Hubungan Antara Paritas dengan Kejadian Ruptur Perineum (Literature Review)

Diana Khoirul Khafidloh, Eighty Mardiyan Kurniawati, Ivon Diah Wittiarika


Perineal tears occurs either spontaneously with vaginal or instrument delivery, or as a result of an episiotomy. Severe perineal tears can involve damage to the anal sphincter and anal mucosa. Perineal tears is caused by several factors which are classified into three groups. Such as maternal factors, delivery procedures, and mothers where parity is a factor in perineal tears. This study used a literature review study design. Research article searches were sourced from the Pubmed, Google Scholar, SCOPUS, scientificdirect, and BMC electronic databases. Search articles using keywords, namely perineal tears, parity, obstetric sphincter anal injuries. The results of a review of nine journals that have been carried out show that parity with a small number can cause perineal tears with a high degree, and vice versa parity with a high number further reduces the degree of perineal tears. But it is also affected by physical activities such as gymnastics and sports which can help to reduce the risk of perineal tears regardless of existing parity. The data that we reviewed can be concluded that there is a relationship between parity and perineal tears.


Perineal tears; Parity; Obstetric anal sphincter injuries

Full Text:



Barca, J. A., Bravo, C., Pintado-Recarte, M. P., Cueto-Hernández, I., Ruiz-Labarta, J., Cuñarro, Y., Buján, J., Alvarez-Mon, M., Ortega, M. A., & de León-Luis, J. A. 2021. Risk factors in third and fourth degree perineal tears in women in a tertiary centre: An observational ambispective cohort study. Journal of Personalized Medicine, 11(8), 1–9.

Cakwira, H., Mukengere, M., Lucien, B., Aborode, A. T., Sironge, L., Michael, M. V., & Akilimali, A. 2022. The clinical characteristics of perineal tears: A study carried out on 14 pregnant women in a tertiary center: Case series. Annals of Medicine and Surgery, 82.

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.

Harvey, M. A., Pierce, M., Walter, J. E., Chou, Q., Diamond, P., Epp, A., Geoffrion, R., Larochelle, A., Maslow, K., Neustaedter, G., Pascali, D., Schulz, J., Wilkie, D., Sultan, A., & Thakar, R. 2015. Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair. Journal of Obstetrics and Gynaecology Canada, 37(12), 1131–1148.

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.

Jangö, H., Langhoff-Roos, J., Rosthøj, S., & Sakse, A. (2014). Modifiable risk factors of obstetric anal sphincter injury in primiparous women: A population-based cohort study. American Journal of Obstetrics and Gynecology, 210(1), 59.e1-59.e6.

Kartikasari, R. F. 2015. Pada Persalinan Normal. I, 29–33.

Sari, A. S., Supriyatinigsih, S., & Sumaryani, S. 2016. Hubungan Antara Paritas Dengan Kejadian Ruptur Perineum Pada Persalinan Normal Di Klinik Utama Asri Medical Center Yogyakarta Dan Rsud Panembahan Senopati Bantul. Jurnal Kesehatan Reproduksi, 2(3), 183–189.

Tarelluan, J., Adam, S., & Tombokan, S. 2013. Analisis Faktor–Faktor Yang Berhubungan Dengan Kejadian Ruptur Perineum Pada Persalinan Normal Di RSUD Dr. Sam Ratulangi Tondano Kabupaten Minahasa. Jurnal Ilmiah Bidan, 1(1), 90881.

Waldenström, U., & Ekéus, 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(1), 1–10.



  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


Published by Lembaga Penelitian dan Pengabdian kepada Masyarakat
Adress: Jl.Slamet Ryadi, Broni-Jambi, Kec.Telanaipura, Kodepos: 36122, email:, Phone: 0741-670700

Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.