Determinants of perineal wound healing in 2023
DOI:
https://doi.org/10.31101/jhtam.3131Keywords:
BMI, Mobilization, Perineal Wound, Personal hygiene, TreatmentAbstract
Normal labour can result in a perineal laceration due to pressure from the baby's bottom during delivery or from an episiotomy operation to open the birth canal. Perineal injuries will have an impact on the muscles in the pelvic floor. In the East Jakarta region, there will be numerous cases of perineal rupture in 2022, both spontaneous and due to episiotomy. Many postpartum women suffer from perineal lacerations that take longer than seven days to heal. This study aims to identify the factors that influence perineal wound healing in the Kramat Jati District Health Center's operational setting. This study used a cross-sectional design. Based on the sample formula, the research sample of 110 postpartum women with perineal wounds was chosen to test the hypothesis with a different percentage. Purposive sampling was used as the sample method. Chi-Square test study of a correlation test. A questionnaire and a checklist were employed as the data collection tools to track the healing of the perineum wound, which was assessed during the respondent's postpartum visit. The results showed that there was a significant association between age (P-value 0.003; OR 3.354), parity (P-value 0.001; OR 4.028), mobilization (P-value 0.007), personal hygiene (P-value 0.001; OR 3.611), body mass index (BMI) (P-value 0.012; OR 2.682), type of perineal injury (P-value 0.001; OR 0.251), treatment (P-value 0.0001; OR 5.262) on perineal wound healing. Postpartum mothers are advised to practice good hygiene, non-pharmacological therapies, engage in active mobilization, and maintain a normal BMI. Perineal wounds might heal more quickly depending on BMI. Health services require education for health workers and perineal wound care recommendations for postpartum women.References
Andarwulan. (2022). Midwifery Practice Clinical Skills. In Muhammad Zaini Publishing Foundation.
Andini, & Margarita. (2022). Midwifery Practice Clinical Skills. In GetPress.
Anggraini, & Dewi, D. (2022). Postpartum and Breastfeeding Midwifery Care. In PT. Global Executive Technology.
Asmirah. (2021). Factors Affecting the Length of Childbirth at the Majene Regional General Hospital in 2021. Bmc Pregnancy and Childbirth, 2(1).
Astriana. (2017). Early Mobilization Seen from Perineal Wound Healing at TK IV Hospital Dr.Noesmir. Published Online 2017.
Cunningham. (2016). William Obstetrics (Vol. 1, Issue 1).
Hanum. (2018). The Relationship between Knowledge Level of Postpartum Mothers About Perineal Wound Care and Nutritional Status with the Wound Healing Process . Bmc Pregnancy and Childbirth, 2(1). https://doi.org/doi:10.14414/jebav.v21i2.1123
Haryanto, Mukai, K., Yukari, N., & Okuwa, M. (2019). Evaluation of Indonesian and two types of Japanese honey on the acceleration of cutaneous wound healing: an experimental study in mice. Journal of Health Technology Assessment, 2(2), 80–88. https://ejournal.unisayogya.ac.id/index.php/JHTAM/article/view/912
Isabella, Chentia, & Misse. (2023). Midwifery Practice Basic Skills . In Indonesian Science Media. https://books.google.co.id/books?id=J7KpEAAAQBAJ&newbks=0&printsec=frontcover&pg=PA279&dq=teknik+hecting&hl=en&source=newbks_fb&redir_esc=y#v=onepage&q&f=false
Mansyur. (2019). Textbook of Postpartum Midwifery Care. Tuesday Media.
Misrina, & Silvia. (2022). Correlation between Maternal Parity and Birth Weight with Perineal Rupture in Maternal Labor at PMB Hj. Rosdiana, S. Sit Jeunib District Bireuen Regency The Relationship of Parity and Newborn Birth Weight With Perineal Rupture in Mothers in Normal Mater. J Healthc Technol Med, 8(1), 111–119.
Mochtar. (2018). Sinopsis Obstetri:Obstetri Fisiologi, Obstetri Patologi. Ed 3. Jakarta: EGC.
Nina, Rodrigues, M., Bonham, A., C., Geoffrey, & Gurtner. (2019). Wound Healing: A Cellular Perspective. Journal Physiological Reviews, 99(1), 665–706. https://doi.org/https://doi.org/10.1152/physrev.00067.2017
Ningrum, N. M., Meinawati, L., Sulistyawati, H., & Ismath, M. (2022). Studies of the Effect of Hypnoanasthesia in Reducing Perineal Laceration Suture Pain And Healing of Postpartum Perineal Wounds in Indonesia. 364–370.
