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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

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Colorectal Anal Distress Inventory 8 (CRADI-8) Scores in PFDI-20 In Women With OASIS Before and After Repair Mulyana, Rifqi Rahman; Sukarsa, M. Rizkar Arev; Rinaldi, Andi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.780

Abstract

Objectives: This research aims to assess and compare CRADI-8 scores in women with grade 3-4 OASIS before and after surgical repair. Methods: This cross-sectional study analyzed 37 OASIS patients at Hasan Sadikin Hospital, Bandung (January 2021-December 2023). CRADI-8 scores were measured pre- and post-surgery, with scores categorized by grade (0-4). The McNemar test was used for statistical analysis (p
PREOPERATIVE RISK FACTORS FOR SURGICAL SITE INFECTION FOLLOWING CESAREAN SECTION: A CASE-CONTROL STUDY Supriyatin, Dedeh; Irianti, Setyorini; Anwar, Anita Deborah; Permadi, Wiryawan; Sukarsa, M. Rizkar Arev; Susiarno, Hadi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3337

Abstract

Infeksi daerah operasi (IDO) pascaseksio sesarea masih tinggi di Indonesia, termasuk di RSUP Dr. Hasan Sadikin Bandung. Angka kejadian IDO tahun 2022–2024 berkisar 2,34%–3,15%, melebihi standar nasional 2% dan target internal rumah sakit ≤1%, sehingga perlu perhatian terhadap faktor risikonya. Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko praoperasi dengan kejadian infeksi daerah operasi pascaseksio sesarea di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan desain observasional analitik kasus-kontrol dengan ukuran sampel sebanyak 180 pasien (45 kasus dan 135 kontrol) yang menjalani seksio sesarea di rumah sakit tersebut dari Januari 2022 hingga Desember 2024, dipilih melalui teknik simple random sampling. Analisis univariat, bivariat (Chi-Square, Fisher’s Exact), dan multivariat (regresi logistik biner) dilakukan untuk menilai hubungan antara variabel independen dengan kejadian IDO. Analisis menunjukkan adanya hubungan signifikan antara kejadian IDO dengan variabel praoperasi seperti tipe operasi (p=0,035), usia (p=0,035), riwayat seksio sesarea (p=0,000), anemia (p=0,000), hipertensi (p=0,013), dan obesitas (p=0,047). Diabetes tidak menunjukkan hubungan signifikan dengan kejadian IDO (p=0,109). Analisis multivariat mengidentifikasi anemia (p=0,000), tipe operasi (p=0,006), riwayat seksio sesarea (p=0,009), usia (p=0,015), dan obesitas (p=0,030) sebagai faktor risiko paling dominan terhadap kejadian IDO. Hasil penelitian menekankan pentingnya penatalaksanaan dini terhadap faktor risiko praoperasi sebagai bagian dari strategi pencegahan IDO dan peningkatan mutu pelayanan kebidanan.
Diagnosis and Management of Utero-Sigmoid Fistula Cases: Case Report Arwan, Berriandi; Rinaldi, Andi; Sasotya, R. M. Sonny; Achmad, Eppy Dharmadi; Sukarsa, Moch. Rizkar Arev
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.698

