Perineal Care Research Articles

High-Fidelity Environment Effect on Early Postpartum Haemorrhage Management

Objective: In order to compare outcomes of a simulation of early postpartum haemorrhage management through a medium-fidelity mannequin in a high-fidelity environment before clinical practicums with those after clinical practicums in nursing students. Methods: This quasi-experimental study was performed on second-year nursing students (n=61). After the simulation, the students were asked to perform postpartum haemorrhage control in clinical practicums. Data were collected with the State-Trait Anxiety Inventory, Student Satisfaction and Self-Confidence in Learning Scale, Educational Practices Questionnaire, and Student Self-Evaluation Form. Results: The mean satisfaction, self-confidence, and Educational Practices Questionnaire scores after the simulation were high. The mean scores for feeling competent in involution, haemorrhage control, fundus massage, perineal care, andestablishing appropriate communication with patients and their relatives were 19.18±5.70 after the simulation and 23.83±5,03 after the clinical practicums. Conclusion: The medium-fidelity simulation in a high-fidelity environment of early postpartum haemorrhage management enhanced the students’ learning satisfaction and self-confidence. This helped them to feel more competent in the clinical practicums.

Effective management of hip adductor spasticity: A case report on diagnostic obturator nerve block and botulinum toxin injection

It is important to distinguish spasticity from contracture in patients presenting with upper motor neuron (UMN) syndrome and restricted range of movement (ROM) because treatment strategies differ. We demonstrate how we perform ultrasound-guided obturator nerve (ON) block to distinguish spasticity from contracture in a patient with bilateral hip adductor spasticity secondary to a non-traumatic spinal cord injury. We report here a 26-year-old gentleman with a history of Mycobacterium tuberculosis thoracic spondylodiscitis with spinal cord compression. His neurological status was T6 ASIA impairment scale C and his impairments were spastic paraparesis, neurogenic bowel and neurogenic bladder. He had difficulty with wheelchair transfer and positioning, perineal care as well as intermittent self- catheterization due to severe spasticity of bilateral hip adductors with significantly restricted ROM. Bilateral ON block resulted in clinically significant improvement in spasticity and ROM of the right lower limb but not the left. The effects were similar following intramuscular BTX-A injection of bilateral hip adductors. Ultrasound-guided diagnostic ON block via the distal approach is inexpensive, safe and can be readily performed in clinic setting without the need for sedation or prolonged monitoring. Improvement in MAS score of at least 1 point and ROM of at least 15° following ON block should be used to distinguish hip adductor spasticity from contracture in patients with UMN syndrome and reduced ROM. Diagnostic nerve block allows for greater physician certainty when discussing various treatment options including expedited referral for surgical consult. The findings of this report offer insights into the decision-making process in managing complex presentations of UMN syndrome.

Pengaruh Pemberian Seduhan Daun Sirih terhadap Lama Penyembuhan Luka Perineum Ibu Nifas di PMB Endang Pasar Minggu Jakarta Selatan

perineal injury in puerperal mothers refers to tears that occur in the birth canal, both caused by Labor and episiotomy. This tear can occur spontaneously or through an episiotomy. Perineal care is important to prevent infection, as inadequate care can lead to infection, which is one of the causes of postpartum maternal death. Based on this, the researchers tried an alternative by using betel leaf steeping to accelerate the healing of perineal wounds. This study aims to determine the effect of betel leaf steeping on the duration of perineal wound healing in puerperal mothers in PMB Endang Pasar Minggu, South Jakarta. this study uses a quantitative approach with Pre-Experimental design and One-Shot Case Study. The sampling technique used was consecutive sampling, with a total of 20 participants. research shows that most postpartum mothers experience rapid perineal wound healing after receiving treatment with betel leaf steeping. The one sample proportion test revealed that 60% of respondents experienced a decrease in perineal injuries after being given betel leaf steeping. there is an effect of betel leaf steeping on long-term perineal injury in puerperal mothers in PMB Endang Pasar Minggu Jakerta Selatan.

