Care for perineal tears in vaginal delivery: An update for midwife

Hartinah, Asniah; Usman, Andi Nilawati; Sartini, Sartini; Jafar, Nurhaedar; Arsyad, Muhammad Aryadi; Yulianty, Risfa; Sirenden, Heldayanti; Nurung, Jumiaty

doi:10.1016/j.gaceta.2021.10.024

Cited by 8 publications

(5 citation statements)

References 5 publications

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“…The perineal massage group's primary purpose is to increase the elasticity of perineal tissue, reduce the risk of perineal tearing during labor, and speed up postpartum recovery. Benefits include increased comfort during labor, reduced discomfort, and preparing tissues for faster regeneration (Hartinah et al, 2021). This gentle technique group focuses more on relieving tension and pain in the perineal area.…”

Section: Discussionmentioning

confidence: 99%

Effect of perineal massage and gentle techniques on perineal rupture in primigravida maternity mothers

Dewi,

Jubaedah,

Suhendi

et al. 2024

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Background: Perineal rupture is a tear that occurs when a baby is born, either spontaneously or by using tools/actions. Preventive efforts can be made to reduce the risk of perineal rupture by massaging the perineum and using good pressure techniques during labor. Objective: To determine the effect of perineal massage techniques and pressure on perineal rupture in primigravida mothers who give birth. Method: This research uses experimental research methods; this type of research is quantitative with a pretest-posttest research design with a control group and an analytical study design with a retrospective approach. The total research sample required was 30 primigravidas, with details, namely 15 people from the perineal massage group and 15 from the gentle technique. Sampling was taken using an accidental sampling technique, where subjects were selected as research samples based on cases/respondents who happened to be available in a place according to the context. Results: research results of primigravid mothers who experienced perineal rupture in the perineal massage group were two people (20%), and in the menstrual technique group, there were eight people (80%), based on the results of data analysis using the Wilcoxon test, the p-value was obtained. In the perineal massage group, it was 0.000; in the gentle technique group, it was 0.005. Conclusion: It can be concluded that perineal massage is more effective than gentle techniques in preventing perineal rupture in primigravida mothers. To ensure the effectiveness of the chosen method, it is advisable to consult with medical personnel experienced in this field and follow the recommendations and protocols approved by the relevant health authorities. In addition, careful monitoring and care during labor is also essential to minimize the risk of perineal rupture.

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Section: Discussionmentioning

confidence: 99%

Effect of perineal massage and gentle techniques on perineal rupture in primigravida maternity mothers

Dewi,

Jubaedah,

Suhendi

et al. 2024

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“…Postpartum midwifery care is an important aspect of maternal and new-born health, and digital documentation has emerged as a valuable tool for midwives in providing quality care to their patients (Cooper, Warland, and McCutcheon 2018;Hartinah et al 2021). Digital documentation refers to the use of technology such as computers, mobile devices, and cloud-based systems to store, manage, and share patient information (Holla and Katti 2012;Jumbri and Ishak 2022;Ma, Gu, and Wang 2014).…”

Section: Needs Analysismentioning

confidence: 99%

Developing an Android-Based Application Documentation System of Postpartum Care for Indonesian Midwifery Students

Mutiah,

Abdurrahman,

Halimatussakdiah

et al. 2024

AJNM

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Midwifery students still take notes the old-fashioned way, on paper, which has become very inconvenient. Students struggle to create accurate and complete care documentation due to the risk of losing important data, transferring data, and scribbling. Mobile Case Midwifery Notes (CMNotes) is an Android-based documentation system designed to develop learning methods and interactive consultations between students and lecturers. CMNotes facilitates digital and comprehensive recording of patient data starting from assessment, diagnosis, and plan of care to implementation and evaluation by applying Varney’s management principles and Subjective Objective Analysis Planning (SOAP) documentation. This study is research and development (R&D) to produce a documentation system for midwifery care emphasising postpartum and breastfeeding care. The researchers recruited 185 midwifery students from Aceh Health Polytechnics to be involved in a needs analysis. Out of the total number of students, 39 students took part in the implementation stage where their experience using the application was assessed. The needs analysis revealed that postpartum care and breastfeeding are important subjects, and their documentation is the most important aspect. The implementation results show that the CMNotes provide convenience and satisfaction for students when documenting childbirth and postpartum care. Since CMNotes could provide the reference range of data, the system allows students to identify and focus on the issue experienced by the patients. Due to user feedback on the system’s usability, it is necessary to create an Android-based CMNotes application to fill in patient data more easily and effectively without the need for internet access.

