Article Per Year (5 Year)
p-Index From 2021 - 2026
2.501
P-Index
This Author published in this journals
All Journal Majalah Kedokteran Bandung Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) International Journal of Supply Chain Management Contagion: Scientific Periodical Journal of Public Health and Coastal Health Andalas obstetrics and gynecology journal Science Midwifery Media Penelitian dan Pengembangan Kesehatan
M. Rizkar Arev Sukarsa
Departemen Obstetri Dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Transportation Veterinary

Published : 26 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 26 Documents
Search

 1   2   3 
Effect of Vitamin D3 Supplementation on Levator Ani Muscle Strength in Primipara Pregnancy with Post-partum Vitamin D3 Deficiency : Efek Suplementasi Vitamin D pada Kekuatan Otot Levator Ani pada Kehamilan Primipara dengan Defi siensi Vitamin D3 Pascapersalinan Rizkar A. Sukarsa; Devi N. Anti; Benny H. Purwara; R.M Sonny Sasotya
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 4 October 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v8i4.1063

Abstract

Objective: To determine the benefi ts of post-partum vitamin D supplementation on striated muscle strength. Methods: This is a pre-post quasi-experimental study on postpartum vitamin D3 supplement provision in primiparous women with vitamin D3 defi ciency. The effect of vitamin D3 supplement was assessed through the measurement of pelvic floor muscle strength before and after 3 months of vitamin D3 supplementation. Thirty-three primiparous postpartum women with spontaneous vaginal delivery who met inclusion criteria participated in this study. Serum vitamin D3 level, basal tone, and maximum levator ani contraction were measured by perimetry prior to and after vitamin D3 supplementation. This study was conducted in the Obstetric Clinic and Clinical Serology Laboratory of Clinical Pathology Department, Dr. Hasan Sadikin General Hospital/ Faculty of Medicine, Universitas Padjadjaran from March 1 to May 31, 2018.Results: Data analysis using the Wilcoxon test showed an increase in serum vitamin D3 level and a basal tone strength after vitamin D3 supplementation with a P-value of <0.001. However, the maximum strength of levator ani muscle contraction did not increase (P-value <0.829).Conclusions: Vitamin D3 supplementation increases basal tone strength.Keywords: basal tone, maximum levator ani muscle contraction, perimetry, primiparous vitamin D3 defi ciency, vitamin D. Abstrak Tujuan: Untuk mengetahui manfaat pemberian suplementasi vitamin D pascasalin terhadap kekuatan otot lurik.Metode: Tipe penelitian ini adalah penelitian eksperimental quasi dengan rancangan sebelum dan sesudah pemberian vitamin D3 pada ibu primipara pascasalin yang mengalami defisiensi vitamin D3, dengan mengukur kekuatan otot dasar panggul sebelum dan sesudah pemberian 3 bulan vitamin D3. Subjek penelitian adalah primipara pasca persalinan spontan yang memenuhi kriteria inklusi penelitian (n=33). Dilakukan pemeriksaan kadar vitamin D serum dan pengukuran tonus basal dan kontraksi maksimal levator ani dengan menggunakan perimetri sebelum dan sesudah pemberian suplementasi vitamin D3. Penelitian dilakukan di Poliklinik obstetri FKUP/RSHS dan Laboratorium serologi Klinik Patologi Klinik FKUP/RSHS pada bulan 1 Maret- 31 Mei 2018.Hasil: Hasil penelitian ini dengan menggunakan uji wilcoxon didapatkan peningkatan kadar serum vitamin D3 dan peningkatan kekuatan tonus basal setelah pemberian suplementasi vitamin D3 dengan nilai P<0,001. Sedangkan kekuatan kontraksi otot maksimal levator ani tidak mengalami peningkatan dengan nilai P<0,829.Kesimpulan: Suplementasi vitamin D3 meningkatkan kekuatan tonus basalKata kunci: kontraksi maksimal levator ani, perimetri, primipara defi sisensi vitamin D3, tonus basal, vitamin D.
Supply Chain Management Application in Small and Medium Enterprises Rosy Rochmatullah, Mahameru
International Journal of Supply Chain Management Vol 9, No 5 (2020): International Journal of Supply Chain Management (IJSCM)
Publisher : ExcelingTech

