<![CDATA[Perineal rupture is one of the complications that may occur during normal vaginal delivery. One factor that may influence the incidence of perineal rupture is the maternal pushing position. The left lateral position may allow the perineum to stretch gradually, potentially reducing the risk of rupture compared with the lithotomy position. Objective to analyze the incidence of perineal rupture among women giving birth in the left lateral and lithotomy pushing positions at Nibong Public Health Center, North Aceh Regency. Study methods employed a Randomized Controlled Trial (RCT) design with a posttest-only control group. The sample consisted of 34 women giving birth, who were divided into two groups: 17 respondents in the left lateral pushing position and 17 respondents in the lithotomy position. Sampling was performed using simple random sampling. Data were analyzed using the Mann–Whitney test. The results showed that in the left lateral position group, the majority of respondents did not experience perineal rupture, whereas in the lithotomy position group, the majority experienced perineal rupture. The Mann–Whitney test yielded an Asymp. Sig. (2-tailed) value of 0.012 < 0.05, indicating a statistically significant difference in the incidence of perineal rupture between the left lateral and lithotomy pushing positions. The left lateral position was more effective in reducing the incidence of perineal rupture than the lithotomy position. Conclusion there was a significant difference in the incidence of perineal rupture between the left lateral and lithotomy pushing positions. The left lateral pushing position was more effective in reducing the incidence of perineal rupture than the lithotomy position. Therefore, the left lateral position may be considered as an alternative pushing position during the second stage of labor for women without medical contraindications.]]>
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