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Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga.The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test.The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.

This study is a Systematic Literature Review (SLR) which aims to analyze the relationship between risk factors and the incidence of birth canal laceration and its impact on postpartum hemorrhage. The review of various studies showed that postpartum hemorrhage and perineal rupture have complex and interrelated risk factors, with placental retention, uterine atony, and birth canal laceration as the main causes (p-value <0.05). Maternal characteristics such as age, parity (especially in multiparous with a prevalence of 32.9%), history of previous bleeding (OR=7.725), and pregnancy spacing less than two years (OR=6.943) contributed significantly to the risk of complications. Birth weight had a significant association with the incidence of perineal rupture, while the innovative use of warmpad proved effective with 58.8% of cases showing an intact perineum post-delivery. The study also identified anemia in pregnancy as an important risk factor, with the distribution of causes of postpartum hemorrhage including placental retention (44%), uterine atony (28%), uterine rupture (18.6%), and uterine inversion (9.4%), confirming the importance of comprehensive monitoring during pregnancy to prevent complications.

Background: In 2020, there were 2.9 million cases of perineal rupture in mothers giving birth, it is estimated that this will reach 6.8 million in 2050. Childbirth is a process that is vulnerable to various complications that can endanger the mother. Vaginal delivery is more susceptible to tearing of the perineum to varying degrees. Red betel leaves contain essential oils, hydroxycabicol, chabicol, carbibetol, allylcatechol, cineole, tanim, diastase, sugar and starch. Objective: to determine changes in wound healing before and after being given red betel leaf decoction Method: Case study with application to 2 respondents. Respondents were given red betel leaf decoction twice a day in the morning and evening for 5 consecutive days. Wounds were measured using the REEDA scale. Results: After applying red betel leaf decoction, the results showed a decrease in the rate of wound healing in both respondents, there was a decrease in scores from previously Mrs. E 10 becomes 0 (good wound healing) and Mrs. S 11 becomes 1 (poor wound healing). Conclusion: There were changes and differences in the rate of wound healing before and after giving red betel leaf decoction to the two respondents.   Keywords: , ,

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 often results in perineal tears, particularly in first-time deliveries, and can also occur in subsequent births. Improper perineal care can create a moist environment due to lochia, promoting bacterial growth and increasing the risk of infection, which may delay wound healing. Complications of perineal tears include bleeding, infection, and dyspareunia. This study aimed to analyze the relationship between early mobilization and perineal wound healing in postpartum mothers in 2020. The research used an analytical survey with a cross-sectional approach, involving 30 postpartum patients at PMB Bidan Ai Duriah through total sampling. Data collection was conducted using observation sheets, and analysis was performed with the chi-square test at a 95% significance level (p < 0.05). Results indicated that most postpartum mothers (20 respondents) experienced good perineal wound healing with early mobilization. The study concludes that early mobilization plays a significant role in promoting perineal wound healing in postpartum mothers.

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

Senam hamil merupakan terapi latihan gerak dan salah satu kegiatan dalam pelayanan selama kehamilan atau prenatal care yang bertujuan untuk mempersiapkan ibu hamil secara fisik dan mental saat menghadapi persalinan agar persalinan normal dapat berlangsung dengan cepat, aman, dan spontan. Kelenturan otot – otot dinding perut dan dasar panggul dapat mengurangi risiko ruptur (robekan) perineum. Ruptur perineum merupakan perlukaan pada jalan lahir yang terjadi pada proses persalinan pervaginam, ruptur perineum ini disebabkan pada saat persalinan perineum mengalami tekanan yang kuat dan mengalami peregangan yang dapat menyebabkan terjadinya ruptur perineum yang disertai dengan adanya perlukaan vagina dengan derajat ruptur yang bervariasi (Syamsiah dan Rosita Malinda, 2018). Berdasarkan data yang diperoleh di Puskesmas Talang Kabupaten Tegal jumlah persalinan pada bulan Januari – Oktober 2022 adalah sebanyak 121 orang dan 34 (28%) ibu bersalin mengalami ruptur perineum pada saat persalinan pervaginam. Berdasarkan hasil studi pendahuluan dengan metode wawancara pada tanggal 01 Maret 2023 dengan 10 ibu hamil di Desa Bengle Wilayah Kerja Puskesmas Kaladawa Kabupaten Tegal menyatakan bahwa keseluruhan ibu hamil 100% belum pernah melakukan senam hamil selama kehamilan dan saat posyandu tidak di ajarkan senam hamil. Tujuan dari kegiatan pengabdian adalah untuk meningkatkan pengetahuan ibu hamil tentang senam hamil. Pengabdian masyarakat dilakukan pada tanggal 06 Maret 2023  di Balai Desa Bengle Wilayah Kerja Puskesmas Kaladawa Kabupaten Tegal sebanyak 30 ibu hamil dengan metode demonstrasi dan penyuluhan terkait senam hamil. Hasil dari pengabdian adalah ibu hamil  sangat antusias dan memberikan respon  positif terkait informasi senam hamil dengan alat bantu lembar balik dan leafleat.

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.