http://localhost:8080/xmlui/handle/123456789/10318 Thu, 09 Apr 2026 00:10:55 GMT 2026-04-09T00:10:55Z http://localhost:8080/xmlui/handle/123456789/10347 Title: The Role of Probiotics in Urinary Tract Infections in Women Authors: Kurniawati, Eighty M.; Hardianto, Gatut; Hadi, Tri H. S.; Paraton, Hari; Widyasari, Anis; Rahmawati, Nur A. Abstract: Objective: To review the role of probiotics in urinary tract infections in women Methods: Systematic review was conducted by searching fi ve databases with several keywords, namely “urinary tract infection”, “cystitis”, “women” and “probiotics”. Articles that have gone through peer review are included in the study if they meet the inclusion and exclusion criteria. Reporting follows the PRISMA rules. Results: The women included in this study varied from early adulthood to postmenopausal, most of whom were sexually active, used birth control methods, and had recurrent urinary tract infections. The results showed that the use of probiotics in varied outcomes, either positive or not showed signifi cant results. This is also due to the differences in the outcomes studied and the additional materials used. This also contributed to the emergence of adverse effects. Conclusion: The use of probiotics in the treatment of cystitis and urinary tract infections has hope, although not all studies show signifi cant results. The side effects found are still tolerable although they need to be considered. Sat, 01 Jul 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10347 2023-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10345 Title: The Effect of Water Intake during Pregnancy on Birth Weight Authors: Rosemiarti, Tria; Hardinsyah; Santoso, Budi I.; Pardede, Sudung O.; Siregar, Parlindungan; Putri, Netta M.; Hanifah, Ratu S. Abstract: Objective: This systematic review aimed to investigate the effect of water intake during pregnancy on infant birth weight. Methods: A comprehensive search was conducted using the keywords "water intake," "dehydration," "pregnancy," "outcome," "hydration," "birth weight," and "birth outcome" in databases such as "SCOPUS," "EBSCO," "PUBMED," "COCHRANE," and through "Google Search." MeSH headings "pregnancy" and "hydration" were used for the search. Inclusion criteria encompassed pregnant women without pathological disorders, birth weight as a studied outcome, prospective cohorts, clinical trial study designs, and Englishlanguage papers. Out of the 254 articles retrieved, six met the specifi ed requirements and were included in this review. Results: The fi ndings from the six studies consistently demonstrated a positive correlation between higher water intake, improved hydration, and increased birth weight. All studies measured water consumption or hydration status between 8-37 weeks of gestation. Regardless of the duration of the studies, underhydration or low water intake was consistently associated with lower birth weight. Conclusion: This review highlights that increasing water intake among pregnant women positively affects infant birth weight. Adequate water intake during pregnancy is recommended to be in the range of 2180 – 3000 mL daily, considering hydration status and the stage of pregnancy Sat, 01 Jul 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10345 2023-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10342 Title: Management of Spontaneous Cornual Heterotopic Pregnancy in Low-Resources Setting Authors: Lubis, Jacklyn Y. G.; Sutandar, Yosep; Sutandar, Yosep Abstract: Objective: To report management of spontaneous cornual heterotopic pregnancy in low-resources setting in Ende District, Flores, East Nusa Tenggara. Methods: Case report. Case: A 34 year old primigravida with history of 8-9 weeks amenorrhea came to Obstetrics ER with chief complaint of vaginal bleeding and lower abdominal pain. Ultrasound shows intrauterine pregnancy (IUP), an ectopic pregnancy (EP) in right uterine cornu, and free fl uid in hepatorenal space, splenorenal space, and pouch of douglas suggesting the occurrence of hemoperitoneum and heterotopic pregnancy. We performed cornual resection by laparotomy and administered progesterone orally before and after the surgery. Successful outcome was achieved. Discussion: Heterotopic pregnancy (HP) rarely occurs, especially in natural conception. Thus, early diagnosis and treatment of HP are quite a challenge for physicians especially in rural area. Due to the condition of our patient and limited resources, laparotomy was conducted to remove the EP, rather than laparoscopy despite its advantage to lower risk of IUP abortion. Progesterone was then administered orally to prevent threatened abortion of the IUP. Conclusion: Despite its challenge in diagnosing and treating HP, it is a life-threatening condition that requires accurate and prompt treatment. The treatment goal is to remove the EP and preserve the IUP. Treatment of choice should be decided by takeing the patient’s condition and availability of resources into account. Surgical along with administration of progesterone before and after the surgery would likely improve the outcome of the patient and the intrauterine pregnancy. Sat, 01 Jul 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10342 2023-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10339 Title: Leiomyoma Ablation with Ultrasonography-Guided Radiofrequency: A Report of Four Cases Authors: Sutanto, Doddy; Sevriana, Ery S.; Siswishanto, Rukmono; Olivia, Lydia; Rahmalina Abstract: Objective: This study aims to report the successful application of transvaginal ultrasound-guided radiofrequency ablation (RFA) as a minimally invasive therapy in four women with symptomatic intramural and subserous leiomyomas using a standard protocol. Methods: A report of four cases. Case: A case report of four patients was conducted at Soerojo Hospital, Magelang, from September 2021 to January 2022. The fi rst case involved a premenopausal woman experiencing pelvic discomfort. The second case underwent curettage after a diagnosis of a blighted ovum; the third case presented with non-cyclic pain and irregular cycles, while the fourth case had a history of 14-yearold infertility and repeated IVF failures. Three out of the four women with leiomyomas in this report experienced heavy menstrual bleeding. No signifi cant side effects or complications occurred during or after the treatment. Uterine leiomyoma size was monitored for one week and three months, showing an average reduction of 56.9%, indicating a signifi cant decrease in myoma volume. Additionally, the reported symptoms showed improvement. Conclusion: Transvaginal ultrasound-guided radiofrequency ablation proves to be an effective and minimally invasive therapy with minor side effects, making it a promising primary choice for leiomyoma treatment. Sat, 01 Jul 2023 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/10339 2023-07-01T00:00:00Z