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59160/ijscm.v9i5.5538

Abstract

In most emerging markets, small and medium enterprises, (SMEs), lack access to thecredit and liquiditythey require for their dailyworkingcapital needs. Supply chain finance is a broad category of financing with multiple products,and it contributes significantly to global trade finance. This paper utilized several variables, such as changes in liquidity level (quick ratio), changes in debt bias, changes in the cost of goods sold, changes in earnings, and changes in stock returns through the supply chain finance. Employing binary logistic regression, the test results showed that accounts, such as current assets, current debt, long-term debt, net income, cost of goods sold, gross margins, were connected to the agent's opportunistic behavior when the financial health of the company has decreased. In the end, it concluded that SEMs in the management of these accounts was proven by supply chain finance in the preparation of financial statements and good distribution when the financial health of the company has achieved.
Analisis Pergerakan Leher Kandung Kemih, Ukuran Genital Hiatus, Titik Aa dan Ba pada POP-Q dengan Retensio Urin pada Pasien Pasca-Perbaikan Prolaps Organ Panggul Ma'soem, Aria Prasetya; Sasotya, R.M Sonny; Achmad, Eppy Darmadi; Armawan, Edwin; Sukarsa, Rizkar Arev; Rinaldi, Andi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.607

Abstract

Pendahuluan:Retensio urin pasca-operasi merupakan kejadian yang sering terjadi setelah operasi perbaikan prolaps organ panggul (POP), dengan angka kejadian berkisar antara 2,5 – 24%. Parameter yang digunakan untuk mengevaluasi pergerakan kandung kemih dan gangguan berkemih yaitu penurunan leher kandung kemih, sudut retrovesika, dan rotasi uretra. Tujuan untuk mengetahui hubungan antara profil leher kandung kemih, ukuran genital hiatus, dan titik Aa dan Ba pada POP-Q terhadap retensio urin pasca-perbaikan prolaps organ panggul.Metode: Penelitian observasional analitik ini menggunakan pendekatan rancangan potong lintang pada wanita yang menjalani operasi POP di RSUP Dr. Hasan Sadikin Bandung pada bulan Juni–November 2023.Hasil: Penurunan leher kandung kemih, sudut retrovesika, rotasi uretra, dan ukuran genital hiatus diukur dengan ultrasonografi. Titik Aa dan Ba diukur dengan skoring POP-Q, kemudian dilakukan pengukuran post-void residual volume. Ditemukan rata-rata usia pasien adalah 60±9 tahun. Sebagian besar subjek penelitian merupakan POP stadium III.Kesimpulan:Tidak terdapat perbedaan bermakna antara karakteristik subjek penelitian (p>0,05). Tidak terdapat perbedaan bermakna antara parameter leher kandung kemih, sudut retrovesika, rotasional uretra, ukuran urogenital hiatus, skor POP-Q titik Aa dan Ba terhadap volume PVR (p>0,05). Titik Ba pada POP-Q berkorelasi signifikan terhadap volume PVR pasca-perbaikan prolaps organ panggul.Analysis of Bladder Neck Movement Profile, Genital Hiatus Size, Points Aa and Ba on POP-Q with Urinary Retention in Post Pelvic Organ Prolapse Repair PatientsAbstract Introduction: Postoperative urinary retention is a common following surgical repair of pelvic organ prolapse (POP), with the incidence ranges between 2.5–24%. This study aimed to determine the relationship between bladder neck profile, genital hiatus, and Aa and Ba points in POP-Q on the incidence of urinary retention after repair of pelvic organ prolapse. Method: This analytical observational study was done with a cross-section design and included women underwent repair of pelvic organ prolapse at RSUP Dr. Hasan Sadikin Bandung in June–November 2023. Results: Bladder neck descent, retrovesical angle, urethral rotation, and genital hiatus were measured by ultrasonography. Points Aa and Ba were measured using POP-Q scoring, then post-void residual volume was measured. The patients had a mean age of 60±9 years. Most of the subjects were stage III POP. Conclusion: There were no significant differences between bladder neck descent, retrovesical angle, urethral rotation, urogenital hiatus, POP-Q scores points Aa and Ba and PVR volume (p>0.05). Point Ba on POP-Q was significantly correlated with PVR volume after pelvic organ prolapse repair.Key words: pelvic organ prolapse, post-void residual volume, urinary retention, rectovesical angle, urogenital hiatus
Kejadian Ballooning dan Avulsi Otot Levator Ani Pada Persalinan Spontan Primipara Non OASIS di Fasilitas Kesehatan Tingkat Pertama Rahman, Muhammad Nurhadi; Sukarsa, Mochamad Rizkar Arev; Rinaldi, Andi Rinaldi; Achmad, Eppy Darmadi; Sasotya, Raden Mas Sonny; Armawan3, Edwin
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.639

