Perineal Wound Healing: A Study of Related Factors

Fitria Candra Fera, Sri Rahayu

Abstract


Perineal rupture is one of the most common complications of childbirth experienced by women who give birth vaginally. Generally, perineal wounds can heal in less than a week, but some mothers experience a delay in healing of more than 7 days. Postpartum maternal morbidity increases due to birth injuries, with the perineal rupture rate during normal delivery reaching 88.9%. The WHO recorded 2.7 million cases of perineal rupture, which is expected to increase to 6.3 million by 2050, with 50% of cases occurring in Asia. In Indonesia, perineal ruptures lead to complications such as infection (5%), bleeding (7%), and postpartum maternal death (8%), with 86 deaths due to infection in 2023. This condition poses a risk of infection, discomfort, and interferes with the mother's quality of life. This study aims to analyze factors associated with the duration of perineal wound healing. The study design used observational analytic used primary data on 60 respondents who gave birth with perineal rupture. The variables studied included age, parity, and personal hygiene with the duration of perineal wound healing. The results showed no significant relationship between age (p=0,432>0,05) and parity (p=0,807>0,05) with the duration of perineal wound healing. In contrast, there was a significant relationship between personal hygiene and the duration of perineal wound healing (p=0,029<0.05). In conclusion, personal hygiene is an important factor that influences the speed of perineal wound healing, so education about postpartum self-care needs to be a focus in midwifery services.


Keywords


perineal wound healing; postpartum mother; perineal rupture

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DOI: https://doi.org/10.33992/icmahs.v3i1.4744

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