scholarly journals Nutritional Pattern And Healing Of Perineum Wound On Postpartum Period

2020 ◽  
Vol 3 (2) ◽  
pp. 172-180
Author(s):  
Heni Frilasari ◽  
Noer Saudah ◽  
Veryudha Eka Prameswari ◽  
Yeni Nur Azizah ◽  
Byba Melda Suhita

Background: Postpartum period was the return of uterine implants such as before pregnancy which takes 6 weeks after born. Good nutrition patterns would speed healing wound perineum. The high nutritional content of calories, protein, fluids, and vitamins needed for speed up perineal wound closure.Purpose: This study aimed to determine the relationship of postnatal maternal nutritional patterns with the healing of perineal wounds in Puri community health center Mojokerto.Methods: Analytical research design with Cross-Sectional. The population used postpartum mothers with perineal injuries. The sampling technique was through consecutive. The sample size was 90 respondents.  The independent variable was nutrition pattern and the dependent variable was perineal wound healing. The instrument used was a questionnaire sheet postpartum maternal nutrition pattern and observation sheets for perineal wound healing.Results: The results showed 56 respondents (63.3%) had good nutrition patterns and good perineal wound healing, 27 respondents (30%) had poor nutrition patterns and moderate perineal wound healing, as many as 7 respondents (6.7%) had nutritional patterns less and bad perineal wound healing. Chi-Square statistical test results showed ρ (0,000) <α 0.05.Conclusion: It could concluded that there was a relationship between the nutritional pattern of the puerperal mother with the healing of perineal wounds. High caloric, protein, fluid and mineral intake and vitamins in the puerperium mother will accelerate the process of new cell regeneration so that the puerperal perineal wound heals faster. Postpartum mothers are expected to maintain a nutritional pattern for healing the perineal wound and not do certain food restrictions during the puerperium

2019 ◽  
Vol 27 (1) ◽  
pp. 28
Author(s):  
Daini Zulmi ◽  
Leri Septiani ◽  
Suryani Soepardan

Objective: To analyze the effect of sitting and soaking therapy with the decoction of Anredera cordifolia on the perineal wound healing in postpartum period mothers.Materials and Methods: The research method used is the Quasi-Experiment with pretest-posttest control group design, a sample of 62 primiparous postpartum period mothers with 2nd-grade perineal rupture. The sampling technique used is purposive sampling to obtain 31 respondents treated by 31 respondents. The wound healing variable was observed using the REEDA scale. The characteristic analysis is tested using Mann-Whitney statistical test, while to test the effect analysis is tested using the Wilcoxon test.Results: The results of this study in the intervention group showed 52.71% was cured after getting treatment for perineal wounds sitting and soaking therapy with the decoction of Anredera cordifolia. On the other hand, in the control group, using only clean water shows 27.90% recovered. Analysis data effect of using the decoction of Anredera cordifolia 25% containing on perineal wound healing showed results with Wilcoxon Test with value (p<0.05).Conclusion: Based on this result there is an effect of sitting and soaking therapy with the decoction of Anredera cordifolia on perineal wound healing for postpartum mothers.


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.  


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 7 (1) ◽  
pp. 94-98
Author(s):  
Yuniarti Yuniarti ◽  
Cahaya Asi ◽  
Dea Aprilia ◽  
Sherly Veronika

Maternal mortality in Indonesia related to childbirth is 11% infection starting from poor management of perineal rupture. Approximately 85% of women who deliver vaginally have perineal trauma, and less than 1% of episiotomy or perineal ruptures have an infection. The general objective of this study was to analyze the factors that influence the healing of perineal wounds in postpartum women. This research is an analytic observational with a cross-sectional design. The sampling technique used is purposive sampling. The sample of this study was postpartum women who experienced a second-degree perineal rupture in PMB in the Palangka Raya City. The results of the Chi-Square test analysis showed a significant relationship between education (p-value = 0.010), nutritional status (p-value = 0.001), and hemoglobin levels (0.000) with the duration of perineal wound healing. There is a relationship between education, nutritional status, and hemoglobin levels on perineal wound healing.


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.


