Studies of the Effect of Hypnoanasthesia in Reducing Perineal Laceration Suture Pain And Healing of Postpartum Perineal Wounds in Indonesia


  • Nining Mustika Ningrum Department of Midwifery, Institute of Technology Science and Health Insan Cendekia Medika Jombang, Indonesia
  • Lusianah Meinawati Department of Midwifery, Institute of Technology Science and Health Insan Cendekia Medika Jombang, Indonesia
  • Henny Sulistyawati Department of Midwifery, Institute of Technology Science and Health Insan Cendekia Medika Jombang, Indonesia
  • Mohammed Ismath Emergency Medicine Physician Intensivest, Inamdar Multi-Speciality HospitaFatima Nagar, Pune, Maharashtra, India



Hypnoanasthesia method, pain, perineum, wound healing


Pervaginal childbirth until now is still the choice of the method of childbirth that is considered the safest and economical. Although the delivery assistance has been done correctly, most women will experience perineal trauma during the vaginal labor process and require perineal suturing. The problem that is often faced by a mother who has a perineal tear is pain during the suturing process and will last until the suture wound is dry and the duration of the healing process of the perineal suture wound. This type of research is quantitative analytics using a Quasi-Experimental research design with the one-group post-test design method. Free variables: Hypnoanasthetic method and bound variables: the pain of perineal suture wounds and healing of perineal wounds. The sample in this study was 66 maternity mothers using purposive sampling techniques. Instruments: Checklists and Observation sheets, data analysis using the Wilcoxon Test. The results showed that after being given the hypnoanastesi method, almost all respondents experienced mild pain during suturing perineal lacerations, namely 87.9% and most respondents took a fast time (2 weeks) in healing perineal wounds, namely 23 respondents (69.7%). This study concludes that the hypnoanastesi method is effective in reducing the pain of suturing perineal lacerations and is effective in the healing process of perineal wounds.


Download data is not yet available.


N. Pangastuti, Penatalaksanaan Robekan Perineum Obstetri Akut. Yogyakarta: Mitra BUana Media, 2021.

E. A. Langan, W. Mansoor, G. Brabant, L. A. Jamieson, dan H. S. Young, “A painful blistering rash on the lower legs and perineum,” Clin. Exp. Dermatol., vol. 38, no. 2, hal. 209–211, 2013, doi: 10.1111/j.1365- 2230.2012.04355.x.

S. Taavoni, S. Abdolahian, dan H. Haghani, “Effect of sacrum-perineum heat therapy on active phase labor pain and client satisfaction: A randomized, controlled trial study,” Pain Med. (United States), vol. 14, no. 9, hal. 1301–1306, 2013, doi:10.1111/pme.12161.

N. Perineum, P. Ibu, dan P. Partum, “Pengaruh Derajat Laserasi Perinium Terhadap Skala Nyeri perinium Pada Ibu Post Partum (Triwik Sri Mulati) 1,” hal. 1–9, 2016.

N. A. Kusumastuti, P. STIKes, dan N. Waluyo, “Perbedaan Intensitas Nyeri Luka Jahitan Interrupted Dengan Jahitan Continous Pada Luka Perineum Ibu Post Partum,” Ejournalnwu.Ac.Id, vol. 7, no. 14, hal. 88–94, 2015, [Daring]. Tersedia pada: 3e3b681541f0e93bafd.pdf.

A. R. Amarina, “JURNAL Midwifery Update ( MU ) Pengaruh Kombinasi Senam Kegel Dan Relaksasi Nafas Dalam Terhadap Nyeri Luka Perineum Of Post Partum,” Kesehatan, vol. 8511, hal. 84–89, 2020.

R. Itha Idhayanti, A. Warastuti, dan B. Yuniyanti, “Mobilisasi Dini Menurunkan Nyeri Akibat Jahitan Perineum Tingkat Ii Pada Ibu Post Partum,” J. Jendela Inov. Drh., vol. 3, no. 2, hal. 29–43, 2020, doi: 10.56354/jendelainovasi.v3i2.85.

D. K. Senol dan E. Aslan, “The Effects of Cold Application to the Perineum on Pain Relief After Vaginal Birth,” Asian Nurs. Res. (Korean. Soc. Nurs. Sci)., vol. 11, no. 4, hal. 276–282, 2017, doi: 10.1016/j.anr.2017.11.001.

W. Widayani, “Aromaterapi Lavender dapat Menurunkan Intensitas Nyeri Perineum pada Ibu Post Partum,” J. Ners dan Kebidanan Indones., vol. 4, no. 3, hal. 123, 2017, doi: 10.21927/jnki.2016.4(3).123-128.

frederick Divoux lente, Superficial Laterations of the perineum. New York: Obstetrical Society, 2018.

P. M. Lamont, Care of the perineum in the second stage of labour. P.M Lamont, 2016.

D. Lotisna, N. Abdullah, M. T. Chalid, dan T. Tessy, “Lidocaine­Prilocaine Cream versus Lidocaine­HCL Injection for Pain Relief during Second Degree of Perineal Tear Suturing after Vaginal Delivery: A Comparative Study Lidokain•Prilokain Topikal versus Injeksi Lidokain•HCL dalam Menghilangkan Nyeri Selama Pe,” hal. 228–231.

