Karakteristik Risiko Kejadian Ruptur Perineum Pada Ibu Postpartum
Keywords:
Karakteristik, Risiko, Ruptur, Perineum, Bersalin
Abstract
Penyebab utama kematian pada ibu di suatu Negara berkembang adalah infeksi nifas salah satunya sepsis, perlukaan jalan lahir merupakan media perkembangan kuman yang mengakibatkan infeksi berhubungan erat dengan mordibitas ibu jangka panjang bahkan menyebabkan gangguan dasar panggul hingga 10 tahun pasca persalinan dengan prevalensi kejaidian ini mencapai angka 50% di Asia tenggara yang dipengaruhi oleh faktor maternal maupun neonatal. Penelitian ini bertujuan untuk mengetahui karakteristik ibu dan bayi dalam risiko kejadian ruptur perineum.
Penelitian ini merupakan peneltian desktiptif cross sectional dengan mengambil data ibu bersalin yang mengalamai ruptur perineum di Puskesmas Gunung Sari Kabupaten Lombok Barat dari Januari-Oktober 2022 sebanyak 172. Data yang diambil merupakan data karakteristik ibu dan bayi yang meliputi usia, paritas, usia kehamilan, nilai APGAR, berat badan lahir, panjang badan, lingkar kepala dan lingkar dada..
Karakteristik tertinggi ibu bersalin dengan rentang usia 20-35 tahun (83,7%), jumlah persalinan 2-4 kali (multipara) (72,1%), usia kehamilan cukup bulan 37-42 minggu (91,3%). Karakteristik bayi tertingi (95,9%) memiliki nilai APGAR normal pada menit ke 1 dan (98,8%) dengan nilai apgar normal pada menit ke 5, berat badan lahir 2.500-4.000 gram (91,3%), dengan panjang badan 48-52 cm (74,4%), lingkar kepala <33 cm sejumlah (69,8%) dan lingkar dada tertinggi dalam rentang 30-38 cm (91,3%).
References
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Smith LA., Price N., Simonite V., Burns EE. Incidence of and risk factors for perineal trauma: A prospective observational study. BMC Pregnancy Childbirth. 2013;13(1):1, doi:10.1186/1471-2393-13-59.
Hoque AM., Hoque ME., Hal G V. Incidence , trends and risk factors for perineal injuries of low-risk pregnant women : Experience from a midwife run obstetric unit , South Africa. African J Reprod Heal August. 2021;25(August):52-62, doi:10.29063/ajrh2021/v25i4.6.
Kurniawan F., Jingsung J., Baeda AG., Anam A., Siagian HJ. The Risk Factor of Pregnant Gymnam on The Incidence of Ruptur Perineum in Aliyah Hospital Kendari. J Kebidanan. 2020;10(2):138-42, doi: 10.31983/jkb.v10i2.6326.
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Eghdampour F., Jahdie F., Kheyrkhah M., Taghizadeh M. The Impact of Aloe vera and Calendula on Perineal Healing after Episiotomy in Primiparous Women : A Randomized Clinical Trial. J Caring Sci. 2013;2(4):279-86, doi: 10.5681/jcs.2013.033.
Riskina Z., Riska CA. Hubungan Jarak Kelahiran Dan Berat Bayi Lahir Dengan Kejadian Ruptur Perineum Pada Persalinan Normal Di Rsu Tgk Chik Ditiro Tahun 2019 Relationship Of Birth Distance And Weight Of Birth With The Event Of The Rupture Perineum In Labor Normal In Rsud Tgk Ch. J Healthc Technol Med. 2020;6(1):599-607.
Wahyuni C. Hubungan Posisi Meneran engan Ruptur Perineum Persalinan Normal Pada Multigravida di BPS Desa Putren Kecamatan Sukomoro KabupatDen Nganjuk. J Wiyata. 2017:1-6.
vanita sharma somibala thokchom. assassment of perineal trauma during child birth by estimation of striae gravidarum score among post-natal mother at selected hospital of new delhi. Nurs J india. s. f.
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Sánchez-Ferrer ML., Prieto-Sánchez MT., Moya-Jiménez C., Mendiola J., García-Hernández CM., Carmona-Barnosi A., et al. Anogenital distance and perineal measurements of the pelvic organ prolapse (POP) quantification system. J Vis Exp. 2018;(139):1-7, doi: 10.3791/57912.
