scholarly journals EFFECTIVENESS OF PERINEAL MASSAGE DURING PREGNANT WOMEN ON PERINEAL LASERATION

2014 ◽  
Vol 28 (2) ◽  
pp. 173-182 ◽  
Author(s):  
Shoko TAKEUCHI ◽  
Shigeko HORIUCHI

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Elly Dwi Masita

Physical changes and psychology in pregnancy is one stressor in pregnancy. Preliminary studies showed that 98% of pregnant women experience anxiety third trimester. As a result of the pregnancy is maternal anxiety will experience periods of abnormal labor so as to improve maternal and infant mortality. Objective: This study aimed to determine the effect of perineal massage in primiparous mothers anxiety in the third trimester to the third trimester pregnant women in the BPS. Istiqomah, S.Keb.Bid. Methods: This research is pre-experimental design with a population statistical comparison group of pregnant women in the third trimester of BPS. Istiqomah. S.Keb.Bid premises sample of 20 pregnant women were divided into 10 groups of 10 samples of treated and control groups. Sampling nonprobality sample with quota sampling technique. The instrument of this study using a questionnaire anxiety. Results: Of the 10 treatment group gained 9 (90%) of the study subjects experienced a lower level of anxiety while the control group of 10 4 (40%) of research subjects experienced lower levels of anxiety and test results Mann - Whitney was obtained p = 0.005 (p < 0.05), which means there is perineal massage effect on the level of anxiety in the third trimester pregnant women. Conclusion: There is the effect of perineal massage on the level of anxiety in the third trimester pregnant women with p = 0.005


2019 ◽  
Vol 31 (3) ◽  
pp. 613-619 ◽  
Author(s):  
Amira S. Dieb ◽  
Amira Y. Shoab ◽  
Hala Nabil ◽  
Amir Gabr ◽  
Ahmed A. Abdallah ◽  
...  

Author(s):  
Aidha Rachmawati ◽  
Rizka Esty Safriana ◽  
Endah Mulyani ◽  
Siti Mudlikah ◽  
Luluk Yuliati

One of the fears that is often felt by third trimester pregnant women is perineal rupture during childbirth. Perineal rupture can be prevented by taking preventive measures during pregnancy, namely perineal massage which can be done by pregnant women from 34 weeks of gestation until nearing labour. In East Java, the maternal mortality rate in 2018 was 515 per year or 1 to 2 people per day. The cause of the high maternal mortality rate of 20.3% is due to postpartum haemorrhage. The purpose of this study was to analysis the factors that influence pregnant women to perform perineal massage. The total population was 120 pregnant women with a sample of 92 pregnant women in April-July 2019, the sampling technique used simple random sampling. The data analysis used multiple logistic regression statistical tests while the significance test used a 0.05 degree of error. The results of this study were the age factor with a low risk of affecting pregnant women, the p-value was 0.003 (<0.05). Knowledge and motivation factors have an effect together. Knowledge has an effect of 122.5 times while motivation has an effect of 13.14 times in doing perineal massage during the third trimester of pregnancy. Health workers are encouraged to increase socialization and approach to third trimester pregnant women so that they want to do perineal massage independently


2016 ◽  
Vol 3 (4) ◽  
pp. 203 ◽  
Author(s):  
Priscila Godoy Januário Martins Alves ◽  
Ricardo De Carvalho Cavalli ◽  
Daiane Munhoz Mira Bertacini ◽  
Patricia Driusso

<p class="abstract"><strong>Background:</strong> The objective of the present study was to compare the effects of perineal massage, vaginal dilator and pelvic floor muscles training on the perineal integrity of primiparae women<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> Primigravidae women over 18 years old will be selected, from the 32th gestational week and wishing to have a vaginal delivery<span lang="EN-IN">.</span>Pregnant women will be randomly allocated from a sequence generated by a computer program into three groups: perineal massage, vaginal dilator and pelvic floor muscles training. The technique should be practiced from the 34th week of pregnancy until the beginning of labor. Randomization will be done by a researcher who was not involved with the recruitment, assessment and treatment of the participants.  All participants will undergo a clinical and functional assessment of the pelvic floor before the beginning of the technique practice, as well as a reassessment of these items and an assessment of perineal integrity between 45 and 60 days after delivery for a blind physiotherapist regarding the interventional procedures. The evaluative procedures will be done by a ‘blinded’ physiotherapist in relation to the intervention procedures.<span lang="EN-IN"> The outcome will be determined by </span>the perineal integrity by the presence or absence of perineal laceration as well as their characteristics observed immediately after delivery<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Conclusions:</strong> The knowledge of the effects of antenatal pelvic floor preparation techniques on the perineal integrity and pelvic floor muscles function after delivery, will allow a better choice about which approach is the best to pregnant women to prevent perineal trauma.</p>


