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Note:
alliedacademies Joint Event on
Global Women Health 2018 & Orthopedics Congress 2018 Archives of General Internal Medicine | ISSN: 2591-7951 | Volume 2
BREAST CANCER, GYNECOLOGY AND WOMEN HEALTH
ORTHOPEDICS AND RHEUMATOLOGY
&
World Congress on
Annual Conference on
Umiyanti Thenu et al., Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C3-009
PERINEALWARM COMPRESSES DURING
THE SECOND STAGE OF LABOR DECREASE
INCIDENCEAND DEGREE OF PERINEAL
LACERATION IN PRIMI PAROUS
Umiyanti Thenu, Trika Irianta, Fatmawati Madya, Isharyah
Sunarno, David Lotisnaand Retno B Farid
Hasanuddin University, Indonesia
Introduction:Women during their first vaginal birth commonly get perineal
trauma, induced by spontaneous laceration and episiotom y. Perineal warm
compresses during the second stage of labor have been shown to decrease
risk of perineal laceration or the need for episiotomy in primiparous, but the
role between perineal body length with incidence and degree of perineal
laceration is still in debate.
Objective: The aimof this study was to evaluate correlation between perineal
warm compresses and perineal body length during the second stage with
incidence and degree of perineal laceration inprimiparous.
Methods: It was a nonrandomized controlled trial conducted at teaching
hospital of Department of Obstetrics and Gynecolog y, Hasanuddin University
from January to May 2018. There were 62 samples for perineal warm
compresses group and62 samples for control group.
Results: Chi-Square test showed significant correlation between perineal
warmcompresses during thesecondstagewith perineal laceration incidence
(p=0.030) and perineal laceration degree in primiparous (p=0.004). Perineal
body length has no correlation with the incidence of perineal laceration
(p=1.000) and degree of perineal laceration (p=0.149). Perineal warm
compresses were effective in decreasing the degree of perineal laceration,
particularly in primiparous with perineal body length of <3.3cm (p=0.006).
Conclusion: Perineal warm compresses during the second stage, decreases
the incidence and degree of perineal laceration in primiparous. But, the
perineal body length did not correlate with perineal laceration incidence and
degree in primiparous. Perineal warm compresses during the second stage
may decrease perineal laceration degree in primiparous with perineal body
length <3.3cm.
Umiyanti Thenu has completed her medical degree
from Hasanuddin University, Indonesia. She is pursu-
ing Obstetrics and Gynecology specialist medical edu-
cation in Hasanuddin University, Indonesia.
BIOGRAPHY