Abstract

Pendahuluan: Kerusakan otot levator ani, seperti Ballooning dan Avulsi, sering terjadi pada Obstetric Anal Sphincter Injuries (OASIS) saat persalinan, yang menyebabkan masalah jangka panjang seperti inkontinensia dan prolaps uteri. Namun, hubungan antara kerusakan ini dengan robekan perineum derajat ringan atau Non-OASIS masih kurang dipahami. Penelitian ini bertujuan untuk mengeksplorasi prevalensi Ballooning dan Avulsi pada persalinan spontan primipara Non-OASIS tanpa episiotomi di fasilitas kesehatan tingkat pertamaMetode: Studi cross-sectional dilakukan di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta dan praktik mandiri bidan di Sleman, Yogyakarta, melibatkan 69 pasien. Penggunaan USG 3D melalui pendekatan translabial digunakan untuk mengidentifikasi Ballooning dan Avulsi.Hasil: Dari 69 pasien yang mengalami persalinan spontan primipara Non-OASIS tanpa episiotomi yang terlibat dalam penelitian ini, 66,67% pasien mengalami robekan perineum derajat ringan, sementara 33,3% memiliki perineum intak. Prevalensi Ballooning adalah 26,1% dan Avulsi adalah 17,4%. Ballooning lebih umum terjadi pada pasien dengan robekan perineum derajat ringan (32,6%) daripada yang memiliki perineum intak (13,0%). Avulsi juga lebih sering terjadi pada pasien dengan robekan perineum derajat ringan (21,7%) dibandingkan dengan yang memiliki perineum intak (8,7%).Kesimpulan: Avulsi terjadi pada satu dari empat persalinan spontan primipara Non-OASIS tanpa episiotomi, sementara Ballooning terjadi pada satu dari enam persalinan. Studi ini memberikan wawasan tentang karakteristik kerusakan otot levator ani dalam setting praktik kebidanan mandiri yang berjejaring dengan fasilitas kesehatan tingkat pertama.The occurance of Ballooning and Avulsion of The Levator Ani Muscles in First Spontaneous Vaginal Birth Non-OASIS without Episiotomy at Primary Health FacilitiesAbstract Introduction: Damage to the levator ani muscles, such as Ballooning and Avulsion, often occurs during Obstetric Anal Sphincter Injuries (OASIS) during childbirth, leading to long-term issues like incontinence and uterine prolapse. However, the relationship between this damage and mild perineal tears or Non-OASIS is not fully understood. This study aims to explore the prevalence of Ballooning and Avulsion in spontaneous primiparous deliveries without episiotomy in primary healthcare facilities.Method: A cross-sectional study was conducted at Dr. Sardjito General Hospital in Yogyakarta and midwifery practices in Sleman, Yogyakarta, involving 69 patients. 3D ultrasound via translabial approach was used to identify Ballooning and Avulsion.Results: Out of 69 patients undergoing spontaneous primiparous deliveries without episiotomy, 66.67% experienced mild perineal tears, while 33.3% had intact perineum. The prevalence of Ballooning was 26.1% and Avulsion was 17.4%. Ballooning was more common in patients with mild perineal tears (32.6%) compared to those with intact perineum (13.0%). Avulsion also occurred more frequently in patients with mild perineal tears (21.7%) compared to those with intact perineum (8.7%).Conclusion: Avulsion occurs in one out of four spontaneous primiparous deliveries without episiotomy, while Ballooning occurs in one out of six deliveries. This study provides insights into the characteristics of levator ani muscle damage in the setting of primary healthcare facilities connected to independent midwifery practices.Key words: levator ani muscle avulsion, levator ani muscle ballooning, primipara, mild perineal tear.
Diagnostic Approach to Vaginismus and How to Differentiate it from Dyspareunia Farhanah, Aninda Yasmin; Sukarsa, Mochamad Rizkar Arev; Armawan, Edwin; Achmad, Eppy Darmadi; Sasotya, R. M Sonny; Rinaldi, Andi; Ma’soem, Aria Prasetya; Praharsini, Raden Kania; Imantika, Efriyan; Nurtanio, Setiawan; Arwan, Berriandi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.689

