The Relationship Between Upright Delivery Positions And The Incidence Of Perineal Tears In Normal Delivery

Authors

  • Astin Nur Hanifah Poltekkes Kemenkes Surabaya, Indonesia
  • Ismiyanti H. Achmad Maluku Ministry of Health Polytechnic, Indonesia

DOI:

https://doi.org/10.59585/ijhs.v4i2.1192

Keywords:

Delivery Position, Upright Position, Perineal Tear, Normal Delivery

Abstract

Birth position is one factor that can influence the birth process and the risk of complications during labor. Upright birth positions such as standing, sitting, or squatting are believed to utilize gravity to facilitate the birth process. However, this position is also suspected to be associated with the incidence of perineal tears in normal deliveries. This study aims to determine the relationship between upright birth positions and the incidence of perineal tears in normal deliveries. The study used an analytical design with a cross-sectional approach. The study sample consisted of 60 mothers who gave birth normally, selected using a purposive sampling technique. Data were collected through observation and medical record recording. Data analysis used the chi-square test. The results showed that mothers who gave birth in an upright position had a 40% incidence of perineal tears, while those in a non-upright position had a 65% incidence. The statistical test results showed a p value = 0.032 (p < 0.05). It was concluded that there is a relationship between upright birth positions and the incidence of perineal tears in normal deliveries.

Downloads

Download data is not yet available.

Author Biographies

Astin Nur Hanifah, Poltekkes Kemenkes Surabaya, Indonesia

Midwifery Study Program Magetan

Ismiyanti H. Achmad, Maluku Ministry of Health Polytechnic, Indonesia

Midwifery Program Ambon

References

Beckmann MM. Perineal techniques. Cochrane. 2013.

Cunningham FG. Williams obstetrics. 2018.

Dito Anurogo, Djusmadi Rasyid, Rini Susanti, Islaeli, Eko Prasetyo, Lisnawati, Andi Pramesti Ningsih, Susi Susanti, (2023). Therapeutic Communication: in General Health Services. AGDOSI Publisher - ISBN: 978-623-09-6609-5. https://scholar.google.com/citations?view_op=view_citation&hl=id&user=hsoWIbgAAAAJ&pagesize=80&sortby=pubdate&authuser=1&citation_for_view=hsoWIbgAAAAJ:YsMSGLbcyi4C

Fraser DM. Myles textbook for Midwives. 2014.

Gupta JK. Position in labor. Cochrane Database System Rev. 2017.

Hofmeyr GJ. Upright birth position. Lancet. 2013.

Hodnett ED. Labour support Cochrane review. 2013.

Juliana, M., Nainggolan, L., Reffita, L. I., Kariyadi, K., Hitijahubessy, C. N. M., & Hanifah, A. N. (2023). Benefits Of Yoga In Pregnancy: Systematic Review. International Journal of Health Sciences, 1(3), 343–356. https://doi.org/10.59585/ijhs.v1i3.131

Lawrence A. Maternal positions in labor. Birth. 2013.

Marshall JE. Midwifery practice. 2017.

Nurseskasatmata, SE, Rasyid, D., Sakriawati, S., Pannyiwi, R., & Saputra, MKF (2024). Cost Sharing Paid by Social Askes Participants at Pelamonia Hospital Makassar and Faisal Islamic Hospital Makassar. International Journal of Health Sciences, 2 (1), 33–47. https://doi.org/10.59585/ijhs.v2i1.238

Notoatmodjo S. Health research methodology. 2020.

Pannyiwi, R., Azis, MNSA, & Rahmat, RA (2025). Analysis of Nurse's Obstacles in Implementing Therapeutic Communication in Healthcare Environments. Barongko: Journal of Health Sciences, 4 (1), 231–243. https://doi.org/10.59585/bajik.v4i1.921

Roberts CL. Perineal trauma review. BJOG. 2015.

Rahmat Pannyiwi, Djusmadi Rasyid, Ady Purwoto, Surya Prihatini, M. Khalid Fredy Saputra, Anshar Rante, Muhamad Ridlo, Syaputra Artama, Mochamad Robby Fajar Cahya, Kurniawati Kurniawati, Djunaedi Djunaedi, Anis Laela Megasari, (2023). Emergency Nursing Care. AGDOSI Publisher - ISBN: 978-623-09-3475-9. https://scholar.google.com/citations?view_op=view_citation&hl=id&user=hsoWIbgAAAAJ&pagesize=80&sortby=pubdate&authuser=1&citation_for_view=hsoWIbgAAAAJ:UeHWp8X0CEIC

Subiantoro, Y., Manurung, H., & Pannyiwi, R. (2024). Russia's Post-Soviet Economic Revival: A Case Study of Putin's Leadership Reforms. JIMAD: Multidisciplinary Scientific Journal, 2(1), 31–42. https://doi.org/10.59585/jimad.v2i1.528

Simkin P. Maternal position effects. J Midwifery Women Health. 2012.

Varney H. Varney's Midwifery. 2015.

WHO. Maternal health report. 2022.

WHO. Maternal care guidelines. 2019.

WHO. Intrapartum care guidelines. Geneva; 2018.

Downloads

Published

2026-04-04

How to Cite

Hanifah, A. N., & Achmad, I. H. (2026). The Relationship Between Upright Delivery Positions And The Incidence Of Perineal Tears In Normal Delivery. International Journal of Health Sciences, 4(2), 315–321. https://doi.org/10.59585/ijhs.v4i2.1192