scholarly journals Factor Affecting Perineal Wound Healing

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 

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.  


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


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 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.


2021 ◽  
Vol 8 (1) ◽  
pp. 15-23
Author(s):  
Rinni Gusnimar ◽  
Nora Veri ◽  
Cut Mutiah

Infeksi nifas menjadi salah satu penyebab kematian ibu di negara berkembang termasuk Indonesia. Beberapa penyebab pemicu terjadinya infeksi nifas seperti pelayanan kebidanan, daya tahan tubuh, perawatan nifas, gizi, anemia dan kebersihan genetalia. Pada masa nifas penting untuk merawat luka perineum karena kuman bisa masuk melalui luka bekas jahitan pada perineum agar tidak menyebabkan infeksi. Salah satu alternatif terapi nonfarmakologis yang dapat digunakan untuk penyembuhan luka perineum masa nifas adalah daun binahong. Tujuan penelitian ini menguji pengaruh daun binahong dalam mempercepat penyembuhan luka perineum pada masa nifas. Penelitian ini menggunakan rancangan quasi experimental dengan pendekatan posttest only control group design. Posttest only control group design merupakan pengumpulan data dilakukan sesudah perlakuan. Total sampel yang digunakan dalam penelitian ini adalah 32 orang ibu nifas sesuai dengan kriteria inklusi. Data diobservasi berupa derajat kesembuhan luka perineum dengan menggunakan instrumen lembar observasi penyembuhan luka perineum pada skala REEDA (Redness, Edema, Ecchymosis, Discharge dan Approximation). Hasil penelitian menunjukan terdapat pengaruh pemberian rebusan Daun binahong terhadap penyembuhan luka perineum pada ibu nifas. Rerata hasil uji Uji statistik Mann Whitney, pada kelompok perlakuan adalah 11,83 lebih rendah dibandingkan pada kelompok kontrol, yaitu 21,8 (p-value = 0,001). Penelitian ini menunjukan bahwa ada pengaruh pemberian rebusan daun binahong mampu mempercepat penyembuhan luka perineum dibandingkan iodine povidone 10%. Daun binahong dapat menjadi alternatif terapi komplementer pada ibu nifas yang mengalami luka robekan perineum.   One of the main causes of maternal death in developing countries is puerperal infection. Midwifery care, body immunity, postnatal care, nutrition, anemia and genetalia hygiene are factors that trigger puerperal infections. The perineal rupture if not treated properly will cause an infection in the suture wound in the perineum. Wound care is important because germs can enter through the suture marks on the perineum and cause infection. Non-pharmacological therapies that can be used to accelerate wound healing are Anredera cordifolia. The research design was quasi experimental with posttest approach Only Control Group Design, namely data collection was done after treatment. The total sample was 32 postpartum mothers according to inclusion criteria. The data observed in this study were the degree of healing of perineal wounds using the REEDA scale perineal wound healing observation sheet instrument (Redness, Edema, Ecchymosis, Discharge and Approximation). Based on the results of the Mann Whitney test, the mean rank of the results in the treatment group was 11.83 lower than the control group, namely 21.8 (p-value = 0.001). Effect of giving Anredera cordifolia leaves on the healing of perineal wounds in postpartum mothers significantly. Care with giving Anredera cordifolia leaves can accelerate the healing of perineal wounds compared to 10% iodine povidone. Anredera cordifolia leaves can be used as a complementary therapy for postpartum mothers who experience perineal torn wounds.


2020 ◽  
Vol 2 (2) ◽  
pp. 186-193
Author(s):  
Stefani Anastasia Sitepu ◽  
Vitrilina Hutabarat ◽  
Kristin Natalia

Abstrak Postpartum mothers who suffer from perineal injury if not properly maintained and improper care of the perineum can result in infection of the perineum. Care for perineal wounds is carried out by the Indonesian community, one of which is by using green betel leaf decoction water that has an antibiotic effect, based on the effect of this therapy, betel can also be used as material for wound care that is usually used by means of worms. Research to find out whether betel leaf water can accelerate the healing process of perineal wounds in post partum mothers. The research method is pre-experimental using a pretest and posttest design in one group. The sample in this study 31 respondents using non-likely sampling techniques using consecutive sampling method. The results of the study the effect of giving green betel leaf decoction to the healing of perineal wounds in post partum mothers pre-test post-test p-value 0.018 <α = 0.05 Ho is rejected, Ha Accepted which means there is an influence of perineal wound healing with green betel leaf decoction in pera simalingkar B clinic, Medan tuntung sub-district, Medan in 2019.


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>


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