Efektivitas Kombinasi Senam Kegel dan Massage Perineum Terhadap Pencegahan Ruptur Perineum Ibu Bersalin

Abstract

The background is that in pregnant women there is weakness in the pelvic floor muscles as gestational age increases. This is due to hormonal changes and increased burden on the abdominal muscles. The rigidity of the perineum in primigravidas is due to the lack of elasticity of the perineum which has never been passed by the fetus. The impact of this can increase the occurrence of perineal rupture and almost occurs in all first births (primiparous). This incident can be prevented by doing Kegel exercises and perineal massage when pregnant women. The aim of the research was to determine the effectiveness of a combination of Kegel exercises and perineal massage in preventing perineal rupture in pregnant women. The research method is Case Study. A purposive sampling approach consisting of 3 primigravida pregnant women at PMB Farida was the sample method chosen. Data collection was carried out in March 2023. The results of the research were that using midwifery care, a combination of Kegel exercises and perineal massage, which was carried out on the three participants, there were changes, namely increased pelvic floor muscle strength and perineal elasticity during pre-delivery so that perineal rupture did not occur. Conclusion, based on the research results, it shows that midwifery care combining Kegel exercises and perineal massage for primigravid pregnant women is effective in reducing perineal tears.