertinggi di Asia Tenggara dengan Jakarta memiliki jumlah kematian ibu sebanyak 97 jiwa. Tujuan : Mengidentifikasi karakteristik kematian ibu di RSCM, meliputi karakteristik sosio-demografi, riwayat obstetri dan medis, serta kondisi klinis pasien saat tiba di rumah sakit. Metode : Penelitian ini merupakan survey untuk mengetahui data deskriptif kematian maternal menggunakan rekam medis selama rentang waktu penelitian. Dilakukan telaah rekam medis 51 kasus kematian ibu yang terjadi selama 2 tahun dari Januari 2013 hingga Desember 2014 di bagian Obstetri dan Ginekologi, RSCM. Hasil: Dari 51 kasus kematian maternal, diketahui kelompok usia yang dominan adalah 25-34 tahun (58,8%) dengan mayoritas berpendidikan setingkat SMA (70,6%). Tiga puluh dua (62,8%) subjek dengan paritas lebih dari 2 dan tidak ada subjek yang menggunakan metode kontrasepsi IUD atau implan. Sembilan puluh dua persen subjek melakukan ANC, dengan sebagian besar ≥ 4 kali (33 subjek, 64,7%) dan umumnya dilakukan di bidan (41 subjek, 80,4%). Preeklampsia berat merupakan kelainan dalam kehamilan yang paling banyak dijumpai (26 subjek, 65%). Empat puluh tujuh subjek (92,2%) merupakan pasien rujukan, dengan 10 subjek mengalami eklampsia (19,6%) dan 12 subjek dengan perdarahan (23,5%). Preeklampsia adalah penyebab kematian utama. Kesimpulan: Karakteristik dominan pada kematian maternal di RSCM adalah Ibu dengan preeklampsia, kelompok umur 25-34 tahun, pendidikan setaraf SMA, ANC di bidan, dan jumlah ANC lebih dari 4 kali.

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Background: Reducing maternal mortality is a priority in global health programs, and is one of the targets in the United Nations Millennium Development Goals (MDGs), which is to reduce maternal mortality by 75% by 2015. The maternal mortality rate in Indonesia in 2012 was 359 / 100,000 live births , and is one of the countries with the highest rates in Southeast Asia with 97 maternal death in Jakarta as its capital city.

Objective: Identify characteristics of maternal mortality in tertiary hospitals in Jakarta, including socio-demographic characteristics, previous medical and obstetric history, and patient?s clinical condition on arival to the hospital.

Method: This was a survey to identify descriptive data of maternal mortality using medical records during study period. Manual review of 51 medical records was conducted for 2 years from January 2013 to December 2014 in Department of Obstetric & Gynecology, Cipto Mangunkusumo Hospital.

Results: From 51 maternal mortality, 58,8% was 25-34 years old, with most of them had education at a level of senior high school (70,6%). Thirty two subjects (62,8%) with parity more than 2, there was no history of using IUD or implant as contraception methods. Ninety two percents subjects had antenatal care visits, and mostly ≥ 4 times (33 subjects, 64,7%) and visit midwives (41 subjects, 80,4%). Severe preeclamsia was the dominant comorbid during pregnancy (26 subjects, 65%). Forty seven subjects (92,2%) are referral patients, ten subjects (19,6%) had eclampsia and 12 subjects (23,5%) had hemorrhage. Most of death occured as a result of severe preeclampsia (26 subjects, 50,98%).

Conclusion: Maternal mortality characteristics were identified. Severe preeclamsia was the dominant comorbid during pregnancy, with 25-34 years old group, high school education background, had at least 4 times antenatal care and visit midwife for antenatal care."