Factors Associated With Perineal Rupture in Spontaneous Delivery at RSUD Panembahan Senopati Bantul in 2021

Abstract

Perineal rupture is one of the main problems associated with morbidity and mortality after delivery. The complications that can occur due to perineal rupture are infections and bleeding. Several factors causing perineal rupture are maternal, fetal, and labor aspects. The study aims at finding out what factors are associated with perineal rupture in spontaneous delivery at RSUD (regional general hospital) Panembahan Senopati Bantul in 2021 which include some aspects namely parity, birth spacing, newborn weight, and length of labor. The method used was observational analytics with a case- control approach. The population of the study was all normal delivery mothers at RSUD Panembahan Senopati Bantul in 2021. The research samples were cases and controls with a ratio of 1:1 i.e., 50 case samples and 50 control samples. The sampling technique was total sampling in the case group and simple random sampling in the control group. The data collection method used secondary data. The results of the chi-square test showed that there was no correlation between parity and perineal rupture (p-value of 0.221), there was a correlation between birth spacing and perineal rupture (p-value of 0.025), there was no correlation between newborn weight and perineal rupture (p-value of 0.102), and there was no correlation between the length of labor and perineal rupture (p-value of 0.117). The study concludes that there is a correlation between birth spacing and perineal rupture. There is no correlation between parity, newborn weight, the length of labor and perineal rupture in pregnant women. The study suggests pregnant women manage birth spacing and seek information about factors influencing the incidence of perineal rupture.