This stuady aimed to investigate the relationship between age of menarche to menopause in women of District Kakas of North Sulawesi in year 2014. This was a cross sectional analytic approach. Samples were taken by using purposive sampling method, in which only the samples that met the inclusion criteria that can be the subject of this study. The results showed that the value of Sig. is 0043 with a value of α = 0.05 so it could be concluded that the Sig. <0.05, then Ho is rejected and Ha accepted. It is claimed that there is a relationship between age of menarche to menopause. Correlation value (R) is 0.274 can be interpreted that the relationship between age of menarche to menopause age in the weak category because the value of the correlation <0.5. Regression models obtained Y = 58.364 to 0.879 x (y = age of menopause, x = age of menarche). Conclusion: There was a relationship between the ages of menarche to the age of menopause in women. The earlier menarche occurs, the slower the menopause arises. Conversely, the slower the menarche occurs sooner menopause arises.Keywords: age, menarche, menopauseAbstrak: Penelitian ini bertujuan untuk mengetahui hubungan antara usia menarche dengan usia menopause pada wanita di Kecamatan Kakas Sulawesi Utara tahun 2014. Penelitian ini bersifat analitik dengan pendekatan cross sectional. Sampel diambil menggunakan metode purposive sampling, dimana hanya sampel yang memenuhi kriteria inklusi yang dapat menjadi subyek penelitian ini. Hasil penelitian menunjukkan bahwa nilai Sig. adalah 0.043 dengan nilai α = 0,05 sehingga dapat disimpulkan bahwa Sig. < 0,05 maka Ho ditolak dan Ha diterima. Hal ini menyatakan bahwa ada hubungan antara usia menarche dengan usia menopause. Nilai korelasi (R) adalah 0,274 dapat diinterpretasikan bahwa hubungan antara usia menarche dengan usia menopause ada di kategori lemah karena nilai korelasi < 0,5. Model regresi yang diperoleh Y = 58,364 – 0,879 X (y = usia menopause, x = usia menarche)Simpulan: Terdapat hubungan antara usia menarche dengan usia menopause pada wanita. Makin dini menarche terjadi, makin lambat menopause timbul dan sebaliknya.Kata kunci : usia, menarche, menopause

This study aimed to obtain the relationship between obesity in pregnancy and preeclampsia. This was a retrospective analytical study with a case-control design by using data of patients’ medical records. Samples were pregnant women with obesity (IMT ≥30 kg/m2) at the last pregnancy that suffered from preeclampsia and obese pregnant women without preeclampsia at RSUP Prof. Dr. R. D. Kandou Manado from January, 2013 until December 2014. Data were processed by using SPSS 2.0. The results showed that the number of obese pregnant women that suffered from preeclampsia and obese pregnant women without preeclampsia was 60 people. Most of them suffered from preeclampsia were categorized as obesity I. The chi-square test showed a p value = 0.013 (<α = 0.05). Conclusion: There was a relationship between obesity at pregnancy with preeclampsia at pregnant women at RSUP Prof. Dr. R. D. Kandou Manado. Keywords: BMI, obesity, preeclampsia Abstrak: Penelitian ini bertujuan untuk mengetahui hubungan obesitas pada kehamilan dengan pre-eklampsia. Jenis pnelitian ini analitik retrospektif dengan desain case-control. Data penelitian diperoleh dari catatan rekam medis pasien. Sampel penelitian ini ialah wanita hamil dengan obesitas (IMT ≥ 30 kg/m2) pada akhir kehamilan yang menderita pre-eklampsia dan wanita hamil obes tanpa pre-eklampsia di RSUP Prof. Dr. R.D. Kandou Manado dari bulan Januari 2013 sampai Desember 2014. Data yang diperoleh diolah dengan menggunakan SPSS 2.0. Hasil penelitian memperlihatkan bahwa jumlah wanita hamil dengan obesitas yang menderita pre-eklampsia dan wanita obes tanpa pre-eklampsia sebanyak 60 orang. Sebagian besar responden dengan pre-eklampsia termasuk obesitas I. Hasil uji chi square dengan tingkat signifikan α = 0,05 mendapatkan nilai p = 0,013 (<α = 0,05). Simpulan: Terdapat hubungan antara obesitas pada kehamilan dengan pre-eklampsi pada wanita hamil di RSUP Prof. Dr. R. D. Kandou ManadoKata kunci: IMT, obesitas, pre-eklampsia