Abstract

Introduction:Vaginismus is a recurrent or persistent spasm of the muscles of the outer third of the vagina that interferes with coitus. The diagnosis of vaginismus is challenging since it requires the exclusion of possible organic comorbidities. Vaginismus needs to be differentiated from dyspareunia. This article comprehensively discusses the approach to diagnosis and management of vaginismus and highlights its differences from dyspareunia.Methods: A literature search was conducted in PubMed®, ScienceDirect, and Google Scholar databases on February 7–8, 2024, using Boolean combinations of the specified keywords. No specific timeframe was used. Editorials, commentaries, and articles other than written in English and Indonesian were excluded.Results: The review found that vaginismus is characterized by involuntary pelvic floor muscle contractions and significant anxiety towards penetration, which is diagnosed mainly through patient history and physical examination. In contrast, dyspareunia encompasses a wider range of pain, which may be superficial or deep and can result from various physiological or psychological factors. Differentiating between the two conditions requires a detailed clinical interview, physical examination, and possibly additional tests to identify the specific cause.Conclusion: Treatment for vaginismus focuses on reducing fear and pelvic muscle spasms, while dyspareunia focuses on addressing the underlying cause and pain management.Pendekatan Diagnosis pada Vaginismus dan Cara Membedakannya dengan DispareuniaAbstrakPendahuluan: Vaginismus adalah spasme otot-otot sepertiga bagian luar vagina yang berulang atau terus-menerus dan mengganggu koitus. Diagnosis vaginismus menantang dan memerlukan eksklusi kemungkinan komorbiditas organik. Vaginismus perlu dibedakan dengan dispareunia. Artikel ini membahas pendekatan diagnosis dan penatalaksanaan vaginismus secara komprehensif dan menyoroti perbedaannya dengan dispareunia.Metode: Pencarian literatur dilakukan di basis data PubMed®, ScienceDirect, dan Google Scholar pada tanggal 7 – 8 Februari 2024 dengan menggunakan kombinasi Boolean dari kata kunci yang ditentukan. Tidak ada jangka waktu tertentu yang digunakan dalam pencarian artikel untuk tinjauan literatur ini. Editorial, komentar, dan artikel yang tidak berbahasa Inggris dan Indonesia tidak disertakan.Hasil: Tinjauan menunjukkan bahwa vaginismus ditandai oleh kontraksi involunter otot dasar panggul serta kecemasan signifikan terhadap penetrasi. Diagnosis utama didasarkan pada riwayat pasien dan pemeriksaan fisik. Sebaliknya, dispareunia mencakup spektrum nyeri, baik superfisial maupun dalam, yang dapat dipicu oleh berbagai faktor fisiologis atau psikologis. Untuk membedakan kedua kondisi tersebut, diperlukan wawancara klinis yang mendetail, pemeriksaan fisik, dan tes tambahan guna mengidentifikasi penyebab spesifik.Kesimpulan: Terapi untuk vaginismus berfokus pada pengurangan rasa takut dan spasme otot panggul, sedangkan dispareunia berfokus pada penanganan penyebab yang mendasari dan manajemen nyeri.Kata kunci: Diagnosis, dyspareunia, tatalaksana, vaginismus
Comparison Of Igf-1 Protein Expression As A Marker For Type I Collagen Production in The Uterosacral Ligament Of Patients With Uterine Prolapse and without Uterine Prolapse to Prevent Uterine Prolapse Praharsini, Kania; Sasotya, R. M. Sonny; Sukarsa, M. Rizkar Arev
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.773

