CASE REPORT ON A POSTNATAL MOTHER WITH PERINEAL WOUND PAIN AND LACTATION DISORDERS IN THE WORKING AREA OF THE AROSBAYA COMMUNITY HEALTH CENTER, BANGKALAN REGENCY

Authors

Nadia Fardiana Isnaini Lestari , Deasy Irawati , Siti Anisak , Sri Wayanti

DOI:

10.54443/morfai.v6i2.5017

Published:

2026-01-17

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Abstract

The postpartum period is a crucial recovery phase for mothers, often complicated by perineal pain due to tears or episiotomy. This pain can restrict movement, hinder daily activities, and disrupt lactation patterns. This case report describes midwifery care for a postpartum mother with grade II perineal lacerations and lactation issues. Data were collected through interviews, observations, documentation, and physical examinations. Pain was assessed using the Numeric Rating Scale (NRS) and Visual Analog Scale (VAS), while lactation patterns were evaluated based on frequency, duration, and breastfeeding techniques. The subject was a P1A0 mother on the third day postpartum. Interventions included personal hygiene education, nutrition, sitting position, early mobilization, warm compresses, lavender aromatherapy, and support for optimal lactation. Results showed that during the first visit, the mother experienced moderate to severe pain and limited mobility. However, after three visits, pain intensity decreased significantly, mobility improved, and the mother’s self-care knowledge enhanced. Lactation patterns were smooth, wounds healed without infection, and uterine involution was normal. Daily activities resumed without hindrance. This midwifery care effectively reduced perineal pain, improved lactation, and enhanced the mother’s self-care understanding. Support through education, family involvement, and safe, non-pharmacological interventions helped the mother navigate postpartum recovery without complications.

Keywords:

Lactation pattern disorders midwifery care non-pharmacological postpartum period perineal pain.

References

Aashima Garg, France Bégin and Víctor Aguayo. 2020. “Improving Young Children’s Diets During The Complementary Feeding Period.” UNICEF Programming Guidance. 76.

Agustin Dwi Syalfina, Dian Irawati, Sari Priyanti, and Ainul Churotin. 2021. “Studi Kasus Ibu Nifas Dengan Infeksi Luka Perineum.” Jurnal Kesehatan Mercusuar 4(1):1–7. doi: 10.36984/jkm.v4i1.176.

Almeida, Christine. 2016. “Bahan Ajar Kebidanan Dokumentasi Kebidanan.” Revista Brasileira de Linguística Aplicada 5(1):1689–99.

Amin, M., et al. 2022. “Inflammatory Responses and Healing Outcomes in Perineal Trauma Postpartum.” Journal of Obstetrics and Gynecology Research.

Anantasari. 2021. “Efektivitas Distraksi Musik Dan Distraksi Pernapasan Ritmik Terhadap Nyeri Persalinan Pada Ibu Bersalin Kala I Di Kamar Bersalin Rs Ben Mari Pakisaji Kabupaten Malang.” Hospital Majapahit 13(2):20–30.

Anisya, Dian, Andi Tenri Abeng, Prodi DIII Kebidanan, and Fakultas Kesehatan Masyarakat. 2023. “Penerbit : Pusat Kajian Dan Pengelola Jurnal Fakultas Kesehatan Masyarakat UMI Asuhan Kebidanan Postpartum Pada Ny. Y Dengan Nyeri Luka Jahitan Perineum K.” Window of Midwifery Journal 04(01):61–62.

Astuti, Eny, and Herisa Dinarsi. 2022. “Analisis Proses Involusi Uterus Pada Ibu Post Partum Hari Ke Tiga Di Praktik Bidan Mandiri Lystiani Gresik.” Jurnal Kebidanan 11(1):22–26. doi: 10.47560/keb.v11i1.342.

Azizah, Nurul, and Rafhani Rosyidah. 2019. Buku Ajar Asuhan Kebidanan Masa Nifas Dan Menyusui.

Berghella, Vincenzo. 2022. Obstetric Evidence Based Guidelines. Boca Raton: CRC Press.

Can, Veysel, Mehmet Bulduk, Emine Kurt Can, and Nesrullah Ayşin. 2025. “Impact of Social Support and Breastfeeding Success on the Self-Efficacy Levels of Adolescent Mothers during the Postpartum Period.” Reproductive Health 22(1). doi: 10.1186/s12978-025-01960-z.

Dian Anisya, Azrida M, and Andi Tenri Abeng. 2023. “Asuhan Kebidanan Postpartum Pada Ny. Y Dengan Nyeri Luka Jahitan Perineum.” Window of Midwifery Journal 03(01):60–68. doi: 10.33096/wom.vi.706.

Diaz Capriani Randa Kusuma. 2023. Pengantar Dokumentasi Kebidanan. Vol. 1.

Dr. Nina Herlina. 2025. ASUHAN KEBIDANAN PERSALINAN. Jambi: PT. Sonpedia Publishing Indonesia.

Dwi Febriati, Listia; Zakiyah, Zahrah; Ratnaningsih, Ester. 2022. “Hubungan Pendidikan Dan Pekerjaan Terhadap Adaptasi Perubahan Psikologis Pada Ibu Nifas.” Prosiding Seminar Nasional Universitas Respati Yogyakarta 4(1):287–94.

