Perawatan Luka Perineum Pasca Persalinan pada Ibu Suku Jawa di Desa Tanjung Rejo

Abstract

Background: Treatment of perineal wounds in Javanese women is carried out during the eighth/seventh period after giving birth. Treatment with a different view of health. Perineal wound infection is one of the causes of maternal death with a proportion of 20-30% and 25-55%. Objective: This study aims to find out how perineal wound care is carried out based on the views of the Javanese tribe in Tanjung Rejo Village in an effort to maintain maternal health after childbirth. Methods: This study uses qualitative methods with an ethnographic approach, the research sample was obtained through snowball sampling. Data collection was carried out by in-depth interviews. The research informants were the main informants of 7 postpartum mothers and supporting informants namely, 1 traditional birth attendant, 1 midwife, and 1 community figure. Results: The results of this study indicate that Javanese people in Tanjung Rejo Village still treat perineal wounds based on Javanese customs (culture). The treatments carried out are, pilis, parem, drinking herbal medicine, boiled water from betel leaves, octopus, bengung, walikdadah massage, sitting senden, prohibitions and abstinence from eating which are believed to be for the health of postpartum mothers and babies. This treatment has various impacts, namely, the positive impact (benefits) can speed up the healing of perineal wounds and warm the mother's body after childbirth. The negative impact of using octopus, bengkung, walikdadah massage can cause bleeding and discomfort to the mother in caring for perineal wounds. Abstinence from eating also causes perineal wounds to take a long time to heal and causes a lack of milk production and malnutrition. Conclusion: Society must be good at choosing good care for postpartum mothers. And the community carries out treatment according to the recommendations of the health team. Health workers or midwives are expected to provide good education to the community.