Sriwijaya Journal of Obstetrics and Gynecology

Efficacy of Giving Iron Tablets on the Incidence of Anemia in Senior High School Students in Klaten, Indonesia

Yulia Ratna Dewi — 2024-02-29

Introduction: Iron deficiency anemia (IDA) is a common public health problem in adolescent girls. In Indonesia, the prevalence of IDA in adolescent girls reaches 37%. Iron tablets are an effective intervention to prevent and treat IDA.

Methods: This research was a randomized controlled trial conducted on female senior high school students in Klaten, Indonesia. A total of 200 female students who met the criteria for anemia (hemoglobin levels < 12 g/dL) were randomized to receive iron tablets or placebo for 12 weeks.

Results: At the end of the study, hemoglobin levels in the iron tablet group were significantly higher than those in the placebo group (mean difference 1.2 g/dL, 95% CI 0.8-1.6 g/dL). The prevalence of anemia in the iron tablet group was also significantly lower compared to the placebo group (20% vs 40%, p = 0.02).

Conclusion: Giving iron tablets is effective in increasing hemoglobin levels and reducing the incidence of anemia in female senior high school students in Klaten, Indonesia.

Fournier's Gangrene in 21 Years Old Female: A Case Report

Michael Adriel Liwanto — 2024-03-15

Introduction: Fournier's gangrene, also known as gangrene of the genital region, is an uncommon and rapidly advancing form of necrotizing fasciitis that affects the genitals. The severity and mortality of the disease are dependent upon the overall health status of the patient at the time of diagnosis and the speed at which the infection spreads.

Case presentation: An unmarried 21-year-old woman presented with a persistent discharge of abscesses in the perineal area. The patient came in ambulatory and showed no indicators of heart or lung discomfort. A pelvic examination was performed, and the following observations were made: A visual examination revealed swelling in the vulvar area on both sides, along with an open wound within the swelling measuring 3×3 cm. The wound was discharging reddish, thick, and foul-smelling fluid. A glucose level of +4 was observed in the urine, and a random blood sugar test yielded a value of 324 mg/dl. The patient received wound debridement, excision, and electrocauterization of genital warts, blood sugar monitoring with insulin administration, and a 14-day course of antibiotics. The patient's condition improved, and they were discharged after receiving 14 days of intravenous antibiotic treatment.

Conclusion: The treatment of Fournier gangrene requires a comprehensive approach that includes intensive systematic management, broad-spectrum antibiotic therapy, and early surgical debridement. This involves removing the necrotic tissues and surgically draining the peritoneum, scrotum, penis, and inguinal regions.

Analysis of Sociodemographic and Psychosocial Risk Factors for Teenage Pregnancy: A Cross-Sectional Study at The Teen Mom’s Clinic of Mariano Marcos Memorial Hospital and Medical Center Philippines

Michael Adriel Liwanto — 2024-03-18

Introduction: Teenage pregnancy is a serious public health problem in the Philippines. This study aims to analyze sociodemographic and psychosocial risk factors associated with teenage pregnancy at the Teen Mom's Clinic of Mariano Marcos Memorial Hospital and Medical Center in the Philippines.

Methods: A cross-sectional study was conducted on 152 adolescents who consulted at the clinic. Data were collected through a questionnaire that asked about sociodemographic and psychosocial characteristics. Univariate and bivariate statistical analyzes were used to identify risk factors associated with teenage pregnancy.

Results: The prevalence of teenage pregnancy among consultation subjects at the clinic was 89%. Bivariate analysis showed that age, place of residence, education level, household income, source of income, parental relationship, sexual relationship, relationship status, source of information about sex, sexual experience, number of sexual partners, contraceptive use, STI information, sexual harassment, physical abuse, and verbal abuse were not significantly associated with teenage pregnancy.

Conclusion: Sociodemographic and psychosocial risk factors do not play a significant role in teenage pregnancy in the Philippines.

Analysis of Strategies for Reducing Maternal Mortality Rates (MMR) in Developing Countries: A Meta-Analysis

Muhammad Syauqi Mirza — 2024-06-30

Introduction: Maternal mortality rate (MMR) remains a significant global health problem, especially in developing countries. This study aims to analyze MMR reduction strategies that have been implemented in developing countries through meta-analysis.

Methods: This research uses a meta-analysis design. A literature search was conducted on PubMed, Scopus, and Web of Science databases to identify observational and interventional studies that reported MMR reduction strategies and outcomes in developing countries from 2018 to 2024. Extracted data included study characteristics, intervention strategies, and effect sizes (odds ratio, risk ratio, or mean difference). Meta-analysis was performed using a random effects model.

Results: A total of 35 studies involving 1,254,387 participants met the inclusion criteria. The most commonly used strategies were increasing access and quality of antenatal care (6 studies), increasing access and quality of delivery services (6 studies), and increasing access and quality of postnatal care (7 studies). Meta-analysis showed that all these strategies significantly reduced MMR (OR = 0.65, 95% CI: 0.58-0.73; RR = 0.72, 95% CI: 0.65-0.80; MD = -15.8, 95% CI: -20.3 to - 11.3).

Conclusion: Increasing access and quality of antenatal, delivery and postpartum services is an effective strategy in reducing MMR in developing countries. Implementing this strategy in a comprehensive and integrated manner is very important to achieve sustainable development goals in reducing MMR.

Primigravida with Fetal Malpresentation and Bicornuate Uterus: A Case Report

Christofel Panggabean — 2024-06-30

Introduction: Malpresentation of the fetal head in left oblique presentation is a rare obstetric complication but has the potential to cause birth difficulties. This condition can be worsened by anatomical abnormalities of the uterus such as a bicornuate uterus.

Case presentation: An 18-year-old primigravida presented with complaints of labor and premature rupture of membranes. Examination revealed malpresentation of the fetal head in left oblique presentation, and further ultrasound examination revealed a possible bicornuate uterus.

Conclusion: Careful labor management and appropriate surgical intervention, in this case, an emergency caesarean section, resulted in the birth of a healthy baby girl. This case emphasizes the importance of early diagnosis and a multidisciplinary approach in treating complex cases of fetal malpresentation.