Faktor-Faktor yang Mempengaruhi Kejadian Robekan Perineum pada Ibu Bersalin Tahun 2024
DOI:
https://doi.org/10.32807/jmu.v8i1.202Abstract
Abstrak
Latar Belakang: Angka kematian ibu di Indonesia sebesar 189 per 100.000 kelahiran hidup sedangkan angka kematian ibu di NTB mencapai 103 per 100.000 kelahiran hidup. Penyebab kematian ibu di Provinsi NTB pada tahun 2023 adalah perdarahan (28,57%). Perdarahan dapat terjadi pada saat hamil, bersalin dan pasca salin. Robekan perineum menjadi salah satu penyebab perdarahan ibu pada periode pasca persalinan. Tujuan: Untuk mengetahui faktor-faktor yang mempengaruhi terjadinya robekan perineum pada ibu bersalin di salah satu rumah sakit di Lombok Barat tahun 2024. Metode: Desain penelitian bersifat observasional analitik dengan rancangan cross sectional. Sampel sebanyak 251 responden dengan Teknik pengambilan sampel sistematik random sampling. Instrument penelitian register dan rekam medik dengan jenis data sekunder, analisa data dengan chi square. Hasil: Ada hubungan usia dengan kejadian robekan perineum dengan p value 0,012, ada hubungan paritas dengan kejadian robekan perineum dengan p value 0,001, ada hubungan berat bayi lahir dengan kejadian robekan perineum dengan p value 0,005, dan ada hubungan lingkar kepala bayi dengan kejadian robekan perineum dengan p value 0,000. Kesimpulan: Ada hubungan antara faktor maternal (usia dan paritas) dan faktor bayi (berat bayi lahir dan lingkar kepala bayi) dengan kejadian robekan perineum di Ruang Bersalin salah satu rumah sakit di Lombok Barat tahun 2024
Kata Kunci : Robekan perineum, ibu bersalin, faktor maternal, faktor bayi
Factors Influencing the Incidence of Perineum Tears
in Mothers Giving Birth in 2024
Abstract
Background: The maternal mortality rate in Indonesia is 189 per 100.000 live births while the maternal mortality rate in NTB reaches 103 per 100.000 live births. The cause of maternal death in NTB province in 2023 was bleeding (28,57%). Bleeding can occur during pregnancy, childbirth and postpartum. Perineal tears are one of the causes of maternal bleeding in the postpartum period. Objective: To determine the factors that influence the occurrence of perineal tears in mothers giving birth in the delivery room of one of General Hospital of West Lombok in 2024. Method: The research design is observational analytic with cross sectional design. The sampel is 251 respondents with systematic random sampling technique. The research instrument is register and medical record with secondary data type, data analysis with chi square. Results: There is a relationship between age and the incidence of perineal tears with p value of 0,012, there is a relationship between parity and the incidence of perineal tears with a p value 0,001, there is a relationship between birth weigth and the incidence of perineal tears with a p value 0,005, and there is a relationship between baby head circumference and the incidence of perineal tears with a p value 0,000. Conclusion: there is a relationship between maternal factors (age and parity) and infant factors (birth weight and head circumference) with the incidence of perineal tears in the delivery room of one of General Hospital of West Lombok in 2024.
Keywords: perineal tears, mother in labor, maternal factors, infant factors
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