Hukubun Y., Budiono DI., Kurniawati EM. the Relationship Between Age, Parity, and Birth Weight With the Degree of Perineal Rupture in the Rsud Jayapura. Indones Midwifery Heal Sci J. 2021;5(1):103, doi:10.20473/imhsj.v5i1.2021.103-115.
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Goma L., Khedr N., Gouda A. Effect of Utilizing Hands-on Versus Off Method During Delivery of Fetal Head on Occurrence of Perineal Tear. Mansoura Nurs J. 2020;7(2):136-52, doi:10.21608/mnj.2020.179773.
Djaković I., Ejubović E., Bolanča I., Markuš-Sandrić M., Bečić D., Djaković Ž., et al. Third and fourth degree perineal tear in four-year period at sestre milosrdnice University hospital center, Zagreb, Croatia. Open Access Maced J Med Sci. 2018;6(6):1067-71, doi:10.3889/oamjms.2018.253.
Mary DVP., Kumar DGA., Padmanaban S. Obstetric anal sphincter injuries (Oasis): A prospective observational longitudinal study. Int J Clin Obstet Gynaecol. 2019;3(5):22-6, doi:10.33545/gynae.2019.v3.i5a.325.
Jansson MH., Franzén K., Hiyoshi A., Tegerstedt G., Dahlgren H., Nilsson K. Risk factors for perineal and vaginal tears in primiparous women – the prospective POPRACT-cohort study. BMC Pregnancy Childbirth. 2020;20(1):1-14, doi:10.1186/s12884-020-03447-0.
Agarwal M., Gautam A. Study of fetomaternal outcome in eclampsia. Int J Reprod Contraception, Obstet Gynecol. 2020;9(10):4155, doi: 10.18203/2320-1770.ijrcog20204305.
Piro E., Serra G., Schierz IAM., Antona V., Giuffrè M., Corsello G. Large for gestational age, macrosomia, overgrowth: An update on definitions and determinants. EuroMediterranean Biomed J. 2020;15(29):116-20, doi:10.3269/1970-5492.2020.15.29.
Valere MK., Etienne B., Jean Paul EN., Marie KJ. Macrosomic Newborn Anthropometric Parameters and the Mode of Delivery. Gynecol Obstet. 2018;8(10), doi: 10.4172/2161-0932.1000490.
Mu SC., Lin CH., Chen YL., Ma HJ., Lee JS., Lin MI., et al. Impact on neonatal outcome and anthropometric growth in very low birth weight infants with histological chorioamnionitis. J Formos Med Assoc. 2008;107(4):304-10, doi:10.1016/S0929-6646(08)60091-1.
Rhatomy S., Tanzil H., Setyawan R., Amanda C., Phatama KY., Andrianus J., et al. Influence of anthropometric features on peroneus longus graft diameter in Anterior Cruciate Ligament reconstruction: A cohort study. Ann Med Surg. 2019;48(October):77-80, doi:10.1016/j.amsu.2019.10.023.
Chaipongpun, Nitchanut., punpuckdeekon P. Adverse Outcomes of Pregnancy with Abnormal Weight Gain at Phramongkutklao Hospital. He02Tci-ThaijoOrg. 2018;26(4):217-27.
Malherbe JJ., Davel S. An atraumatic sacral fracture with lumbosacral radiculopathy complicating the early postpartum period: A case report. Am J Case Rep. 2019;20:794-9, doi: 10.12659/AJCR.915764.
Rini Hariani Ratih. Yusmaharani N. Pengaruh Pijat Perineum terhadap Ruptur Perineum pada Ibu Primigravida di Rumah Bersalin Rosita Rini. J Ilm kebidanan. 2021;11(02):76-80, doi: https://doi.org/10.33221/jiki.v11i02.1035.
dhan bahardur shrestha, rosy malla, reeta manandhar, ratna khatri, cimona shrestha, roshan khatiwada, pratik silwal, sahadev bidari, magina maharjan, ranjit babu jasaraj bhesh raj karki. prevalence and outcome of induction if labor in a teritiary care center of kathmandu, nepal. Nep J Obs Gynecol. 2019;14(29):54-6.
Ratna Dewi ED. New Bird Circuit Birth Relationship and Increase Heavy Weight for Pregnancy With Perineum Performance Rupture in BPM «Z» Bengkulu Year 2014. 2014;(c):1-43.
