BREAST MILK AS AN ALTERNATIVE FOR POSTPARTUM PERINEAL CARE

Yuli Admasari, Bedjo Santoso, Titi Suherni, Imam Djamaluddin Mashoedi, Mardiyono Mardiyono

Abstract


Background: Perineal laceration during childbirth is very common among mothers; however some of them may suffer from its complication if not treated properly.

Objective: To prove the effectiveness of breast milk as an alternative topical ingredient in the treatment of perineal wound in postpartum mothers.

Methods: This was a quasi-experimental study with non-equivalent control group posttest only design. There were 30 respondents selected in this study, with 15 assigned in the intervention and control group. Accidental sampling was used to select the samples with the criteria that the respondents had perineal laceration in level 1 and 2. Data were analzed using Mann Whitney test.

Results: Effective wound healing process can be seen in the intervention group from 80% of poor category in 6-10 hours (1st period) of postpartum became 86.7% of good category in 7 days of postpartum (4th period). Different from the control group that showed the slow progress of wound healing, which was 86.7% of poor category in the 1st period to only 33.3% of good category in the 4th period. Mann Whitney test showed that there was a significant mean difference of the perineal wound healing process between the intervention group (11.23) and the control group (19.77) with p-value 0.002 (<0.05).

Conclusion: Breast milk was more effective than povidone iodine in the treatment of perineal wound. It is suggested for health workers, especially midwife to apply this intervention to accelerate the healing of perineal wound in midwifery care.


Keywords


Breast milk, perineal wound, povidone iodine

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References


Priddis H, Schmied V, Dahlen H. Women’s experiences following severe perineal trauma: a qualitative study. BMC women's health. 2014;14(1):32.

Webb S, Sherburn M, Ismail KM. Managing perineal trauma after childbirth. bmj. 2014;349:g6829.

MOH. Profil Kesehatan Indonesia 2014: Menteri Kesehatan Republik Indonesia, Jakarta;2014.

Dinkes. Health Profile of East Java: Department of Health of East Java, Indonesia; 2014.

Muhith A. Hubungan antara Perawatan Luka Jahitan Perineum dengan Proses Kesembuhan Luka Perineum di RSUD Sidoarjo. Medica majapahit. 2009;1(1).

Darmadi PIdR. Dalam: Infeksi Nosokomial Problematika dan Pengendaliannya. Jakarta, Salemba Medika. 2008:44-46.

Kurniarum A, Kurniawati A. KEEFEKTIFAN PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS MENGGUNAKAN DAUN SIRIH. Jurnal Terpadu Ilmu Kesehatan. 2015;4(2).

Sofiana I, Agustina EE. EFEKTIFITAS METODE KOLOSTRUM DAN METODE KASA KERING TERHADAP WAKTU PELEPASAN TALI PUSAT DI BPS NY. ENDANG PURWANINGSIH DAN BPS NY. ISTIQOMAH KECAMATAN RAKIT KABUPATEN BANJARNEGARA TAHUN 2011. Jurnal Bidan Prada. 2013;2(02).

Allam NA, Wafa A, Talat AM. The Effect of Topical Application of Mother Milk on Separation of Umbilical Cord for Newborn Babies. American Journal of Nursing. 2015;4(5):288-296.

Gope R. The effect of epidermal growth factor & platelet-derived growth factors on wound healing process. Indian Journal of Medical Research. 2002;116:201.

Arnardottir H, Orr SK, Dalli J, Serhan CN. Human milk proresolving mediators stimulate resolution of acute inflammation. Mucosal immunology. 2016;9(3):757-766.

Davidson N. REEDA: evaluating postpartum healing. Journal of nurse-midwifery. 1974;19(2):6-8.

Carey ILP. Healing of the perineum, a follow up study, University of Utah; 1971.

Price SA, Wilson LM. Patofisiologi konsep klinis proses-proses penyakit. Jakarta: EGC. 2005;7.

Kettle C, Tohill S. Perineal care. BMJ clinical evidence. 2008;2008.

Ginjala V, Pakkanen R. Determination of transforming growth factor-beta 1 (TGF-beta 1) and insulin-like growth factor (IGF-1) in bovine colostrum samples. Journal of immunoassay. May-Aug 1998;19(2-3):195-207.

Depkes RI. Manajemen laktasi. Buku Panduan bagi Bidan dan Petugas Kesehatan di Puskesmas. 2005.

Gunawan SG, Setiabudy R, Nafrialdi E. Farmakologi dan terapi. Edisi. 2007;5:139-160.

Damarini S, Eliana E, Mariati M. Efektivitas Sirih Merah dalam Perawatan Luka Perineum di Bidan Praktik Mandiri. Kesmas: National Public Health Journal. 2013;8(1):39-44.


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