A Cross-Sectional Comparative Study of Vaginal Microbiota and Spontaneous Abortion at a Tertiary Care Hospital in North Karnataka, India

ObjectiveTo compare the vaginal microbiome in women who have undergone spontaneous abortion with a gestational age of less than 20 weeks to that of women who have a continued pregnancy of the same gestational age. DesignCross-sectional comparative research design. SettingThe study was conducted in a tertiary care hospital of North Karnataka, India. In this rural area, many women lack awareness of prenatal care and women’s health information. Given rising rates of spontaneous abortion, studying the impact of the vaginal microbiome on pregnancy outcomes is crucial for raising local awareness. ParticipantsTwo hundred women; 100 experienced spontaneous abortion within 20 weeks’ gestation, and 100 maintained pregnancy with the same gestational age. MeasuresVaginal swab was used to detect participants’ vaginal microbiota. DNA was extracted from the vaginal samples; the 16S ribosomal RNA sequencing method was used to identify the organisms present. ResultsA pathogen detection rate of 13.15% (n = 200 women) was found in vaginal cultures. The percentages of bacterial detection in women who had spontaneous abortion and those whose pregnancies continued were 19.9% and 7.9%, respectively (p < .05). Compared to women who sustained their pregnancy, women who experienced spontaneous abortion had five common species: Escherichia coli (48%), Enterococcus faecalis (28%), Enterococcus faecium (12%), Pseudomonas fluorescens (7%), and Pseudomonas cedrina (5%); the most prevalent species among those with sustained pregnancy were Lactobacillus iners (58%), Lactobacillus crispatus (32 %), and E. coli (10%; p < .05). ConclusionThe vaginal microbiomes of women with spontaneous abortion were more varied and irregularly distributed with bacteria. The bacteria identified could affect a woman’s pregnancy outcome and perhaps be associated with spontaneous abortion. It is vital for nurses to provide education to women who are in the fertile period regarding prenatal screening, sexually transmitted infections, and perineal care.

The Effect of Warm Water Compress on the Vagina on the Healing of Perinium Wounds in Post Partum Mothers

Background: Based on data from the World Health Organization (WHO) in 2017, around 830 women died every day due to complications during pregnancy or childbirth. In Indonesia, 75% of women who give birth vaginally experience perineal wounds and some of these wounds have the potential to become infected. In the Tanjung Emas Community Health Center working area, out of 23 post partum mothers, 4 people (27%) experienced slow wound healing. One cause of infection is poor perineal care. The cause of the high infection rate is due to a decrease in the body's resistance in mothers who are susceptible to infection. To reduce the risk of maternal death globally from 216.1 million live births in 2015 to 70 per 100,000 live births in 2030.Purpose:The purpose of this research is to determine the effect of warm water compresses on the vagina on healing perineal wounds in post-partum mothers. Methods: The design of this research is a two-group post test only control group design. The population in this study was all postpartum mothers (0-40 days) from December-March 2024 who gave birth in the Tanjung Emas Community Health Center Working Area, namely 23 people. The sampling technique used is a non-probability sample using the sampling technique method in this research using purposive sampling, namely 8 intervention groups and 8 control groups.Results: The results of this study were that the average wound healing was 5.5 and in the Control Group 6.5 days with a mean difference of 1 day and SD = 0.926. The results of calculations using the Paired T-Test showed p value = 0.039 (p 0.05), which means Ho is rejected and Ha is accepted, meaning there is a significant influence between the effect of warm water compresses on the vagina on healing perineal wounds.Conclusion: Further research may be carried out to develop research on other effective methods for healing perineal wounds in pregnant women.

