scholarly journals Maxillary Transverse Deficit: A Retrospective Study of Two Biologically Oriented Devices through a Digital Workflow

2022 ◽  
Vol 9 (1) ◽  
pp. 31
Author(s):  
Graziano Montaruli ◽  
Simona Virgilio ◽  
Michele Laurenziello ◽  
Michele Tepedino ◽  
Domenico Ciavarella
Keyword(s):  
Retrospective Study ◽  
3D Models ◽  
T Test ◽  
P Value ◽  
Posterior Arch ◽  
Maxillary Expansion ◽  
Anterior Arch ◽  
Arch Width ◽  
Limit Value ◽  
Pre Treatment

The aim of this retrospective study was to compare the efficiency of two biologically oriented devices in achieving maxillary expansion: Rapid Palatal Expander (RPE) and Nitanium Palatal Expander-2 (NPE-2). Thirty-six subjects, divided in two equal groups, were included in this study. Maxillary dental arches were scanned using Trios 3 shape®, in order to perform a digital analysis of 3D models. The models were analyzed using Autodesk Fusion 360® and Meshmixer®. All data obtained from analysis of pre-treatment and post-treatment models were processed using Prism® software. The anterior arch width, the posterior arch width, the palate height, and palatal surface were measured to evaluate differences between the devices. A D’Agostino–Pearson normality test was done to check the data. A non-parametric t-test was used to compare the anterior and posterior arch width between the two groups, while a parametric t-test was used to compare the palatal height measurements between the two groups. The p-value was calculated. The limit value fixed was 0.05. Palatal width and surface showed a significant increase in both groups, but no significant changes in palatal height were found. The data processed showed that there were no significant differences between the devices (ΔREP−ΔNPE) in variation of anterior arch width, there were no significant differences in variation of posterior arch width and there were no significant differences in variation of palatal height. The comparison between the two groups showed that both methods were equally effective in correcting transverse defect.

scholarly journals Arch Widths after Extraction and Nonextraction Treatment in Class I Patients

2013 ◽  
Vol 14 (2) ◽  
pp. 312-315 ◽  
Author(s):  
Vikranth Shetty ◽  
Sangeeta A Golwalkar
Keyword(s):  
Retrospective Study ◽  
Clinical Significance ◽  
Post Treatment ◽  
Class I ◽  
Posterior Arch ◽  
Arch Width ◽  
End Of Treatment ◽  
Smile Esthetics ◽  
Digital Caliper ◽  
Extraction Treatment

ABSTRACT Aim To compare pretreatment and post-treatment dental arches in relation to intercanine and intermolar width changes in extraction and nonextraction treatment in class I patients. Materials and methods In this retrospective study pretreatment and post-treatment dental casts of 60 patients (30 extractions of first premolars and 30 nonextractions) were selected. Anterior and posterior arch widths in the canine and molar regions from the most labial aspect of buccal surfaces, the canines and the molars were measured with the help of digital caliper on the study models and compared statistically to determine whether the dental arches were narrower after extraction treatment. Results At the start of the treatment there were no statistically significant differences in maxillary and mandibular intercanine widths in both groups. At the end of treatment in both the groups anterior and posterior arch width changes were not significant except for the intercanine dimension which was 0.82 mm larger (p < 0.05) in the extraction group. Conclusion The extraction treatment does not result in narrower dental arches than nonextraction treatment in intercanine and intermolar region. Clinical significance It is documented that the arch widths determine smile esthetics and treatment stability. According to the findings of the present study the arch widths in extraction treatments are not narrower than nonextraction so there will not be any compromising effects on esthetics and treatment stability. How to cite this article Golwalkar SA, Shetty V. Arch Widths after Extraction and Nonextraction Treatment in Class I Patients. J Contemp Dent Pract 2013;14(2):312-315.

