The Effectiveness of Pregnancy Exercise Education Using Squatting Pose and Pelvic Rocking to Improve Maternal Knowledge and Prevent Perineal Rupture
DOI:
10.29303/jppipa.v11i6.10579Published:
2025-06-30Downloads
Abstract
One of the efforts to reduce the incidence of perineal rupture during labor is through specific techniques that can enhance the elasticity and flexibility of the perineal tissue and strengthen the pelvic floor muscles. Two commonly recommended techniques are the Squatting Pose and Pelvic Rocking. These techniques can help reposition the fetus, facilitate the delivery process, and minimize the risk of perineal injury by relaxing the pelvic muscles and strengthening the muscles involved in childbirth. This study aims to investigate the effect of Squatting Pose and Pelvic Rocking on the incidence of perineal rupture in laboring women. This research employed a quasi-experimental design with an intervention and control approach. The independent variable in this study was pregnancy exercise, specifically the squatting pose, while the dependent variable was the incidence of perineal rupture. A total of 160 respondents were included in this study, consisting of pregnant mothers aged 37-39 weeks, divided into two groups: 80 respondents in the intervention group (who performed Squatting Pose and Pelvic Rocking) and 80 respondents in the control group (who did not perform these exercises), selected through purposive sampling. A Mann-Whitney test was conducted, and the results showed no significant difference in the incidence of perineal rupture between the intervention and control groups (p-value 0.079). However, when examining the degree of perineal rupture, the control group had a higher degree of rupture compared to the intervention group. This suggests that although Squatting Pose and Pelvic Rocking may not significantly reduce the incidence of perineal rupture, they may help reduce the severity of the tear, which is beneficial for postpartum recovery. It is recommended that these exercises be incorporated into childbirth preparation programs in clinics and homes, as they may aid in the recovery process after delivery.
Keywords:
Pelvic Rocking, Perineum Rupture, Squating PoseReferences
Abedzadeh, M., Talebian, A., Sadat, Z., & Mesdaghinia, E. (2018). Perineal trauma: incidence and its risk factors. Journal of Obstetrics and Gynaecology, 39, 1–6. https://doi.org/10.1080/01443615.2018.1476473
André, K., Leijonhufvud, Å., Ignell, C., Källén, K., & Stuart, A. (2024). Minimizing tearing during vaginal delivery with a perineal protection device: a randomized controlled trial. American Journal of Obstetrics & Gynecology MFM, 6(9), 101402. https://doi.org/https://doi.org/10.1016/j.ajogmf.2024.101402
Chen, S., Cao, M., Liu, K., & Gu, Y. (2025). The Impact of Exercise during Pregnancy on Maternal and Offspring Outcomes in Gestational Diabetes Mellitus. Biocell, 49(2), 181–198. https://doi.org/https://doi.org/10.32604/biocell.2025.058745
Claudia, J., Wirdawaty, D., Adam, S., Midwifery, J., Health, P., Gorontalo, K., & Midwifery, I. (2018). Effectiveness of Pregnancy Exercise on Perineal Rupture Incidence in Mothers Giving Birth at Limboto Health Center. 1(1).
Edqvist, M., Blix, E., Hegaard, H. K., Ólafsdottir, O. Á., Hildingsson, I., Ingversen, K., & Lindgren, H. (2016). Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth. BMC Pregnancy and Childbirth, 16, 1–8. https://doi.org/10.1186/s12884-016-0990-0
Home, G. (2016). Patient teaching. Maternal Child Nursing Care in Canada-E-Book.
Jumhati, S., & Kurniawan, S. (2022). Analysis of Factors Affecting the Declining Trend of Pregnant Women’s Gymnastics Implementation in Bekasi Regency. Jurnal Ilmiah Kesehatan, 11(1).
Juwita, S. (2017). Hubungan Senam Hamil Dengan Robekan Perinium Pada Ibu Nifas. JOMIS (Journal of Midwifery Science), 1(1), 26–29.
Kesehatan, K. (2017). Peraturan Menteri Kesehatan Nomor 28 Tahun 2017 tentang Izin Dan Penyelenggaraan Praktik Bidan.
Kesehatan, M. (2020). Keputusan Menteri Kesehatan Nomor HK.01.07/MENKES/320/2020.
Milka, W., Paradowska, W., Kołomańska-Bogucka, D., & Mazur-Bialy, A. I. (2023). Antenatal perineal massage - risk of perineal injuries, pain, urinary incontinence and dyspereunia - a systematic review. Journal of Gynecology Obstetrics and Human Reproduction, 52(8), 102627. https://doi.org/https://doi.org/10.1016/j.jogoh.2023.102627
Muhtar, S. T. (2023). Pj Sekda Virgojanti: Pemprov Banten Terus Upayakan Penurunan Angka Kematian Ibu dan Anak. Adpimpro Banten.
Ningsih, D. A., Kholifah, U. N., Susiana, S., Silaturrohmih, S., Musyarrofah, S. H., & Nurhidayati, S. (2022). Kelas Ibu Hamil Bernuansa Islami dalam Upaya Meningkatkan Kesehatan Ibu dan Janin: Islamic Class for Pregnant Women in an Effort to Improve Maternal and Fetal Health. Poltekita: Jurnal Pengabdian Masyarakat, 3(4), 732–739.
Pauziah, L., Novayanti, N., & Patimah, M. (2022). Implementation of Pelvic Rocking to Accelerate the Duration of the First Active Phase and Second Phase of Labor. Journal: Umtas Midwifery Journal, 6(2), 93–99.
Prather, H., Spitznagle, T., & Hunt, D. (2012). Benefits of Exercise During Pregnancy. PM&R, 4(11), 845–850. https://doi.org/https://doi.org/10.1016/j.pmrj.2012.07.012
Rahmawati, A. N., Triana, N. Y., & Cahyaningrum, E. D. (2024). Peningkatan pengetahuan ibu tentang konsep dasar MPASI dengan media video animasi di posyandu Kuncup Mekar 1 desa Sikasur, kabupaten Pemalang. SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan, 8(3), 2544–2550.
Sari, I., & Dewi Sartika Silaban, T. (2023). Analysis of Causal Factors of Perineal Rupture in Women Giving Birth. 13(25).
Soni, Y. (2025). SIMPLYFIT: A Balanced Approach To Health And Well-Being. Academic Guru Publishing House.
Surtiningsih. (2020). The Effectiveness of Pelvic Rocking Exercises on the Length of Time of the First and the Second Stage of Labor.
Susiana, S. (2018). Peran pemerintah daerah dalam penyelenggaraan kesehatan reproduksi (Studi di provinsi jawa tengah dan provinsi kalimantan barat). Jurnal Aspirasi, 7(1), 1–16. https://doi.org/10.46807/aspirasi.v7i1.1084
Zenitasari, S., Pitriani, P., & Ganap, E. P. (2025). Effects of pilates training on vaginal delivery outcomes: a systematic review and meta-analysis. Health Sciences Review, 16, 100231. https://doi.org/https://doi.org/10.1016/j.hsr.2025.100231
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