2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Sondang Sidabutar

Wound healing is a long time in there covery process because of damage to the skin or skin tissue disintegritas. According to Rustam Mochtar(1998), the injured in the birth canal when not accompanied by infection will heal within6-7days. Based on the results of a survey on BPS Ny. Arifin S. Surabaya, from as many as7 of 10 respondents (70%) found the wound is still wet. The purpose of this study was to determine age and cultural picture of incontinence on postpartum mother's perineal wound healing on the seventh day in the BPS Ny. Arifin S. Surabaya. In this research using descriptive method with the study population was all mothers with post natal on the seventh day stit chesin the perineum which controls BPS Ny. Arifin S. Surabaya period from July to August 2008 as many as 49 people. Sampling of non-probability sampling with a sampling technique is saturated. By using questionnaires and observation sheets as research instruments. Data created frequency tables and cross tabulations and then summed. Based on the results of research on maternal postnatal day 9 to 7, obtained the majority of postnatal mother saged <35 years of the perineal wound healed as many as 24 people (66.66%) and in postpartum mothers who do not abstain from the majority of the perineal wound healed as many as17 people (77.27%). By looking at these result it can be concluded that the perineal wound healing can be influenced byculture age and abstinence from food. Therefore, the provision of good information and right by the health officer of the perineal wound care will affect the success of the perineal wound healing process.


2017 ◽  
Vol 1 (1) ◽  
pp. 63-71
Author(s):  
Sintayu Handayani ◽  
Heny Prasetyorini

ABSTRAK   Ibu nifas pada saat persalinan seringkali mengakibatkan robekan jalan lahir, untuk mencegah terjadinya robekan pada perineum akibat desakan kepala janin, seringkali perlu dilakukan tindakan episiotomi sehingga memudahkan pengeluaran bayi.Pengetahuan ibu nifas tentang perawatan masa nifas sangat menentukan lama penyembuhan luka perineum. Apabila pengetahuan ibu nifas kurang maka penyembuhan luka akan berlangsung lama. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan ibu nifas terhadap proses penyembuhan luka perineum di RSUD Kota Semarang. Desain dalam penelitian ini adalah penelitian deskriptif. Populasi dalam penelitian ini adalah seluruh ibu nifas yang mengalami luka perineum (rupture/episiotomi) di RSUD Kota Semarang. Teknik pengambilan sampling menggunakan teknik non probability sampling dengan pendekatan purposive sampling yaitu sebanyak 5 orang. Hasil dari penelitian ini dapat diketahui dari 5 ibu nifas yang bersalin di RSUD Kota Semarang menunjukkan bahwa ibu nifas dengan tingkat pengetahuan baik mengalami penyembuhan luka baik sebanyak 2 orang, ibu nifas dengan tingkat pengetahuan cukup mengalami penyembuhan luka baik sebanyak 2 orang, dan ibu nifas dengan pengetahuan baik mengalami penyembuhan luka sedang sebanyak 1 orang. Kesimpulan dari penelitian ini adalah gambaran pengetahuan ibu nifas terhadap proses penyembuhan luka perineum sebagian besar dalam kategori baik yaitu sebanyak 3 orang (60%).     ABSTRACT   Postpartum at the time of delivery often results in a tear in the birth canal, to prevent tears in the perineum due to fetal head impulse, episiotomy often needs to be done so as to facilitate the expenditure of babies. The postpartum knowledge about postpartum care greatly determines the duration of perineal wound healing. If the knowledge of postpartum is less then wound healing will last long. The purpose of this study is to know the description of knowledge of postpartum mother to the perineal wound healing process at RSUD Semarang City. Design in this research is descriptive research. The population in this study were all postpartum women who suffered perineal injury (rupture / episiotomy) at RSUD Kota Semarang. Sampling technique using non probability sampling technique with purposive sampling approach that is as much as 5 people. The results of this study can be seen from 5 postpartum maternity in hospitals Semarang City showed that postpartum mother with good knowledge level good healing wounds as much as 2 people, postpartum mother with level of knowledge enough experience good wound healing as many as 2 people, and mother of puerile with good knowledge experience healing wound was as much as 1 person. The conclusion of this research is description of knowledge of postpartum mother to perineum wound healing process mostly in good category that is as much as 3 person (60%).


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