A Functional Appliance System for the Correction of Class II Relationships

1989 ◽  
Vol 16 (3) ◽  
pp. 169-176 ◽  
Author(s):  
M. J. Trenouth
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Rapid Maxillary Expansion ◽  
Posterior Arch ◽  
Class Ii Malocclusion ◽  
Maxillary Expansion ◽  
Functional Appliance ◽  
Twin Block ◽  
Arch Width ◽  
Removable Appliance

A technique is described for the correction of Class II malocclusion involving a functional appliance and consisting of three phases. 1. Adjustment of posterior arch width and dental alignment, using semi-rapid maxillary expansion by means of an upper removable appliance, to co-ordinate the anticipated positions for the arches. 2. Correction of the Class II dental relationships using a modification of the twin-block functional appliance. 3. Retention, using an upper removable appliance with a very steep anterior bite plane. The technique is illustrated by a case report.

Evaluation of the Effects of Cheiloplasty on Maxillary Arch in UCLP Infants Using Three-Dimensional Digital Models

2019 ◽  
Vol 56 (8) ◽  
pp. 1013-1019 ◽  
Author(s):  
Thanawut Kongprasert ◽  
Kengkart Winaikosol ◽  
Araya Pisek ◽  
Aggasit Manosudprasit ◽  
Amornrut Manosudprasit ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
High Reliability ◽  
Anterior Part ◽  
Intraclass Correlation ◽  
Dental Arch ◽  
Posterior Arch ◽  
Anterior Arch ◽  
Arch Width ◽  
Significant Difference

Objective: To analyze and identify changes in the maxillary dental arch before and after cheiloplasty in a group of unilateral complete cleft lip and palate (UCLP) infants. Design: This is a cohort study. Material and Method: Study models from 16 infants with nonsyndromic UCLP, who were treated at Khon Kaen University, were taken before (T1) and after cheiloplasty (T2). The dental models underwent a process of scanning through a 3D scanner, from which 9 linear and 2 angular landmarks were evaluated. Paired t test was used to compare the measurement statistically between T1 and T2. Results: Alveolar cleft gap (G-L), anterior basal angle (∠GC-CC′), and anterior arch curvature angle on greater segment (∠GIC) were significantly decreased ( P < .05). Contrarily, anterior ridge length of greater segment (C-I), anterior ridge length of lesser segment (L-C′), and posterior arch width (T-T′) were significantly increased ( P < .05) after cheiloplasty. While, anterior portion of greater segment (I-G), anterior arch width (C-C′), anterior arch depth (I⊥CC′), arch length (G⊥TT′), and arch circumference (T-C-I-G-L-C′-T′) showed no significant difference. The measurements were tested using the Intraclass correlation coefficient. The coefficients indicated high reliability. Conclusion: Cleft gap significantly decreased after lip repair, and the anterior part of maxillary dental arch was also bent palatally after cheiloplasty without any other intervention except cheiloplasty. More studies are needed to assess the amount of lip pressure. If any convincing force is presented, an appliance to prevent undesirable pressure is indicated.

Maxillary Arch Dimensions in Bilateral Cleft Lip and Palate from Birth until Four Years of Age in Boys

1998 ◽  
Vol 35 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Kiki L.W.M. Heidbuchel ◽  
Anne M. Kuijpers-Jagtman ◽  
Gem J.C. Kramer ◽  
Birte Prahl-Andersen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
University Hospital ◽  
Control Group ◽  
Posterior Arch ◽  
Anterior Arch ◽  
Arch Width ◽  
Bilateral Cleft Lip ◽  
The University ◽  
Maxillary Arch

