Relationship of Age and Parity with The Incidence of Perineum Rupture in Borneo Citra Medika Pelaihari Hospital

Rizky Yusnida Amelia; Pribakti Budinurdjaja; Ihya Ridlo Nizomy; Meitria Syahadatina Noor; Singgih Sidarta; I Made Gede Darma Susila

doi:10.20527/jbk.v7i2.10527

Relationship of Age and Parity with The Incidence of Perineum Rupture in Borneo Citra Medika Pelaihari Hospital

Rizky Yusnida Amelia, Pribakti Budinurdjaja, Ihya Ridlo Nizomy, Meitria Syahadatina Noor, Singgih Sidarta, I Made Gede Darma Susila

Abstract

Perineal rupture is a laceration on the perineum during delivery process (excluding iatrogenic rupture such as episiotomy). Several provinces in Indonesia in 2017-2018 reports that 1 in 5 cases of perineal rupture is shown to be fatal, one of many contributing factors in perineal rupture is age and parity. This study aims to find the relationship between age, parity, with perineal rupture on per vaginam (spontaneous) deliveries in RSIA Borneo Citra Medika, Pelaihari. This search use cross-sectional, analytic observational study that was conducted at RSIA Borneo Citra Medika from January to December 2017 with simple random sampling utilizing secondary data from medical record, total 208 samples. The result is perineal rupture was found on 16 (11.51%) samples with age <20 years old and >35 years old and on 123 (95.69%) samples with age 20-35 years old. Chi-square analysis showed no association between age and perineal rupture (p>0.05). Perineal rupture was found on 70 (50.35%) samples with primigravida and on 69 (49.65%) samples with multigravida. Chi-square analysis showed a strong association between parity and perineal rupture (p= 0.000). The conclusions are there was a significant relationship between parity with perineal rupture and there wasn’t significant relationship between age with perineal rupture.

Keywords

Age; parity; perineal rupture

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References

Waspodo A.R, Danuatmadja, B. Kusmiyati. Y., Asuhan Persalinan Normal. Jakarta; 2018.

Asiyah N. Pengaruh paritas terhadap kejadian rupture perineum pada posisi mengejan antara telentang dan kombinasi pada ibu bersalin. The 4 th Univesity Research Coloquium, 2016.

Dsouza JC, Monga A, Tincello DG. Risk factors for perineal trauma in the primiparous population during non-operative vaginal delivery. International Urogynecology Journal. 2020; 31: 621–625.

Rustam M. Obstetri Fisiologi dan Obststri Patologi, Jilid 1, Edisi 6. Jakarta: EGC; 2019.

Hirayama F, et. al. Prevalence and risk factors for third- and fourth-degree perineal lacerations during vaginal delivery: a multi-country study. BJOG. 2012; 119: 340-7.

Hastuti T.A, Mudigdo A, Budihastuti U.R, Age, Parity, Physical Activity, Birth Weight, and the Risk of Perineum Rupture at PKU Hospital in Delanggu, Klaten, Central Java. Journal of Maternal and Child Health 2016, 1(2): 93-100.

Kalahraoudi MA, Talebian A, Sadat Z, Mesdhaginia E. Perineal trauma: incidence and its risk factors. Journal of Obstetrics and Gynaecology. 2018.

Winkjosastro. Ilmu Kandungan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2015.

Cunningham, F.Gary. Obstetric Williams Vol.2 Edisi 25. Jakarta: EGC; 2018.

Prawiroharjo S. Ilmu Kebidanan Edisi 6. Jakarta; EGC: 2009.Silva FMB, et. al. Risk factors for birth-related perineal trauma: a cross-sectional study in a bitrh centre. JNC. 2017; 9: 2209-18.

Amelia R.Y, Noor M.S, Sidarta S, Susila IMGD, The relationship of birth weight and the incidence of perineal rupture; 2018.

Wulandari P, Arifianto, Zuhara I.K, Faktor-faktor yang berhubungan dengan kejadian rupture perineum spontan di BPM Ny Natalia Kecamatan Genuk Kota Semarang; 2016.

Djakovic I, Ejubovic E, Bolanca I, et all. Third and Fourth Degree Perineal Tear in Four-Year Period at Sestre Milosrdnice University Hospital Center, Zagreb, Croatia. Macedonian Journal of Medical Sciences. 2018; 6(6):1067-1071.

DOI: http://dx.doi.org/10.20527/jbk.v7i2.10527