PENGARUH SITZ BATH AIR HANGAT TERHADAP LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM DI PMB PONIRAH KOTA METRO

2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini Martini ◽  
Yetti Anggraini

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective:  The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain.   Keywords: Perineal pain, Perineal wound healing,Sitz bath

2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini ◽  
Yetti Anggraini

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective: The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain. Keywords: Perineal pain, Perineal wound healing,Sitz bath


Author(s):  
Isty Isty Istianah ◽  
FENTI DWI FIBRIANA

Vulva hygiene in the treatment of birth canal injuries consist of 2 types, there were using antiseptics and not using antiseptics, which is used traditional treatments that use betel leaves. Treatment of birth canal injuries using betel leaves by boiling and using the water for vulva hygiene or cleaning the wound of the birth canal. Based on the survey conducted in March 2018 on 10 post partum mothers who visited the BPS Ria Mulya P, SST., M.Kes. on Katerungan Krian Sidoarjo the researchers observed and filled out observation sheets on 10 respondents that 10 postpartum mothers who used stew betel leaves, 7 postpartum mothers (70%) Healing wounds quickly and 3 postpartum mothers (30%) Healing of his wounds slowly. This condition that the number of postpartum mothers who heal their wounds quickly using betel leaf decoction.                      The method of this study is used longitudional analytic. The population was 30 postpartum mothers who visited clinic. Samples were taken were 30 respondents (postpartum mothers with perineal suture wounds using betel leaf decoction) using the Proposive sample technique. Data collection using observation sheets then the data tabulated and analyzed by chi square test. Based on the results of the calculation of the chi square test, the result of the Pvalue <α is 0.007 <0.005. This shows that there is an effect of vulva hygiene using betel leaf decoction during childbirth with perineal wound healing.                    The conclusion of this study is the decoction of betel leaf able to accelerate the process of healing perineal wounds during childbirth. The results of this study are still not perfect, and the ability of research is limited, for the next researcher more numbers of respondents are prepared so that the generalization can be expanded.      Keywords: Vulva Hygiene, betel leaf decoction, Perineum Wound Healing.


Author(s):  
Isty Isty Istianah ◽  
FENTI DWI FIBRIANA

Vulva hygiene in the treatment of birth canal injuries consist of 2 types, there were using antiseptics and not using antiseptics, which is used traditional treatments that use betel leaves. Treatment of birth canal injuries using betel leaves by boiling and using the water for vulva hygiene or cleaning the wound of the birth canal. Based on the survey conducted in March 2018 on 10 post partum mothers who visited the BPS Ria Mulya P, SST., M.Kes. on Katerungan Krian Sidoarjo the researchers observed and filled out observation sheets on 10 respondents that 10 postpartum mothers who used stew betel leaves, 7 postpartum mothers (70%) Healing wounds quickly and 3 postpartum mothers (30%) Healing of his wounds slowly. This condition that the number of postpartum mothers who heal their wounds quickly using betel leaf decoction.                      The method of this study is used longitudional analytic. The population was 30 postpartum mothers who visited clinic. Samples were taken were 30 respondents (postpartum mothers with perineal suture wounds using betel leaf decoction) using the Proposive sample technique. Data collection using observation sheets then the data tabulated and analyzed by chi square test. Based on the results of the calculation of the chi square test, the result of the Pvalue <α is 0.007 <0.005. This shows that there is an effect of vulva hygiene using betel leaf decoction during childbirth with perineal wound healing.                    The conclusion of this study is the decoction of betel leaf able to accelerate the process of healing perineal wounds during childbirth. The results of this study are still not perfect, and the ability of research is limited, for the next researcher more numbers of respondents are prepared so that the generalization can be expanded.      Keywords: Vulva Hygiene, betel leaf decoction, Perineum Wound Healing.


