Abstract
Labor often results in a tearing of the birth canal, either primigravida or multigravida with a rigid perineum. Approximately 85% of women who give birth spontaneously vaginal have 32-33% perineal trauma due to episiotomy and 52% are spontaneous lacerations. Perineal trauma may occure perineal infection due to poorly maintained perineal hygiene. This can be prevented by treating injuries. The research aims to know the effect of guava boiled water (psidium guajava linn) on the duration of wound healing of the postpartum nurse’s perineum. This research uses quasi-experimental research method with posttes control group design. Population used all postpartum with perineal sew wound in Pekalongan district in 2017 with sampling technique non probability sampling type consecitive sampling. Data analysis using un-paired t test showed that there was influence of guava leaf decoction (Psidium Guajava Linn) on the duration of wound healing of postpartum nurse perineum with significance value p 0,000 (<0,05).
Highlights
Maternal Mortality Rate (MMR) is one of the sensitive indicators to describe the welfare of people in a country
The highest was brebes with 52 cases and the lowest was temanggung with 3 cases, while the district of Pekalongan showed 22 cases of maternal mortality. 60.9% of maternal mortality occurred at the time of childbirth, 26.33% during pregnancy and 12.76% at the time of delivery
The result of this research is analyzed through univariate analysis process which includes respondent characteristics which are age, work, parity and time of wound healing on respondents getting wash treatment with guava leave boiled water and water only followed by bivariate analysis to identify the effect of guava (Psidium Guajava Linn) leaf boiled water giving to time of postpartum perineal wound healing
Summary
Maternal Mortality Rate (MMR) is one of the sensitive indicators to describe the welfare of people in a country. Perineum wound care of the mother after delivery is to reduce discomfort, maintain hygiene, prevent infection and accelerate the healing process. Perineal injury either caused by episiotomy or spontaneously teared is difficult area to maintain to be clean and dry all the time, as it is more often to be contaminated with urine or feces. The vulva cleaning action may provide an opportunity for careful inspection of the perineal area, so the action is expected to accelerate the formation of scar tissue as regular wounds heal in 6 to 7 days (Ma’rifah and Pratiwi, 2015). Hamilton (2014) explains that perineal wound care can reduce discomfort, improve hygiene and prevent infection by filling plastic bottles with warm water, spray to the perineum wipe the wound with tissue. Guava leaf has anti-inflammation effects at doses of 0.77g / kgBW and 1.551g / kgBB due to the presence of flavonoid compounds contained, whereas flavonoid itself has the potential to obstruct cyclooxygenase enzymes so that prostaglandin generation process is inhibited (Lanti et al, 2012)
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