Andi Rinaldi
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Padjadjaran/ RSUP Dr. Hasan Sadikin Bandung

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THE IMPACT OF USING POCKET BOOKS ON HUSBANDS' KNOWLEDGE, SUPPORT, AND COMPLIANCE IN THE DELIVERY PREPARATION PROCESS AT BOJONGGEDE COMMUNITY HEALTH CENTRE Sarasati, Kadesma Fadhila Clara; HR, Teni Nurlatifah; Raksanagara, Ardini Sapatiningsih; Herawati, Yanti; Rinaldi, Andi; Sutisna, Ma'mun
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.7615

Abstract

The process from pregnancy to childbirth is a natural phase for women, during which spousal support plays a critical role. To enhance this support, a pocket guide can provide structured and accessible information for husbands. This study aims to assess the impact of using a pocket guide on husbands' knowledge, support, and compliance during childbirth preparation at the Bojonggede Health Center in Bogor Regency. A quasi-experimental method with a pre-test and post-test control group design was used. The population consisted of husbands of women in their third trimester of pregnancy, selected through total sampling. The study was conducted from May to June 2024. Data analysis using the Mann-Whitney test revealed significant effects: the pocket guide improved knowledge (p = 0.002), support (p = 0.013), and compliance (p = 0.001) in the childbirth preparation process. The N-Gain score of 56.93% indicates moderate effectiveness. These findings suggest that pocketbooks are a useful tool in improving husbands' roles in supporting their partners through childbirth. The study concludes that pocketbooks positively influence husbands' involvement and recommends their use by health workers, especially midwives, in antenatal care settings to foster greater spousal engagement during pregnancy and childbirth.
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.
Sexual Function in Cervical Cancer Patients Based on Female Sexual Function Index Questionnaire at Dr. Hasan Sadikin Central General Hospital From 2018 – 2023 Zakaria, Bangbang Ahmad Kholila Muhyiddin Abadi; Rinaldi, Andi; Zulvayanti, Zulvayanti
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.v8i2.899

Abstract

Objective: To describe the sexual function of cervical cancer patients undergoing radiation therapy at RSHS using the Female Sexual Function Index (FSFI) questionnaire.Methods: This cross-sectional study involved cervical cancer patients who received radiation therapy at RSHS between January 2018 and December 2023. Data were collected using the FSFI questionnaire and were analyzed descriptively.Results: Among 100 patients aged 15 to 70 years, the participants experienced overlapping symptoms. The most frequently reported dysfunctions were vaginal dryness (90.63%), orgasm disorders (79.17%), dyspareunia (64.58%), and decreased libido (58%). Comorbidities included hypertension, diabetes mellitus, and urinary tract infections.Conclusion: Most cervical cancer patients receiving radiation therapy experience sexual dysfunction, as identified using the FSFI questionnaire. Limited clinical discussion, psychosocial stress, and socioeconomic constraints contribute to this issue. Integrating sexual health assessment and support into survivorship care is essential to improving overall patient well-being.Fungsi Seksual pada Pasien Kanker Serviks Berdasarkan Kuesioner Female Sexual Function Index di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Tahun 2018 – 2023Abstrak Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran fungsi seksual pasien kanker serviks yang menjalani terapi radiasi di RSHS menggunakan kuesioner Female Sexual Function Index (FSFI).Metode: Penelitian ini menggunakan metode potong lintang dan dilakukan pada pasien kanker serviks yang sedang menjalani terapi radiasi di RSHS antara Januari 2018 hingga Desember 2023. Data dikumpulkan menggunakan kuesioner FSFI dan dianalisis secara deskriptif.Hasil: Dari 100 pasien berusia 15 – 70 tahun, para pasien mengalami gejala yang saling tumpang tindih. Disfungsi seksual yang paling sering dilaporkan adalah vagina kering (90,63%), gangguan orgasme (79,17%), dispareunia (64,58%), dan penurunan libido (58%). Komorbiditas yang ditemukan meliputi hipertensi, diabetes melitus, dan infeksi saluran kemih.Kesimpulan: Sebagian besar pasien kanker serviks yang menjalani terapi radiasi mengalami disfungsi seksual, sebagaimana diidentifikasi melalui kuesioner FSFI. Kurangnya diskusi klinis, stres psikososial, dan keterbatasan sosial ekonomi turut berkontribusi terhadap masalah ini. Integrasi penilaian dan dukungan kesehatan seksual dalam perawatan pascaterapi sangat penting untuk meningkatkan kesejahteraan pasien secara menyeluruh.Kata kunci: fungsi seksual; kanker serviks; komplikasi radioterapi
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

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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
The Success Rate for Diagnosing Congenital Anomalies During Prenatal Firmansyah, Silva Elifa; Pribadi, Adhi; Pramatirta, Akhmad Yogi; Rachmawati, Anita; Rinaldi, Andi
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.v7i3.722

