Dampak rupture perineum pada ibu postpartum: studi kualitatif

Authors

  • Yolanda Montessori Sekolah Tinggi Ilmu Kesehatan Kapuas Raya
  • Sri Handayani Sekolah Tinggi Ilmu Kesehatan Yogyakarta
  • Anjarwati Anjarwati Universitas 'Aisyiyah Yogyakarta

DOI:

https://doi.org/10.31101/jkk.1524
Abstract views 885 times

Keywords:

dampak, postpartum, rupture perineum

Abstract

Penelitian ini bertujuan untuk mengkaji dampak rupture perineum pada ibu postpartum. Pendekatan fenomenologi dengan metode kualitatif digunakan dalam penelitian ini. Penelitian dilakukan di sebuah Rumah Sakit swasta di Kota Yogyakarta pada bulan Desember 2019 – Februari 2020. Sembilan ibu postpartum diwawancarai secara semi terstruktur menggunakan strategi purposive sampling. Rupture perineum dapat berdampak pada berbagai aspek. Dampak fisik yang dialami dapat berdampak pada kondisi psikologis, seksual, sosial, dan spiritual. Diharapkan intervensi yang tidak perlu selama proses persalinan dapat diminimalkan, sehingga diperlukan upaya pemberdayaan perempuan melalui upaya promotif dan preventif secara komprehensif, konsisten dan berkesinambungan. 

Author Biographies

Yolanda Montessori, Sekolah Tinggi Ilmu Kesehatan Kapuas Raya

Magister Kebidanan

Sri Handayani, Sekolah Tinggi Ilmu Kesehatan Yogyakarta

Program Studi S1 Keperawatan

Anjarwati Anjarwati, Universitas 'Aisyiyah Yogyakarta

Program Studi DIII Kebidanan

References

Abedzadeh-Kalahroudi, M., Talebian, A., Sadat, Z., & Mesdaghinia, E. (2019). Perineal trauma: Incidence and its risk factors. Journal of Obstetrics and Gynaecology, 39(2), 206–211. https://doi.org/10.1080/01443615.2018.1476473

Artymuk, N. V., & Khapacheva, S. Y. (2020). Device-assisted pelvic floor muscle postpartum exercise programme for the management of pelvic floor dysfunction after delivery. The Journal of Maternal-Fetal & Neonatal Medicine, 1–5. https://doi.org/10.1080/14767058.2020.1723541

Braun, V., & Clarke, V. (2014). What can “thematic analysis†offer health and wellbeing researchers? International Journal of Qualitative Studies on Health and Well-Being, 9(1), 26152. https://doi.org/10.3402/qhw.v9.26152

Crookall, R., Fowler, G., Wood, C., & Slade, P. (2018). A systematic mixed studies review of women’s experiences of perineal trauma sustained during childbirth. Journal of Advanced Nursing, 74(9), 2038–2052. https://doi.org/10.1111/jan.13724

Darmody, E., Bradshaw, C., & Atkinson, S. (2020). Women’s experience of obstetric anal sphincter injury following childbirth: An integrated review. Midwifery, 91, 102820. https://doi.org/10.1016/j.midw.2020.102820

Departemen Agama Republik Indonesia. (2015). Al-Qur’an Terjemahan. Bandung : CV Darus Sunnah.

Dunn, A. B., Paul, S., Ware, L. Z., & Corwin, E. J. (2015). Perineal Injury During Childbirth Increases Risk of Postpartum Depressive Symptoms and Inflammatory Markers. Journal of Midwifery & Women’s Health, 60(4), 428–436. https://doi.org/10.1111/jmwh.12294

East, C. E., Dorward, E. D., Whale, R. E., & Liu, J. (2020). Local cooling for relieving pain from perineal trauma sustained during childbirth. Cochrane Database of Systematic Reviews, 2020(10). https://doi.org/10.1002/14651858.CD006304.pub4

Edqvist, M., Lindgren, H., & Lundgren, I. (2014). Midwives’ lived experience of a birth where the woman suffers an obstetric anal sphincter injury—A phenomenological study. BMC Pregnancy and Childbirth, 14(1), 258. https://doi.org/10.1186/1471-2393-14-258

Forey, P.-L., Lallemant, M., Bourtembourg-Matras, A., Eckman-Lacroix, A., Ramanah, R., Riethmuller, D., & Mottet, N. (2020). Impact of a selective use of episiotomy combined with Couder’s maneuver for the perineal protection. Archives of Gynecology and Obstetrics, 302(1), 77–83. https://doi.org/10.1007/s00404-020-05572-9

Franchi, M., Parissone, F., Lazzari, C., Garzon, S., Laganà , A. S., Raffaelli, R., Cromi, A., & Ghezzi, F. (2020). Selective use of episiotomy: What is the impact on perineal trauma? Results from a retrospective cohort study. Archives of Gynecology and Obstetrics, 301(2), 427–435. https://doi.org/10.1007/s00404-019-05404-5

