Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum

Sinta Khrisnamurti(1*), Detty Siti Nurdiati(2), Wahyu Ikka Setiyarini(3)

(1) Mahasiswa Program Magister Keperawatan Maternitas, Fakultas Kedokteran, Universtas Gadjah Mada
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran- Kesehatan Masyarakat dan Keperawatan, UGM
(3) Komite Keperawatan RSUD Banyumas Jawa Tengah
(*) Corresponding Author


Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.

Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital.

Results: Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629).

Conclusion: Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers.


Keywords: striae gravidarum; perineal laceration; childbirth


striae gravidarum; perineal laceration; childbirth

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  1. Direktorat Bina Kesehatan Ibu. 2012. Pengumpulan data dan kajian kualitas pelayanan kesehatan ibu pada tingkat pelayanan kesehatan dasar dan rujukan di Indonesia tahun 2012, Ditjen Bina Gizi dan Kesehatan Ibu dan Anak, Kementrian Kesehatan RI, Jakarta
  2. Soong B, Barnes Mt. 2005. Maternal position at midwife-attended birth and perineal trauma: is there an association?, School of Nursing and Midwifery, Queensland University of Technology, BIRTH journal, 2005:1-7
  3. Lowdermilk DL, Perry SE, Cashion K, Alden KR. 2012. Maternity and Women’s Health Care., Elsevier Mosby, St Louis, USA
  4. Power D, Fitzpatrick M, O’Herlihy C. 2006. Obstetric anal spincter injury:how to avoid, how to repair:A literature review. The Journal of Family Practice, 2006, Vol 55(3):193-200
  5. Osman H, Rubeiz N, Tamim H, Nassar AH. 2006. Risk factor for the development of striae gravidarum, AM J Obstet Gynecol, doi:10.1016/j.ajog.2006.08.044, Jan 2007:621-625
  6. Chang AL, Agredano YZ, Kimball AB. 2004. Risk factor associated with striae gravidarum., J Am Acad Dermatol, 2004 volume 51:881-885
  7. Atwal GSS, Manku LK, Griffiths CEM, Polson DW. 2006. Striae gravidarum in primipara, Department of Obstetrics and gynecology, Hope Hospital, Manchester, British Association of Dermatologists, 2006:965-969
  8. J-Orh R, Titapant V. 2008. Prevalence and associate factor for striae gravidarum, Department of Obstetric and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, J Med Assoc Thai Vol 91 No. 4, 2008:445-451
  9. Wahman AJ, Finan MA, Emerson SC. 2000. Striae gravidarum as a predictor of vaginal laceration at delivery, Department of Obstetrics and Gynecology, New Orleans, Southern Medical Journal, 2000:873-876
  10. Halperin O, Raz I, Ben-Gal L, Or-Chen K, Granot M. 2009. Prediction of perineal trauma during childbirth by assessment of striae gravidarum score, JOGNN, 2009:292-297
  11. Kapadia S, Kapoor S, Parmar, Patadia K, Vyas M. 2014. Prediction of perineal tear during childbirth by assessment of striae gravidarum score., Department of Obstetrics and Gynecology, BJ Medical College, Gujarat, India, International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2014:208-2012
  12. Viera AJ, Garrett JM. 2005. Understanding interobserver Agreement : the kappa statistic, Family medicine, Mei 2005;37 (5):360-3
  13. Hiramaya F, Koyanagi A, Mori R, Zhang J, Sauza JP, Gulmezoglu AM. 2012. Prevalence and risk factor for third and fourth-degree perineal lacerations during vaginal delivery:a multi-country study, Tokyo, Japan, BOJG 2012: 340-345
  14. Diana S. 2005. Hubungan striae gravidarum dengan terjadinya laserasi perineum pada persalinan vaginal, Tesis, Minat ilmu kedokteran klinik maternal perinatal, FK UGM.
  15. Boran SU, Cengiz H, Erman O, Erkaya S. 2013. Episiotomy and the development of postpartum dyspareunia and anal Incontinence in Nulliparous Female,Turkey, The Eurasian Journal of Medicine, June 2013:176-180
  16. Leduc D, Biringer A, Lee L, Dy J. 2013. SOGC Clinical Practice Guideline, Induction of Labour, J Obstet Gynaecol C no 296, September 2013: 1-18
  17. Williams A. 2003. Third-degree perineal tear: risk factor and outcome after primary repair, Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, UK, Journal of Obstetrics and Gynaecology, November 2003:611-614
  18. Williams A, Adams EJ, Tincello DG, Alfirevic Z, Walkinshaw SA, Richmond DH. 2006. How to repair an anal sphincter injury after vaginal birth delivery: result of a randomized controlled trial, Liverpool Woans Hospital, UK, RCOG 2006, BJOG 2006:201-207
  19. 19. Groutz A, Hasson J, Wengier A, Gold R, Skornick-Rapaport A, Lessing JB, Gordon D. 2011. Third- and fourth- degree tear:prevalence and risk factors in the third millennium, American Journal of Obstetrics and Gynecology, April 2011:347.e1-347.e4
  20. Svare JA, Hansen BB, Lose G. 2014. Risk factor for urinary incontinence 1 year after the first vaginal delivery in a cohort of primiparous Danish women, International Urogynecol Journal, January 2014:47-51
  21. Siswosudarmo R. 2012. Panduan tatacara membuat proposal penelitian dan menulis tesis, Yogyakarta, Bagian Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Gadjah Mada
  22. Chigbu B, Onwere S, Aluka C, Kamanu C, Adibe E. 2008. Factors influencing the use of episiotomy during vaginal delivery in South Eastern Nigeria, East African Medical Journal 2008 May;85(5):240-3
  23. Meyvis I, Rompaey BV, Goormans K, Lambers S, Mestdagh E, Mistiaen W. 2012. Maternal position and other variable: effect on perineal outcomes in 527 Births, Artesis University College, Antwerp, Belgium, Birth journal, June, 2012:1-7
  24. Rygh AB, Skjeldested FE, Komer H, Eggebo TM. 2014. Assesssing the association of oxytocin augmentation with obstetric anal spincter injury in nulliparous women: a population-based, case control study. BMJ open 2014; 4(7): e004592.
  25. Nkwabong E. 2014. Maternal and neonatal complications of macrosomia, Sage journal, Vol 44, Issue 4, 2014 doi:10.1177/0049475514539479.
  26. Bahrami N, Soleimani MA, Nia HS, Shaigan H, Afshar MH. 2012. Striae gravidarum in Iranian women: prevalence and associated factor, Life Science Journal-Acta Zhengzhou University Overseas Edition, Vol 9 Issue 4 p 3032-3037.
  27. 27. Malek-mellouli M, Assen S, Ben Amara F, Gada, H, Masmoudi K, Reziga H.2014. Incidence and risk factors of postpartum anal incontinence:a prospective study of 503 cases, Tunis Med, Februari 2014:159-63


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