Healing of disrupted perineal wounds after vaginal delivery: a poorly understood condition

Perineal injury following childbirth can result in complications such as wound infection and dehiscence. The reported incidence of these complications in the literature range between 0.1-23.6% and 0.2-24.6%, respectively. However, the healing of disrupted perineal wounds is poorly understood. In addition, it is a neglected area in maternity services. In this review, the authors explore the process of wound healing in the context of infected perineal wounds following childbirth. In addition, the authors describe the management of complications including hypergranulation, perineal pain and dyspareunia.

PEMBERIAN IKAN GABUS DALAM PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM

Background: Perineal wound is a tear that occurs in the perineum during delivery and occurs in almost all first deliveries and not infrequently also in subsequent deliveries. Care and proper nutrition, the healing process will be faster and avoid the incidence of infection due to perineal wounds. In 2020 in America, of the 26 million women who gave birth, 40% experienced perineal rupture. In Asia, the problem of perineal tears is quite a lot in the community, 50% of the incidence of perineal tears in the world occurs in Asia. Purpose: This study is to determine the effect of cork fish on the healing of perineal wounds in postpartum mothers at the Niar Clinic in Medan.Methods: The design in the study is a quasi-experimental method (Quasi Experiment Design) Whith Control Group with a Post Test Design approach. The population in this study were 20 people with the sampling technique using purposive sampling technique, the number of samples in this study amounted to 20 people. Data analysis used descriptive and bivariate analysis.Results: Showed that the data for postpartum mothers who had perineal injuries who were given snakehead fish and not snakehead fish were not normally distributed with a value of ρ value 0.000 <0.05. Based on the test results there was an effect of snakehead fish on healing perineal wounds with a sig = 0.004 <0.05.Conclusion: this study is that there is the effect of giving cork fish on the healing of perineal wounds on the healing of perineal wounds in post partum mothers at the Niar Clinic in Medan. Suggestion The results of this study can be used for postpartum mothers who experience perineal injuries to consume a high protein source, namely snakehead fish. Keywords : Fish Cork, Perineal Wound Healing ABSTRAK Latar Belakang: Luka perineum adalah robekan yang terjadi pada perineum sewaktu persalinan dan terjadi pada hampir semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Perawatan dan nutrisi yang tepat, proses penyembuhan akan semakin cepat dan terhindar dari kejadian infeksi akibat dari luka perineum. Pada tahun 2020 di Amerika dari 26 juta ibu bersalin, terdapat 40% mengalami ruptur perineum. Di Asia masalah robekan perineum cukup banyak dalam masyarakat, 50% dari kejadian robekan perineum di dunia terjadi di Asia. Tujuan Penelitian: Tujuan penelitian ini untuk mengetahui Pengaruh Pemberian Ikan Gabus Terhadap Penyembuhan Luka Perineum Pada Ibu Post Partum Di Klinik Niar Medan.Metode Penelitian: Desain dalam Penelitian adalah metode eksperimen semu (Quasi Eksperiment Design) Whith Control Group dengan pendekatan Post Test Design. Populasi dalam penelitian ini sebanyak 25 orang dengan teknik pengambilan sampel menggunakan teknik purposive sampling, jumlah sampel dalam penelitian ini berjumlah 20 orang. Analisa data menggunakan analisis deskriptif dan bivariat.Hasil: peneitian menunjukkan bahwa data ibu post partum yang mengalami luka perineum yang diberikan ikan gabus dan tidak diberikan ikan gabus tidak terdistibusi normal dengan nilai ρ value 0,000 < 0,05. Berdasarkan hasil uji ada pengaruh pemberian ikan gabus terhadap penyembuhan luka perineum dengan nilai sig= 0,004 < 0,05.Kesimpulan: penelitian ini yaitu ada Pengaruh Pemberian Ikan Gabus Terhadap Penyembuhan Luka Perineum Terhadap Penyembuhan Luka Perineum Pada Ibu Post Partum Di Klinik Niar Medan.Saran Hasil peneltian ini dapat digunakan untuk para ibu post partum yang mengalami luka perineum untuk mengkonsumsi sumber protein yang tinggi yaitu ikan gabus. Kata Kunci : Ikan Gabus, Penyembuhan Luka Perineum

FACTORS INFLUENCING THE PROCESS OF PERINEAL WOUND HEALING IN POSTPARTUM WOMEN IN SERUI HOSPITAL, PAPUA

Background: The process of giving birth has a risk of perineal rupture. The 4.9% incidence of delayed perineal wound healing resulted from non-fused perineal wounds and clinical infection. This process can be interrupted or recovery delayed due to various factors such as age, nutrition, pain, and poor hygiene. This study aims to analyze the factors that influence the healing process of perineal wounds in postpartum mothers. Method: analytic observational research method with cross sectional approach and analityc statistic Chi-Square. The samples are postpartum woman in Serui Hospital, Papua. The number of samples were 30 respondents with purposive sampling technique. The instrument used was the REEDA scale, the pain scale, the food consumption survey with the 24-hour recall method and the personal hygiene questionnaire. Results: The results of statistical tests showed a relationship between pain with the perineal wound healing process is p 0,017, age with the perineal wound healing process is p 0,000, nutrition with the perineal wound healing process is p 0,000, and personal hygiene pain with the perineal wound

The Effect of Betel Leaf Water Decoction on Perineal Wound Healing among Post Partum Women

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.