2019 ◽  
Vol 11 (2) ◽  
pp. 149
Author(s):  
Lilik Darwati

ABSTRAKKejadian robekan perineum pada ibu nifas saat bersalin setiap tahunnya semakin meningkat dan mengalami penyembuhan luka yang lama. Hal ini dipengaruhi beberapa faktor salah satunya yaitu vulva hygiene. Berdasarkan survey awal yang dilakukan diBPM Yuliani S.ST di lakukan secara wawancara dan obserfasi dari 10 (100%) ibu nifas didapatkan 7 (70%) ibu nifas yang penyembuhan luka perineumnya lebih dari 7 hari, wawancara lebih lanjut diketahui ibu yang tidak melakukan vulva hygiene dengan benar karena takut akan menyentuh luka jahitan dan takut apabila terlalu sering terkena air jahitan akan sembuh semakin lama.Desain penelitian Analitik Korelasional dengan metode Cohort. Populasi seluruh ibu nifas yang mengalami luka jahitan perineum di BPM Yuliani S.ST sebesar 35 ibu nifas. Metode sampling menggunakan Consecutive Sampling.Variabel independen vulva hygiene dan variabel dependen kecepatan penyembuhan luka perineum pada ibu nifas. Data penelitian diperoleh melalui kuesioner tertutup dan lembar observasi luka perineum. Data ditabulasi dan dianalisis menggunakan uji Fisher’s Exact Test.Hasil penelitian menunjukkan p=0,000, α = 0,05 p < α dimana H1 diterima artinya ada hubungan vulva hygiene dengan kecepatan penyembuhan luka perineum pada ibu nifas ada hubungan yang signifikan. Diharapkan penelitian ini  meningkatkan peran tenaga kesehatan memberikan KIE tentang vulva hygiene sehingga penyembuhan luka perineum ibu nifas.     ABSTRACTThe incidence of perineal tears in postpartum mothers during childbirth is increasing every year and has a long wound healing. This is influenced by several factors, one of which is vulva hygiene. Based on the initial survey conducted at BPM Yuliani S.ST conducted by interview and observation of 10 (100%) puerperal mothers found 7 (70%) puerperal mothers who healing perineal wounds more than 7 days, further interviews known to mothers who did not do vulva hygiene correctly for fear of touching the suture wound and afraid that if it is too often exposed to water the stitches will heal for longer.Correlational Analytic research design with the Cohort method. The population of all postpartum mothers who suffered perineal suture injuries in BPM Yuliani S.ST was 35 postpartum mothers. The sampling method uses consecutive sampling. Valuable independent variables are hygiene and the dependent variable is the speed of perineal wound healing in postpartum mothers. The research data were obtained through a closed questionnaire and perineum wound observation sheet. Data were tabulated and analyzed using the Fisher's Exact Test.The results showed p = 0,000, α = 0.05 p <α where H1 was accepted meaning there was a relationship of vulva hygiene with the speed of healing of perineal wounds in postpartum mothers there was a significant relationship. It is hoped that this research will increase the role of health workers in providing IEC about vulva hygiene so that the healing of puerperal perineal wounds.  


2021 ◽  
Vol 8 (4) ◽  
pp. 279
Author(s):  
Bina Melvia Girsang ◽  
Eqlima Elfira ◽  
Farida Linda Sari Siregar

<em>Postpartum mothers with an indication of episiotomy will experience a higher level of pain. This birth canal trauma is acute and is expected to recover in a short period of time, can be measured, and without serious complications. The aim of this study was to identify the healing process of postpartum maternal perineal wounds. The intervention was carried out on 31 postpartum mothers with the selection using purposive sampling technique. Maternity cool gel pad (MCGP) which was applied to the perineal wound care intervention on the 2nd and 3rd day after delivery showed the wound healing process was observed using the REEDA measuring instrument and analyzed using the T one sample test. The repair of the wound repair scale from the mean REEDA score (10.81 ± 2.98) occurred in all wounds of the study respondents at post intervention (5.32 ± 1.73). Maternity cool gel pad intervention assisted the wound healing process in post intervention data (P &lt;0.005). The results of this study can be indicative of an inflammatory response locally in perineal wounds, but further research is needed to observe the impact of perineal wound healing with a combination of methods that can help evaluate the perineal wound repair process that can be done by mothers independently at home.</em>


Author(s):  
Putri Wahyu Wigati ◽  
◽  
Dewi Kartika Sari ◽  

ABSTRACT Background: There are several factors, one of which is the cultural factor that influences the postpartum mother’s experience of changing abstinence behavior from the cultural aspect, and should be encouraged. Taboo foods are well known in almost all human societies. Indirectly this can affect the level of health and recovery in postpartum mothers. This study aimed to determine the relationship between diet restirctions and acceleration of perineum wound healing in post-partum normal delivery mothers in Tiron Community Health Center, Kediri, East Java. Subjects and Method: This was a cross sectional study conducted at working area Tiron community health center from June to July 2019. A sample of 32 respondents selected by purposive sampling. The data was analyzed by Spearman Rank. Results: Perineal wound healing in postpartum mothers was associated with diet restrictions, and it was statistically significant. Conclusion: Perineal wound healing in postpartum mothers is associated with diet restriction in working area of Tiron Community Health Center, Kediri, East Java. Keywords: diet restriction, perineal wound healing in postpartum mothers, postpartum Correspondence: Putri Wahyu Wigati. Faculty of Health Sciences, Universitas Kadiri. Jln. Selomangleng No 1, Kediri, East Java, Indonesia. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.51


2020 ◽  
Vol 7 (1) ◽  
pp. 133-142
Author(s):  
Rika Aldesta ◽  
Rifa Rahmi ◽  
Fajar Sari Tanberika