Elisa Cahyaningtyas, Fabella, Farida Fitriana, and Mahendra Tri Arif Sampurna. 2022. “Relationship Between Breastfeeding Self Efficacy and Exclusive Breastfeeding At Posyandu Working Area Of Pacarkeling Puskesmas Surabaya.” KESANS : International Journal of Health and Science 1(5):458–66. doi: 10.54543/kesans.v1i5.61.

Ernawati. 2022. KETIDAKNYAMANAN DAN KOMPLIKASI YANG SERING TERJADI SELAMA Persalinan Dan Nifas. Malang: CV. Rena Cipta Mandiri.

Ghassani, Millatina, Neneng Martini, Ari Indra Susanti, Sefita Aryuti Nirmala, and Dini Saraswati Handayani. 2020. “Pengetahuan Ibu Nifas Mengenai Penyembuhan Luka Perineum Dengan Menggunakan Media Booklet.” Jurnal Kebidanan Malahayati 6(3):368–75. doi: 10.33024/jkm.v6i3.2676.

Gustirini, Ria. 2021. “Pengetahuan Ibu Postpartum Normal Tentang Perawatan Luka Perineum.” Jurnal Kebidanan 10(1):31–36. doi: 10.35890/jkdh.v10i1.173.

Haloho, Cristinawati B. R., Ega Ersya Urnia, Dewi Rinda Astuti, and Ni Nyoman Murti. 2024. “Enhancing Breastfeeding Self-Efficacy in the Postpartum Period through Emotional Release with Self-Talk Method.” Healthcare in Low-Resource Settings 12(1):193–97. doi: 10.4081/hls.2024.11880.

Hasanuddin, Haswinrasari, Nurhidayat Triananinsi, and Mudyawati Kamaruddin. 2021. “Pengaruh Konseling Pada Periode Taking Hold Terhadap Kesiapan Ibu Merawat Bayi Di Puskesmas Kahu Kab. Bone.” Urnal Penelitian Kedokteran Dan Kesehatan 3(1):21-26 3(1):21–26.

Henniwati. 2024. “PENGARUH KONSELING TEKNIK MENYUSUI TERHADAP KEJADIAN LECET PUTING SUSU PADA IBU MULTIPARA.” 4:5273–80.

Hjertberg, Linda, Sofia Pihl, Marie Blomberg, and Eva Uustal. 2022. “Body Mass Index and Complications after Obstetric Anal Sphincter Injury, 8 Weeks Postpartum.” International Urogynecology Journal 33(12):3465–72. doi: 10.1007/s00192-022-05328-w.

Huber, Malin, Ellen Malers, and Katarina Tunón. 2021. “Pelvic Floor Dysfunction One Year after First Childbirth in Relation to Perineal Tear Severity.” Scientific Reports 11(1):1–8. doi: 10.1038/s41598-021-91799-8.

Husnul Khatimah, and Sitti Nurul Hikma Saleh. 2022. “Faktor-Faktor Yang Berhubungan Dengan Penyembuhan Luka Perineum Pada Ibu Nifas Di Puskesmas Batua Kota Makassar.” Promotif : Jurnal Kesehatan Masyarakat 12(1):95–101. doi: 10.56338/pjkm.v12i1.2478.

Istianah. 2023. “HUBUNGAN BUDAYA DENGAN PROSES PENYEMBUHAN Kesehatan Dan Kekuatan Ibu Nifas , Meningkatkan Kualitas Dan Kuantitas ASI , Dan Mencegah Keterlambatan Dalam Proses Penyembuhan Luka ( Komala , 2017 ). Adat Istiadat Merupakan Bagian Kebiasaan Pada Masyarakat Itu.” 4(2):67–72.

Jansson, Markus Harry, Karin Franzén, Ayako Hiyoshi, Gunilla Tegerstedt, Hedda Dahlgren, and Kerstin Nilsson. 2020. “Risk Factors for Perineal and Vaginal Tears in Primiparous Women – the Prospective POPRACT-Cohort Study.” BMC Pregnancy and Childbirth 20(1):1–14. doi: 10.1186/s12884-020-03447-0.

Juneris Aritonang. 2021. BUKU AJAR ASUHAN KEBIDANAN PADA MASA NIFAS DISERTAI KISI-KISI SOAL UJIAN KOMPETENSI. Yogyakarta: Deep Publisher.

Kabariyah, Kabariyah, and Anggorowati Anggorowati. 2023. “Breastfeeding Self-Efficacy Di Wilayah Kerja Puskesmas Batang 1.” Holistic Nursing and Health Science 6(1):12–18. doi: 10.14710/hnhs.6.1.2023.12-18.

Karyaningtyas, Wahyu, Eko Martanti Listyaning, and Widyastuti Erna. 2020. “Journal of Midwifery Science : Basic and Applied Research.” Journal of Midwifery Science : Basic and Applied Research 2(1):22–26.

Kesehatan, Kementerian. 2021. LAPORAN KINERJA 2021 KEMENTERIAN KESEHATAN.

