Background. The incidence of teenage pregnancy is increasing in the world. It is a high-risk condition leading to adverse perinatal and obstetric outcomes. This study aims to evaluate the obstetric and perinatal outcomes of teenage pregnancy in Indonesian population. Method. A retrospective study was conducted to evaluate obstetric and perinatal outcomes among teenagers and average maternal age (AMA) women. We assessed all singleton live pregnancies during the year period of 2013 in Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. Results. We studied 1,676 eligible subjects during the one-year period in our centre. The prevalence of teenage pregnancy (12 to 19 years old) was 11.40% (191/1676). We found higher prevalence of eclampsia (AOR: 4.03; 95% CI: 1.73–9.39), preterm delivery (AOR: 1.5; 95% CI: 0.88–2.53), anaemia at labour (AOR: 2.42; 95% CI: 1.60–3.67), postpartum haemorrhage (AOR: 2.59; 95% CI: 0.86–7.37), and low birth weight (AOR: 2.28; 95% CI: 1.60–3.25) among teenagers. However, caesarean section was found to be significantly lower among teenage pregnancies. Conclusion. Teenage pregnancy carries significant obstetric complications that should draw physicians’ serious attention. A holistic, comprehensive antenatal, and preventive program should be conducted to prevent teenage pregnancy-related adverse outcomes.

ABSTRAK (OR 1,89; 95% IK 1,61). Wanita dengan kehamilan tunggal (OR 0,17; 95% IK 0,25), presentasi kepala (OR 0,75; 95% IK 0,89), dan kunjungan antenatal yang teratur (OR 0,67; 95% IK 0,84) ABSTRACTBackground: Preterm birth is the leading direct that causes neonatal death. Indonesia was listed as one of the countries with the greatest number of preterm birth in 2010. This study aims to identify the prevalence and the potential risk factors of preterm birth among women underwent delivery in Cipto Mangunkusumo Hospital, an Indonesian national reference hospital.

Web-based training is an effective, efficient, and acceptable training method for medical students on simple infant gross motor screening and is as effective as conventional training.

Introduction Indonesia has the fourth largest population in the world with 255.7 million people and a rate of birth of 21 per 1,000 population. There is also a high rate of unmet need and total fertility rate (TFR), which can potentially lead to unwanted pregnancies, consequently increasing the maternal mortality rate (MMR). Thus, family planning program through postpartum contraceptive use is one of the efforts to reduce the MMR and TFR. This study is conducted to assess the knowledge, attitude, and practice (KAP) of contraception among pregnant women in Ende district. Materials and methods A cross-sectional study was carried out at three primary health centers in the main district of Ende from July to August 2015. A total of 305 pregnant women who completed questionnaires assessing their KAP of contraception were enrolled in this study. The data were analyzed using Statistical Package for the Social Sciences version 23.0 for Windows with Pearson or Spearman correlation tests. Results In this study, 86.53% of pregnant women were aware of family planning methods, among which the best known was injection (63.97%). Most respondents obtained information from health professionals (63.30%). More than half of the respondents agreed that contraception was beneficial and would recommend it to their families. The most prevalent reason for not wanting to use contraception in the future was the desire to have a child (44.59%). The total knowledge score was correlated with attitude and practice scores (p < 0.001). Conclusion More than half of respondents knew, agreed, and would like to recommend contraception. Primary health care providers play a major role in improving women's knowledge of family planning. To support the success of family planning, the government should emphasize on family planning education. In particular, there appears to be need for counseling about family planning for pregnant women. How to cite this article Santoso BI, Surya R. Knowledge, Attitude, and Practice of Contraception among Pregnant Women in Ende District, East Nusa Tenggara, Indonesia. J South Asian Feder Obst Gynae 2017;9(2):104-112.

