Faktor- Faktor Yang Berhubungan Dengan Ruptur Perineum Pada Ibu Bersalin Di Tpmb Bidan Elis Susilawati

to determine the factors associated with perineal rupture in mothers giving birth at TPMB Midwife Elis Susilawati, Amd. Keb in 2022.

Penulis

  • Wapa Latipatunnisa Politeknik Karya Husada
  • Indah Sri Wahyuni Politeknik Karya Husada
  • Nurul Syuhfal Politeknik Karya Husada

Kata Kunci:

Berat badan bayi lahir, Jarak kelahiran, paritas, umur, ruptur perineum

Abstrak

Latar Belakang: Ruptur perineum merupakan kondisi yang cukup sering terjadi dalam proses persalinan normal Di Indonesia ruptur perineum dialami oleh 75% ibu melahirkan pervaginam. Dari total 1.951 kelahiran spontan pervaginam, 57% ibu mendapat jahitan perineum 28% karena episiotomi dan 29% karena robekan spontan.Tujuan penelitian: untuk mengetahui faktor-faktor yang berhubungan dengan rupture perineum pada ibu bersalin di TPMB Bidan Elis Susilawati, Amd.Keb tahun 2022.Metode: jenis penelitian yang digunakan yaitu survei deskriptif dan analitik dengan menggunakan desain penelitian crossectional, data diambil dari  resume medis pasien dengan sampel 195 orang dari populasi 382 ibu bersalin. Hasil: Berdasarkan umur p=0,004, Nilai OR menunjukkan bahwa responden yang usianya beresiko berpeluang 2,6 kali,Berdasarkan paritas p=<0,001 nilai OR menunjukkan bahwa responden dengan paritas berisiko berpeluang 4,4 kali.Berdasarkan Berat badan bayi lahir p=0,022 nilai OR menunjukkan bahwa responden dengan berat badan bayi lahir tidak normal berpeluang 2,7 kali. Berdasarkan jarak kelahiran p=<0,001nilai OR menunjukkan bahwa responden dengan jarak kelahiran berisiko berpeluang 9,2 kali mengalami ruptur perineum. Kesimpulan: didapatkan ada hubungan antara ruptur perineum dengan umur, paritas, berat badan bayi lahir dan jarak kelahiran Untuk menurunkan tingginya angka ruptur perineum diharapkan Bidan mengikuti pelatihan-pelatihan yang mendukung, sehingga bisa meminimalkan kejadian ruptur perineum,dan memberikan konseling kepada ibu hamil untuk melakukan persiapan persalinan.

Kata Kunci: Berat Badan Bayi lahir,Jarak kelahiran, Paritas, Umur, Ruptur Perineum

Biografi Penulis

Indah Sri Wahyuni, Politeknik Karya Husada

<strong><em>Background</em></strong><em>: Perineal rupture is a condition that occurs quite often during normal childbirth. In Indonesia, perineal rupture is experienced by 75% of mothers giving birth vaginally. Of the total of 1,951 spontaneous vaginal births, 57% of mothers received perineal sutures, 28% due to episiotomy and 29% due to spontaneous tears. <strong>Objective</strong>: to determine the factors associated with perineal rupture in mothers giving birth at TPMB Midwife Elis Susilawati, Amd. Keb in 2022. <strong>Method</strong>: the type of research used is a descriptive and analytical survey using a cross-sectional research design, data was taken from patient medical resumes with a sample of 195 people from a population of 382 mothers giving birth.<strong> Results</strong>: Based on age p=0.004, the OR value shows that respondents whose age is at risk have a 2.6 times chance. Based on parity p=<0.001 the OR value shows that respondents with parity are at risk 4.4 times. Based on the birth weight of the baby p=0.022 The OR value shows that respondents with an abnormal birth weight have a 2.7 times chance. Based on birth distance, p=<0.001, the OR value shows that respondents with a birth distance at risk have a 9.2 chance of experiencing perineal rupture.<strong> Conclusion</strong>: It was found that there was a relationship between perineal rupture and age, parity, birth weight and birth spacing. To reduce the high rate of perineal rupture, midwives are expected to take part in supportive training, so that they can minimize the incidence of perineal rupture, and provide counseling to pregnant women to prepare for childbirth.</em><strong><em>Keywords</em></strong>: Baby's birth weight, birth interval, parity, age, perineal rupture

Nurul Syuhfal, Politeknik Karya Husada

<strong><em>Background</em></strong><em>: Perineal rupture is a condition that occurs quite often during normal childbirth. In Indonesia, perineal rupture is experienced by 75% of mothers giving birth vaginally. Of the total of 1,951 spontaneous vaginal births, 57% of mothers received perineal sutures, 28% due to episiotomy and 29% due to spontaneous tears. <strong>Objective</strong>: to determine the factors associated with perineal rupture in mothers giving birth at TPMB Midwife Elis Susilawati, Amd. Keb in 2022. <strong>Method</strong>: the type of research used is a descriptive and analytical survey using a cross-sectional research design, data was taken from patient medical resumes with a sample of 195 people from a population of 382 mothers giving birth.<strong> Results</strong>: Based on age p=0.004, the OR value shows that respondents whose age is at risk have a 2.6 times chance. Based on parity p=<0.001 the OR value shows that respondents with parity are at risk 4.4 times. Based on the birth weight of the baby p=0.022 The OR value shows that respondents with an abnormal birth weight have a 2.7 times chance. Based on birth distance, p=<0.001, the OR value shows that respondents with a birth distance at risk have a 9.2 chance of experiencing perineal rupture.<strong> Conclusion</strong>: It was found that there was a relationship between perineal rupture and age, parity, birth weight and birth spacing. To reduce the high rate of perineal rupture, midwives are expected to take part in supportive training, so that they can minimize the incidence of perineal rupture, and provide counseling to pregnant women to prepare for childbirth.</em><strong><em>Keywords</em></strong>: Baby's birth weight, birth interval, parity, age, perineal rupture

Unduhan

Diterbitkan

2024-12-31

Terbitan

Vol 3 No 2 (2024): Indonesian Journal of Midwifery Scientific

Bagian

Artikel