CONTINUITY OF MIDWIFERY CARE FOR MRS. B WITH SECOND-DEGREE PERINEAL RUPTURE AT PMB PERA, MEDAN TUNTUNGAN DISTRICT, NORTH SUMATRA PROVINCE, IN 2025
Keywords:
Continuity of Care (CoC), Perineal Rupture, Midwifery Care, Second Stage of Labor, Varney MethodAbstract
Background: Perineal rupture is a tear in the perineum occurring during delivery, either spontaneously or through instrumental assistance. These tears often occur along the midline and can become extensive if the fetal head is delivered too rapidly. Key contributing factors include parity, birth weight, and the duration of the second stage of labor. Objective:This study aims to provide and analyze comprehensive midwifery care for Mrs. B, specifically focusing on the management and prevention of perineal rupture. Methods: A descriptive case study approach was employed using Continuity of Care (CoC). The care was implemented through the Helen Varney midwifery management method and documented using SOAP notes, spanning from pregnancy and childbirth to newborn care, postpartum, and family planning. Results: The study identified that proper management of the second stage of labor and controlled delivery techniques are crucial in minimizing spontaneous perineal tears. Mrs. B received integrated education on perineal health and postpartum recovery. Conclusion: Continuous midwifery care using the Varney method effectively monitors risk factors and ensures the delivery of high-quality, comprehensive care to reduce maternal morbidity related to perineal trauma.
References
Jansson, M. H., Franzén, K., Hiyoshi, A., Tegerstedt, G., Dahlgren, H., & Nilsson, K. (2020). Risk Factors For Perineal And Vaginal Tears In Primiparous Women – The Prospective Popract-Cohort Study. Bmc Pregnancy And Childbirth, 0, 1–14.
Kementrian Kesehatan Ri. (2023). Buku Kia Kesehatan Ibu Dan Anak. Kementerian Kesehatan Republik Indonesia.
Nur Azizah, Debora, Sinaga, R., & Junida Laia. (2025). Hubungan Berat Badan Lahir Dengan Ruptur Perineum Persalinan Normal Di Praktek Bidan Mandiri Lusi Marbun Kab. Simalungun Tahun 2022. Naj : Nursing Applied Journal, 3(2), 173–182. Https://Doi.Org/10.57213/Naj.V3i2.628
Sdgs. (2016). Transforming Pur Wold: The 2030 Agenda For Sustainable Develompment Goals. In Arsenic Research And Global Sustainability - Proceedings Of The 6th International Congress On Arsenic In The Environment, As 2016. Https://Doi.Org/10.1201/B20466-7
Sinaga, A. (2022). The Effect Of Primigravida Mother’s Perineal Massage On Perineal Rupture In Tutun Sehati Pratama Clinic, Tanjung Morawa District Deli Serdang Year 2021. Science Midwifery, 10(4), 3348–3351. Https://Doi.Org/10.35335/Midwifery.V10i4.811
Sinaga, R., Sinaga, K., (2022). Hubungan Status Gizi Ibu Nifas Dengan Penyembuhan Luka Perineum. Indonesian Health Issue, 69–75.
Suplee, P. D., D’oria, R., Larson, K., Kilday, D., Eymold, C., & Onokpise, B. (2023). An Initiative To Improve Postpartum Discharge Education. Nursing For Women’s Health, 27(4), 270–282. Https://Doi.Org/Https://Doi.Org/10.1016/J.Nwh.2023.04.007
Venugopal, V., Ph, D., Deenadayalan, B., Maheshkumar, K., Ph, D., Yogapriya, C., Akila, A., & Pandiaraja, M. (2022). Perineal Massage For Prevention Of Perineal Trauma And Episiotomy During Labor : A Systematic Review And Meta-Analysis. Journal Of Family And Reproductive Health, 16(3), 162–169.
White, C., & Atchan, M. (2022). Postpartum Management Of Perineal Injury - A Critical Narrative Review Of Level 1 Evidence. Midwifery, 112, 103410. Https://Doi.Org/Https://Doi.Org/10.1016/J.Midw.2022.103410
Who. (2023). Who Recommendations On Maternal And Newborn Care For A Positive Postnatal Experience. World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Siska Wulandari Telaumbanua, Rasmi Manullang, Perawati Singarimbun, Shinta Olivia Hia, Wilma Riana Tumangger, Mardiana, Gebryella
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
