Brithing Position, Second Stage Duration, and Brith weight Associated with Perineal Lacerations

Neneng Zakiah; Intan Karlina; Assila Rahma Alia; Ilma Lestari; Nani Novianti

doi:10.21070/midwiferia.v12i2.1850

Authors

Neneng Zakiah Program Studi Sarjana Kebidanan, Fakultas Kebidanan, Institut Kesehatan Rajawali, Kota Bandung, Jawa Barat
Intan Karlina Program Studi Sarjana Kebidanan, Fakultas Kebidanan, Institut Kesehatan Rajawali, Kota Bandung, Jawa Barat
Assila Rahma Alia Program Studi Sarjana Kebidanan, Fakultas Kebidanan, Institut Kesehatan Rajawali, Kota Bandung, Jawa Barat
Ilma Lestari Program Studi Sarjana Kebidanan, Fakultas Kebidanan, Institut Kesehatan Rajawali, Kota Bandung, Jawa Barat
Nani Novianti Program Studi Sarjana Kebidanan, Fakultas Kebidanan, Institut Kesehatan Rajawali, Kota Bandung, Jawa Barat

DOI:

https://doi.org/10.21070/midwiferia.v12i2.1850

Keywords:

birthing position, duration of second stage of labor, newborn weight, perineal laceration, vaginal delivery

Abstract

Introduction: Perinal laceration is a common complication of vaginal delivery. This study aimed to determine the association of birth position, duration of the second stage of labor, and newborn birth weight with perineal laceration..

Methods: A quantitative analytical study with a cross-sectional design was conducted among 45 women who gave birth, selected using purposive sampling. Data were collected using an observation checklist and analyzed using Fisher’s exact test with a significance level of 0.05.

Results: Perineal laceration occurred in 68.9% of participants. Significant associations were found between birth position (p=0.003), duration of the second stage of labor (p=0.024), newborn birth weight (p=0.036), and perineal laceration. Laceration occurred in 90.5% of women in the lithotomy position, 100% with a second stage lasting >30 minutes, and 100% with newborn birth weight ≥3500 g.

Conclusion: Birth position, duration of the second stage of labor, and newborn birth weight were significantly associated with perineal laceration.

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