Perineal Influence Massage and warm compresses during the active phase of labor for perineal tearing in PMB Dewi
DOI:
https://doi.org/10.30994/jrph.v3i2.84Keywords:
Warm compress, Perineum massage, Perineal tearAbstract
Background: High maternal mortality rate due to bleeding, one of which is due to a tear in the birth canal, around 4-5%. The percentage of perineal tears is small but this problem can be a serious problem in maternal deaths. The purpose of writing this research is to determine the influence of the perineum massage and warm compresses in the active phase of labor against perineal tears. Method: This type of research is quantitative, with research design included in the type of research experiment. In this research, a comparative quantitative research design will be used. Based on the research location, it is clinical research and there are treatments in the research. Based on the data source, it is primary research. This research is included in this type of research Almost Experimental with Posttest Only Control Group Design. In this research design, there are two groups selected randomly. One group acts as the control group and the other group acts as the experimental group. Then, within a predetermined time period, the experimental group was given treatment. Then measurements were carried out on both groups. This research was conducted at the Mandiri Dewi Midwife Practice, Sidoarjo. Results: The research results show that the distribution of events is not rupture perineum occurred more frequently in the intervention group of 6 people (85.7%) who received perineal massage and warm compresses. After testing Chi-Square earned value p= 0.005 (<0.05) then statistically it shows the influence of the perineum massage and warm compresses in the active phase of labor against perineal tears. Conclusion: There is Perineal Influence Massage and Warm Compresses in the Active Phase of Labor on the Incident of Perineal Tears in PMB Dewi. The secretion of the hormones progesterone and relaxin during pregnancy will increase; these hormones help muscles and joints to soften and stretch; This process takes place throughout the body, pelvic floor, and perineum. Slow, gentle perineal massage and warm compresses can increase the flexibility of the perineum as blood circulation increases. (Akhlaghi et al., 2019)
References
Akhlaghi, F., Sabeti Baygi, Z., Miri, M., & Najaf Najafi, M. (2019). Effect of Perineal Massage on the Rate of Episiotomy. Journal of Family & Reproductive Health. https://doi.org/10.18502/jfrh.v13i3.2130
Aprilia Y. Rileks nyaman dan aman saat hamil dan melahirkan. Jakarta: Gagas Media; 2010.
Asrinah, D. (2010). Asrinah, dkk. Asuhan Kebidanan Masa Kehamilan. Yogyakarta : Graha Ilmu ; 2010. Asrinah.
Beckmann, M. M., & Stock, O. M. (2013). Antenatal perineal massage for reducing perineal trauma. In Cochrane Database of Systematic Reviews (Vol. 2013, Issue 4). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD005123.pub3
Bleicher, I., Sagi-Dain, L., Bahous, R., & Sagi, S. (2020). 1201: Effect of antepartum perineal massage on perineal tears during first vaginal delivery. American Journal of Obstetrics and Gynecology, 222(1), S738–S739. https://doi.org/10.1016/j.ajog.2019.11.1213
Chomaria N. Melahirkan Tanpa rasa sakit. Jakarta: Kompas Gramedia; 2012. Corwin, Elizabeth J. Buku saku patofisiologi. Jakarta: EGC; 2009..
Fatimah, S. SiT, M. K., & Prasetya lestari, S. ST, . M. Kes. (2019). Pijat Perineum (S. Desy Rachmawati (Ed.); 2019th ed.). PUSTAKA BARU PRESS.
Idaman, M., & ., N. (2019). PENGARUH PIJATAN PERINEUM DAN SENAM KEGEL TERHADAP PENGURANGAN RUPTUR PERINEUM PADA IBU BERSALIN. Jurnal
Kesehatan Medika Saintika, 10(1), 39. https://doi.org/10.30633/jkms.v10i1.307
Magoga, G., Saccone, G., Al-Kouatly, H. B., Dahlen G, H., Thornton, C., Akbarzadeh, M., Ozcan, T., & Berghella, V. (2019). Warm perineal compresses during the second stage of labor for reducing perineal trauma: A meta-analysis. European Journal of Obstetrics and Gynecology and Reproductive Biology, 240. https://doi.org/10.1016/j.ejogrb.2019.06.011
MERITA VITRISIA. (2017). KARYA TULIS ILMIAH PENERAPAN PIJAT PERINEUM UNTUK MENGURANGI RUPTUR PERINEUM SAAT PERSALINAN DI KLINIK
PRATAMA PERMATA IBU TERSOBO, PREMBUN Diajukan Untuk Memenuhi Jenjang Pendidikan Diploma III Kebidanan Disusun oleh : MERITA VITRISIA B1401183 PROGRAM ST.
Mochtar, R. (2013). Sinopsis Obstetri: Obstetri Fisiologi. In EGC.
profil kesehatan indonesia. (2018). Provil Kesehatan Indonesia 2018 (Vol. 1227, Issue July). https://doi.org/10.1002/qj
Profil Kesehatan Jawa Timur. (2019). (BAB1) buku data menurut provinsi dan kabupaten. Profil Kesehatan Provinsi Jawa Timur, 25–26.
Putri, D. M. P., & Amalia, R. N. (2019). Terapi Komplementer : Konsep dan Aplikasi dalam Keperawatan. pustaka baru.
Sulistyawati, A. (2009). Asuhan Kebidanan Pada Masa Kehamilan. Jurnal Kehamilan.
Sumarmi, S. (2017). MODEL SOSIO EKOLOGI PERILAKU KESEHATAN DAN PENDEKATAN CONTINUUM OF CARE UNTUK MENURUNKAN ANGKA
KEMATIAN IBU. The Indonesian Journal of Public Health, 12(1), 129. https://doi.org/10.20473/ijph.v12i1.2017.129-141
Widjayati, D. B., Bps, D., Kecamatan, D., Natami, N., Andyna, P., Runiari, N., Kp, S., Kep, M., Mat, S., Mastini, N. I. G. A. A. P., & Kep, S. (n.d.). PENGARUH PERINEUM MASSAGE TERHADAP DERAJAT ROBEKAN PERINEUM PADA IBU PRIMIGRAVIDA.
Wiknjosastro H. Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2010. hlm. 72-5.
Zare, O., Pasha, H., & Faramarzi, M. (2014). Effect of perineal massage on the incidence of episiotomy and perineal laceration. Health, 06(01), 10–14. https://doi.org/10.4236/health.2014.61003