Sangkala, Fitriani AS. The Implementation of Vulva Hygiene Treatment in Postpartum Women to Prevention of Rupture Perineum Infection. J LA MEDIHEALTICO. 2020;01(03):15-9, doi:10.37899/journallamedihealtico.v1i3.124.
Komunitas JK., Langkat BK., Crocatum P., Penyembuhan T., Postpartum I., Jati T. The Effect of Giving Red Betel Leaves ( Piper Crocatum ) on Healing of Perineum Woes in Postpartum Women in Desa Tanjung Jati Kecamatan. J Community Health. 2020;6(November):255-9, doi:h?ps://doi.org/10.25311/keskom.Vol6.Iss3.599.
Smith LA., Price N., Simonite V., Burns EE. Incidence of and risk factors for perineal trauma: A prospective observational study. BMC Pregnancy Childbirth. 2013;13(1):1, doi:10.1186/1471-2393-13-59.
Hoque AM., Hoque ME., Hal G V. Incidence , trends and risk factors for perineal injuries of low-risk pregnant women : Experience from a midwife run obstetric unit , South Africa. African J Reprod Heal August. 2021;25(August):52-62, doi:10.29063/ajrh2021/v25i4.6.
Kurniawan F., Jingsung J., Baeda AG., Anam A., Siagian HJ. The Risk Factor of Pregnant Gymnam on The Incidence of Ruptur Perineum in Aliyah Hospital Kendari. J Kebidanan. 2020;10(2):138-42, doi: 10.31983/jkb.v10i2.6326.
Tirta Anggraini. \Hubungan Berat Badan Bayi Lahir dengan Tingkat Robekan Perineum Pada Ibu Bersalin Normal di Rumah Sakit Pusri Palembang Tahun 2019. J Kebidanan J Med Sci Ilmu Kesehat Akad Kebidanan Budi Mulia Palembang. 2020;10(1):53-9, doi:10.35325/kebidanan.v10i1.224.
Eghdampour F., Jahdie F., Kheyrkhah M., Taghizadeh M. The Impact of Aloe vera and Calendula on Perineal Healing after Episiotomy in Primiparous Women : A Randomized Clinical Trial. J Caring Sci. 2013;2(4):279-86, doi: 10.5681/jcs.2013.033.
Riskina Z., Riska CA. Hubungan Jarak Kelahiran Dan Berat Bayi Lahir Dengan Kejadian Ruptur Perineum Pada Persalinan Normal Di Rsu Tgk Chik Ditiro Tahun 2019 Relationship Of Birth Distance And Weight Of Birth With The Event Of The Rupture Perineum In Labor Normal In Rsud Tgk Ch. J Healthc Technol Med. 2020;6(1):599-607.
Wahyuni C. Hubungan Posisi Meneran engan Ruptur Perineum Persalinan Normal Pada Multigravida di BPS Desa Putren Kecamatan Sukomoro KabupatDen Nganjuk. J Wiyata. 2017:1-6.
vanita sharma somibala thokchom. assassment of perineal trauma during child birth by estimation of striae gravidarum score among post-natal mother at selected hospital of new delhi. Nurs J india. s. f.
O’Kelly SM., Moore ZE. Antenatal maternal education for improving postnatal perineal healing for women who have birthed in a hospital setting. Cochrane Database Syst Rev. 2017;2017(12), doi:10.1002/14651858.CD012258.pub2.
Sánchez-Ferrer ML., Prieto-Sánchez MT., Moya-Jiménez C., Mendiola J., García-Hernández CM., Carmona-Barnosi A., et al. Anogenital distance and perineal measurements of the pelvic organ prolapse (POP) quantification system. J Vis Exp. 2018;(139):1-7, doi: 10.3791/57912.
Hukubun Y., Budiono DI., Kurniawati EM. the Relationship Between Age, Parity, and Birth Weight With the Degree of Perineal Rupture in the Rsud Jayapura. Indones Midwifery Heal Sci J. 2021;5(1):103, doi:10.20473/imhsj.v5i1.2021.103-115.
Waldenström U., Ekéus C. Risk of obstetric anal sphincter injury increases with maternal age irrespective of parity: A population-based register study. BMC Pregnancy Childbirth. 2017;17(1):1-10, doi: 10.1186/s12884-017-1473-7.