Endometriosis is a gynecology disease in which the endometrium grows outside of the uterine cavity. The endometrial tissue that keeps growing can cause irritation, pain, and infertility. The prevalence of endometriosis in women of reproductive age varies between 3-10% meanwhile the incidence endometriosis in infertile women is 9-50%. This study was aimed to obtain the characteristics of patients with endometriosis at Prof. Dr. R. D. Kandou Hospital, Manado from January 2016 to September 2017. This was a descriptive retrospective study, using medical record data of endometriosis patients at Prof. Dr. R. D. Kandou, Manado. The results showed 65 cases of endometriosis during that period but only 54 cases had complete data in the medical records. Endometriosis cases were more common among age of 36-45 years (50%), senior high school (61.1%), housewife (51.9%), married status (92.6%), nulipara (51.9%), menarche at age 12 years (35.2%), duration of menstruation for 5 days (29.6%), dysmenorrhoea (44.4%), endometriosis location in the ovarium (73.6%), endometriosis with stage 4 (51.9%), and treated with operation and medicine (51.9%). Conclusion: Most frequent characteristics patientswith endometriosis were 36-45 years old, senior high school, housewife, married, nulipara, menarche at age 12 years, duration of menstruation 5 days, dysmenorrhoea, location of endometriosis in the ovarium, stage 4 endometriosis, and treated with operation and medicine.Keywords: endometriosis Abstrak: Endometriosis merupakan penyakit ginekologis dimana endometrium tumbuh di luar rongga uterus. Jaringan endometrium yang terus tumbuh ini dapat menyebabkan iritasi, rasa nyeri, dan infertilitas. Prevalensi endometriosis pada wanita usia reproduksi bervariasi antara 3-10%. Pada kelompok wanita infertilitas angka kejadian sekitar 9-50%. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik penderita endometriosis di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2016 – September 2017. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik penderita endometriosis di RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan 65 kasus endometriosis selama periode tersebut tetapi pasien yang memiliki data rekam medik lengkap hanya 54 kasus. Distribusi endometriosis terbanyak pada kelompok usia 36-45 tahun (50%), pendidikan terakhir tingkat SLTA (61,1%), perkerjaan ibu rumah tangga (51,9%), status kawin (92,6%), nulipara (51,9%), usia menarche 12 tahun (35,2%), lama waktu menstruasi 5 hari (29,6%), keluhan utama nyeri haid (44,4%), lokasi pada ovarium (73,6%), endometriosis dengan stadium 4 (51,9%), dan penanganan secara operasi dan medikamentosa (51,9%). Simpulan: Karakteristik penderita endometriosis terbanyak pada kelompok usia 36-45 tahun, tingkat pendidikan SLTA, pekerjaan ibu rumah tangga, status kawin, nulipara, usia menarche 12 tahun, lama waktu menstruasi 5 hari, keluhan utama nyeri haid, lokasi endometriosis di ovarium, stadium 4, dan penanganan secara operasi dan medikamentosa.Kata kunci: endometriosis

