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 Background: Perineal pain due to episiotomy is a common complaint experienced by postpartum mothers and can affect patient comfort, mobility, and recovery. Nonpharmacological pain management is needed to help reduce discomfort with minimal risk of side effects. Objective: This study aimed to determine the effectiveness of applying cold compresses using ice packs in reducing perineal pain intensity in postpartum mothers with episiotomy. Methods: The study used a descriptive case study design in three vaginal postpartum patients with episiotomy who were treated in the postpartum ward. The intervention involved applying cold compresses using ice packs to the perineal area for 10–15 minutes, as per nursing procedures. Pain was measured using the Numeric Rating Scale (NRS) before and after the intervention. Findings: The results showed a decrease in pain intensity in all patients after the application of cold compresses. Patient P1 experienced a decrease in pain score from 5 to 4, patient P2 from 6 to 5, and patient P3 from 5 to 4, with an average decrease of 1 point. Implications: Cold compresses using ice packs have the potential to be an effective non-pharmacological nursing intervention to help reduce perineal pain and improve the comfort of postpartum mothers with episiotomies during the care period.

The postpartum period is a crucial phase for mothers to recover after childbirth. One of the common problems is perineal wounds, caused either by episiotomy or spontaneous rupture, which require proper care to prevent infection and accelerate healing. This case study aimed to provide midwifery care for Mrs. M, 28 years old, P3A0H3, with a second-degree perineal wound at PMB Bd. Silvi Ayu, S.Keb. The SOAP approach was applied through assessment, diagnosis, intervention, implementation, and evaluation over five days (June 12–16, 2025). Interventions included education on perineal hygiene, encouragement of nutritious food intake, light mobilization, and perineal wound care using boiled binahong leaves. The results showed decreased pain, reduced edema, a dry wound, and complete healing on the fifth day, with the REEDA score decreasing from 11 to 0. The discussion emphasized that flavonoids, saponins, and ascorbic acid in binahong leaves contribute to tissue regeneration and faster healing. Limitations of this study included the short monitoring period, limited sample, and reliance on maternal compliance. In conclusion, binahong leaf decoction was found to be effective, practical, and able to enhance maternal independence in wound care. This study is expected to serve as a reference for midwifery practice and as a basis for further research with a wider scope.

Postpartum infection is likely to originate from infected perineal suture wounds. These suture wounds are caused by episiotomy or infected incisions and due to tears in the birth canal or perineal tears. This study aims to determine the Effect of Green Betel Leaf Boiled Water in Accelerating Perineal Wound Healing at the Beutong Ateuh Health Center, Beutong Ateuh Banggalang District, Nagan Raya Regency, Aceh Province in 2024. This type of research is a quasi-experimental research method with a Post test with control group design. The population is all postpartum mothers who experience grade I-II perineal wounds at the Beutong Ateuh Health Center, Beutong Ateuh Banggalang District, Nagan Raya Regency, Aceh Province, as many as 22 people. The number of samples used was 22 people obtained using the Total sampling technique. The data analysis technique used the paired sample t-test value. The results obtained in this study were from 22 respondents, there was a difference in the effect of green betel leaf decoction in accelerating the healing of perineal wounds in the intervention group and the control group with the independent sample t test obtained results for the value of p = 0.000 meaning p <0.05.

Perennial rupture is an injury to the birth canal that occurs during the birth of a baby, whether using tools or not using tools. Perineal rupture is caused by parity, gestational spacing, maternal age, perineal stiffness, birth position. baby's weight, vacuum extraction, instrument trauma, episiotomy and wrong bowel movements. Perineal rupture if not treated immediately will cause bleeding. The aim of this study was to determine the relationship between birth weight of babies and the incidence of perineal rupture in mothers giving birth in the Sei Langkai Community Health Center working area, Batam City in 2023. This research design used cross sectional, the sample taken in this study was 30 people. The processing technique uses the Fisher Exact Test. The data obtained from the results of statistical tests is p-value = 0.037. The conclusion of the research is that the characteristics of the mothers giving birth are mostly aged 20-35 years with most parity being multiparous. Most babies are born with a weight that is not at risk (< 4,000 gr). There is a relationship between the birth weight of the baby and the incidence of perineal rupture in the Sei Health Center Working Area. Langkai with a p-value of 0.037 so that the p-value < α (0.05). It is hoped that this research can be used as input and consideration in further research.

Childbirth is a series of processes that end with the expulsion of the products of conception by the mother. The World Health Organization (WHO) estimates that there are more than 585,000 maternal deaths caused by complications of pregnancy and childbirth worldwide every year. Of the many who go through labor, not all of them experience tearing of the birth canal or perineal rupture. 1 in 4 women who experience perineum intact during labor. Due to the birth process, the perineum is widened by 170% from the transverse position (side to side) and 40-6-% in the vertical position (front to back) during the crowing process, so that there is a greater risk of perineal rupture. In Indonesia, out of a total of 1951 vaginal births, 1465 or 75% experienced perineal rupture, 158 or 8% received perineal sutures due to episiotomy and 566 or 29% experienced spontaneous tears. The purpose of this study was to determine the relationship between the technique of straining in childbirth and the incidence of perineal rupture at the Kapasa Health Center The research method used was an analytic survey, using the Cross Sectional Study approach, which is a form of observational (non-experimental) study to find the relationship between the independent variable and the dependent variable by taking momentary measurements in the research conducted by analyzing the relationship between knowledge of Maternity Straining Techniques and Events Perineal Rupture at the Kapasa Health Center. The results showed that the level of knowledge was not good with the incidence of perineal rupture as many as 11 respondents (52.3%) and knowledge.