Goma L., Khedr N., Gouda A. Effect of Utilizing Hands-on Versus Off Method During Delivery of Fetal Head on Occurrence of Perineal Tear. Mansoura Nurs J. 2020;7(2):136-52, doi:10.21608/mnj.2020.179773.
Djaković I., Ejubović E., Bolanča I., Markuš-Sandrić M., Bečić D., Djaković Ž., et al. Third and fourth degree perineal tear in four-year period at sestre milosrdnice University hospital center, Zagreb, Croatia. Open Access Maced J Med Sci. 2018;6(6):1067-71, doi:10.3889/oamjms.2018.253.
Mary DVP., Kumar DGA., Padmanaban S. Obstetric anal sphincter injuries (Oasis): A prospective observational longitudinal study. Int J Clin Obstet Gynaecol. 2019;3(5):22-6, doi:10.33545/gynae.2019.v3.i5a.325.
Jansson MH., Franzén K., Hiyoshi A., Tegerstedt G., Dahlgren H., Nilsson K. Risk factors for perineal and vaginal tears in primiparous women – the prospective POPRACT-cohort study. BMC Pregnancy Childbirth. 2020;20(1):1-14, doi:10.1186/s12884-020-03447-0.
Agarwal M., Gautam A. Study of fetomaternal outcome in eclampsia. Int J Reprod Contraception, Obstet Gynecol. 2020;9(10):4155, doi: 10.18203/2320-1770.ijrcog20204305.
Piro E., Serra G., Schierz IAM., Antona V., Giuffrè M., Corsello G. Large for gestational age, macrosomia, overgrowth: An update on definitions and determinants. EuroMediterranean Biomed J. 2020;15(29):116-20, doi:10.3269/1970-5492.2020.15.29.
Valere MK., Etienne B., Jean Paul EN., Marie KJ. Macrosomic Newborn Anthropometric Parameters and the Mode of Delivery. Gynecol Obstet. 2018;8(10), doi: 10.4172/2161-0932.1000490.
Mu SC., Lin CH., Chen YL., Ma HJ., Lee JS., Lin MI., et al. Impact on neonatal outcome and anthropometric growth in very low birth weight infants with histological chorioamnionitis. J Formos Med Assoc. 2008;107(4):304-10, doi:10.1016/S0929-6646(08)60091-1.
Rhatomy S., Tanzil H., Setyawan R., Amanda C., Phatama KY., Andrianus J., et al. Influence of anthropometric features on peroneus longus graft diameter in Anterior Cruciate Ligament reconstruction: A cohort study. Ann Med Surg. 2019;48(October):77-80, doi:10.1016/j.amsu.2019.10.023.
Chaipongpun, Nitchanut., punpuckdeekon P. Adverse Outcomes of Pregnancy with Abnormal Weight Gain at Phramongkutklao Hospital. He02Tci-ThaijoOrg. 2018;26(4):217-27.
Malherbe JJ., Davel S. An atraumatic sacral fracture with lumbosacral radiculopathy complicating the early postpartum period: A case report. Am J Case Rep. 2019;20:794-9, doi: 10.12659/AJCR.915764.
Rini Hariani Ratih. Yusmaharani N. Pengaruh Pijat Perineum terhadap Ruptur Perineum pada Ibu Primigravida di Rumah Bersalin Rosita Rini. J Ilm kebidanan. 2021;11(02):76-80, doi: https://doi.org/10.33221/jiki.v11i02.1035.
dhan bahardur shrestha, rosy malla, reeta manandhar, ratna khatri, cimona shrestha, roshan khatiwada, pratik silwal, sahadev bidari, magina maharjan, ranjit babu jasaraj bhesh raj karki. prevalence and outcome of induction if labor in a teritiary care center of kathmandu, nepal. Nep J Obs Gynecol. 2019;14(29):54-6.
Ratna Dewi ED. New Bird Circuit Birth Relationship and Increase Heavy Weight for Pregnancy With Perineum Performance Rupture in BPM «Z» Bengkulu Year 2014. 2014;(c):1-43.
Published
2023-02-03
How to Cite
Mubayyina, F. (2023). Karakteristik Risiko Kejadian Ruptur Perineum Pada Ibu Postpartum. Jurnal Ilmu Kesehatan Dan Farmasi, 10(2), 80 - 84. https://doi.org/10.51673/jikf.v10i2.1402
Section
Articles