Introduction:One of the ovarian carcinogenesis theories was the presence of premalignant cells in the epithelium of the fallopian tube. Therefore, the prophylactic salpingectomy during benign gynecological surgery is now expected as the attempt to reduce the ovarian cancer incidence. We studied the effect of prophylactic bilateral salpingectomy (PBS) in reducing the ovarian cancer incidence.Methods:This evidence-based report resulted from critical appraisal of 5 articles. It is aimed to answer our clinical question, can bilateral prophylactic salpingectomy reduce the incidence of ovarian cancer among women underwent hysterectomy for benign condition or permanent contraception surgery? The search was conducted on the Cochrane Library®, PubMed®, and Embase® using keywords of “prophylactic salpingectomy,” and “ovarian cancer incidence.” Reference lists of relevant articles were searched for other possibly relevant articles.Results:Five studies were included in our appraisal. The incidence of ovarian cancer among women underwent prophylactic salpingectomy is lower compared to women who were not underwent any intervention (2.2% to 13% and 4.75% to 24.4%). The salpingectomy may reduce 29.2% to 64% of ovarian cancer incidence. No significant effect of PBS to ovarian function, quality of life, sexuality, surgery duration, and its cost-effective profile were also found throughout our literature study.Conclusion:PBS is suggested to be performed for women during benign gynecological surgery as a primary preventive strategy of ovarian cancer. PBS is a cost-effective procedure, risk-reducing for ovarian cancer and has no significant effect to the ovarian function.

ABSTRAKObjectives: Cesarean delivery rates have increased remarkably and cause a major public health concern. This study aims to evaluate the feasibility of using the Robson Ten Group Classification System (TGCS) for cesarean delivery (CD) indications at institutional level. Materials and Methods: Database of all women delivering at Cipto Mangunkusumo Hospital, Jakarta, Indonesia were analayzed. The CD rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CD rate. In addition, the CD indications in each group were analyzed. Results: Approximately almost half (48.04%) of women delivered by CS in our study. Groups 10 was the largest groups representing 27.82% of the obstetric population. The second and third largest were group 3 and 1, which represents 18.00% and 17.34%, respectively. The highest relatively contribution of CS rate were group 10, 1, and 3 with the percentage of 28.24%, 17.59%, and 15.19%; contributively. Conclusion: The TGCS can be applied at institutional level. It helps in planning strategies for specific subgroups of women to reduce CS rate and improve outcomes.Tujuan: Angka kelahiran sesar telah meningkat sangat dan menyebabkan masalah kesehatan masyarakat yang utama. Penelitian ini bertujuan untuk mengevaluasi kelayakan menggunakan Sistem Klasifikasi Kelompok Robson Sepuluh (TGCS) untuk indikasi sesar (CD) indikasi di tingkat kelembagaan. Bahan dan Metode: Basis data semua wanita yang melahirkan di Rumah Sakit Cipto Mangunkusumo, Jakarta, Indonesia dianalisis. Tingkat CD keseluruhan dan di masing-masing kelompok Robson dihitung, seperti kontribusi masing-masing kelompok terhadap tingkat CD keseluruhan. Selain itu, indikasi CD di setiap kelompok dianalisis. Hasil: Sekitar setengah (48,04%) wanita dilahirkan oleh CS dalam penelitian kami. Kelompok 10 adalah kelompok terbesar yang mewakili 27,82% dari populasi kebidanan. Yang kedua dan ketiga terbesar adalah kelompok 3 dan 1, yang masing-masing mewakili 18,00% dan 17,34%. Kontribusi tingkat CS relatif tertinggi adalah kelompok 10, 1, dan 3 dengan persentase 28,24%, 17,59%, dan 15,19%; secara kontribusi. Kesimpulan: TGCS dapat diterapkan di tingkat institusi. Ini membantu dalam merencanakan strategi untuk subkelompok perempuan tertentu untuk mengurangi tingkat CS dan meningkatkan hasil.

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Objectives: to identify knowledge, attitude, and practice of health providers including GPs and gynecologists to the implementation of the national guideline on the treatment of UTI among pregnant women.Materials and Methods: A cross-sectional study design was used. Subjects were women who attended the International Sym-posium of UTI. Questionnaires consisting ofregarding demo-graphic characteristics, knowledge, attitude, and practice were given to the subjects. The questionnaires had been tested for valid-ity and reliability by applying the Pearson correlation and Cronbach’s alpha test. Statistical analyses were performed using SPSS 23.0 for Windows.A two-tailed p value less than 0.05 was considered to be statistically significant.Results: A total of 140 subjects were recruited in this study. Of these, 104 subjects (74.3%) returned the questionnaire, and 99 subjects (70.7%) were eligible for this study. Nine (9.1%), 69 (69.7%), and 21(21.2%) subjects had good, fair, and poor know-ledge, respectively. Sixty-five (65.7%) and 64 subjects (64.6%) showed a positive attitude and had positive practice, respectively.Conclusion: Knowledge, attitude, and practice among respon-dents are good enough, despite only a few of them have read the updated guideline. Continuous medical education through online update or symposium may be one effective method to disseminate new update in guidelines.