continuty of care for NY. A WITH GRADE I PERINEAL RUPTURE AT ROSLENA CLINIC, KEC. MEDAN JOHOR IN 2024
Keywords:
Pregnancy is a natural and physiological process. And every woman who has healthy reproductive organs. If you have menstruation and have sexual intercourse with a man whose reproductive organs are healthy, there is a very high chance of pregnancy (Madriwati, 2020). The pregnancy period starts from conception until the birth of the fetus, the normal length of pregnancy is 280 days (40 weeks 9 months 7 days) calculated from the first day of the last menstruation (Rukiah, 2020). Pregnancy is a process of fetal growth and development, with the aim of healthy mothers and healthy children. In the context of public health, it is further related to infant and maternal mortality as a result of the reproductive process and also minimizes physical, intellectual and emotional disabilities, so that both mothers and children and even all families can enjoy optimal physical and emotional well-being (Yongky, 2020).Abstract
Perineal Rupture is a perineal tear that occurs when the baby is born either spontaneously or with the use of tools or actions. perineal tears generally occur at the midline and can become extensive if the fetal head is born too quickly. perineal tears occur in almost all primiparas and not infrequently in subsequent labor. The exit of the baby through the birth canal mostly causes tears in the vagina and perineum. although it is possible that the tear was deliberately done to widen the birth canal. the risk caused by perineal tears is heavy bleeding the mother will experience a condition of helplessness, weakness, falling blood pressure, severe anemia and weight loss.
The purpose of suturing perineal tears is to suture the wound well layered, by avoiding open tears towards the vagina because it can be clogged with blood clots which will cause wound healing to be long. the purpose of suturing perineal tears is to reunite body tissues and prevent unnecessary blood loss. suturing is done in a longitudinal fashion using chromic thread or cutgut. by giving the mother local anesthesia while suturing the laceration, and repeating the anesthesia if it is still painful. suturing starts one cm from the apex of the wound. suture inside out, from the top until it reaches the bottom of the laceration. make sure the distance of each suture is the same and the injured muscle has been sutured. tie the thread by making
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