Effects of Binahong Leaf Decoction on Perineal Laceration Healing in Postpartum Women

Dara Himalaya, Deni Maryani

Abstract


A perineal laceration is a wound of the skin and muscular area between the vaginal and anal introitus caused by a labor tear. Perineal lacerations might occur in sudden and rapid removal of the fetus' head, excessive fetus size, and the inability of the pelvic muscles and soft tissues to accommodate the fetus's birth. One of the empirical non-pharmacology approaches to this study sought to understand the effect of binahong (Anredera cordifolia (Tenore) Steenis) leaf decoction on peritoneal wound healing in postpartum women. This is a quasi-experimental post-test-only control group study on 30 postpartum women treated in 15 private midwife practices in Bengkulu city from 10 November to 10 December 2022 who met the inclusion criteria. Subjects were sampled using the accidental sampling technique and were randomly divided into two groups. Wound healing was assessed using the REEDA scale, and the results were analyzed statistically using the Mann-Whitney or Wilcoxon test and the chi-square test. The study's results showed that Hb, age, and the number of children's influenced perineal wound healing. The average number of days for wound healing in the treatment group was six days. For a control group that used povidone-iodine 10% was eight days. It is concluded that there is an effect of decoction of the leaves of binahong (Anredera cordifolia (Tenore) Steenis) on the healing of peritoneal wounds in postpartum women.

Keywords


Binahong; perineal wound; postpartum

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References


Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323–33.

Kementerian Kesehatan Republik Indonesia. Profil kesehatan Indonesia tahun 2015. Jakarta: Kementerian Kesehatan Republik Indonesia; 2016.

Arnold MJ, Sadler K, Leli K. Obstetric lacerations: prevention and repair. Am Fam Physician. 2021;103(12):745-752.

Goh R, Goh D, Ellepola H. Perineal tears - a review. Aust J Gen Pract. 2018;47(1–2):35–8.

Pusat Data dan Informasi, Kementerian Kesehatan Republik Indonesia. Mother’s day [Internet]. Jakarta: Pusat Data dan Informasi, Kementerian Kesehatan Republik Indonesia; 2014 [cited 2022 April 20]. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-ibu.pdf.

Purnama H, Sriwidodo, Ratnawulan S. Review sistematik: proses penyembuhan dan perawatan luka. Farmaka. 2017;15(Suppl 2):251–8.

Sumartiningsih S. The effect of binahong to hematoma. WASET. 2011;5(6):244–6.

Shabella R. Terapi daun binahong: dahsyatnya khasiat daun binahong untuk menumpas penyakit. Klaten: Cable Book; 2012.

Yuliana D, Rahman A, Amatiria G. Efektivitas pemberian daun binahong (Anredera cordifolia (Tenore) Steen) dan povidone iodine 10% terhadap penyembuhan luka perineum. J Ilm Keperawatan Sai Betik. 2019:15(2):157–62.

Imron R, Risneni. Perbedaan efektifitas povidone iodine dengan air rebusan daun binahong terhadap penyembuhan luka perineum pada ibu postpartum di BPM wilayah kerja Dinas Kesehatan Kabupaten Lampung Selatan tahun 2017. J Pengabdian Masy Sakai Sambayan. 2018;2(2):61–8.

Surjantini RRSH, Siregar Y. Efektifitas air rebusan simplisia daun binahong (Anredera cordifolia (Tenore) Steen) untuk penyembuhan luka perineum pada ibu nifas di Klinik Murniati Kecamatan Kota Kisaran Barat. J Penelit Kesehat Suara Forikes. 2018;9(3):170–5.

Alvarenga MB, Francisco AA, de Oliveira SM, da Silva FM, Shimoda GT, Damiani LP. Episiotomy healing assessment: redness, oedema, ecchymosis, discharge, approximation (REEDA) scale reliability. Rev Lat Am Enfermagem. 2015;23(1):162–8.

Council for International Organizations of Medical Sciences. International ethical guidelines for health-related research involving humans. Geneva: Council for International Organizations of Medical Sciences; 2016.

Adriani M, Wirjatmadi B. Pengantar gizi masyarakat. Jakarta: Kencana; 2012.

