PERINEAL MASSAGE: PREVENTING PERINEAL EPISIOTOMY AND PERINEAL LACERATION DURING CHILDBIRTH
Keywords:
Episiotomy, laceration, perineal massage, primiparaAbstract
Backgrounds: Approximately 4-5% of maternal deaths in Indonesia is caused by trauma in the birth canal, of which perineal laceration and episiotomy are the most common occurrence. Generally, as much as 80- 90% of episiotomies are performed on first-time mothers (primipara). Episiotomy can be prevented by perineal massage from 34 weeks gestation.
Aims: To reveal a picture of episiotomy implementation in primiparous mothers who received perineal massage at BPM (Independent Clinic of Midwifery) Istiqomah in Sidotopo, Surabaya .
Methods: This research used descriptive method. The population were primiparous mothers who received perineal massage. The sample of 20 mothers were chosen by consecutive sampling technique. This research used perineal massage as the independent variable and episiotomy and perineal laceration as the dependent variables, and was measured using the observation sheet during childbirth. The data was then processed by using a frequency distribution table.
Results: The results showed that out of 20 respondents who received perineal massage, only four had done an episiotomy during childbirth. Each of these four women had complicated condition - three of whom had fetal distress and one had an exhausted childbirth process.
Conclusion: The main benefit of performing perineal massage during episiotomy procedure is to relax the muscles surrounding the perineum and make them more elastic.
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References
Schantz c, sim kl, ly em, barennes h, sudaroth s, goyet s. Reasons for routine episiotomy: a mixed-methods study in a large maternity hospital in phnom penh, cambodia. Reproductive health matters. 2015;23(45):68-77.
Yulaikah s, novika vj. Rakteristik ibu bersalin dengan episiotomi di rumah bersalin marga waluya surakarta periode 1 januari 2008-31 desember 2009. Jurnal kebidanan indonesia. 2010;1(1).
Chang s-r, chen k-h, lin h-h, chao y-my, lai y-h. Comparison of the effects of episiotomy and no episiotomy on pain, urinary incontinence, and sexual function 3 months postpartum: a prospective follow-up study. International journal of nursing studies. 2011;48(4):409-18.
Subekti. Perawatan dalam kelahiran normal. Jakarta: egc; 2007.
Wiknjosastro pddgh. Ilmu kebidanan. Edisi ke-4. Jakarta: yayaan bina pustaka sarwono prawirohardjo; 2009.
Saifuddin a, dkk. Buku panduan praktis pelayanan kesehatan maternal dan neonatal. Jakarta: ybp; 2008.
Anonim. Episiotomi. Majalah kebidanan dan penyakit kandungan. 2011.
Is susiloningtyas rya. Kajian kontroversi pengaruh episiotomi dan non episiotomi terhadap persalinan (sistematik review )
majalah ilmiah sultan agung. September-november 2012.
Haloho rm. Hubungan pengetahuan perawat dan bidan dengan pelaksanaan perawatan luka episiotomi diruang nifas rsud dr.
Pirngadi. 2015.
Indonesia kkr. Profil kesehatan indonesia tahun 2015. In: indonesia kkr, editor. Jakarta: kementerian kesehatan republik
indonesia 2016. P. 104.
Infodatin. Situasi kesehatan ibu. In: ri kk, editor. Jakarta: kemetrian kesehatan ibu; 2014. P. 1.
Davidson k, jacoby s, brown ms. Prenatal perineal massage: preventing lacerations during delivery. Journal of obstetric,
gynecologic, & neonatal nursing. 2000;29(5):474-9.
Labrecque m, easone, marcouxs,lemieuxf,pinaultj-j,feldmanp,etal.Randomizedcontrolledtrialofpreventionofperineal
trauma by perineal massage during pregnancy. American journal of obstetrics and gynecology. 1999;180(3):593-600.
Mei-dan e, walfisch a, raz i, levy a, hallak m. Perineal massage during pregnancy: a prospective controlled trial. The israel
medical association journal. 2008;10(7):499.
Ruliati. Pengaruh pijat perenium selama hamil terhadap kejadian rupture perenium saat persalinan di bps jombang [thesis].
Jombang: unair; 2012.
Geranmayeh m, habibabadi zr, fallahkish b, farahani ma, khakbazan z, mehran a. Reducing perineal trauma through perineal
massage with vaseline in second stage of labor. Archives of gynecology and obstetrics. 2012;285(1):77-81.
Bayu i. Asuhan kebidanan berbasis bukti. Jakarta: sagung seto; 2013.
Demirel g, golbasi z. Effect of perineal massage on the rate of episiotomy and perineal tearing. International journal of
gynecology & obstetrics. 2015;131(2):183-6.
Rahayu s, sumarni s, umaroh u. Perbedaan hasil masase perineum dan kegel exercise terhadap pencegahan robekan perineum
pada persalinan di bidan. Jurnal riset kesehatan. 2015;4(2):728-33.
F. Mongan m. Hypno birthing the mongan method. Jakarta: bip (bhuana ilmu populer) kelompok gramedia; 2007.
Widyawati mn, hadisaputro s, anies a, soejoenoes a. Effect of massage and aromatherapy on stress and prolactin level among
primiparous puerperal mothers in semarang, central java, indonesia. Belitung nursing journal. 2016;2(4).
Bobak l, jensen. Buku ajar keperawatan maternitas. Jakarta: egc; 2007.
Notoadmodjo s. Metode penelitian kesehatan. Jakarta: pt rineka cipta.; 20
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