The relationship between age, parity, and birth weight with the degree of perineal rupture
Keywords:
age, parity, birth weight, perineal rupture, vaginal deliveryAbstract
Perineal rupture can occur during vaginal birth and can affect maternal physical and psychological health. Age, parity, and infant birth weight are common risk factors that may influence rupture severity. This study analyzed the relationship between maternal age, parity, and infant birth weight with the degree of perineal rupture at Sagea Community Health Center. This observational analytic study used a case-control approach with secondary delivery room register data from October 2023 to September 2024. The sample included 654 mothers diagnosed with perineal rupture. The independent variables were age, parity, and infant birth weight. The dependent variable was the degree of perineal rupture. Data were analyzed using univariate analysis, Spearman rank correlation, and multiple logistic regression with the backward method. Bivariate analysis showed that younger maternal age, lower parity, and higher infant birth weight were significantly associated with higher degrees of perineal rupture. Birth weight became the dominant factor in the multivariate model, with OR = 142.273 and R square = 14.9%. Age, parity, and birth weight were associated with the degree of perineal rupture. Infant birth weight was the most dominant factor. Risk screening, childbirth preparation education, controlled pushing support, and postpartum wound care counseling are needed to reduce severe rupture risk.
References
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, 6, CD006672. https://doi.org/10.1002/14651858.CD006672.pub3
Attali, E., Sadot, E., Gurevich, S., Yoles, I., & Wiznitzer, A. (2026). Impact of maternal age on the risk of perineal injury and obstetric anal sphincter injury among nulliparous women. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-025-08286-y
Damanik, S., & Siddik, N. (2018). Hubungan karakteristik ibu bersalin dengan ruptur perineum di Klinik Bersalin Hj. Nirmala Sapni Krakatau Pasar 3 Medan. Jurnal Bidan Komunitas, 1(2), 95. https://doi.org/10.33085/jbk.v1i2.3967
Darulis, N. O., Kundaryanti, R., & Novelia, S. (2021). The effect of betel leaf water decoction on perineal wound healing among postpartum women. Nursing and Health Sciences Journal (NHSJ), 1(2), 130–135. https://doi.org/10.53713/nhs.v1i2.64
Fuchs, F., Bouyer, J., Rozenberg, P., & Senat, M. V. (2013). Adverse maternal outcomes associated with fetal macrosomia: What are the risk factors beyond birthweight? BMC Pregnancy and Childbirth, 13, 90. https://doi.org/10.1186/1471-2393-13-90
Hastuti, T. A., Budihastuti, U. R., & Pamungkasari, E. P. (2016). Age, parity, physical activity, birth weight, and the risk of perineum rupture at PKU Hospital in Delanggu, Klaten, Central Java. Journal of Maternal and Child Health, 1(2), 93–100. https://doi.org/10.26911/thejmch.2016.01.02.04
Hindrawati, N., & Widiatrilupi, R. M. V. (2026). Analysis of the impact of child marriage on delivery complications. Health and Technology Journal (HTechJ), 4(1), 60–67. https://doi.org/10.53713/htechj.v4i1.581
Hukubun, Y., Budiono, D. I., & Kurniawati, E. M. (2021). The relationship between age, parity, and birth weight with the degree of perineal rupture in the RSUD Jayapura. Indonesian Midwifery and Health Sciences Journal, 5(1), 103–115. https://doi.org/10.20473/imhsj.v5i1.2021.103-115
Indrayani, T., & Riviana, A. J. (2023). Effectiveness of snakehead fish extract (Channa striata) on perineal wounds. Health and Technology Journal (HTechJ), 1(1), 105–110. https://doi.org/10.53713/htechj.v1i1.22
