Search Repository Universitas Fort De Kock

Robekan perineum merupakan penyebab kedua kematian ibu post partum, salah satu usaha pencegahannya dengan pemijatan perineum dan senam kegel. Survey awal terhadap 6 orang ibu bersalin primipara terdapat 3 orang ruptur derajat 2, dan 1 orang ruptur derajat 1 yang pernah melakukan senam kegel. Tujuan penelitian untuk mengetahui perbedaan pemijatan perineum, senam kegel dan pemijatan perineum kombinasi senam kegel terhadap kejadian ruptur perineum. Jenis penelitian pra eksperimen, dengan rancangan Statis Group Comparison. Pengumpulan data dilakukan pada bulan Juni 2017. Populasi adalah ibu hamil melahirkan pada bulan Mei - Juni 2017. Sampel diambil secara total sampling, yaitu sebanyak 20 orang. Analisa data menggunakan uji statistik one way anova. Analisis univariat diketahui rata-rata ruptur perineum pada ibu yang melakukan pemijatan perineum 1,20, senam kegel 1,8, kombinasi pijat perineum dan senam kegel 0,2, dan pada ibu yang tidak melakukan pijat perineum ataupun senam kegel 2,6. Hasil analisa bivariat ada perbedaan pemijatan perineum, senam kegel dan pemijatan perineum kombinasi senam kegel terhadap kejadian ruptur perineum (p = 0,000). Disimpulkan bahwa kombinasi senam kegel dan pijat perineum efektif terhadap pencegahan ruptur perineum. Diharapkan pada petugas di Puskesmas agar menganjurkan ibu-ibu yang akan melahirkan untuk melakukan kombinasi pijat perineum dan senam kegel di akhir kehamilannya.

Rupture of the perineum is the second cause of maternal death post partum, one of prevention efforts with perineal massage and kegel exercises. A preliminary survey of six primiparous maternal women had 3 ruptures of 2 degrees, and 1 rupture of 1st degree who had performed Kegel exercises. The aim of this research is to know the difference of perineal massage, Kegel exercises and perineal massage of kegel kegel combination to perineum rupture event. Type of pre experimental research, with a Statis Group Comparison design. Data collection was conducted in June 2017. Population is pregnant mother gave birth in May - June 2017. Samples taken by total sampling, that is as much 20 people. Data analysis using one way anova statistical test. Univariate analysis was known on average of perineal rupture in mothers who performed perineal massage 1.20, 1.8 Kegel exercises, combination of perineal massage and 0.2 Kegel exercises, and in mothers who did not perform perineal massage or Kegel exercises 2.6. The result of bivariate analysis was different perineal massage, Kegel exercises and perineal massage of Kegel exercises combination against perineum rupture (p = 0,000). It was concluded that the combination of Kegel exercises and perineal massage was effective against the prevention of perineal rupture. It is expected that officers at Puskesmas should encourage mothers who will give birth to perform a combination of perineal massage and Kegel exercises at the end of pregnancy.