Healthcare Personnel Interactions with Floors and Pathogen Transmission in Long-Term Care: A Qualitative Exploration

Background: We know relatively little about how healthcare personnel (HCP) in long-term care facilities (LTCFs) integrate hand hygiene (HH) and personal protective equipment (PPE; e.g., gloves) use into their care processes. To address this gap, we are examining HH and PPE adherence at critical and contaminating moments in LTCFs. Methods: We conducted ethnographic observations of HCP’s processes of care in 2 LTCFs in Iowa to examine HH and PPE adherence during contaminating tasks in resident care sequences. We captured care observations and additional data on topics related to our study focus (e.g., unit/room layouts, PPE storage, facility policies/procedures) in field notes. We transcribed and imported fieldnotes into MAXQDA qualitative data management software and analyzed the data using a combined deductive-inductive coding approach. Results: Between 1/2023-7/2023, we observed 60 (30 per facility) care episodes. Most observations included toileting activities and perineal care during which HCP would be expected to use gloves and/or do HH. Most HCP appropriately donned/doffed gloves and practiced HH at key moments (e.g., before clean/aseptic procedures, after perineal care), but were less compliant before/after touching residents’ clothing or bare skin during these activities. In addition, some held soiled items next to their scrubs between tasks, which could contaminate their clothing and arms and could facilitate transmission of pathogens to other residents. Moreover, HCP’s interactions with floors emerged inductively as a topic of interest during our observations and preliminary analyses. We observed HCP interact with the floor during these activities in ways that could increase risk of pathogen transmission. HCP frequently dropped soiled towels or wipes used in perineal care onto the floor during tasks for later pick up. HCP also moved or placed trash bags containing soiled or contaminated items on the floor. HCP routinely knelt on, sat on, or touched their hands on the same floor when talking with residents, helping residents change clothes or diapers, changing bedding, or adjusting wheelchair footpads. In one case, the HCP picked up clean towels that fell to the floor near soiled towels and then used the “clean towels” in resident perineal care. Conclusion: Despite practicing HH and appropriate PPE use, HCP in LTCFs may increase the risk of pathogen transmission unintentionally through their interactions with soiled items and the environment, including floors. Given the nature of resident care in LTCFs, HCP in LTCF may be more likely than HCP in acute care settings to interact with contaminated floors.

Determinants of perineal wound healing in 2023

Normal labour can result in a perineal laceration due to pressure from the baby's bottom during delivery or from an episiotomy operation to open the birth canal. Perineal injuries will have an impact on the muscles in the pelvic floor. In the East Jakarta region, there will be numerous cases of perineal rupture in 2022, both spontaneous and due to episiotomy. Many postpartum women suffer from perineal lacerations that take longer than seven days to heal. This study aims to identify the factors that influence perineal wound healing in the Kramat Jati District Health Center's operational setting. This study used a cross-sectional design. Based on the sample formula, the research sample of 110 postpartum women with perineal wounds was chosen to test the hypothesis with a different percentage. Purposive sampling was used as the sample method. Chi-Square test study of a correlation test. A questionnaire and a checklist were employed as the data collection tools to track the healing of the perineum wound, which was assessed during the respondent's postpartum visit. The results showed that there was a significant association between age (P-value 0.003; OR 3.354), parity (P-value 0.001; OR 4.028), mobilization (P-value 0.007), personal hygiene (P-value 0.001; OR 3.611), body mass index (BMI) (P-value 0.012; OR 2.682), type of perineal injury (P-value 0.001; OR 0.251), treatment (P-value 0.0001; OR 5.262) on perineal wound healing. Postpartum mothers are advised to practice good hygiene, non-pharmacological therapies, engage in active mobilization, and maintain a normal BMI. Perineal wounds might heal more quickly depending on BMI. Health services require education for health workers and perineal wound care recommendations for postpartum women.

