Early pregnancy and perineal rupture at North Bolaang Mongondow Regional Hospital
Keywords:
Perineum Rupture, Early PregnancyAbstract
Early pregnancy is a reproductive health issue that may negatively affect maternal and neonatal outcomes. One complication commonly associated with early pregnancy is perineal rupture, particularly among adolescents whose reproductive organs and perineal tissues have not yet reached optimal physiological maturity and elasticity. This study aimed to analyze the relationship between early pregnancy and the incidence of perineal rupture among women giving birth at North Bolaang Mongondow Regional Hospital. This analytical observational study used a cross-sectional design. A total of 16 postpartum mothers were selected using purposive sampling. Data were collected through structured interviews, questionnaires, and direct observation during the intrapartum and postpartum periods. Data were analyzed using the Wilcoxon test with a significance level of p < 0.05. Most respondents who experienced early pregnancy also suffered perineal rupture, accounting for 93.8% of the total sample. The Wilcoxon test showed a significant relationship between early pregnancy and perineal rupture (p = 0.000). Early pregnancy is significantly associated with an increased risk of perineal rupture. Reproductive health education for adolescents and improved labor management among young mothers are needed to reduce childbirth-related complications.
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