Abstract

Objective: This study aims to investigate the risk factors associated with the lower IGF-1 protein expression in the uterosacral ligament in relation to the incidence of uterine prolapse. By identifying the relationship between IGF-1 protein expression in the uterosacral ligament and the incidence of uterine prolapse, it is anticipated that this study will provide a basis for the early identification of uterine prolapse.Method: This study utilized a cross-sectional immunohistochemistry method for IGF-1 protein on 34 pelvic organ prolapse (POP) subjects and 34 controls at RSUP Dr. Hasan Sadikin, Bandung, in 2024. A sample is taken from the distal portion of the uterosacral ligament, prepared into paraffin blocks and underwent immunochemistry staining. It was then reviewed and IGF-1 protein expression graded by a consultant pathologist. Results: IGF-1 protein expression in the uterosacral ligament was found to be lower in uterine prolapse patients (168.2 + 3.1) compared to those without uterine prolapse (181.2 + 13.3) (p=0.002).Conclusion: IGF-1 levels in uterine prolapse are lower than those without uterine prolapse.Perbandingan Ekspresi Protein IGF-1 sebagai Penanda Produksi Kolagen Tipe I pada Ligamentum Sakrouterina Penderita Prolaps Uterus dan Tanpa Prolaps Uterus untuk Pencegahan Prolaps UterusAbstrakTujuan: Penelitian ini bertujuan untuk meneliti faktor risiko rendahnya ekspresi protein IGF-1 pada ligamentum sakrouterina terhadap kejadian prolaps uterus. Dengan diketahui adanya hubungan antara ekspresi protein IGF-1 pada ligamentum sakrouterina dengan terjadinya prolaps uterus, diharapkan penelitian ini dapat berguna sebagai acuan untuk identifikasi prolaps uterus lebih dini.Metode: Penelitian ini menggunakan metode potong lintang imunohistokimia protein IGF-1 pada 34 subjek prolaps organ panggul (POP) dan 34 kontrol di RS Dr. Hasan Sadikin Bandung tahun 2024. Sampel diambil dari bagian distal ligamentum sakrouterina, dibuat blok paraffin, dan dilakukan pewarnaan histokimia. Ekspresi protein IGF-1 kemudian diperiksa dan dinilai oleh ahli patologi. Hasil: Ekspresi protein IGF-1 di ligamentum sakrouterina pada penderita prolaps uterus lebih rendah (168,2 + 3,1) dibandingkan dengan tanpa prolaps uterus (181,2 + 13,3) (p=0,002).Kesimpulan: Kandungan IGF-1 pada prolaps uterus lebih rendah dibandingkan dengan tanpa prolaps uterus.Kata kunci: IGF-1, kolagen tipe I, ligamentum sakrouterina, prolaps uterus
Case Report: Recurrent Surgical Wound Dehiscence in a Patient With Surgical Site Infection, Type 2 Diabetes, and Obesity Yogaswara, Hilman Ares; Sukarsa, Mochamad Rizkar Arev; Rachmawati, Anita
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.767