Perbedaan Perawatan Perineum Metode Sitz Bath Ekstrak Daun Pegagan (Centella Asiatica) dan Ekstrak Bunga Telang (Clitoria Ternatea) Terhadap Penyembuhan Luka Perineum Pada Ibu Postpartum

The puerperium is the time between the birth of the placenta and return of organs to their pre-pregnancy state. The postpartum period generally lasts 6-12 weeks after delivery. During the postpartum period, mothers need more attention, because as many as 50% of postpartum mothers experience tears in the birth canal. It is very important to do perineal care because the suture scars of the birth canal can be the entry point for germs and can cause infection. The purpose of this study was to determine the differences in perineal wound healing using the Sitz Bath method using Centella Asiatica leaf extract and butterfly pea flower extract (Clitoria Ternate) in Postpartum Mother. This research is a quantitative research with the type of pre-experimental research with the design of the research design used is the One Shoot Case Study design. The results of this study showed that perineal treatment using the sitz bath method using gotu kola leaf extract and pelang flower extract had a significant difference in perineal wound healing with a significance value (0.043 &lt;0.05), The application of perineal care using the sitz bath method using gotu kola leaf extract and butterfly pea flower extract has been shown to be effective in healing perineal wounds. It is hoped that midwifery services need to develop postpartum care by applying several complementary therapies to help accelerate wound healing.

Perawatan Kateter Urine Dengan Chlorhexidine Gluconate 5% dalam Mencegah Infeksi Saluran Kemih

Background: Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary catheters. Indwelling urinary catheter care is one way to prevent catheter-related urinary tract infections. Objective: This study aims to determine the effect of indwelling urinary catheter treatment using 5% chlorhexidine gluconate on urinary tract infections in the Blora Hospital. Methods: This research uses a quasi-experimental posttest-only design. The sampling technique was purposive sampling, 12 subjects were recruited. The independent variable is indwelling urinary catheter care, and the dependent variable is urinary tract infection. Data were collected using colony counts and bacterial types on the fourth day. Data were analyzed by using the Mann Whitney test. Results: The results of the study showed that there was no difference in the incidence of urinary tract infections between patients in the treatment group who received indwelling urinary catheter treatment using chlorhexidine gluconate 5% and patients in the control group who received standard catheter treatment (p=0.138). Conclusion: Perineal care agents do not affect the incidence of catheter-related urinary tract infections. Further research should involve a larger number of respondents and consider respondent characteristics such as antibiotic use, diabetes mellitus, and urine production to obtain more accurate results.

The Relationship of Postpartum Mother's Knowledge and Perineum Wound Care Behavior

Postpartum infections still play a role as one of the leading causes of maternal death, especially in developing countries like Indonesia. The main factor causing infection during the postpartum period is poor care of the perineum. Mothers do not know enough about caring for perineal wounds, such as washing hands before cleaning genitalia and drying genitalia after defecating and urinating. The research aimed to determine the relationship between postpartum mothers' knowledge and perineal wound care behavior at TPMB Kuswatiningsih. This research method is quantitative research using a cross-sectional approach. The sample was taken using the accidental sampling method with 39 respondents. The tool in this research was a questionnaire. The statistical test used the Kendall Tau test with a p-value &lt;0.05. The statistical test results obtained a p-value of p- value= .015 (p-value=&lt;0.05) and a correlation coefficient value of 0.925, so it can be concluded that the relationship between the variable Knowledge of Postpartum Mothers and Perineal Wound Care Behavior is solid. The suggestion for TPMB Kuswatiningsih is that it is hoped that health workers will be more active in providing health education to the community, especially mothers, regarding postpartum care and perineal wound care.

Retrospective Case-Control Study of Extended Birth Perineal Tears and Risk Factors.

