PENGARUH PERINEUM MASSAGE TERHADAP DERAJAT ROBEKAN PERINEUM PADA IBU PRIMIGRAVIDA DI BPS WIDJAYATI DAN BPS DESAK KECAMATAN NEGARA

Abstract: Maternal Mortality is still high indicates that the reproductive health of the  mother  is  still  cause  for  concern.  Maternal  mortality  is  the  main  Triassic bleeding. Postpartum hemorrhage is bleeding in excess of 500cc-600cc in the first 24  hours  after  the  first  child  born  resulting  from  the  birth  canal  laceration.  The birth canal can tear the vagina, cervix, uterus and perineum. Perineal laceration is a tear that occurs in the perineum during childbirth. Perineal laceration can result in pelvic muscle dysfunction basis, resulting in lower quality of life of the mother after giving birth. This causes the mother is not able to control bladder and bowel movements because there are some nerves or muscles are impaired. When this has been  done  while  pregnant  alternative  methods  aimed  at  minimizing  perineal laceration, one of which is perineum  massage. This study aims to determine the effect  of  perineal  massage  on  the  degree  of  perineal  laceration  in  primigravida mother.  Types  of  studies  that  used  pre-experimental  comparison  group  design with static. Sample consisted of 20 respondents, the sample was divided into two groups primigravida mothers who do perineum massage (10 respondents) and the primigravida  mother  who  does  not  do  perineal  massage  (10  respondents). Sampling  technique  used  in  this  study  is  the  technique  of  quota  sampling.  Data collection  by  observation  of  the  degree  of  perineal  laceration  using  the observation  sheet.  The  results  are  given  in  groups  of  perineal  massage,  none having third and fourth-degree tear. Most respondents did not experience perineal laceration of six people (60%), three (30%) had torn one and one degree (10%) had a two-degree tear whereas those respondents who were not given the number of  respondents  perineal  massage  for  10  people.  Most  respondents  experienced perineal tear degree two which is about 7 people (70%), the degree of a total of 2 people (20%) and did not experience as much as a man torn perineum (10%) and none  having  third  and  fourth-degree  tear.  Mann-Whitney  test  results  seen  the value of p = 0.005 or p <α (0.05), then the conclusion H0 is rejected, then there is the  influence  of  perineal  massage  on  the  degree  of  perineal  laceration  in primigravida mother. In this regard it is suggested to optimize the health workers can  be  counseled  about  how  to  prevent  perineal  tears  in  labor  and  guide  her  to perform perineal massage.
Keyword: Perineal Massage, Torn Perineum, Primigravida Mother
Penulis: Natami, Putu Andyna., Nengah Runiari, S.Kp, M.Kep, Sp.Mat, Ns. I.G.A.A.Putri Mastini, S.Kep
Kode Jurnal: jpkeperawatandd130092

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