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All Journal International Archives of Medical Sciences and Public Health International Archives of Medical Sciences and Public Health
Sarinah Siregar
Department of Medical Laboratory Technology, Poltekkes Kemenkes, Jambi. Indonesia
Religion Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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FACTORS ASSOCIATED WITH PERINEAL WOUND HEALING AMONG POSTPARTUM WOMEN AFTER VAGINAL DELIVERY IN PRIMARY HEALTH CARE Nurdahliana; Sarinah Siregar; Nova Ratna Dewi; Rina Julianti; Marlina; Meliani Sukmadewi Harahap
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1483

Abstract

Perineal trauma following vaginal delivery is a common postpartum complication that may delay recovery and increase the risk of adverse maternal outcomes. This study examined factors associated with perineal wound healing among postpartum women in Bireuen District, Indonesia. A cross-sectional study was conducted from December 2025 to April 2026 involving 120 postpartum women assessed 10-14 days after normal vaginal delivery. Participants were recruited consecutively from the Jeumpa, Gandapura, and Kutablang Primary Health Centers. Perineal wound healing was evaluated through clinical observation, while demographic, behavioral, psychosocial, and cultural characteristics were collected using structured questionnaires. Associations were analyzed using chi-square tests and multivariable logistic regression. In bivariate analyses, type of perineal tear, personal hygiene, cultural practices, and family support were significantly associated with perineal wound healing. In the multivariable model, family support (AOR = 31.21; 95% CI: 2.55-382.12; p = 0.007) and personal hygiene (AOR = 27.74; 95% CI: 2.41-319.86; p = 0.008) remained significantly associated with favorable wound healing. The wide confidence intervals indicate substantial uncertainty in the estimated effect sizes. These findings suggest that personal hygiene and family support are associated with perineal wound healing; however, the cross-sectional design precludes causal inference, and longitudinal studies are needed to confirm these associations.
FACTORS ASSOCIATED WITH PERINEAL WOUND HEALING AMONG POSTPARTUM WOMEN AFTER VAGINAL DELIVERY IN PRIMARY HEALTH CARE Nurdahliana; Sarinah Siregar; Nova Ratna Dewi; Rina Julianti; Marlina; Meliani Sukmadewi Harahap
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1483

Abstract

Perineal trauma following vaginal delivery is a common postpartum complication that may delay recovery and increase the risk of adverse maternal outcomes. This study examined factors associated with perineal wound healing among postpartum women in Bireuen District, Indonesia. A cross-sectional study was conducted from December 2025 to April 2026 involving 120 postpartum women assessed 10-14 days after normal vaginal delivery. Participants were recruited consecutively from the Jeumpa, Gandapura, and Kutablang Primary Health Centers. Perineal wound healing was evaluated through clinical observation, while demographic, behavioral, psychosocial, and cultural characteristics were collected using structured questionnaires. Associations were analyzed using chi-square tests and multivariable logistic regression. In bivariate analyses, type of perineal tear, personal hygiene, cultural practices, and family support were significantly associated with perineal wound healing. In the multivariable model, family support (AOR = 31.21; 95% CI: 2.55-382.12; p = 0.007) and personal hygiene (AOR = 27.74; 95% CI: 2.41-319.86; p = 0.008) remained significantly associated with favorable wound healing. The wide confidence intervals indicate substantial uncertainty in the estimated effect sizes. These findings suggest that personal hygiene and family support are associated with perineal wound healing; however, the cross-sectional design precludes causal inference, and longitudinal studies are needed to confirm these associations.
Co-Authors Marlina Meliani Sukmadewi Harahap Nova Ratna Dewi Nurdahliana Rina Julianti