A-PRESERVE: Airlangga Perineal Repair Workshop for Health Service in Surabaya
DOI:
https://doi.org/10.56359/kolaborasi.v6i1.765Kata Kunci:
doctor, knowledge, midwives, perineal ruptureAbstrak
Introduction: Perineal rupture is a common complication during childbirth that requires appropriate management to prevent further morbidity. The knowledge and skills of midwives and general practitioners in performing perineal tear suturing at primary health care centers are crucial to ensure optimal care and minimize the risk of complications while promoting faster recovery of patients.
Objective: This community service activity aims to improve the knowledge and skills of midwives and general practitioners in suturing perineal tears through workshops and training at primary health facilities.
Method: The workshop was attended by 40 participants, consisting of midwives and general practitioners, for 150 minutes. The activity included training on perineal anatomy, suturing techniques, post-repair management, and practical suturing simulation using a cow tongue model. Participants completed questionnaires covering demographic data, and pre- and post-tests consisting of 10 questions about perineal tear repair.
Result: Most participants were women in the productive age range, with a majority holding bachelor's degrees. Only a few had prior experience attending suturing workshops. Pre-test results showed lower knowledge compared to post-test results. The mean rank for pretest was 26.18 while posttest was 54.83, with a p-value of 0.000, indicating a statistically significant improvement in participants’ knowledge after the intervention.
Conclusion: The workshop were effective in enhancing the knowledge of midwives and general practitioners in managing perineal tears. The findings highlight the importance of routine technical training to elevate the quality of childbirth care in public health centers.
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Referensi
Aasheim, V., Nilsen, A. B. V., Reinar, L. M., & Lukasse, M. (2017). Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database of Systematic Reviews, 2017(6). https://doi.org/10.1002/14651858.CD006672.pub3
Alaya, F., Worrall, A., Farah, N., Eogan, M., Monteith, C., & Salameh, F. (2025). Optimizing and enhancing perineal repair knowledge and teaching among obstetricians and midwives: A prospective three‐site study. International Journal of Gynecology & Obstetrics, 170, 1284–1292. https://doi.org/10.1002/ijgo.70130
Bužinskienė, D., Sabonytė-Balšaitienė, Ž., & Poškus, T. (2022). Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women’s Quality of Life and Treatment Methods. Frontiers in Surgery, 9(February), 1–5. https://doi.org/10.3389/fsurg.2022.788823
Carroll, L., Sheehy, L., Doherty, J., O’Brien, D., Brosnan, M., Cronin, M., Dougan, N., Coughlan, B., & Kirwan, C. (2020). Perineal management: Midwives’ confidence and educational needs. Midwifery, 90, 102817. https://doi.org/https://doi.org/10.1016/j.midw.2020.102817
Diaz, M. P., Simpson, N., Brown, A., Diorgu, F. C., & Steen, M. (2021). Effectiveness of structured education and training in perineal wound assessment and repair for midwives and midwifery students: A review of the literature. European Journal of Midwifery, 13, 1–12. https://doi.org/10.18332/EJM/134511
Farizi, S. Al, Amalia, R. B., Astuti, Y., Bacan, B., & Yudanagara, H. (2025). Upaya Peningkatan Pengetahuan tentang Persiapan Persalinan pada Kehamilan Risiko Rendah. Kolaborasi : Jurnal Pengabdian Masyarakat, 05(06), 1043–1051.
Ghanbari, Z., Eshghinejad, A., Ghaemi, M., Hadizadeh, A., Adabi, K., Hivechi, N., Yazdizadeh, M., & Pasikhani, M. D. (2024). Structured Workshop for Repair of High-Grade Perineal Lacerations Among Obstetrics and Gynecology Residents, The Need for Repetition and Retraining. The Journal of Obstetrics and Gynecology of India, 74(1), 31–37. https://doi.org/10.1007/s13224-023-01792-6
Hidayat, A. F., Musyaffa, A., Rahmawati, A. R., & Nurlela, D. (2023). Upaya Pengendalian Penyakit Hipertensi dan Diabetes Mellitus melalui Peningkatan Peran Kader Kesehatan. Kolaborasi : Jurnal Pengabdian Masyarakat, 03(03), 170–175. https://doi.org/10.56359/kolaborasi
Iancu, A. M., Blom, K., Tai, M., & Lee, K. (2021). Assessing the effect of e-learning on perineal repair knowledge and skill acquisition: a pre/post-intervention study. Journal of Obstetrics and Gynaecology Canada , 43(5), 655. https://doi.org/10.1016/j.jogc.2021.02.021
Itha Idhayanti, R., Warastuti, A., & Yuniyanti, B. (2020). Mobilisasi Dini Menurunkan Nyeri Akibat Jahitan Perineum Tingkat Ii Pada Ibu Post Partum. Jurnal Jendela Inovasi Daerah, 3(2), 29–43. https://doi.org/10.56354/jendelainovasi.v3i2.85
Kurniawati, E. M., Hardianto, G., & Wahyuningtyas, R. (2025). Edukasi Pencegahan Prolaps Organ Panggul Pasca Kehamilan dan Persalinan : Program Kemitraan Masyarakat. Kolaborasi : Jurnal Pengabdian Masyarakat, 05(04), 665–671.