2020 ◽  
Vol 3 (1) ◽  
pp. 21
Author(s):  
Heni Prasetyorini ◽  
Niken Sukesi

Pendahuluan : Kehamilan merupakan periode krisis situasi yang menimbulkan stress oleh karena perubahan psikologi saat kehamilan. Ibu cemas akan adanya rasa nyeri proses persalinan serta cemas akan kondisi bayi yang dilahirkannya (Bobak,2006). Rasa cemas akan menimbulkan kondisi abnormal saat proses persalinan. Intervensi yang bisa diberikan adalah dengan memberikan penyuluhan kesehatan persiapan menjelang persalinan seperti pijat perineum. Pijat adalah intervensi yang masuk dalam pendekatan nonfarmakologi untuk mengurangi rasa sakit yang dilakukan saat kehamilan (Gadysa, 2009). Apabila pijat perineum dilakukan secara tepat akan menurunkan nyeri persalinan yang disebabkan karena nyeri robekan perineum dan jahitan sekaligus mengurangi rasa khawatir terhadap persalinan yang akan dihadapi (Indivara, 2009 dan Aprilia, 2010).Tujuan : Untuk mengetahui pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3Metode : Menggunakan metode penelitian analitik komparasi karena peneliti mencoba mengkaji adanya pengaruh pijat perineum terhadap kecemasan pada ibu trimester 3 dengan pendekatan  cross sectional.Hasil : Responden penelitian rerata memiliki riwayat persalinan tidak bermasalah, pendidikan SLTA, Pekerjaan IRT, Kehamilan Pertama dan usia < 25 tahun. Uji statistik menggunakan Uji Mc Nemar menunjukan terdapat pengaruh pada ibu hamil trimester 3 yang melakukan pijat perineum terhadap penurunan tingkat kecemasan, ibu yang sebelum diajarkan pijat perineum dengan tingkat kecemasan ringan sebanyak 4 menurun menjadi 0 atau tidak memiliki kecemasan setelah ibu melakukan pijat perineum sedangkan ibu yang sebelumnya memiliki tingkat kecemasan sedang sebanyak 11 menurun menjadi kecemasan ringan sebanyak 3 setelah diajarkan pijat perineum.Diskusi : Hasil penelitian menyarankan bahwa pijat peineum bisa dijadikan intervensi keperawatan mandiri dalam menurunkan tingkat kecemasan pada ibu hamil trimester 3.Kesimpulan : Terdapat pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3. Introduction: Pregnancy is a period of crisis situations that cause stress due to psychological changes during pregnancy. Mother is worried about the pain of labor process and worry about the condition of the baby that she born (Bobak, 2006). Anxiety will cause abnormal conditions during labor. Interventions that can be given is to provide health education preparations before delivery like perineal massage. Massage is an intervention that enters the nonpharmacology approach to reduce pain during pregnancy (Gadysa, 2009). When proper perineal massage will reduce labor pain caused by perineal rupture and stitches pain while reducing the fear of delivery to be faced (Indivara, 2009 and Aprilia, 2010).Objective: To determine the effect of perineal massage on anxiety levels in pregnant women trimester 3Method: Using comparative analytic research method because the researcher tried to study the influence of perineal massage on anxiety in trimester mother 3 with cross sectional approach.Results: Average research respondents had a history of non-problematic delivery, high school education, IRT work, first pregnancy and <25 years of age. The statistical test using Mc Nemar Test showed that there was an effect on trimester pregnant women 3 who did perineal massage to decrease the level of anxiety, mother who before taught perineal massage with level of light anxiety as much 4 decreased to 0 or did not have anxiety after mother doing perineal massage while mother previously had a moderate anxiety level of 11 decreased to mild anxiety as much as 3 after being taught perineal massage.Discussion: The results suggest that perineum massage can be an independent nursing intervention in lowering anxiety levels in pregnant women of 3rd trimester.Conclusion: There is influence of perineal massage on anxiety level in pregnant mother of trimester 3.


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