PERBANDINGAN KEKUATAN OTOT LEVATOR ANI PADA PEREMPUAN PARTUS PERVAGINAM DIBANDINGKAN DENGAN SECTIO CAESAREA

RACHEDIA, GABBY and Krisna, Ratih and Putra, Hadrians Kesuma (2025) PERBANDINGAN KEKUATAN OTOT LEVATOR ANI PADA PEREMPUAN PARTUS PERVAGINAM DIBANDINGKAN DENGAN SECTIO CAESAREA. Undergraduate thesis, Sriwijaya University.

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Abstract

Background: Childbirth may affect pelvic floor muscle strength, particularly the levator ani, which is essential for continence and pelvic organ support. Vaginal delivery is presumed to carry a higher risk of muscle weakness compared to caesarean section. Objective: To compare levator ani muscle strength between women undergoing vaginal delivery and caesarean section. Methods: A prospective cohort study was conducted on 91 primigravida postpartum women (32 vaginal, 59 caesarean). Levator ani strength was measured using a perineometer before delivery and 3 months postpartum. Data were analyzed with Shapiro-Wilk, Mann-Whitney, Chi-square, and Wilcoxon tests (p<0.05). Results: In the vaginal group, mean muscle strength decreased from 7.5 to 7.0 mmHg, while in the caesarean group it remained at 7.0 mmHg. No significant differences were found between groups (p>0.05), although each showed significant pre–postpartum changes (p<0.05). Pelvic floor weakness was observed in 43.8% of vaginal deliveries vs 28.8% caesarean. Perineal tears occurred in 56.2% of vaginal cases and none in caesarean (p<0.05). Prolonged second stage was found in 46.9% vaginal vs 0% caesarean (p<0.05). Normal pelvic floor function at 3 months postpartum was higher in caesarean (76.3%) compared to vaginal delivery (53.1%) (p<0.05). Conclusion: Mode of delivery did not significantly affect levator ani strength within 3 months postpartum. However, vaginal delivery carried higher risks of pelvic floor weakness, perineal trauma, and prolonged second stage, underscoring the need for preventive measures and pelvic floor rehabilitation after childbirth

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Levator ani, primigravida, persalinan pervaginam, sectio caesarea, otot dasar panggul.
Subjects:	R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics R Medicine > RG Gynecology and obstetrics > RG484-485 Urogynecology and obstetric urology. Urogynecologic surgery R Medicine > RG Gynecology and obstetrics > RG651-721 Labor. Parturition
Divisions:	04-Faculty of Medicine > 11708-Obstetric and Gynecology (Sp
Depositing User:	Gabby Rachedia
Date Deposited:	24 Sep 2025 08:37
Last Modified:	24 Sep 2025 08:37
URI:	http://repository.unsri.ac.id/id/eprint/184589

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