Kurniawati, E. M., Paraton, H., Hardianto, G., Azinar, A. D., Hadi, T. H. S., Rahmatyah, R., & Rahmawati, N. A. (2021). Comparison of Urogynecological Care in Hospitals Before and During the SARS CoV-2 Infection: The Case Approach in Dr. Soetomo Hospital Indonesia. Journal of International Dental and Medical Research, 14(4), 1715–1721.
Lee, N., Hawley, G., Morris, J., & Kearney, L. (2024). Perineal repair performed by midwives in Australia: A cross-sectional survey study of education and practice. Women and Birth, 37(1), 153–158. https://doi.org/https://doi.org/10.1016/j.wombi.2023.08.001
Lindberg, I., Persson, M., Nilsson, M., Uustal, E., & Lindqvist, M. (2020). “Taken by surprise” - Women’s experiences of the first eight weeks after a second degree perineal tear at childbirth. Midwifery, 87, 102748. https://doi.org/https://doi.org/10.1016/j.midw.2020.102748
Nuraeni, S., Winda, S., Nurfauziyah, A., Sari, S. J., & Putra, R. A. (2024). Pengaruh efektivitas penyuluhan kesehatan tanda bahaya masa nifas terhadap peningkatan pengetahuan ibu nifas. Kolaborasi : Jurnal Pengabdian Masyarakat, 04(01), 44–48.
Priasmoro, D. P., & Asri, Y. (2024). Program Kesehatan Masyarakat Desa Dalam Meningkatkan Kualitas Kesehatan Masyarakat di Dusun Godean. Kolaborasi : Jurnal Pengabdian Masyarakat, 04(02), 77–82.
Quvondiqovna, А. Z. (2024). A NEW APPROACH TO SURGICAL TREATMENT OF CRYPTOGLAND FISTULAS OF THE RECTUM Abstract : 244(July), 45–46.
Rodrigues, S., Silva, P., Vieira, R., Duarte, A., & Escuriet, R. (2024). Midwives’ practices on perineal protection and episiotomy decision-making: A qualitative and descriptive study. European Journal of Midwifery, 8(May), 1–8. https://doi.org/10.18332/ejm/174126
Santoso, B. I., & Pamungkas, S. (2017). Incidence and Audit of Treatment on Third and Fourth Grade Perineal Tear. Indonesian Journal of Obstetrics and Gynecology, 5(1), 35. https://doi.org/10.32771/inajog.v5i1.463
Simpson, G., Philip, M., Richards, A., Eggleston, A. J., Vogel, J. P., Wilson, A. N., & Homer, C. (2025). Effectiveness of education and training programmes to help clinicians assess and classify perineal tears: a systematic review. BMJ Open, 15(6), e095961. https://doi.org/10.1136/bmjopen-2024-095961
Siswosuharjo, S., & Chakrawati, F. (2011). Panduan Super Lengkap Hamil Sehat. PT Niaga Swadaya.
Timur, D. K. J. (2024). Profil Kesehatan Provinsi Jawa Timur 2023.
Wahyuningtyas, R., Kurniawati, E. M., Utomo, B., Hardianto, G., Paraton, H., Hastono, T., & Kuswanto, D. (2022). Obstetrics and gynecology residents’ satisfaction and self-confidence after anal sphincter injury simulation-based workshop in Indonesia: a pre- and post-intervention comparison study. Journal of Educational Evaluation for Health Professions, 19, 1–9. https://doi.org/10.3352/JEEHP.2022.19.4
Yeager, A. L., & Yeager, A. L. (2025). Journal of Midwifery & Women ’ s Health Innovations from the Field Evidence-Based Suturing Education for Midwives. 1–5. https://doi.org/10.1111/jmwh.70018
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Hak Cipta (c) 2026 Eighty Mardiyan Kurniawati, Riska Wahyuningtyas, Gatut Hardianto, Tri Hastono Setyo Hadi, M. Dimas Abdi Putra, Nur Anisah Rahmawati
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