Nurani, & Dian. (2015). Factors Associated with the Post Sectio Caesaria Wound Healing Process. https://doi.org/doi:10.14414/jebav.v21i10.1122
Purwanti, C., Natalina, R., & Marlin, R. (2019). Consumption of snakehead fish (channa striata) on postpartum maternal perineal wound healing. Journal of Health Technology Assessment, 2(2), 75–79. https://ejournal.unisayogya.ac.id/index.php/JHTAM/article/view/873
Putri, N. peaceyanti. (2022). Dynamics of Midwifery Services in the 4.0 Era . Widina Bhakti Persada Bandung. https://www.google.co.id/books/edition/DINAMIKA_PELAYANAN_DI_ERA_4_0/cOOSEAAAQBAJ?hl=en&gbpv=1&dq=pengertian+paritas+dalam+kebidanan&pg=PA20&printsec=frontcover
Rohim. (2017). Risk Factors Affecting Duration of Perineal Wound Healing in Post Partum Mothers. Journal of Health, 8(3).
Rohmin, Octariani, & Jania. (2017). Risk Factors Affecting the Period of Perineal Wound Healing in Postpartum Mothers. http://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/660/591
Samutri, & Erni. (2022). Nursing Care in the Perinatal Period . NEM Issuer; 2022. https://www.google.co.id/books/edition/Asuhan_Keperawatan_Masa_Perinatal/CmFjEAAAQBAJ?hl=en&gbpv=1&dq=skor+reeda&pg=PA114&printsec=frontcover
Saputra, A., Andayani, S., & Nursyam, H. (2016). Total Quantity of Phenol and Isolation Methanol Tannin Extract of Red Betel Leaf (Piper crocatum). International Journal of PharmTech Research, 9(7), 146–153.
Sari. (2016). Changes in Pelvic Floor Muscle Strength in Primiparous Women After Vaginal Delivery and Cesarean Section. Jurnal Unila, 4(1), 247.
Scientific, Batanghari, Sudarmini, & Riski. (2022). Relationship of Knowledge and Parity to the Healing Time of Perineal Suture Wounds in the Puerperal Period. Bmc Pregnancy and Childbirth, 22(3), 1452-1457. https://doi.org/doi:10.33087/jiubj.v22i3.2266
Sigalingging, & Sikumbang. (2018). Factors associated with the occurrence of perineal rupture in mothers giving birth at Imelda General Hospital, Indonesian workers in Medan. BMC Sports Science, Medicine and Rehabilitation, 1(3), 161-171.
Subekti, & Sulistyorini. (2021). Analysis of Risk Factors for Perineal Rupture at the Madukara 2 Health Center, Banjarnegara District. Medsains, 7(2). http://download.garuda.kemdikbud.go.id/article.php?article=2987651&val=26817&title=
Theddeus, & Prasetyono. (2016). Wound Management Clinical Guide . In EGC medical book.
Triyani, Wittiarika, & Hardianto. (2021). Factors Influencing the Process of Perineal Wound Healing in Postpartum Women in Serui Hospital, Papua . (Vol. 5). https://doi.org/doi:10.20473/imhsj.v5i4.2021.398-405. http://e-journal.unair.ac.id/index.php/IMHSJ
Ulfah, & Rachman., M. (2022). Factors Associated with Perineal Wound Healing in Postpartum Mothers . Vol 3.; 2022. http://ojs.cahayamandalika.com/index.php/jomla/issue/archive
Walyani. (2016). Midwifery Care for Childbirth and Newborns . New Press Library; 2016. https://www.google.co.id/books/edition/Asuhan_Kebidanan_Persalinan_Dan_Bayi_Bar/oJOhEAAAQBAJ?hl=en&gbpv=1&dq=walyani+Asuhan+Kemidanan+Persalinan+dan+Bayi+Baru+lahir&pg=PA120&printsec=frontcover
Wiknjosastro. (2016). Obstetrics . In YBPSP.
Wulandari, Retnaningsih, & Aliyah. (2018). The effect of prenatal yoga on primigravida trimester II and III in studio qita yoga district south Semarang Indonesia. Jurnal Keperawatan, 9(1), 25–34. https://doi.org/10.22219/jk.v9i1.4910
Yuliana, D., & Rahman, A. (2019). The Effectiveness of Giving Binahong Cordifolia (Tenore) Steen) Leaves and Povidone on Perineal Wound Healing. Journal Ilmu Nursing Sai Betik, 15(2), 158.
Yuliaswati, & Kamidah. (2018). Efforts to Accelerate Perineum Wound Healing Through Water of Stew Green BetelStew. BMC Medical Research Methodology, 5(1).
Yuniza. (2021). Maternity Nursing Module I . Independent Scholars.
Zubaidah. (2021). Postpartum Nursing Care. In deeppublish. https://www.google.co.id/books/edition/Asuhan_Keperawatan_Nifas/GN4lEAAAQBAJ?hl=en&gbpv=1&dq=impact+not+do+perawatan+injury+perineum&pg=PA42&printsec=frontcover
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Sri Sukamti
![Creative Commons License](http://i.creativecommons.org/l/by-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Journal of Health Technology Assessment in Midwifery agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Journal of Health Technology Assessment in Midwifery is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License..