Abstract

Introduction: Intrauterine devices (IUDs) are a common form of contraception due to their affordability and effectiveness. But they can also result in migration into the myometrium, which can cause utero-sigmoid fistulas. Utero-sigmoid fistulas is a rare but dangerous side effect of intrauterine device migration, which can make diagnosis and device retrieval challenging. Here, we present a case report that highlights the diagnosis and the management of utero-sigmoid fistula.Case Presentation: A 63-year-old woman came to the hospital due to feces appearing from her vagina. Later, it was confirmed from vaginal touch examination. On US examination, the IUD was found to have migrated to the deeper part of the uterus and a defect was confirmed as a fistula between the sigmoid colon and the uterus by contrast-enhanced abdominal MSCT. The patient then underwent a joint surgery consisting of wedge reesection of the uterus + fistula repair by the digestive surgery team, and hysterotomy + bilateral salpingectomy by the obgyn team. The procedure was success, and the fistula was closed, however the IUD was not retrieved during surgery. The patient had no early post-operative problem.Conclusion: The management of utero-sigmoid fistulas varies greatly and is not standardized. The diagnosis can be confirmed by hysteroscopy or surgical exploration, although non-invasive imaging techniques like MRI can aid in the process. Even though utero-sigmoid fistulas are uncommon, physicians need to be aware of this possible IUD complications.Diagnosis dan Tatalaksana Kasus Fistula Utero-Sigmoid: Laporan KasusAbstrakPendahuluan: Alat Kontrasepsi Dalam Rahim (AKDR) merupakan bentuk kontrasepsi yang umum digunakan karena harganya terjangkau dan efektif. Namun, AKDR dapat bermigrasi ke dalam miometrium yang dapat menyebabkan pembentukan fistula utero-sigmoid. Fistula utero-sigmoid adalah efek samping yang jarang terjadi tetapi berbahaya akibat migrasi AKDR. Migrasi AKDR dapat menjadi tantangan untuk diagnosis penyebab fistula utero-sigmoid dan penyulit saat prosedur pengambilan AKDR. Laporan kasus ini akan membahas mengenai diagnosis dan penanganan fistula utero-sigmoid.Presentasi Kasus: Seorang wanita berusia 63 tahun datang ke rumah sakit mengeluhkan feses yang keluar dari vaginanya. Kemudian, hal itu dikonfirmasi saat pemeriksaan vagina. Pada pemeriksaan USG ditemukan IUD yang berpindah ke bagian uterus yang lebih dalam dan suatu defek yang terkonfirmasi sebagai fistula antara kolon sigmoid dan uters melalui MSCT abdomen dengan kontras. Kemudian pasien menjalani operasi bersama yang terdiri dari wedge reesection pada rahim + repair fistula oleh tim bedah digestif, dan histerotomi + salpingektomi bilateral oleh tim obgyn. Prosedur berjalan dengan baik dan fistula berhasil ditutup, namun AKDR tidak diambil pada saat operasi. Tidak didapati komplikasi akut pascaoperasi.Kesimpulan: manajemen fistula utero-sigmoid sangat bervariasi dan belum terstandardisasi. Diagnosis dapat dikonfirmasi melalui histereskopi atau eksplorasi pembedahan, namun teknik pencitraan non-invasif seperti MRI dapat membantu proses diagnosis. Meskipun fistula utero-sigmoid jarang terjadi, klinisi tetap harus waspada akan komplikasi ini akibat dari IUDKata kunci: AKDR, Diagnosis, Fistula utero-sigmoid, manajemen,
Reframing Female Genital Cosmetic and Aesthetic Surgery: Ethics, Function, and Sexual Health Beyond Appearance Sukarsa, Mochamad Rizkar Arev
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 3 November 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i3.1033

Abstract

In recent years, the convergence of aesthetic medicine and urogynecology has reshaped the dialogue on women’s health. Procedures once confined to reconstructive domains—repairing pelvic floor disorders, perineal trauma, or postpartum laxity—now coexist with aesthetic motivations emphasizing appearance and self-confidence. This editorial reflects on how female genital cosmetic surgery (FGCS) and female genital aesthetic surgery (FGAS) overlap yet differ ethically, functionally, and philosophically.Defining FGCS and FGASAccording to the American College of Obstetricians and Gynecologists (ACOG) and the Royal College of Obstetricians and Gynaecologists (RCOG), FGCS comprises elective surgical procedures that modify the appearance of genitalia without clear medical indication. These interventions originate in the cosmetic surgery paradigm, focusing on visual symmetry and patient satisfaction. In contrast, FGAS has evolved within gynecology and minimally invasive aesthetic medicine, aiming not only at external appearance but also at comfort, tissue quality, and functional harmony. The distinction matters: while FGCS is largely appearance-driven, FGAS aspires toward holistic well-being and sexual confidence. Recognizing these nuances helps physicians maintain ethical boundaries and ensure that patient motivation is grounded in informed understanding rather than social pressure.
Gestational weight gain as a factor associated with urinary incontinence and quality of life Aulia, Rizka; Sukarsa, M. Rizkar Arev; Prasetyo, Dwi; Hilmanto, Danny; Sasotya, R.M. Sonny; Susiarno, Hadi
Majalah Obstetri & Ginekologi Vol. 33 No. 3 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I32025.214-220