Tarsikah, Amin I, Saptarini. Waktu penyembuhan luka perineum ibu nifas berdasarkan kadar hemoglobin. MIKIA. 2018;2(2):55–60.

Pujiastuti W, Hapsari DK. kadar haemoglobin rendah menghambat penyembuhan luka perineum di wilayah Kabupaten Magelang tahun 2014. Bhamada J Ilm Teknol Kesehat. 2014;5(2):73.

Afandi MI, Suhartatik, Ferial EW. Hubungan mobilisasi dini dan personal hygiene terhadap percepatan kesembuhan luka perineum pada ibu post partum di RSIA Pertiwi Makassar. JIKD. 2014;5(3):295–301.

Susilawati S, Patimah M, Imaniar MS. Determinan lama penyembuhan luka perineum pada ibu nifas. Faletehan Health J. 2020;7(3):132–6.

Manuntungi ES, Irmayanti, Ratna. Faktor-faktor yang mempengaruhi lamanya penyembuhan luka perineum pada ibu nifas di ruang perawatan Rumah Sakit Mitra Manakarra Mamuju. NIC. 2019;1(3):96-103

Notoatmodjo S. Metodologi penelitian kesehatan. Jakarta: Rineka Cipta; 2012.

Rahayu PY. Analysis Of Knowledge And Attitudes On Perineal Wound Healing In Postpartum Mother In The Area Of Pekauman Public Health Center In South Banjarmasin. Advances in Health Science Research. 2017;6.309-316

Rohmin A, Octariani B, Jania M. Faktor risiko yang mempengaruhi lama penyembuhan luka perineum pada ibu postpartum. J Kesehat. 2017;8(3):449–54.

Manuaba IAC, Manuaba IBGF, Manuaba IBG. Ilmu kebidanan, penyakit kandungan, dan KB untuk pendidkan Bidan. 2nd Edition. Jakarta: EGC; 2010.

Ariani S, Loho L, Durry MF. Khasiat daun binahong (Anredera cordifolia (Ten.) Steenis) terhadap pembentukan jaringan granulasi dan reepitelisasi penyembuhan luka terbuka kulit kelinci. eBm. 2013;1(2):914–9.

Aditia DS, Hidayat ST, Khafidhoh N, Suhartono, Suwondo A. Binahong leaves (Anredera cordifolia Tenore Steen) extract as an alternative treatment for perineal wound healing of postpartum mothers. BNJ. 2017;3(6):778–83.

Narsih U, Zakiyyah M, Ermawati I. Pengaruh pemberian daun binahong (Anredera cordifolia (Ten) Steenis) terhadap lama penyembuhan luka perineum. JKK. 2019;11(2):1–6.

Zulmi D, Septiani L, Soepardan S. The effect of sitting and soaking therapy with binahong leaf (Anredera cordifolia) decoction on perineal wound healing. Maj Obs Gin. 2019;27(1):28–33.

Miladiyah I, Prabowo BR. Ethanolic extract of Anredera cordifolia (Ten.) Steenis leaves improved wound healing in guinea pig. Univ Med. 2012;31(1):4–11.

Kaur S, Mondal P. Study of total phenolic and flavonoid content, antioxidant activity and antimicrobial properties of medicinal plants. J Microbiol Exp. 2014;1(1):23–8.

Selawa W, Runtuwene MRJ, Citraningtyas G. Kandungan flavonoid dan kapasitas antioksidan total ekstrak etanol daun binahong [Anredera cordifolia (Ten.) Steenis]. Pharmacon. 2013;2(1):18–22.

Chikmah AM, Riyata AB, Nisa J. Effectiveness of binahong gel sprays on perineum laceration in post-partum. In: Wahyuni S, Risthanti RR, editor. Prosiding Seminar Nasional Kesehatan (Semnaskes-2019) Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya: improving the quality of health through advances in research of health sciences; 2019 December 14; Surabaya, Indonesia. Surabaya: Adi Buana University Press; 2019. p. 1–6.




DOI: https://doi.org/10.29313/gmhc.v10i2.9355

pISSN 2301-9123 | eISSN 2460-5441


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