Abstract

Introduction: Surgical site infection (SSI) is the most likely complication following a Cesarean section (CS). SSI is considered a contributing factor to the occurrence of surgical wound dehiscence (SWD). This condition is often associated with various risk factors, such as type 2 diabetes mellitus (T2DM) and obesity. Understanding the risk factors and management of SWD in high-risk populations is essential for improving clinical outcomes.Case Report: A 27-year-old woman, G2P2A0, was referred due to SWD. The patient underwent a CS at a secondary-level hospital due to oxytocin drip failure 20 days prior to referral. She was diagnosed with SSI six days post-surgery, and had received antibiotics and undergone re-hecting 11 days after the CS. The surgical wound reopened two days after the re-hecting procedure, prompting referral. The patient had uncontrolled T2DM and morbid obesity as comorbidities. Physical examination revealed an open CS wound measuring 15x5x3 cm with exposed fascia and discharge of pus and blood. Wound care was performed using gauze coated with antibiotics changed every 12 hours. Antibiotic administration was based on culture, sensitivity, and resistance testing before another re-hecting procedure was performed.Conclusion: Obesity and diabetes mellitus were risk factors for SWD in this case. The use of antibiotics guided by culture sensitivity and resistance testing, effective SSI management, and early detection and management of comorbid conditions are necessary to prevent and treat SWD complications.Laporan Kasus: Recurrent Surgical Wound Dehiscence pada Pasien Infeksi Daerah Operasi yang Memiliki Komorbid Diabetes Tipe 2 dan ObesitasAbstrakLatar belakang: Infeksi Daerah Operasi (IDO) merupakan komplikasi yang paling mungkin terjadi setelah operasi Caesar (SC). IDO dianggap sebagai faktor terjadinya Surgical Wound Dehiscence (SWD). Kondisi ini sering dikaitkan dengan berbagai faktor risiko seperti diabetes melitus tipe 2 (DMT2) dan obesitas. Pemahaman mengenai faktor risiko dan penanganan SWD pada populasi berisiko tinggi menjadi penting untuk meningkatkan luaran klinis.Laporan Kasus: Wanita 27 tahun, P2A0, dirujuk karena SWD. Pasien menjalani SC di RS PPK tingkat II karena gagal drip oksitosin 20 hari sebelum dirujuk. Pasien didiagnosis IDO 6 hari setelah operasi dan telah mendapatkan antibiotik dan dilakukan re-hecting 11 hari setelah SC. Luka operasi terbuka kembali dua hari setelah re-hecting, sehingga pasien dirujuk. Pasien memiliki komorbid DMT2 tidak terkontrol dan obesitas morbid. Pemeriksaan fisik menunjukkan tampak luka bekas SC terbuka berukuran 15x5x3 cm dengan dasar fasia dengan nanah dan darah. Perawatan luka dilakukan dengan kasa dilapisi antibiotik dan diganti setiap 12 jam. Antibiotik diberikan berdasarkan hasil tes kultur, sensitivitas, dan resistensi, sebelum dilakukan re-hecting kembali. Kesimpulan: Obesitas dan diabetes melitus menjadi faktor risiko terjadinya SWD pada kasus ini. Penggunaan antibiotik sesuai hasil kultur sensitivitas dan resistensi, perawatan IDO, serta deteksi dan manajemen faktor komorbid diperlukan untuk mencegah dan mengobati komplikasi SWD.Kata kunci: Diabetes mellitus tipe 2, infeksi daerah operasi, luka operasi terbuka, rekurensi 
Risk factors influencing the incidence of perineal rupture in normal delivery Darlina, Darlina; Hakim, Dzulfikar Djalil Lukman; Mose, Johanes C.; Sukarsa, Mochamad Rizkar Arev; Krisnadi, Sofie Rifayani; Susiarno, Hadi
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2010

Abstract

Perineal rupture is a common complication during vaginal delivery and can lead to long-term health consequences for the mother. This study aims to identify the risk factors associated with perineal rupture in normal vaginal delivery. A scoping review was conducted by analyzing relevant literature from 2020 to 2024. The results indicate that major risk factors for perineal rupture include birth weight, parity, duration of the second stage of labor, and the use of obstetric instruments. Additionally, pregnancy exercise and perineal massage were found to be effective in reducing the incidence of perineal rupture, particularly in primiparous women. Proper management of labor, including monitoring fetal weight and employing appropriate medical techniques, plays a significant role in minimizing the risk of perineal rupture. This study recommends the implementation of evidence-based preventive measures to reduce the prevalence of perineal rupture and its long-term impacts on maternal health.
Pelvic Floor Distress Inventory – 20 As Quality of Life Score Predictor in Patient Using Pessary Arwan, Berriandi; Andi Rinaldi; R.M. Sonny Sasotya; M. Rizkar Arev Sukarsa; Eppy Darmadi Achmad
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.190-196.2025

Abstract

Introduction: Pelvic organ prolapse is one of women’s health major concern associated with decreased quality of life that may cause a disruption in the bladder, gastrointestinal and sexual dysfunction. Women’s Health Initiative (WHI) stated 41% of women aged 50-79 years pelvic organ prolapse symptoms and surgeries performed rate increased from 1.5 to 4.9 cases per 1,000 women per year. Objective: To determine changes in quality of life based on Indonesian version of Pelvic Floor Distress Inventory – 20 questionnaire in patients with pelvic organ prolapse. Methods: Prospective cohort study carried out in Hasan Sadikin Hospital, Bandung City, Indonesia during the period Januari 2022 – March 2023. The quality of life was followed up three months after hospital discharge. We used the Indonesian version of Pelvic Floor Distress Inventory – 20 (PFDI-20). Results: In this study, 20 subjects were involved. The result showed that significant reduction in the quality of life score in patients after the treatment of pelvic organ prolapse with conservative treatment such as pessary insertion based on scale Indonesia version of PFDI – 20 questionnaire, with the highest a preoperative PFDI-20 score of 275 and after therapy score reduction until 50. Conclusions: There is a reduction in quality of life scores in patients with pelvic organ prolapse underwent surgery. Further research should be conducted in large number to assess the quality of life of patients with pelvic floor dysfunction in Indonesia using these questionnaire.
Female Sexual Function Index As Sexual Disfunction Predictor On Women Using A Pessary Setyawan Nurtanio; Andi Rinaldi; R.M. Sonny Sasotya; M. Rizkar Arev Sukarsa; Eppy Darmadi Achmad
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.197-204.2025