A perineal tear is a rupture of the skin or muscle between the vagina and anus (perineum). A third-degree tear is one type of extended perineal tear (EPT), and it involves the penetration of the anal sphincter muscle.Another type of EPT is a fourth-degree laceration, which penetrates deeper into the lining of the anus or rectum. The stretching of the perineum during childbirth may result in perineal trauma. Invasive surgical interventions are required for the treatment of EPTs.For this reason, the reduction of their incidence can be achieved by fully comprehending the risk aspects associated with them. The aim of this study is to contribute to the body of knowledge by providing insight into the various risk factors that are associated with extended perineal trauma.By following this path, this study aims to contribute to and advance Saudi Arabia's development of evidence-oriented obstetric care recommendations. The current study is a case-control study where a review of 5000 vaginal delivery records was carried out between March 1, 2018, and March 19, 2023. For the study, cases (n = 71) were female patients who had documented greater than second-degree perineal injury.The control group (n = 238) was randomly chosen from women who had vaginal delivery but with less or equal to a second-degree perineal laceration. For each patient, we reviewed medical and obstetrics records for the following characteristics: age of diagnosis, gestational age, parity, labor induction, second-stage labor duration, mode of delivery, infant birth weight, epidural use and episiotomy indication, healthcare worker (HCW) experience,and APGAR (appearance, pulse, grimace, activity, and respiration) score. From the 5000 births analyzed, the cases were 71 patients (1.42% of 5000 births).The mean age at diagnosis in our sample was (28.05 ± 4.66 years).The study's results showed that the following variables significantly affected the occurrence of EPTs: birth weight, labor durations, parity, HCW experience, and mode of delivery.The odds for tears were 3.69 (95% CI: 0.156-0.469) higher in nulliparous patients relative to multiparous patients. Instrumental deliveries resulted in more tears than non-instrumental deliveries with an odds ratio (OR) of 5.901 (95% CI: 2.443-14.525). This study also found that prolonged second-stage labor seems to be associated with an increased risk of perineal damage. HCW experience was looked at in relation to the increased incidence of EPTs, which showed that midwives had a lower incidence rate than physicians with an ORof 2.25 (95% CI: 1.169-4.366). Epidural usage has also been significantly associated with a lesser incidence of perineal tears, which indicates that using epidural could protect against the occurrence of EPTs. In conclusion,the occurrence of perineal lacerations could be prevented during childbirth by taking preventative measures and having more precise judgments. Epidural was a protective factor in our study against the incidence of extensive perineal tearing.Furthermore, as compared to midwives, our study showed that the majority of EPTS occurred in cases of physicians (residents/consultants). Further research, proper documentation, and the development of evidence-based guidelines are needed to improve perineal care and reduce EPTincidence.

Asuhan Kebidanan Pada Ibu Nifas Dengan Perawatan Luka Perineum Di Klinik Pratama Medical Center Kota Batam

The puerperium is a period that will be passed by the mother after the delivery period, which starts after the birth of the baby and placenta, namely after the end of stage IV in labor and ends up to 6 weeks (42 days) which is marked by the cessation of bleeding. The puerperium is a period that is very vulnerable to infection for postpartum mothers if the treatment is not appropriate. Many postpartum mothers do not know how to maintain their hygiene, especially in the genital area. Mothers just clean it without caring about good and correct vulva hygiene, so that wound healing becomes slow (&gt; 6 days). This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic for Mrs. N by providing care for the implementation of genital cleansing and perineal wound care.&#x0D; &#x0D;

Hubungan Pengetahuan, Sikap Dan Perilaku Ibu Tentang Perawatan Perineum Terhadap Lama Penyembuhan Luka Jahitan Perineum di Wilayah Kerja UPTD Puskesmas Campaka Cianjur Tahun 2023

Perineal wounds are injuries to the urogenital diaphragm and anal muscle during vaginal delivery, either normal delivery or instrumental delivery. Knowledge is a very important domain for the formation of a person's attitudes and behavior. The aim of the research was to determine the relationship between maternal knowledge, attitudes and behavior regarding perineal suture wound care and the healing time for perineal suture wounds. This type of quantitative research with a cross sectional design. The research was conducted in June-July 2023. The research population was postpartum mothers with perineal wounds in June-July 2023. The total was 30 people. The population in this study was 30 people. The sampling technique is the total sampling population. The research results obtained from 30 respondents showed that there were 22 mothers who had good knowledge (73.3%), 22 mothers who had a positive attitude (73.3%), 23 mothers who had good behavior (76%). .7%). The results of the Chi-Square analysis test for the knowledge category obtained a p value = 0.002 (p = &lt;0.05), for the attitude category the p value = 0.002 &lt; (0.05) while for behavior the p value = 0.001 &lt; (0). .05). The conclusion is that there is a relationship between knowledge, attitudes and behavior regarding perineal wound care and the healing time for perineal wound sutures in the work area of the UPTD Campaka Community Health Center in 2023. The suggestion is that postpartum mothers should improve their behavior regarding wound care as an effort to speed up the healing of perineal wounds.