Abstract

HIGHLIGHTS There is a correlation between maternal weight gain and urinary incontinence, an increase in weight during pregnancy may raise the risk of urinary incontinence. Urinary incontinence correlates with poorer quality of life in pregnant women and has the potential to affect their well-being negatively.   ABSTRACT Objective: Urinary incontinence (UI) frequently occurs in pregnancy, primarily caused by increased intra-abdominal pressure. If left unmanaged, UI can lead to both physical and psychological discomfort, potentially reducing a pregnant woman’s quality of life. This research aimed to examine the relationship between gestational weight gain and the occurrence of urinary incontinence, along with its effects on quality of life. Materials and Methods: A cross-sectional study was carried out among 50 pregnant women in their third trimester residing within the working area of Lebaksiu Primary Health Care, Tegal Regency, Central Java, Indonesia. Pre-pregnancy weight was extracted from the Handbook of Maternal and Child Health (MCH), while current weight was measured directly using the validated Indonesian version of the ICIQ-UI SF questionnaire, while quality of life was assessed with the Indonesian version of the WHOQOL-BREF. Both instruments were administered through face-to-face interviews. Correlation was tested using Spearman’s rank correlation, with statistical significance set at p<0.05. Results: The results showed a statistically significant positive correlation between maternal weight gain and the incidence of urinary incontinence (p=0.001; r=0.462), and a significant negative correlation between urinary incontinence and quality of life (p=0.000; r=-0.614). Seventy percent of the pregnant women experienced urinary incontinence, and 46% reported decreased quality of life. Conclusion: These findings suggest that greater maternal weight gain is associated with a higher risk of UI, and that UI negatively affects pregnant women’s quality of life. Integrating educational programs and policies that emphasize the importance of maintaining an ideal body weight during pregnancy may help prevent UI and improve the overall quality of life for pregnant women.
Mapping Risk Factors Associated with Breast Engorgement Among Postpartum Mothers: A Scoping Review Neng Resi Fitriani; Johanes Cornelius Mose; Mochamad Rizkar Arev Sukarsa; Dwi Prasetyo; Sri Endah Rahayuningsih; Ruswana Anwar; Qorinah Estingtyas Sakilah Adnani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28520

Abstract

Cognitive decline is an increasing public health concern among older people, particularly Breast engorgement is one of the most common postpartum breastfeeding problems and may increase the risk of mastitis, maternal discomfort, and early breastfeeding discontinuation. This scoping review aimed to map and synthesize existing evidence regarding risk factors associated with breast engorgement in postpartum women. The review followed the PRISMA-ScR guidelines. A systematic search of Google Scholar, ScienceDirect, Wiley Online Library, and PubMed was conducted for articles published between 2015 and 2025. Studies examining factors associated with breast engorgement among postpartum mothers were eligible. Two independent reviewers performed study screening and selection, and data were charted using a standardized extraction form. A total of 11 articles met the inclusion criteria and were included in the final analysis. The findings indicate that breast engorgement is a multifactorial condition influenced by maternal characteristics, socioeconomic and environmental factors, infant-related factors, breastfeeding practices, maternal knowledge and perceptions, family and social support, healthcare system support, and cultural practices. The themes were generated through inductive thematic analysis of the included studies. Recurrent patterns across studies suggest that inadequate milk removal, delayed breastfeeding initiation, limited maternal knowledge, and insufficient professional support are frequently reported factors associated with breast engorgement. This review highlights the complexity of breast engorgement and the broad range of factors discussed in the literature. The findings provide an evidence map that may inform future research, clinical practice, and supportive breastfeeding interventions, while acknowledging that scoping reviews are designed to explore and map evidence rather than determine causal relationships Keywords: Breast engorgement, postpartum mothers, breastfeeding, risk factors, scoping review
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