The use of the negative pressure wound therapy in management of the perineal wounds after abdominal-perineal extirpation (literature review)

The review presents data from the analysis of the literature on various options of using negative pressure wound therapy after abdominal-perineal extirpation of the rectum. We have selected 10 scientific papers for analysis, and no randomized trials have been found in the literature. The use of local negative pressure led to an acceleration of tissue repair and a decrease in complications in the perineal wound area. However, at the moment, the data presented in the literature are insufficient for an objective assessment of the effectiveness of the technique. It is necessary to conduct randomized trials to objectively evaluate the methodology.

GAMBARAN TINGKAT PENGETAHUAN IBU NIFAS TENTANG PENCEGAHAN INFEKSI LUKA PERINEUM DI KLINIK KRISTINA SIDIKALANG TAHUN 2021

Background:Rupture is an injury to the perineum caused by natural tissue damage due to pressure on the fetal head or shoulders during delivery. Postpartum infection (puerpuralis) is an infection of the genitalia after childbirth, which is characterized by an increase in temperature to 38ºC or more for 2 days in the first 10 days after delivery, excluding the first 24 hours. Postpartum infection includes all inflammation caused by entry of germs. or bacteria into the genital tract at the time of delivery and postpartum. Objective:The specific purpose of this study was to describe the level of knowledge of the mother about the prevention of perineal wound infection at the Kristina Clinic in 2021. This study used Non Probability Technique Sampling which is the total sampling method. The samples in this study were all postpartum mothers, both those who experienced rupture and those who did not at Kristina Clinic 2021, as many as 20 people. The research was conducted by distributing questionnaires to all postpartum mothers. The results: obtained based on the knowledge of postpartum mothers about the prevention of perineal wound infection based on education, it can be seen from the majority of respondents having good knowledge with 11 people (55.0%) and the minority having knowledge less with the number of 7 people (35.0%). Conclusion: It is hoped that midwives will be able to conduct postnatal visits for 6 weeks in order to monitor the healing process of perineal wounds in patients to avoid infection of perineal wounds and provide education on how to prevent perineal wound infections and the signs and dangers of perineal wounds.

Pengaruh pemberian minum jahe merah terhadap penurunan intensitas nyeri luka perineum pada ibu nifas di BPM Permata Bunda Tuban

One of the complications experienced by postpartum mothers is the presence of perineal wounds which can cause more severe pain effects (Sumiaty, 2017). One of the non-pharmacological ways to reduce pain is to drink red ginger. The purpose of this study was to determine the effect of drinking red ginger on reducing the intensity of perineal wound pain in postpartum women at BPM Permata Bunda Tuban. This research method is analytic experimental with a pre-experimental design (Static-group comparison design). The sample of this study was 44 postpartum mothers which were divided into 2 groups, namely the control and treatment groups, with a systematic random sampling technique. Data analysis used Sample t-Test (Independent sample t-Test). Based on the results of the study, it was obtained from 22 respondents (postpartum mothers) on the 5th day who were not given drinking red ginger, most of the respondents experienced moderate perineal wound pain as many as 13 (59.10%), while from 22 respondents (postpartum mothers) on the 5th day, most of those who were given red ginger had mild perineal wound pain as much as 12 (54.60%). The results of the analysis using the sample t-test test found that P of 0.000 is smaller than 0.05, then H1 was accepted that there was an effect of giving red ginger to decrease the intensity of perineal wound pain in postpartum mothers at BPM Permata Bunda Tuban

PENGARUH AIR REBUSAN DAUN BINAHONG DALAM MEMPERCEPAT PENYEMBUHAN LUKA PERINEUM MASA NIFAS

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.

The effectiveness of cold compresses for reducing perinium wound pain

The purpose of this study is to determine the relationship between the independent variable and the dependent variable. Observe before and after cold compress on the sample to be selected. Determines whether Ho will be accepted or rejected and Ha accepted, and vice versa. The number of samples was 30 postpartum mothers with grade I and II episiotomy wounds. The results of the univariate analysis showed that from 30 respondents, 0% of respondents who experienced very mild pain became 11 respondents (36.7%) after cold compresses, 15 respondents (50%) had mild pain to 13 (43.3%), pain moderate as many as 10 (33.3%) respondents to 6 (20%) respondents, severe pain as many as 5 respondents (16.7%) to 0 respondents. The result of p-value = 0,000, which means there is an effect of cold compresses on the healing of perineal wounds.