Jansson, M. H., Franzen, K., Hiyoshi, A., Tegerstedt, G., Dahlgren, H., & Nilsson, K. (2020). Risk factors for perineal and vaginal tears in primiparous women: The prospective POPRACT cohort study. BMC Pregnancy and Childbirth, 20, 749. https://doi.org/10.1186/s12884-020-03447-0
Jiang, H., Qian, X., Carroli, G., & Garner, P. (2017). Selective versus routine use of episiotomy for vaginal birth. Cochrane Database of Systematic Reviews, 2, CD000081. https://doi.org/10.1002/14651858.CD000081.pub3
Kurniyawan, E. H., Balqis, M., Irfan Aditya Pratama, M., Putri Permata Hati, H., Ega Isfadillah, O., Tri Afandi, A., & Rosyidi Muhammad Nur, K. (2023). Farm family support in increasing health awareness. Health and Technology Journal (HTechJ), 1(6), 616–627. https://doi.org/10.53713/htechj.v1i6.122
Kurniyawan, E. H., Putri, C. A., Waroh, I. K., Irham, N. A. A., Kurniawan, D. E., Nur, K. R. M., & Afandi, A. T. (2024). Therapeutic communication for healing psychological trauma experienced by victims of sexual violence: A literature review. Health and Technology Journal (HTechJ), 2(1), 72–80. https://doi.org/10.53713/htechj.v2i1.157
Longo, V. L., Odjidja, E. N., Beia, T. K., Neri, D., Kiely, M. E., & Fernandopulle, R. (2023). Risk factors associated with severe perineal lacerations during vaginal delivery. AJOG Global Reports, 3(2), 100174. https://doi.org/10.1016/j.xagr.2023.100174
Meriwether, K. V., Rogers, R. G., Dunivan, G. C., Alldredge, J. K., Qualls, C., Migliaccio, L., & Leeman, L. (2016). Perineal body stretch during labor does not predict perineal laceration, postpartum incontinence, or postpartum sexual function: A cohort study. International Urogynecology Journal, 27(8), 1193–1200. https://doi.org/10.1007/s00192-016-2959-y
Mikolajczyk, R. T., Zhang, J., Troendle, J., & Chan, L. (2008). Risk factors for birth canal lacerations in primiparous women. American Journal of Perinatology, 25(5), 259–264. https://doi.org/10.1055/s-2008-1075040
Novelia, S., Lubis, R., & Sulistiyorini, E. (2021). Knowledge and practices of perineal wound care among postpartum women during the COVID-19 pandemic. Nursing and Health Sciences Journal (NHSJ), 1(3), 198–201. https://doi.org/10.53713/nhs.v1i3.49
Pergialiotis, V., Vlachos, D. E., Protopapas, A., Pappa, K., & Vlachos, G. D. (2014). Risk factors for severe perineal lacerations during childbirth. International Journal of Gynecology & Obstetrics, 125(1), 6–14. https://doi.org/10.1016/j.ijgo.2013.09.034
Rahmawati, I., & Murtaqib, M. (2024). Efforts to deal with the impact of adolescent pregnancy through a holistic approach: A literature review. Nursing and Health Sciences Journal (NHSJ), 4(1), 83–90. https://doi.org/10.53713/nhsj.v4i1.329
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews, 4, CD004667. https://doi.org/10.1002/14651858.CD004667.pub5
Suharja, E. N. F., Widowati, R., & Novelia, S. (2022). Factors related to perineal wound healing in postpartum mothers at Jawilan Public Health Center. Nursing and Health Sciences Journal (NHSJ), 2(1), 41–46. https://doi.org/10.53713/nhs.v2i2.72
Turkmen, S., Johansson, S., & Dahmoun, M. (2018). Foetal macrosomia and foetal-maternal outcomes at birth. Journal of Pregnancy, 2018, 4790136. https://doi.org/10.1155/2018/4790136
Waldenström, U., & Ekeus, C. (2017). Risk of obstetric anal sphincter injury increases with maternal age irrespective of parity: A population-based register study. BMC Pregnancy and Childbirth, 17, 306. https://doi.org/10.1186/s12884-017-1473-7
Walker, T. V., Stockwell, M., Griffin, K., & Dawson, J. (2024). Risk of obstetric anal sphincter injury by delivering provider. Women, 4(2), 166–175. https://doi.org/10.3390/women4020007