Abstract

Introduction: Pelvic organ prolapse (POP) is the abnormal descent of pelvic organs that can cause various symptoms, including sexual dysfunction, especially in menopausal women. With increasing life expectancy, the prevalence of POP-related female sexual dysfunction is also rising. Sexual discomfort can result from vaginal wall thinning, stiffness, fatigue, and inability to achieve orgasm, affecting overall well-being and quality of life. Objective: This study aimed to evaluate the improvement in female sexual function using the Indonesian version of the Female Sexual Function Index (FSFI) one week after pessary insertion in both sexually active (SA) and non-sexually active (NSA) women with POP. Methods: A descriptive before-and-after study was conducted on 20 women aged 50–65 years with POP grades II–IV at Al-Ihsan Hospital, Bandung, between November 2023 and January 2024. All subjects received ring pessary treatment. The FSFI questionnaire was administered before and one week after pessary insertion to assess sexual function. Results: Among 20 participants (mean age: 57 years), 16 (80%) reported sexual dysfunction before pessary insertion. After one week, 14 women (70%) were categorized as not having sexual dysfunction, while 6 (30%) remained in the dysfunction group. Of the 16 women initially affected, 11 (68%) experienced improved sexual function. The ring pessary proved effective without negatively affecting sexual activity. Conclusions: Pessary use in women with POP can improve sexual function without adverse effects on sexual intercourse. However, limitations include the small sample size, short follow-up, and use of only one pessary type. Additionally, multiple unmeasured factors, such as biological, cultural, and social factors, can influence outcomes.
Co-Authors Achmad, Eppy Dharmadi Adhi Pribadi Aditya Wibowo Akhmad Yogi Pramatirta, Akhmad Yogi Alamsyah Aziz Amillia Siddiq Andi Rinaldi Anita Deborah Anwar Arieff Kustiandi Armawan3, Edwin Arwan, Berriandi AULIA, RIZKA Benny H. Purwara Benny H. Purwara Benny Hasan Purwara Bharata Yudha Budi Handono Danny Hilmanto, Danny Darlina Darlina Devi N. Anti Dwi Prasetyo Edwin Armawan Efriyan Imantika Eppy Darmadi Achmad Farhanah, Aninda Yasmin Firman Fuad Wirakusumah Hakim, Dzulfikar Djalil Lukman Hanom H. Syam Hanom Husni Syam Imelda Rosmaida Siagian Intan Renata Silitonga, Intan Renata Iwan Irawan Johanes C. Mose Johanes C. Mose Johanes Cornelius Mose Jusuf Sulaeman Effendi Lasma R. Pohan, Lasma R. Ma'soem, Aria Prasetya MARINGAN DIAPARI LUMBAN TOBING Ma’soem, Aria Prasetya Melia Juwita Adha Muhammad Nurhadi Rahman Mulyana, Rifqi Rahman Mulyanusa Amarullah Ritonga Neng Resi Fitriani Nenny Yoanitha Nurtanio, Setiawan Praharsini, Kania Praharsini, Raden Kania Qorinah Estingtyas Sakilah Adnani R. M. Sonny Sasotya R. M. Sonny Sasotya R.M Sonny Sasotya R.M. Sonny Sasotya Rachmawati, Anita Radiastomo S. Budi Radiastomo Samekta Budi Rena Nurita Rinaldi, Andi Rinaldi Ruswana Anwar Sasotya, R. M Sonny Sasotya, R.M Sonny Sasotya, R.M. Sonny Sasotya, Raden Mas Sonny Setyawan Nurtanio Setyorini Irianti Sofie R. Krisnadi Sri Endah Rahayuningsih Supriyatin, Dedeh Susiarno, Hadi Tita Husnitawati Madjid Wiryawan Permadi Yoga Paripurna Yogaswara, Hilman Ares Yudi Mulyana Hidayat