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“…Wreszcie na końcu warto wspomnieć o bólu związanym z ranami poporodowymi, do których należą: rany po nacięciu/uszkodzeniu krocza (występujące w przypadku 85% porodów drogą pochwową, w tym u 91% nieródek oraz u 69% wieloródek), które powodują pogorszenie jakości życia i mogą prowadzić do dyspareunii, innych zaburzeń seksualnych oraz depresji [38]; rana po cięciu cesarskim (odsetek cieć cesarskich wzrasta gwałtownie na całym świecie, w niektórych krajach w sektorze prywatnym wynosi ponad 80%) [39] leczenie bólu po operacji cesarskiego cięcia jest niedostateczne, co wynika z często nieuzasadnionej obawy o działania niepożądane u matki i dziecka oraz z powodu niedoceniania jego nasilenia [40]. Szczególnym rodzajem są rany brodawek sutkowych, które ma 38% kobiet karmiących piersią, co jest skorelowane z pierwszym porodem, stresem i zmniejszonym poczuciem własnej wartości oraz sprawczości [41] oraz prowadzi często do rezygnacji z karmienia piersią.…”

Section: Wprowadzenieunclassified

Role and availability of postpartum physiotherapy in women’s opinions

Kulik,

Plucińska,

Chochowska

2023

Med Og Nauk Zdr.

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Wprowadzenie i cel pracy. Celem pracy było sprawdzenie, jak kobiety oceniają rolę i dostępność fizjoterapii w połogu. Materiał i metody. Badaniami objęto 112 kobiet w wieku 37 ± 7 lat, które rodziły przynajmniej raz w życiu. Narzędziem badawczym był kwestionariusz ankiety. Wyniki. Jedenaście z ankietowanych kobiet (10%), które w szpitalu, po porodzie, miały możliwość konsultacji z fizjoterapeutą, oceniły ją średnio na 7 ± 3,74 pkt, w skali 0-10 pkt, gdzie 0 oznaczało, że oceniają konsultację za zdecydowanie zbędną, a 10 -za zdecydowanie potrzebną. Kobiety, które nie miały kontaktu z fizjoterapeutą, oceniły zasadność takiej konsultacji na 5 ± 4,70 pkt. Po wyjściu ze szpitala 25 badanych kobiet (22%) zgłosiło się do fizjoterapeuty. Wśród tych, które nie tego nie zrobiły (78%), ponad połowa (57%) nie wiedziała, że jest taka możliwość. Spośród kobiet, które uczęszczały do szkoły rodzenia, 34% (n = 15) zostało poinformowanych o możliwości konsultacji u fizjoterapeuty po porodzie. Wnioski. Należy zwiększać świadomość kobiet na temat kompetencji fizjoterapeuty uroginekologicznego, m.in. na zajęciach w szkole rodzenia oraz podczas hospitalizacji po porodzie. Należy poszukać rozwiązań umożliwiających kobietom po porodzie wczesny dostęp do fizjoterapii uroginekologicznej, przynajmniej o charakterze instruktażowym. Wskazane jest przeprowadzenie dalszych badań mających na celu określenie barier w dostępnie do fizjoterapii uroginekologicznej dla kobiet po porodzie.

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Care for perineal tears in vaginal delivery: An update for midwife

Cited by 8 publications

References 5 publications

Effect of perineal massage and gentle techniques on perineal rupture in primigravida maternity mothers

Effect of perineal massage and gentle techniques on perineal rupture in primigravida maternity mothers

Developing an Android-Based Application Documentation System of Postpartum Care for Indonesian Midwifery Students

Role and availability of postpartum physiotherapy in women’s opinions

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