Published Paper Details:

Abstract: Objective: To determine the characteristic of third- and fourth-degree perineal rupture cases after vaginal delivery at Dr. Soetomo General Hospital, Surabaya. Methods: This is a descriptive study using all data of the third- and fourth-degree perineal rupture from 2017 to 2019 in Emergency Department and Outpatient Department of Urogynecology with total 30 patients. The data are secondary data obtained from the Electronic Medical Record (EMR) database of urogynecology department. The inclusion criteria are a singleton vaginal delivery at term gestational age. All deliveries outside the inclusion criteria and cases of perineal rupture caused by traffic accidents or incomplete EMR data were excluded. Variables were obtained based on the declared data needed in this study. Appropriate statistical analysis was conducted. Results: The highest incidence of severe perineal rupture at the age of 20 - 34 years as many as 23 patients (77%), primigravida consisted of 18 patients (60%), birth weight >3000-3500g 17 patients (56.7%), obesity class I as many as 10 patients (33.3%), patients with a history of labor with episiotomy were 25 patients (83%), births assisted by midwives were 18 patients (60%) and delivered outside DR. Soetomo General Hospital were 25 patients (83.3%). The results of therapy showed a cure rate in 26 patients (87%). Conclusion: Our results are consistent with several references, which are young mothers, primigravida, and fetal weight as a risk factor for severe perineal rupture. Further investigation is needed regarding BMI and episiotomy as risk factors of severe perineal rupture.