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.
Penulis: Natami, Putu Andyna.,
Nengah Runiari, S.Kp, M.Kep, Sp.Mat, Ns. I.G.A.A.Putri Mastini, S.Kep
Kode Jurnal: jpkeperawatandd130092