G. Magoga, “Warm perineal compresses during the second stage of labor for reducing perineal trauma: A meta-analysis,” Eur. J. Obstet. ang Gynecol. Reprod. Biol., vol. 240, 2019.

M. Ulfa dan L. P. Monica, “The Effectiveness of Giving Cold Compress in Pain Reduction Intensity of Perineal Wound of Postpartum Mother,” J. Ners dan Kebidanan (Journal Ners Midwifery), vol. 7, no. 3, hal. 398–403, 2020, doi: 10.26699/

E. M. Schnittka, N. W. Lanpher, dan P. Patel, “Postpartum Dyspareunia Following Continuous Versus Interrupted Perineal Repair: A Systematic Review and Meta-Analysis,” Cureus, vol. 14, no. 9, hal. 8–14, 2022, doi: 10.7759/cureus.29070.

Q.-U.- Ain, S. Ather, dan H. M. Gul, “Comparison of the Efficacy (In Terms of No Pain) of Continuous and Interrupted Suturing in Episiotomy Repair,” Pakistan J. Med. Heal. Sci., vol. 16, no. 4, hal. 710–712, 2022, doi: 10.53350/pjmhs22164710.

D. H. Agnew, Laceration of the female perineum and vesico-vaginal fistula. 2017.

J. H. Thompson, Operation for the radical cure of lacerated or rupture perineum. 2019.

B. Robinson, Colpoperineorhaphy and the structures involved(the vagina and perineum)and how to mend them.Fb & c limited,2017

K. Rohmayanti, Sinta Nur & Ummah, Pijat Perineum Selama Masa Kehamilan : Kejadian Rupture Perineum Spontan. Surabaya: Jakad Publising, 2019.

George granville Bantock, On the Treatment of Rupture of the Female Perineum. Creative Media Partners, LCC, 2019.

P. M. T. Marks, A. Caroci-Becker, W. S. Brunelli, S. G. de Oliveira, M. de O. P. Lima, dan M. L. G. Riesco, “Pain, healing and satisfaction of women after perineal repair with surgical glue and suture,” Rev. Esc. Enferm. USP., vol. 54, hal. e03588, 2020, doi: 10.1590/S1980- 220X2018044203588.

H. O. Marcy, “The Recontruction of the Pelvic Structures incident to lesions of perineum,” 2017.

J. M. Duncan, Papers on the female perineum. Trieste Publishing Pty Limited, 2017.

C. Cahill, A. Fowler, dan L. J. Williams, “The application of incisional negative pressure wound therapy for perineal wounds: A systematic review,” Int. Wound J., vol. 15, no. 5, hal. 740–748, 2018, doi: 10.1111/iwj.12921.

C. A. Lansdorp, C. J. Buskens, K. B. Gecse, G. R. A.M. D’Haens, dan R. A. Van Hulst, “Wound healing of metastatic perineal Crohn’s disease using hyperbaric oxygen therapy: A case series,” United Eur. Gastroenterol. J., vol. 8, no. 7, hal. 820–827, 2020, doi: 10.1177/2050640620934915.

N. Karimah, N. Khafidhoh, T. S. Hardjanti, dan R. I. Hakim, “The Period of Perineal Wound Healing in Postpartum Mothers Between The Decoction Water Treatments of Bihanong Leaves with Red Betel Leaves,” GHMJ (Global Heal. Manag. Journal), vol. 3, no. 3, hal. 107, 2019, doi: 10.35898/ghmj-33454.

R. Gustirini, R. Pratama, R. Maya, dan Mardalena, “The Effectiveness of Kegel Exercise for the Acceleration of Perineum Wound Healing on Postpartum Women,” vol. 27, no. ICoSHEET 2019, hal. 400–402, 2020, doi: 10.2991/ahsr.k.200723.101.

N. O. Darulis, R. Kundaryanti, dan S. Novelia, “The Effect of Betel Leaf Water Decoction on Perineal Wound Healing among Post Partum Women,” Nurs. Heal. Sci. J., vol. 1, no. 2, hal. 130–135, 2021, doi: 10.53713/nhs.v1i2.64.

A. M. Ochiai, M. Luiza, dan G. Riesco, “Artigo Original Uso de cola cirúrgica no reparo de lacerações,” hal. 1–9, 2021.

J. Shah, Interactive Pelvis and Perineum. Taylor & Francis Group, 2019.

E. Fitrihadi, Asuhan Persalinan dan Management Nyeri Persalinan. Yogyakarta: Unisa, 2020.




How to Cite

N. Mustika Ningrum, L. Meinawati, H. Sulistyawati, and M. . Ismath, “Studies of the Effect of Hypnoanasthesia in Reducing Perineal Laceration Suture Pain And Healing of Postpartum Perineal Wounds in Indonesia ”, International Journal of Advanced Health Science and Technology, vol. 2, no. 6, pp. 364–370, Dec. 2022.



Health Science