FACTORS ASSOCIATED WITH PERINEAL RUPTURE IN WOMEN GIVING BIRTH AT THE CILANDAK DISTRICT HEALTH CENTER

Abstract

There is still a high incidence of perineal rupture in women giving birth at the Cilandak District Health Center in 2022, amounting to 80.27%, which results in maternal death, therefore researchers are interested in knowing more about the extent to which perineal rupture occurs in birthing women at the Cilandak District Health Center, South Jakarta. The aim of this study was to determine the factors associated with perineal rupture in women giving birth at the Cilandak District Health Center in 2023. This study used an analytical cross-sectional design with a research sample of 203 people who experienced perineal rupture. Research results: it was found that the most perineal ruptures were in grade 2 at 83%, based on maternal age at 20 - 35 years it was 93%, those who did not experience an episiotomy was 87%, based on birth weight ?2500 grams it was 95%. There is a significant relationship in all variables with perineal rupture in mothers giving birth, namely Age (P value = 0.017 with OR of 0.199), episiotomy (P value = 0.002 with OR 3.217), Birth Weight (P value = 0.001 with OR 0.163), Parity (P value = 0.009 with OR 2.143). From the research results, it was found that there was a significant relationship between perineal rupture and maternal age, episiotomy, birth weight, and parity at the Cilandak District Health Center, South Jakarta in 2023. Midwives need to further increase the provision of education and motivation for mothers to do pregnancy exercises to prevent rupture uterus.