Effectiveness of Kegel Exercises on Perineal Wound Healing among Postpartum Women

Desta Ayu Cahya Rosyida, Nina Hidyatunnikmah

Abstract


Perineal wound refers to laceration or wound that occur along the birth canal (perineum) due to the delivery process. Wound healing is a method involved with replacement and repairment of the capacity of damaged tissue. This study aims to determine the effectiveness of Kegel exercises on perineal wound healing. This was a quasi-experimental study with one group pre-test – post-test design. 45 women with perineal wounds at the Arosbaya Bangkalan Community Health Center were selected as the study samples through a random sampling technique. Data were collected using observation sheet. t test was applied for the statistical tests. The study results obtained a calculated t value that was higher than the t table value (-16.523>-2.015) and significance value of <0.05 (0.000 < 0.05). Thus, it can be concluded that H0 was rejected and H1 was accepted, which indicated an effect of Kegel exercises on perineal wound healing among postpartum women at Arosbaya Community Health Center, Bangkalan, both before and after Kegel exercises. It is expected that the study findings can provide information for the development of health science, especially regarding the health of postpartum women during perineal wound healing process. In addition, management through Kegel exercises to accelerate the perineal wound healing process is expected to eliminate delays in such process

Keywords


Kegel exercises, Perineal wound, Postpartum

Full Text:

PDF

References


Prihartini SD, Rahmawati VE, Azizah N, Wardah R. The relationship between maternal parity and perineal rupture incidence in a normal delivery at PMB Minarti, Amd. b. Trawasan Village Kec. Sumobito Regency. Jombang. IJSS. 2021;1(3):305–12.

Thakar R, Sultan AH. Postpartum problems and the role of a perineal clinic. In: Sultan AH, Thakar R, Fenner DE, editors. Perineal and anal sphincter trauma: diagnosis and clinical management. Berlin: Springer; 2007. p. 65–79.

Himalaya D, Maryani D. Effects of binahong leaf decoction on perineal laceration healing in postpartum women. GMHC. 2022;10(2):152–8.

Sagi-Dain L, Kreinin-Bleicher I, Shkolnik C, Bahous R, Sagi S. In women with spontaneous vaginal delivery, repair of perineal tears might be easier compared to episiotomy. Int Urogynecol J. 2021;32(7):1727–32.

Schmidt PC, Fenner DE. Repair of episiotomy and obstetrical perineal lacerations (first–fourth). Am J Obstet Gynecol. 2024;230(3S):S1005–13.

Jones K, Webb S, Manresa M, Hodgetts-Morton V, Morris RK. The incidence of wound infection and dehiscence following childbirth-related perineal trauma: a systematic review of the evidence. Eur J Obstet Gynecol Reprod Biol. 2019;240:1–8.

Deering RE, Donnelly GM, Brockwell E, Bo K, Davenport MH, De Vivo M, et al. Clinical and exercise professional opinion on designing a postpartum return-to-running training programme: an international Delphi study and consensus statement. Br J Sports Med. 2024;58(4):183–95.

Salama AA, Salama AA, Salim SA, Alkalash SH. Prevalence and risk factors of postpartum infections at family health facilities in North Sinai, Egypt. Menoufia Med J. 2024;37(1):188–96.

Redaksi Mediakom. Utamakan keselamatan ibu [Internet]. Jakarta: Kementerian Kesehatan Repoblik Indonesia; 2024 [2024 Apr 1]. Available from: https://sehatnegeriku.kemkes.go.id/baca/blog/20240125/3444846/utamakan-keselamatan-ibu.

Dinas Kesehatan Provinsi Jawa Timur. Profil kesehatan Provinsi Jawa Timur tahun 2022 [Internet]. Surabaya: Dinas Kesehatan Provinsi Jawa Timur; 2023 [cited 2024 Apr 15]. Available from: https://dinkes.jatimprov.go.id/userfile/dokumen/PROFIL%20KESEHATAN%20JATIM%202022.pdf.

Rahayu YS. Data kunjungan ibu hamil di Praktik Bidan Mandiri (PMB) Yuni Sri Rahayu periode November–Desember 2012. Unpublished [data], Pamekasan: PMB Yuni Sri Rahayu; 2022.

Santos RCSD, Riesco MLG. Implementation of care practices to prevent and repair perineal trauma in childbirth. Rev Gauch Enferm. 2017;37(spe):e68304.

Novitasari R, Rosita E. Hubungan pengetahuan ibu nifas dengan perawatan luka perineum di PMB Aan Dyah tahun 2020/2021. JKSI. 2022;13(1):60–2.

Fatimah MP, Fatrin T, Yanti D. Pengaruh pemberian virgin coconut oil (VCO) untuk mempercepat proses penyembuhan luka perineum pada ibu postpartum di PMB Ferawati Palembang. J Ilmu Keperawatan Kebidanan Nasional. 2021;3(2):31–40.

Patterson DA, Winslow M, Matus CD. Spontaneous vaginal delivery. Am Fam Physician. 2008;78(3):336–41.