Abstract

Introduction: This study aimed to determine the success of prenatal diagnosis in cases of congenital abnormalities at RSHS Bandung.Methods: This study was descriptive and cross-sectional. We collected data from all neonatal patients with congenital abnormalities who received prenatal care at RSHS Bandung between January 1, 2021, and December 31, 2023. Data processing used Microsoft Excel 16.66.1 and IBM SPSS Statistics.Result: The results show that 59 patients, or 93.6%, had appropriate abnormalities diagnosed, while only 4 patients, or 6.3%, had inappropriate abnormalities.Conclusion: Prenatal diagnosis of congenital abnormalities showed a fairly high concordance value, namely 93.6%.Tingkat Keberhasilan Penegakan Diagnosis Kelainan Kongenital pada saat PrenatalAbstrakTujuan: Tujuan penelitian ini untuk mengetahui keberhasilan diagnosis prenatal pada kasus kelainan kongenital di RSHS Bandung.Metode: Penelitian ini bersifat deskriptif cross-sectional. Data diperoleh dari seluruh pasien neonatal yang disertai kelainan kongenital pada saat prenatal di RSHS Bandung 1 Januari 2021 – 31 Desember 2023. Pengolahan data menggunakan Microsoft Excel 16.66.1 dan IBM SPSS Statistics.Hasil: Hasil yang didapatkan yaitu akurasi pasien terdiagnosis sesuai ada kelainan sebanyak 59 atau sebesar 93.6% dan terdiagnosis tidak sesuai ada kelainan sebanyak 4 atau sebesar 6.3%. Kesimpulan: Penegakan diagnosis kelainan kongenital pada saat prenatal menunjukkan nilai kesesuaian yang cukup tinggi, yaitu sebesar 93,6%.Kata kunci: Prenatal, kelanan kongenital,
Amniotic Membrane Graft and Hysteroscopic Adhesiolysis as Treatment for Asherman Syndrome Case Rusly, Dewi Karlina; Ritonga, Mulyanusa Amarullah; Rachmawati, Anita; Rinaldi, Andi; Djuwantono, Tono
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.v7i3.603

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Introduction: Secondary amenorrhea which caused by intrauterine adhesions is called Asherman’s syndrome. This occurs when the uterine cavity becomes partially or completely blocked, which can damage the basal layer of the endometrium and cause the formation of adhesive cicatricial tissue. The prevalence or incidence of Asherman Syndrome ranges from 2.84-5.5% in women. Case Report: A woman 33 years old had a history of amenorrhea for 2 years and three times curettage due to miscariage. Ultrasound findings showed 1.35 cm long cicatrix in the uterine cavity, and probe had only entered 3 cm. The patient underwent hysteroscopy adhesiolysis and grafting of intrauterine amniotic membrane. The intrauterine catheter was monitored for 1 month. Postoperatively the patient also received estradiol valerate therapy 3 x 2 mg for three months. Management of Asherman syndrome with hysteroscopy adhesiolysis with direct observation accompanied by grafting of amniotic membrane using intrauterine catheter tube is one of the techniques to overcome recurrent intrauterine adhesion. Conclusion:  Secondary amenorrhea in Asherman syndrome is better treated operatively with direct observation of the hysteroscopy and adhesiolysis. The using of amniotic membrane graft and supportive therapy are very helpful for the success of endometrial growth and preventing recurrent adhesions, increase the menstrual volume and chances of pregnancy.Pencangkokan Selaput Ketuban dan Histeroskopi Adhesiolisis sebagai Penatalaksanaan untuk Kasus Sindrom AshermanAbstrakPendahuluan: Amenorea sekunder yang disebabkan oleh perlengketan intrauterin disebut sindrom Asherman dengan prevalensi berkisar antara 2,84 - 5,5%.Laporan Kasus: Seorang wanita berusia 33 tahun mempunyai riwayat amenore 2 tahun dan kuretase sebanyak 3 kali akibat abortus. Temuan USG menunjukkan cicatrix sepanjang 1,35 cm di rongga rahim, sondage hanya masuk 3cm. Pasien menjalani histeroskopi adhesiolisis dan pemasangan cangkok selaput ketuban intrauterin. Kateter intrauterin dipantau selama 1 bulan. Pascaoperasi pasien juga mendapat terapi estradiol valerat 3 x 2mg selama tiga bulan. Penatalaksanaan sindrom Asherman dengan histeroskopi adhesiolisis dengan observasi langsung disertai pemasangan cangkok selaput ketuban menggunakan selang kateter intrauterin merupakan salah satu teknik yang efekstif untuk mengatasi adhesiolisis intrauterin berulang.Kesimpulan: Amenore sekunder pada sindrom Asherman lebih baik ditangani secara operatif dengan observasi langsung berupa histeroskopi dan adhesiolisis. Pemasangan cangkok selaput ketuban dan terapi suportif sangat membantu keberhasilan pertumbuhan endometrium dan mencegah perlengketan berulang, meningkatkan volume darah saat menstruasi dan peluang terjadinya pembuahan.Kata kunci: Adhesi intrauterin, Histeroskopi, Pencangkokan selaput ketuban, Rekonstruksi endometrium, Sindrom Asherman.
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,