3 HUBUNGAN EPISIOTOMI, RUPTUR PERINEUMDAN JENIS PERSALINAN DENGAN
KEJADIAN RETENSIO URIN POST PARTUM DI RSUDDR. H. SOEMARNO SOSROATMODJO KUALA KAPUAS TAHUN 2015-2016
RiniNoviyantina*, Fitri Yuliana1, Mahpolah2
1SekolahTinggiIlmuKesehatan Sari Mulia Banjarmasin
2Politeknik KesehatanKemenkes Banjarmasin
*KorespondensiPenulis.Telpon: 0812-4325-6276, [email protected]
ABSTRAK
LatarBelakang:Angkakejadianretensiurinpost partumterbilangrendah. Prevalensidi RSUD dr. H.
SoemarnoSosroatmodjo Kuala Kapuastahun2014 sebesar 4,2% kasus, 2015 sebesar 4,7% dan 2016 sebesar 2,74% kasus. Retensiourin postpartum menimbulkankomplikasisepertiperdarahan, infeksidan rupture spontanvesikaurinaria.
Tujuan: Menganalisishubunganepisiotomi, ruptur
perineumdanjenispersalinandengankejadianretensiourinpost partum di RSUD dr. H.
SoemarnoSosroatmodjo Kuala Kapuas Tahun 2015-2016
Metode: Penelitiancase control inidilaksanakanpada 13 Maret 2017– 18 Maret 2017 di RSUD dr.
H. SoemarnoSosroatmodjo Kuala Kapuas. Penelitianinidilaksanakanpada 130 ibunifasdibagimenjadi 65 ibunifas yang mengalamiretensiourinsebagaikasusdengantekniktotal samplingdan 65 ibunifas yang tidakmengalamiretensiourinsebagaicontroldenganteknikpurposive sampling.Data diambildengan instrument berupaformulirpenelitiankemudian, dianalisismenggunakanujiChi-Square.
Hasil: Hasilpenelitianmenunjukkanbahwaantaraepisiotomi dengankejadianretensiourin p = 0,013,
rupture perineum dengankejadianretensiourin p = 0,007
danjenispersalinandengankejadianretensiourin p = 0,024. Variabel yang paling berisikoterhadapkejadianretensiourinpost partumadalah rupture perineum dengannilai OR = 3,766.
Simpulan: Ada hubungan yang bermaknaantaraepisiotomi, rupture perineum danjenispersalinandengankejadianretensiourinpost partum.
Kata Kunci: Episiotomi, JenisPersalinan, RetensioUrin, Ruptur Perineum
4 CORRELATION BETWEEN EPISIOTOMY, PERINEUM RUPTUR, LABOR TYPESAND
THE INCIDENCES OF POSTPARTUM URINARY RETENTION AT RSUDDR. H.
SOEMARNO SOSROATMODJO OF KUALA KAPUAS IN 2015-2016 RiniNoviyantina*, Fitri Yuliana1, Mahpolah2
1High School of Health Sciences Sari Mulia Banjarmasin
2Politeknik KesehatanKemenkes Banjarmasin
* Authors Correspondence. Phone: 0812-4325-6276, [email protected]
ABSTRACT
Background: The incidence of post-partum urinary retention was low. Prevalence the incedence at RSUD (Hospital)dr. H. SoemarnoSosroatmodjoof Kuala Kapuas in 2014 was 4.2% of cases, 2015 of 4.7% and 2016 of 2.74% of cases. Postpartum urinary retention might cause complications such as bleeding, infection and spontaneous rupture of vesikaurinaria.
Objective: To analyze the relationship of episiotomy, perinatal rupture and type of delivery with postpartum urinary retention incident at RSUD dr. H. SoemarnoSosroatmodjo ofKuala Kapuas in 2015-2016
Methods: This case control study was conducted on March 13, 2017 - March 18, 2017 at RSUD dr.
H. SoemarnoSosroatmodjoof Kuala Kapuas. The study was conducted on 130 postpartum mothers divided into 65 postpartum mothers who had urinary retention as a case with total sampling technique and 65 postpartum mothers who did not have urinary retention as control by purposive sampling technique. Data was taken by instrument in the form of research form then, analyzed by using Chi-square test.
Results: The results showed correlation between episiotomy and urinary retention incidence p = 0.013, perineum rupture and Urinary Retention incidence p = 0,007 and type of delivery and incidence of urinary retention p = 0,024. The variable that has the most risk to the incedent of postpartum urinary retention was perineum rupture with OR = 3,766.
Conclusion: There was a significant association between episiotomy, Perineum rupture and type of labor with postpartum urinary retention events.
Keywords: Episiotomy, Labor Types, Urinary Retention, Perineum Rupture