Gebuza, G., Kaźmierczak, M., Gdaniec, A., Mieczkowska, E., Gierszewska, M., Dombrowska-Pali, A., Banaszkiewicz, M., & Maleńczyk, M. (2018). Episiotomy and perineal tear risk factors in a group of 4493 women. Health Care for Women International, 39(6), 663–683. https://doi.org/10.1080/07399332.2018.1464004

Gommesen, D., Nohr, E. A., Drue, H. C., Qvist, N., & Rasch, V. (2019). Obstetric perineal tears: Risk factors, wound infection and dehiscence: a prospective cohort study. Archives of Gynecology and Obstetrics, 300(1), 67–77. https://doi.org/10.1007/s00404-019-05165-1

Ikatan Bidan Indonesia. (2016). Filosofi Kami. Diakses di https://ibi.or.id pada 2 Januari 2022

Jiang, H., Qian, X., Carroli, G., & Garner, P. (2017). Selective versus routine use of episiotomy for vaginal birth. Cochrane Database of Systematic Reviews, 2017(2). https://doi.org/10.1002/14651858.CD000081.pub3

Lindqvist, M., Persson, M., Nilsson, M., Uustal, E., & Lindberg, I. (2018). ’A worse nightmare than expected’—A Swedish qualitative study of women’s experiences two months after obstetric anal sphincter muscle injury. Midwifery, 61, 22–28. https://doi.org/10.1016/j.midw.2018.02.015

M. Amorim, M., Coutinho, I. C., Melo, I., & Katz, L. (2017). Selective episiotomy vs. implementation of a non-episiotomy protocol: A randomized clinical trial. Reproductive Health, 14(1), 55. https://doi.org/10.1186/s12978-017-0315-4

Pierce-Williams, R. A. M., Saccone, G., & Berghella, V. (2021). Hands-on versus hands-off techniques for the prevention of perineal trauma during vaginal delivery: A systematic review and meta-analysis of randomized controlled trials. The Journal of Maternal-Fetal & Neonatal Medicine, 34(6), 993–1001. https://doi.org/10.1080/14767058.2019.1619686

Priddis, H., Schmied, V., & Dahlen, H. (2014). Women’s experiences following severe perineal trauma: A qualitative study. BMC Women’s Health, 14(1), 32. https://doi.org/10.1186/1472-6874-14-32

Quoc Huy, N. V., Phuc An, L. S., Phuong, L. S., & Tam, L. M. (2019). Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women. Sexual Medicine, 7(4), 514–521. https://doi.org/10.1016/j.esxm.2019.09.002

Schreiner, L., Crivelatti, I., de Oliveira, J. M., Nygaard, C. C., & dos Santos, T. G. (2018). Systematic review of pelvic floor interventions during pregnancy. International Journal of Gynecology & Obstetrics, 143(1), 10–18. https://doi.org/10.1002/ijgo.12513

Schwab-Reese, L. M., Ramirez, M., Ashida, S., & Peek-Asa, C. (2017). Psychosocial employment characteristics and postpartum maternal mental health symptoms: Psychosocial Postpartum Employment. American Journal of Industrial Medicine, 60(1), 109–120. https://doi.org/10.1002/ajim.22666

Smith, V., Gallagher, L., Carroll, M., Hannon, K., & Begley, C. (2019). Antenatal and intrapartum interventions for reducing caesarean section, promoting vaginal birth, and reducing fear of childbirth: An overview of systematic reviews. PLOS ONE, 14(10), e0224313. https://doi.org/10.1371/journal.pone.0224313

Soave, I., Scarani, S., Mallozzi, M., Nobili, F., Marci, R., & Caserta, D. (2019). Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques. Archives of Gynecology and Obstetrics, 299(3), 609–623. https://doi.org/10.1007/s00404-018-5036-6

Sobhgol, S. S., Priddis, H., Smith, C. A., & Dahlen, H. G. (2019). Evaluation of the effect of an antenatal pelvic floor muscle exercise programme on female sexual function during pregnancy and the first 3 months following birth: Study protocol for a pragmatic randomised controlled trial. Trials, 20(1), 144. https://doi.org/10.1186/s13063-019-3226-6

Ugwu, E. O., Iferikigwe, E. S., Obi, S. N., Eleje, G. U., & Ozumba, B. C. (2018). Effectiveness of antenatal perineal massage in reducing perineal trauma and post-partum morbidities: A randomized controlled trial: APM for preventing perineal trauma. Journal of Obstetrics and Gynaecology Research, 44(7), 1252–1258. https://doi.org/10.1111/jog.13640

Woodley, S. J., Boyle, R., Cody, J. D., Mørkved, S., & Hay-Smith, E. J. C. (2017). Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007471.pub3

Downloads

Additional Files

Published

2021-12-01

How to Cite

Montessori, Y., Handayani, S., & Anjarwati, A. (2021). Dampak rupture perineum pada ibu postpartum: studi kualitatif. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 17(2), 254–267. https://doi.org/10.31101/jkk.1524

Issue

Section

Articles

SHARE THIS