An integrative review of home care recommendations for women after caesarean section.

To describe home-based care and practices recommended for mothers after caesarean section (CS), existing in the literature. Systematic review. This integrative literature review was conducted by using Google Scholar, PubMed and Hinari databases from its inception to June 2021. The search included research articles, protocols and guidelines that describe home care practice after CS and assessed for their quality. Synthesis of recommendations from the included literature was classified based on the type of study design, and the review was guided by methodology registered in Prospero (ID CRD42021276905). A total of 681 literatures were found, and 12 met the criteria. Recommended home care components were divided into four major categories; wound care practice (wound cleaning, drying and bandage change); nutrition (high-protein diet, vitamin C, fibre and balanced diet); exercise (pelvic floor muscle, walking and breathing exercise) and hygiene (bathing and wearing clean clothes). There was limited literature addressing the components of perineal care and home environment. Varying recommendations were found regarding wound cleaning and dressing in the studies done in low- and high-income countries.

Optimising recovery after perineal trauma: Implementation of an evidence-based patient-centred care and clinical practice guideline

BackgroundPerineal trauma and pain can affect the quality of life of women who experience vaginal birth. AimTo investigate the effect of perineal care and pain management on women’s postpartum recovery. MethodsThis was a Quasi-experimental study. In Phase 1 women were treated using our old postnatal perineal care management guideline. In Phase 2 an updated guideline was introduced (regular administration of icepacks and analgesia during the first 24–48 h postpartum). During Phase 1, pregnant women planning a vaginal birth completed a baseline questionnaire. Those who sustained perineal trauma completed a survey at 24–48 h, seven days and 12 weeks after birth. In Phase 2 we continued recruiting participants, using the same procedure, and investigated the efficacy of pain relief approaches using the new guideline. ResultsIn Phase 1, 111 women (Group 1), and Phase 2, 146 women (Group 2) were recruited. No statistically significant differences were found between the two groups in terms of the women’s pain catastrophising, their partner’s responses to pain behaviours, or birth outcomes. At 24–48 h and seven days postpartum, women in Group 2 were less likely than women in Group 1 to be bothered by back or perineal pain, headache, sleeping difficulties and dizziness (p < 0.05). More women in Group 2 received regular paracetamol and perineal icepacks during their hospital stay, with less use of oxycodone in Group 2 than Group 1. ConclusionThe implementation of the guideline’s recommendations was associated with decrease back and perineal pain, headache, sleeping difficulties and dizziness during the first seven days postpartum.

Examining the Postpartum Comfort and Physical Symptomology of Primiparous Women with Episiotomy during the First Six Months After Birth

Aim: This study aimed to examine primiparous women’s comfort and physical symptoms over six months postpartum after episiotomy.&#x0D; Material and Method: In this study, descriptive clinical follow-up was performed in primiparous 32 pregnant women in a state hospital. The Postpartum Comfort Scale and Postpartum Physical Symptom Severity Scales were used. &#x0D; Results: The results of Cohran’s Q and Friedman’s tests revealed that women’s postpartum comfort and physical symptom scores improved more at the end of the 6th month compared to the 1st and 3rd months. It was determined that by the 6th month after birth, the rate of women experiencing pain/tension in the episiotomy area and applying to heal the perineum decreased. It was observed that the rate of complete healing of the stitches in the episiotomy area increased. &#x0D; Conclusion: When observing postpartum comfort and physical symptoms in primiparous mothers, it became evident that some women continued to experience the side effects of episiotomy, leading to a decrease in their overall life comfort. It is crucial to offer education and care to women regarding perineal care methods, starting from pregnancy, to safeguard women’s health. This approach can contribute to the prevention of unnecessary episiotomies during both hospital and home births.