Premature rupture of membrane (PROM) is the rupture of fetal membrane before labor. It is assumed that the membrane rupture is related to biochemical changes of the extracellular collagen matrix of amnion and chorion as well as apoptosis of the fetal membrane. This was a descriptive retrospective study. Data were obtained from the medical record of the Department of Obstetrics and Gynecology Department, Prof. Dr. R. D. Kandou Hospital Manado. The results showed that during the period of 1 January - 31 December 2013 there were 3,810 labors; 59 cases (1.54%) of PROM. Viewed from the position of fetus in utero and the duration of pregnancy, most of the fetus had cephalic presentation and most of the pregnancies were aterm. There was no mortality during the period.Keywords: PROMAbstrak: Ketuban pecah dini (KPD) merupakan keadaan pecahnya selaput ketuban sebelum persalinan. Pecahnya selaput ketuban diduga berkaitan dengan perubahan proses biokimiawi yang terjadi dalam matriks kolagen ekstrasel amnion dan korion serta apoptosis membran janin. Penelitian ini menggunakan metode retrospektif deskriptif. Data diambil dari rekam medik Bagian Obstetri Ginekologi RSUP. Prof. Dr. R. D. Kandou Manado. Selama periode 1 Januari 2013 - 31 Desember 2013 tercatat 3.810 persalinan dengan 59 kasus KPD (1,54%). Dilihat dari segi letak janin dan usia kehamilan, sebagian besar janin dengan letak kepala dan usia kehamilan rata-rata aterm. Mortalitas tidak ditemukan.Kata kunci: ketuban pecah dini

JKN-BPJS stand for financing health service include childbirth is covering to examine the pregnancy, birth aid, the parturition, including family planning service post delivery and newborn service performed by health professional in health facilities. The purpose of this study was to know description of childbirth in JKN-BPJS program at Prof. Dr. R. D. Kandou. This was a retrospective descriptive study. Samples in this study were all of the mothers who used JKN-BPJS at Prof. Dr. R. D. Kandou Hospital Manado from January 1st to June 30th 2016. The results showed that of 570 total labours, there were 422 delivery cases using JKN-BPJS program. Most mothers that used JKN-BPJS program were multigravida (58%) at the age of 20 to 35 years (68.25%). Most of them came directly to the hospital (44.5%) and treated in the hospital for 4-6 days (55.7%). Most labours handled by the JKN-BPJS program were caesarean section (50.2%). Conclusion: Related to labours handled by the JKN-BPJS program at Prof. Dr. R. D. Kandou Hospital, most motherswere multigravida, at the age 20-35 years, came directly to the hospital, stayed in the hospital for 4-6 days, and treated with caesarean section.Keywords: JKN-BPJS, Childbirth Abstrak: JKN-BPJS merupakan jaminan pembiayaan pelayanan kesehatan termasuk biaya persalinan yang meliputi pemeriksaan kehamilan, pertolongan persalinan, pelayan nifas termasuk pelayanan Keluarga Berencana (KB) paska persalinan dan pelayanan bayi baru lahir yang dilakukan oleh tenaga kesehatan di fasilitas kesehatan. Penelitian ini bertujuan untuk mengetahui profil persalinan pada era JKN-BPJS di RSUP Prof Dr. R. D. Kandou. Jenis penelitian ialah retrospektif deskriptif. Sampel penelitian yaitu semua ibu bersalin dengan program JKN-BPJS di RSUP Prof Dr. R. D. Kandou periode 1 Januari – 30 Juni 2016. Hasil penelitian menunjukkan bahwa terdapat 422 kasus persalinan menggunakan program JKN-BPJS dari total 570 persalinan. Kebanyakan persalinan dengan program JKN-BPJS diikuti oleh ibu yang multigravida (58%) dengan usia 20-35 tahun (68,2%). Ibu yang bersalin paling banyak langsung datang sendiri ke rumah sakit (44,5%) dan kebanyakan dirawat di rumah sakit selama 4-6 hari (55,7%). Persalinan dengan program JKN-BPJS paling banyak ditolong dengan cara seksio sesarea (50,2%). Simpulan: Profil Persalinan pada era JKN-BPJS di Rsup Prof Dr. R. D. Kandou kebanyakan diikuti oleh ibu multigravida, usia 20-35 tahun, langsung datang sendiri ke rumah sakit, dirawat selama 4-6 hari, dan ditolong dengan cara seksio sesarea. Kata kunci: JKN-BPJS, persalinan.