Abstract:
Perineal rupture is a laceration on the perineum during delivery process (excluding iatrogenic
rupture such as episiotomy). Several provinces in Indonesia in 2017-2018 reports that 1 in 5 cases of
perineal rupture is shown to be fatal, one of many contributing factors in perineal rupture is age and
parity. This study aims to find the relationship between age, parity, with perineal rupture on per
vaginam (spontaneous) deliveries in RSIA Borneo Citra Medika, Pelaihari. This search use crosssectional, analytic observational study that was conducted at RSIA Borneo Citra Medika from January
to December 2017 with simple random sampling utilizing secondary data from medical record, total
208 samples. The result is perineal rupture was found on 16 (11.51%) samples with age <20 years
old and >35 years old and on 123 (95.69%) samples with age 20-35 years old. Chi-square analysis
showed no association between age and perineal rupture (p>0.05). Perineal rupture was found on 70
(50.35%) samples with primigravida and on 69 (49.65%) samples with multigravida. Chi-square
analysis showed a strong association between parity and perineal rupture (p= 0.000). The
conclusions are there was a significant relationship between parity with perineal rupture and there
wasn’t significant relationship between age with perineal rupture.