Objective To describe the development of maxillary arch dimensions in children with bilateral cleft lip and palate (BCLP) during the first 4 years of life and to compare it with that in noncleft children. Design This was a retrospective, mixed-longitudinal study. Setting The study was conducted at the Cleft Palate Center of the University Hospital of Nijmegen. Subjects The sample consisted of 26 boys with BCLP who were born between 1976 and 1990 and treated at the University Hospital of Nijmegen. Data for a control group of 34 noncleft boys were collected at the University Hospital of Amsterdam. Method Palatal arch dimensions were digitized on dental casts. A comparison between BCLP and noncleft dimensions was made at fixed time intervals. Results At birth, anterior and posterior arch widths as well as arch depths were significantly larger in children with BCLP. After 7 months (lip closure), anterior arch width and arch depth diminished considerably in the cleft group. After 12 months (palatoplasty), a slight decrease in posterior arch width was observed, and arch depths showed slight catch-up growth. At 4 years of age, anterior arch width was significantly narrower and anterior arch depth was shorter in children with BCLP than in control subjects. Posterior arch width was significantly wider. Conclusions During the first 4 years of life, maxillary arch dimensions in children with BCLP show a unique development that is significantly different from that in noncleft children.

Pengaruh Terapi Coloring Body Part Terhadap Kecemasan Pada Anak Usia Prasekolah (The Effect of Coloring Body Part Therapy Towards Pre-School Children Anxiety)

2020 ◽  
Vol 9 (2) ◽  
pp. 76
Author(s):  
Apri Budianto ◽  
Gunawan Irianto ◽  
Eny Noerkayatmi
Keyword(s):  
School Children ◽  
Body Part ◽  
T Test ◽  
School Age Children ◽  
P Value ◽  
School Age ◽  
Body Parts ◽  
Paired Sample ◽  
Consecutive Sampling ◽  
Pre Treatment

AbstractData on maternal and child health surveys in 2010 shows that in Indonesia there are 33.2% of 1,425 children affected by hospitalization. The impact of hospitalization on children and families is anxiety. Anxiety is an individual response to something unpleasant and experienced by all living things. Anxiety for hospitalization is most felt in preschool children 3-6 years. Coloring body part (coloring body parts) is one type of therapy to play coloring body parts for children aged 4 to 7 years. Coloring this body part aims to increase pre-school children's knowledge about body functions and as pre-treatment hospitalization, namely introducing the body parts treated or performed surgery. This study aims to determine the effect of coloring body part therapy on anxiety in pre-school age children in Mitra Husada Hospital. This research was conducted in July 2017 at Mitra Husada Hospital. This research is a quantitative research with Quasy Experimental research type that is research which reveal causal relationship by involving group of subject of sign of control. Subjects studied were pre-school age children who underwent treatment in child care at Partner Husada Pringsewu Hospital with a large sample of 24 respondents. The sampling technique used is consecutive sampling. Statistical test by using paired sample t-test test is performed to analyze the difference of anxiety score before and after intervention. The data collection tool used is questionnaire. From the results of the study showed that there is influence of coloring body part therapy on anxiety of pre school children who are treated in RS.Mitra Husada with p value = 0,006. Keywords: anxiety; coloring body part therapy  AbstrakData survei kesehatan ibu dan anak tahun 2010 menunjukkan bahwa di Indonesia ada 33,2% dari 1.425 anak mengalami dampak hospitalisasi. Dampak hospitalisasi pada anak dan keluarga salah satunya adalah kecemasan. Kecemasan merupakan respon individu terhadap sesuatu keadaan yang tidak menyenangkan dan dialami oleh semua makhluk hidup sehari-hari. Kecemasan akan hospitalisasi paling dirasakan pada anak usia prasekolah 3-6 tahun. Coloring body part (mewarnai bagian tubuh) merupakan salah satu jenis terapi bermain mewarnai bagian tubuh untuk anak usia 4 sampai 7 tahun. Mewarnai bagian tubuh ini bertujuan untuk menambah pengetahuan anak pra sekolah tentang fungsi tubuh dan sebagai pre- treatment hospitalisasi, yakni mengenalkan bagian tubuh yang diobati atau dilakukan pembedahan. Penelitian ini bertujuan untuk mengetahui pengaruh terapi coloring body part terhadap kecemasan pada anak usia pra ekolah di RS.Mitra Husada. Penelitian ini dilakukan pada bulan Juli 2017 di RS.Mitra Husada. Penelitian ini merupakan penelitian kuantitatif dengan jenis penelitian Quasy Eksperimen yaitu penelitian yang mengungkapkan hubungan sebab akibat dengan melibatkan kelompok subyek tanda ada kontrol. Subjek yang diteliti adalah anak usia pra sekolah yang menjalani perawatan di ruang perawatan anak di Rumah Sakit Mitra Husada Pringsewu dengan besar sampek 24 responden. Teknik pengambilan sampel yang digunakan adalah consecutive sampling. Uji statistik dengan menggunakan uji paired sample t-test yaitu uji yang dilakukan untuk menganalisis perbedaan skor kecemasan sebelum dan sesudah intervensi. Alat pengumpulan data yang digunakan adalah kuisioner. Dari hasil penelitian menunjukkan bahwa ada pengaruh terapi coloring body part terhadap kecemasan anak usia pra sekolah yang dirawat di RS.Mitra Husada dengan nilai p value = 0,006. Kata Kunci: kecemasan; terapi coloring body part

Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

2019 ◽  
Vol 11 (4) ◽  
pp. 277-284
Author(s):  
Vitrianingsih Vitrianingsih ◽  
Sitti Khadijah
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
T Test ◽  
The Body ◽  
Nausea And Vomiting ◽  
P Value ◽  
Purposive Sampling ◽  
Body Tissues ◽  
Quasi Experimental ◽  
Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment  dengan  one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah  pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama.  Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM   ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum.  Keywords: lemon aromatherapy, emesis gravidarum

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

Mahasiswa Program Studi Kebidanan DIV Universitas Malahay

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Ledy Octaviani Iqmy
Keyword(s):  
T Test ◽  
P Value ◽  
Purposive Sampling ◽  
Static Group

Program kelas ibu hamil adalah salah satu bentuk pendidikan prenatal yang dapat meningkatkan pengetahuan ibu hamil, terjadi perubahan perilaku positif sehingga ibu memeriksakan kehamilan dan melahirkan ke tenaga kesehatan. Hasil prasurvey pada bulan maret terhadap 10 lbu hamil di Puskesmas Madukuro Kecamatan Kotabumi Utara Kabupaten Lampung Utara didapatkan data sebanyak 70% tidak mengetahui manfaat senam hamil dan 100% tidak pemah melakukan senam hamil, dari pengakuan responden didapatkan bahwa aktifitas yang dilakukan hanya sebatas jalan pagi. Sebanyak 100% tidak mengetahui cara senam hamil. Tujuan penelitian diketahui pengaruh demonstrasi senam hamil terhadap pengetahuan ibu hamil trimester III di Puskesmas Madukuro Kecamatan Kotabumi Utara Kabupaten Lampung Utara Tahun 2018 Jenis penelitian kuantitatif dengan rancangan penelitian pra-eksperimen dengan design static group comprison. Populasi penelitian seluruh ibu hamil dengan usia kehamilan > 36 minggu di BPS Desi Apri Sanopa Amd.Keb Kalianda Lampung Selatan, Dengan  sampel sebanyak 30 orang teknik sampling purposive sampling. Analisa data univariat dan bivariat uji t (t-test). Hasil penelitian rata-rata ruptur perineum ibu yang melakukan senam kegel  adalah 0,67 dengan standar deviasi 0,617. Rata-rata ruptur perineum ibu yang tidak dilakukan senam kegel  adalah 1,20 dengan standar deviasi 0,676. Hasil analisis uji bivariat pada tabel 4.4 diatas, hasil uji statistik didapatkan p-value = 0,032 (p-value < α = 0,05) yang berarti ada Pengaruh Senam Kegel Dengan Ruptur Perineum di BPS Desi Apri Sanopa Amd.Keb Kalianda Lampung Selatan Tahun 2018. Dapat menambah informasi tentang manfaat senam hamil dalam penurunan angka kematian ibu akibat perdarahan dengan penurunan robekan perineum saat persalinan.

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