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Data WHO (2010) bahwa 99% kematian ibu akibat masalah persalinan terjadi dinegara-negara berkembang. Saifuddin (2010), penyebab penting kematian ibu adalah perdarahan sebanyak 16-17%. Salah satu perdarahan terjadi saat postpartum yaitu rupture perineum sebanyak 4-5%. Di Puskesmas Lubuk Buaya Padang 9 dari 15 orang ibu bersalin normal mengalami rupture perineum dalam bulan februari 2016. Tujuan penelitian ini adalah untuk mengetahui faktorfaktor yang berhubungan dengan kejadian rupture perineum pada persalinan normal di Klinik Bersalin Puskesmas Lubuk Buaya Padang Tahun 2016. Jenis penelitian ini adalah deskriptik analitik dengan desain penelitian cross sectional dengan jumlah sampel 130 orang. Pengambilan sampel penelitian menggunakan teknik total sampling. Data dikumpulkan melalui format pengumpulan data dan teknik pengolahan data dengan langkah editing, coding, entry, dan cleaning data diolah secara komputerisasi dan dianalisa menggunakan analisa univariat dan bivariat dengan uji statistik chi-square. Hasil penelitian dari 130 responden, ibu yang mengalami rupture perineum sebanyak 65 orang (65,5%). Ibu yang mengalami rupture perineum dengan jarak kelahiran beresiko sebanyak 28 orang (37,8%), berat badan lahir bayi yang berisiko sebanyak 26 orang (38,2%) dan umur yang berisiko sebanyak 14 orang (35,0%). Dari analisa bivariat didapatkan ada hubungan antara jarak kelahiran nilai p=0,003, berat badan lahir bayi nilai p=0,008 dan umur nilai p=0,037 dengan kejadian rupture perineum pada persalinan normal. Berdasarkan hasil diatas dapat disimpulkan bahwa ruptur perenium berhubungan dengan jarak kelahiran, berat badan lahir dan umur. Bagi tenaga kesehatan diharapkan adanya penelitian ini tenaga kesehatan yang dinas di puskesmas tersebut dapat memahami faktor-faktor apa saja yang mempengaruhi terjadinya ruptur perenium sehingga dapat mengurangi angka kejadian ruptur perineum.

WHO data (2010) that 99% of maternal deaths due to labor problems occur in developing countries. Saifuddin (2010), an important cause of maternal death are haemorrhage as much as 16-17%. One of postpartum hemorrhage occurs when that rupture perineum as much as 4-5%. Puskesmas Padang in Lubuk Buaya 9 of 15 normal birth mothers experiencing perineal rupture in the month of February 2016. The purpose of this study was to determine the factors associated with the incidence of perineal rupture in normal childbirth Maternity Clinic Health Center in Lubuk Buaya Padang Year 2016 Type of research this is a descriptive analytic with design crosssectional with a sample of 130 people. Sampling studies usingtechnique. total sampling Data were collected through the format of data collection and data processing techniques with step editing, coding, entry, and cleaning the data is processed in a computerized and analyzed using univariate and bivariate statistical test of chisquare. The results of 130 respondents, mothers who experienced a rupture perineum as many as 65 people (65.5%). Mothers who experienced a rupture perineum with spacing at risk as many as 28 people (37.8%), birth weight infants at risk as many as 26 people (38.2%) and age at risk as many as 14 people (35.0%). From the bivariate analysis found no association between birth spacing value of p = 0.003, birthweight infants p = 0.008 and lifetime value of p = 0.037 with the incidence of rupture perineum in normal childbirth. Based on the above it can be concluded that the rupture perenium related to birth spacing, weight birth weight and age. For health workers are expected to have their research departments of health workers in the health center can understand the factors that influence the occurrence of rupture perenium so as to reduce the incidence of rupture of the perineum.