Wojcik M, Jarzabek-Bielecka G, Merks P, Plagens-Rotman K, Pisarska-Krawczyk M, Kedzia W, et al. The role of visceral therapy, Kegel’s muscle, core stability and diet in pelvic support disorders and urinary incontinence—including sexological aspects and the role of physiotherapy and osteopathy. Ginekol Pol. 2022;93(12):1018–27.

Pakpahan S, Sianturi E. The effectiveness of Coleus amboinicus L. leaves extract solution for grade II laceration of the perineal tears in postpartum mothers. Sci Midwifery. 2022;10(2):1875–80.

Indrayani T, Riviana AJ. Effectiveness of snakehead fish extract (Channa striata) on perineal wounds. Health Technol J. 2023;1(1):105–10.

Olla SI, Manongga SP, Tibuludji P. Determinant of maternal factors towards the incidence of perineal rupture at Prof. Dr . W.Z. Johannes Hospital. IJCMR. 2020;7(11):3272.

Matsi AE, Billis E, Lampropoulou S, Xergia SA, Tsekoura M, Fousekis K. The effectiveness of pelvic floor muscle exercise with biofeedback in women with urinary incontinence: a systematic review. Appl Sci. 2023;13(23):12743.

Huang YC, Chang KV. Kegel exercises. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan [cited 2024 Apr 29]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555898.

Cho ST, Kim KH. Pelvic floor muscle exercise and training for coping with urinary incontinence. J Exerc Rehabil. 2021;17(6):379–87.

Sheng Y, Carpenter JS, Ashton-Miller JA, Miller JM. Mechanisms of pelvic floor muscle training for managing urinary incontinence in women: a scoping review. BMC Womens Health. 2022;22(1):161.

Lestari A, Anita N. Efektivitas senam Kegel terhadap penyembuhan luka perineum pada ibu postpartum. J Penelit Perawat Profesional. 2024;6(1):79–84.

Turkay İK, Suna G. Urinary incontinence, Kegel exercises, core training and collagen - a systematic review. J Complement Med Res. 2023;14(2):170–3.

Ojukwu CP, Nsoke GT, Ede S, Ezeigwe AU, Chukwu SC, Anekwu EM. Comparison of self-reported ability to perform Kegel's exercise pre- and post-coital penetration in postpartum women. Libyan J Med. 2023;18(1):2199969.




DOI: https://doi.org/10.29313/gmhc.v12i2.13736

pISSN 2301-9123 | eISSN 2460-5441


Visitor since 19 October 2016: 


Free counters!


Global Medical and Health Communication is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

  • https://library.stieppi.ac.id/stam/
  • https://sastrainggris.ipbcirebon.ac.id/slsa/
  • https://prodi.sisteminformasi.global.ac.id/sris/
  • https://jurnal.fpok.upgripnk.ac.id/public/sloto/
  • https://ejournalperawat.poltekkes-kaltim.ac.id/sesmi/
  • https://library.stieppi.ac.id/xthailand/
  • https://sastrainggris.ipbcirebon.ac.id/xmahjong/
  • https://prodi.sisteminformasi.global.ac.id/xpulsa/
  • https://jurnal.fpok.ikippgriptk.ac.id/public/xqris/
  • https://ejournalperawat.poltekkes-kaltim.ac.id/xdana/
  • https://sumateraconnect.or.id
  • https://pt-ads.co.id/
  • https://bandungprecast.com/
  • https://jasaaspalhotmixbandung.my.id/
  • https://tjvs.tu.edu.iq/
  • https://ojs.al-adab-journal.com/
  • https://insightfuljournals.com/
  • https://interaction.id/
  • https://satpolpp.inhilkab.go.id/sthailand/
  • https://satpolpp.inhilkab.go.id/smahjong//
  • https://my-klasiber.polhas.ac.id/xthailand/
  • https://my-klasiber.polhas.ac.id/xmahjong/
  • https://my-klasiber.polhas.ac.id/slqris/
  • https://my-klasiber.polhas.ac.id/schitam/
  • https://satpolpp.inhilkab.go.id/scahitam/
  • https://satpolpp.inhilkab.go.id/slopulsa/
  • https://satpolpp.inhilkab.go.id/sloqris/
  • stmedj.com
  • inmovil.org
  • journal.fisil.ubhara.ac.id
  • https://egyptscholars.org//
  • Slot Thailand
  • Thailand Slot
  • Slot Deposit Pulsa 10k
  • Slot
  • https://egyptscholars.org/slot-thailand/
  • Slot Thailand
  • Thailand Slot/
  • Slot
  • Slot Deposit Pulsa 10k
  • Slot Maxwin
  • https://v2.stieputrabangsa.ac.id/nity/
  • https://siakad-pben.unida-aceh.ac.id/infy/
  • https://ct.pt-sultra.go.id/site/
  • https://ct.pn-probolinggo.go.id/file/
  • https://sipp.pa-bawean.go.id/site/