EFFECTIVENESS EFFECTIVENESS OF IMPLEMENTATION POSTPARTUM CARE MODULE ON THE WOUND HEALING OF PERINEUM LACERATION

  • Gita Nirmala Sari Poltekkes Jakarta III https://orcid.org/0000-0003-3165-6005
  • Diana Hartaty Angraini Poltekkes Kemenkes Jakarta III
  • Erika Yulita Ichwan Poltekkes Kemenkes Jakarta III
  • Nurjasmi Nurjasmi Poltekkes Kemenkes Jakarta III
Keywords: wound healing of perineum laceration, Kegel exercise, nutrition, vulva and perineum hygiene.

Abstract

There are three important factors that effect of the wound healing of perineum laceration, namely mobilization, nutrition and cleanliness of vulva and perineum. With the fulfillment of the three factors become 1 package of module, it can be happening faster of wound healing in the proliferation phase of perineum laceration less than 7 days, which is usually occur more than 7 days. The purpose of this research was to know the effectiveness of the implementation of the package of modules in accelerating wound healing the perineum at the proliferation phase. The population of this study were post partum mothers with 2nd grade of perineum laceration in the place of research that chosen by simple randomization and randomized allocation that matching with inclusion and exclusion criteria. 18 mothers were selected as intervention group, while 18 mothers were selected as control group in different health center. This research used true quantitative experimental design with posttest only control group design and use chi-square test analysis for categorical variables throughout and logistic regression for multivariable analysis. There was a significant association between implementation module with long time of wound healing of perineum laceration in the proliferation phase (p value = 0,002) with OR (95%CI) was 60 (3.14 – 1147.29) before compared with control group. Mothers who implemented of module have probability for faster of wound perineum healing < 7 days postpartum compared with control group with OR (95% CI) was 5.5 (1.27 – 23.69). Implementation of the module package was very effective in accelerating the healing of wounds in the proliferation of the perineum laceration.

References

1. Kerri Durnell Schuiling FEL. Women’s Gynecologic Health. 2nd ed. Burlington: Jones & Bartlett Learning; 2010.
2. Mufdillah. Asuhan Kebidanan. 1st ed. Yogyakarta: Nuha Medika; 2009. 18–20 p.
3. Hauck YL, Lewis L, Nathan EA, White C, Doherty DA. Risk factors for severe perineal trauma during vaginal childbirth : A Western Australian retrospective cohort study. Women and Birth [Internet]. 2015;28(1):16–20. Available from: http://dx.doi.org/10.1016/j.wombi.2014.10.007
4. IBG Manuaba, IA Chandranita Manuaba IFM. Pengantar Kuliah Obstetri Kebidanan [Internet]. I. Jakarta: EGC; 2007. Available from: https://mabastore.com/buku-pengantar-kuliah-obstetri.html
5. Fleming VEM, Hagen S, Niven C. Does perineal suturing make a difference? The SUNS trial. BJOG An Int J Obstet Gynaecol. 2003;110(7):684–9.
6. Johnson A, Thakar R, Sultan AH. Obstetric perineal wound infection: is there underreporting? Br J Nurs [Internet]. 2012;21(MARCH):S28–35. Available from: http://search.proquest.com/docview/1023094487?accountid=13828
7. Boyle M. Wound Healing in Midwifery. 1st ed. Radcliffe Publishing: Radcliffe Publishing; 2006. 134 p.
8. Guo S, Dipietro LA. Factors affecting wound healing. J Dent Res [Internet]. 2010;89(3):219–29. Available from: http://jdr.sagepub.com/content/89/3/219.full%5Cnpapers3://publication/doi/10.1177/0022034509359125
9. Chhabra S, Chhabra N, Kaur A, Gupta N. Wound Healing Concepts in Clinical Practice of OMFS. J Maxillofac Oral Surg. 2017;16(4):403–23.
10. Kamrava A, Mahmoud NN. Prevention and Management of Nonhealing Perineal Wounds. Clin Colon Rectal Surg. 2013;26(212):106–11.
11. Herawati P. Hubungan Perawatan Perineum Dengan Kesembuhan Luka Perineum Pada Ibu Nifas Hari Keenam Di Bidan. Fak Kedokt Univ Sebel Maret Surakarta. 2010;
12. N DB, B SK, A KK. Episiotomy wound haematoma: Recognition, management and healing assessment by REEDA scale in postpartum period. IOSR J Dent Med Sci Ver I [Internet]. 2015;14(9):2279–861. Available from: www.iosrjournals.org
13. Alvarenga MB, Francisco AA, de Oliveira SMJV, da Silva FMB, Shimoda GT, Damiani LP. Episiotomy healing assessment: Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability. Rev Lat Am Enfermagem [Internet]. 2015;23(1):162–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25806645%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4376045
14. Kakade S. Effectiveness of Infrared Lamp Therapy on Healing of Episiotomy Wound among Post Natal Mothers. Heal Sci J. 2015;1–6.
15. Poli D, Rsud K, Tuban RK, Widyasari Y. JAHITAN SECTIO CAESAREA. Stikes NU Tuban. 1998;
16. Kulwa KBM, Verstraeten R, Bouckaert KP, Mamiro PS, Kolsteren PW, Lachat C. Effectiveness of a nutrition education package in improving feeding practices , dietary adequacy and growth of infants and young children in rural Tanzania : rationale , design and methods of a cluster randomised trial. BMC Public Health. 2014;14(1077):1–16.
17. Committee A, Apic S. Morbidity and Mortality Weekly Report Guideline for Hand Hygiene in Health-Care Settings Recommendations of the Healthcare Infection Control Practices Centers for Disease Control and Prevention TM. Vol. 51, CDC Morbidity and Mortality Weekly Report. 2002.
18. Taskin O, Wheeler JM, Yalcinoglu AI, Coksenim S. The Effects of Episiotomy and Kegel Exercises on Study Epi. J Gynecol Surg. 1996;12:123–7.
19. Molnar JA, Underdown MJ, Clark WA. Nutrition and Chronic Wounds. Adv Wound Care. 2014;3(11):663–81.
20. Barbul A, Arnold M. Nutrition and Wound HealingNutrition and Wound Healing. Am Soc Plast Surg. 2006;117(7):42–58.
21. Williams MK, Chames MC. Risk factors for the breakdown of perineal laceration repair after vaginal delivery. Am J Obstet Gynecol. 2006;195(755–9):9–12.
22. Stock L, Basham E, Gossett DR, Lewicky-gaupp C. Factors associated with wound complications in women with obstetric anal sphincter injuries ( OASIS ). YMOB [Internet]. 2013;208(4):327.e1-327.e6. Available from: http://dx.doi.org/10.1016/j.ajog.2012.12.025
23. Of B, Healing W. Cutaneous Wound Healing. N Engl J Med. 1999;(September):738.
Published
2020-12-31
How to Cite
1.
Sari G, Angraini D, Ichwan E, Nurjasmi N. EFFECTIVENESS EFFECTIVENESS OF IMPLEMENTATION POSTPARTUM CARE MODULE ON THE WOUND HEALING OF PERINEUM LACERATION. Jurnal Ilmiah Bidan [Internet]. 31Dec.2020 [cited 20Apr.2024];5(2). Available from: https://www.e-journal.ibi.or.id/index.php/jib/article/view/221
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