Perineal Wound Treatment with Wound Healing Process on Knowledge of Post Partum Mothers at the Bissappu Bantaeng Community Health Center

Maternal Mortality Rate is an important indicator in assessing health status. Maternal Mortality can be used in monitoring deaths related to pregnancy. This indicator is influenced by general health status, education and services during pregnancy and childbirth. The sensitivity of MMR to improvements in health services makes it an indicator of the success of health sector development. Cases of maternal death include deaths of pregnant women, giving birth and postpartum women. Perineal tears generally occur in the midline and can become extensive if the fetal head is born too early, the angle of the pubic arch is smaller than normal, the fetal head passes through the pelvic inlet with a size that is larger than the circumferential suboccipitobregmatica. A perineal wound is an injury to the urogenital diaphragm and leftator ani muscle, which occurs during normal delivery, or delivery with an instrument, and can occur without injury to the skin of the perineum or vagina, so it is not visible from the outside. The aim is to prove the relationship between post partum mothers' knowledge about perineal wound care and the wound healing process. This research method is an analytical survey with a cross sectional approach, the research population is all 32 post partum mothers at the Bissappu Community Health Center. The sampling technique in this research was carried out using a total population technique. The results of the study found that of the 32 respondents, the majority of respondents' knowledge about perineal wound care was sufficient, namely 15 people (46.9%) and the minority had good knowledge, namely 8 people (25%), normal wound healing, namely 12 people (37.5%) and the fast minority, namely 9 people (28.1%). Chi-Square test results (person Chi-Square) with a p value of 0.00 &lt; α=0.05 where H0 is rejected and Ha is accepted. The conclusion is that there is a significant relationship between maternal knowledge about perineal wound care and the wound healing process.

HUBUNGAN VULVA HYGIENE DENGAN KECEPATAN PENYEMBUHAN LUKA PERINEUM DI TPMB Bd. DIENE SOFITASARI, S.Tr.Keb KOTA PROBOLINGGO

Wounds on the perineum due to episiotomy, rupture or laceration are areas that are not easy to keep clean and dry. Perineal wound care for postpartum mothers is focused on reducing discomfort, maintaining cleanliness, preventing infection and increasing perineal wound healing. Vulva hygiene is cleaning the vulva area in women who have given birth up to 42 days postpartum. This study used Correlational analytical research design with the Cohort method. The population of all postpartum women who experienced perineal stitches at Independent Midwife Practice Diene Sofitasari, S.Tr.Keb Probolinggo as many as 30 postpartum mothers. The sampling method uses Total Sampling. The independent variable is vulva hygiene and the dependent variable is the speed of perineal wound healing in postpartum mothers. Research data obtained through a closed questionnaire. Data were tabulated and analyzed using the Chi-Square Test. The results showed that as many as 18 people (60%) did wrong vulva hygiene and as many as 20 people (66.7%) experienced slow healing of perineal wounds. The results of the study using the Chi-Square test showed p = 0.000, α = 0.05 p &lt;α where H1 is accepted, meaning that there is a significant relationship between vulva hygiene and the speed of healing of perineal wounds in postpartum mothers. It is hoped that this research will increase the role of health workers in providing KIE with vulva hygiene in the healing of perineal wounds in postpartum women.

Effect of Self-Care Guidelines on Women Awareness Regarding Post-Partum Perineal Wound Care

Effect of Self-Care Guidelines on Women Awareness Regarding Post-Partum Perineal Wound Care

Efektivitas Air Rebusan Sirih Merah (Piper crocatum) terhadap Penyembuhan Luka Perineum pada Ibu Post Partum di Praktik Mandiri Bidan Rica Merdekawaty Tahun 2023

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.