ABSTRACT Handling of any cause of perineum rupture during childbirth should be done immediately with qualityto minimize the possibility of complications such as bleeding, infection, dyspareunia hematoma, and reduced libido that usually accompanies in the cause of perineum rupture. Snakehead Murrel is believed to accelerate wound healing because of its extract as a substitute for serum albumin which is usually used for surgical wound healing. The purpose of this study was to determine the effect of snakehead murrel on the healing of perineal wounds in postpartum mothers in Public Health Center of Sungai Piring in 2019. This study used by quasi-experimental methods with a non-equivalent control group of  60 postpartum mothers who were divided into two groups namely the experimental group and the control group. The population was the first part of postpartum mothers with second-degree perineal injuries from January to June with a sample of  22 respondents. The sampling technique in this study was purposive sampling. Results:there wasa healing of perineal wounds in all members of the experimental group and there was no healing in all control groups at the time of observation on 8th days. Conclusion: there was a significant effect of consuming Snakehead Murrel on the healing of perineal wounds in postpartum mothers.    


2020 ◽  
Vol 2 (2) ◽  
pp. 38-42
Author(s):  
Esti Handayani ◽  
Herlina Tri Damailia ◽  
Wahyu Pujiastuti

Perineal wound cause many problems, likea as many as 70% of postpartum mothers have difficulty defecating, 60% of postpartum mothers have difficulty with mictie, 30% of postpartum mothers complain of UTI signs, 60% of breast milk is substandard so that formula milk is added and 10% of mothers with subinvolution uteri. Perineal wound can heal immediately if the postpartum mother has a good hemoglobin level, to get enough hemoglobin, one of them is by consuming Fe tablets and vitamin C. It was found that as many as 60% of postpartum women with perineal wound healing 8 to 14 days. The goals of this research is to find factors that affecting perineal wound healing.This type of research is correlational analytic with cross sectional time approach. The population is postpartum mothers in the working area of Kedu Public Health Center, Temanggung Regency, from September to November 2018. The samples were obtained using quota sampling sampling with 40 postpartum mothers. Spearman rank test showed results of haemoglobin level and perineal wound care related to the speed of healing of perineal wounds (pvalue of hb level 0.00 and pvalue perineal wound care 0.027), multivariat test using linear regression where there is influence of hemoglobin level and perineal care to the speed of perineal wound healing (pvalue 0,021).Midwives are expected to screen haemoglobin levels and monitor perineal wound care performed by the mother to prevent delays in healing perineal wounds Keywords: BMI, age, hemoglobin level, perineal care,perineal wound healing 


2021 ◽  
Vol 1 (2) ◽  
pp. 130-135
Author(s):  
Nursupma Oktavia Darulis ◽  
Rini Kundaryanti ◽  
Shinta Novelia

The prevalence of maternity women with perineal injuries in Indonesia in the 25-30 year age group waa 24%, while the 32-39 year old was 62%. Perineal wounds are the cause of postpartum maternal bleeding. Postpartum causes are the main cause of 40% of maternal deaths in Indonesia. This study aimed to determine the effect of betel leaf water decoction on post partum women perineal wound healing at the Independent Practice of midwife R. Agustina in West Bandung in 2021. This research used the Quasi Experimental Design method, with the Post Only Control Group approach. The population in this study were all postpartum women who had grade I and II perineal injuries at PMB R. Agustina in July 2021 which consisted of 30 respondents. The location of this research was carried out at the Independent Practice of the midwife R. Agustina West Bandung in July 2021. The variables of this study were betel leaf boiled water and perineal wounds. The research instrument was the REEDA Scale. The results showed that the average perineal wound healing before intervention in the experimental group was 10.60 and after intervention was 5.87, while the average perineal wound healing before test was 10.87 and after the test was 6.93. There were differences in perineal wound healing between the experimental and control groups at PMB R. Agustina West Bandung (p-value = 0.012). This intervention is expected to be used by the community as a method in overcoming the problem of perineal wound healing among post partum women.


Author(s):  
Kartika Wijayanti ◽  
Rahayu Heni Setyowati Esti

Background: Puerperium period cause the changes for mother, both changes in physiological and psychological changes. One of the physiological changes that occur in women that their post-partum perineal laceration. The impact that occurs when wound healing is very unpleasant, like pain and fear to move, so it can cause many problems including uterus sub involution, lochea obstructed, and post-partum hemorrhage. Binahong leaves (Anredera cordifolia (Ten) Steenis) is one of the herbs that can be used as a wound healing with various preparations. This study aims to determine the effectiveness leaves binahong decoction water on perineum wound healing.Methods: The design of this study is a quasi-experimental design with two post-test with control group. Sample of this study is 44 post-partum mothers were divided into 2 groups, 22 people using binahong decoction water and 18 people using bethdine.Results: There is a significant difference perineal wound healing after given intervention binahong decoction water and bethadine. The percentage of respondents who experienced a perineal wound healing in binahong decoction water group better than bethadine group.Conclusions: Binahong decoction water very good for revitalizing the skin, giving extra stamina, blood circulation, resolve swelling and blood clots, restoring weak condition, and heal wounds. Binahong decoction water can be used as alternative technique to for perineum wound healing.


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