Khusniyati, Etik, Heni Purwati, and Elies Meilinawati SB. 2023. “Effectiveness of Non-Pharmacological Intervention to Reduce Perineal Pain In Postpartum Women.” Journal of Scientific Research, Education, and Technology (JSRET) 2(2):667–79.

Lina Fitriani. 2021. Buku Ajar Asuhan Kebidanan Masa Nifas. Yogyakarta: CV BUDI UTAMA.

Luh Mertasari, Wayan Sugandini. 2023. Asuhan Masa Nifas Dan Menyusui. Jakarta: PT. RajaGrafindo Persada - Rajawali Pers.

Marliandiani, and Nyna. 2024. Buku Ajar Asuhan Kebidanan Pada Masa Nifas Dan Menyusui.

Medika, Jurnal Masker, Miskiyah Tamar, and Fakultas Ilmu Kesehatan. 2024. “PENGARUH KOMPRES AIR HANGAT TERHADAP KEGAWATDARURATAN NYERI LUKA PERINEUM PADA IBU POSTPARTUM NORMAL (The Effect of Warm Water Compresses on Emergencies of Perineal Wound Pain in Normal Postpartum Mothers).” 12:71–77.

Mita Meilani. 2024. Pengantar Asuhan Kebidanan Masa Nifas Komplementer. Pekalongan: Nasya Expanding Management (NEM).

Moenadjat, Yefta. 2023. “Penyembuhan Luka Aspek Seluler Dan Biomolekuler.” UI Scholars Hub 34–56.

Nency Agustia. 2024. Asuhan Kebidanan Pascapersalinan Dan Menyusui. Pekalongan: Penerbit NEM.

Nur Anita. 2023. Asuhan Kebidanan Pasca Persalinan Dan Menyusui: Konsep, Faktor, Dan Tantangant. Kaizen Media Publishing.

Nur Imamah, Dinar Perbawati, Trisna Pangestuning Tyas. 2024. “Pemberian Teknik Menyusui Guna Pencegahan Terjadinya Bendungan Asi Pada Ibu Nifas.” Jurnal Pengabdian Masyarakat 01:1–5.

Nurul Kamariyah, Choirotussanijjah, Elke Amanada. 2022. “Post Partum Dalam Peningkatan Kualitas Hidup Saat Pandemi Covid-19.” 3(1):271–76.

Olvaningsih, Musdalifah. 2024. “Asuhan Kebidanan Post Natal Care Dengan Perawatan Luka Perineum Derajat Ii.” Journal of Language and Health Vol 5, No(1):7–14.

Pevzner, Miri, and Arik Dahan. 2020. “Mastitis While Breastfeeding: Prevention, the Importance of Proper Treatment, and Potential Complications.” Journal of Clinical Medicine 9(8):1–6. doi: 10.3390/jcm9082328.

Ria Gustirini. 2021. “Pengetahuan Ibu Post Partum Normal Tentang Perawatan Luka Perineum.” Jurnal Kebidanan 10(1):31–36.

Rukiyah, Ai Yeyeh. 2018. Asuhan Kebidanan Pada Ibu Masa Nifas. Jakarta: Buku Kesehatan.

Saadah, Laelatul, and Siti Haryani. 2022. “Pengelolaan Ketidaknyamanan Pasca Partum Pada Ibu Post Partum Spontan Dengan Episiotomy.” Journal of Holistics and Health Science 4(2):246–60. doi: 10.35473/jhhs.v4i2.167.

Silalahi, Kristina I., Dewi Sartika Munthe, Dedek Sucahyo, Nurlela Petra Saragih Fakultas Keperawatan dan Kebidanan, Universitas Prima Indonesia, Jl Danau Singkarak, Gg Madrasah, and Sei Agul. 2022. “Faktor-Faktor Yang Mempengaruhi Lama Penyembuhan Luka Dm.” JKJ): Persatuan Perawat Nasional Indonesia 10(3):519–26.

Siregar, Dian Adriyani. 2025. “Pengaruh Kombinasi Relaksasi Nafas Dalam Dengan Aromaterapi Lavender Terhadap Nyeri Persalinan Kala i Di Pmb Ronni Siregar.” 9(2):60–69.

Sukma, Febi, Elli Hidayati, and Siti Nurhasyiah Jamil. 2017. Asuhan Kebidanan Pada Masa Nifas .Fakultas Kedokteran Dan Kesehatan Universitas Muhammadiyah Jakarta Jl. KH Ahmad Dahlan Cirendeu Ciputat 15419.

Sulfianti. 2021. Asuhan Kebidanan Pada Masa Nifas. Ronal Watr.

Sutanto, Andina Vita. 2022. Asuhan Kebidanan Nifas Dan Menyusui. Yogyakarta: PUSTAKA BARU PRESS.

Taalab, Aliaa, Enas Qasem, Amal Gamal, and Eman Ashour. 2021. “Dependent Care: Applying Orem Self-Care Theory.” Menoufia Nursing Journal 6(2):155–70. doi: 10.21608/menj.2021.225860.

Tri Zelharsandy, Vika, and Marchatus Soleha. 2023. “Pengaruh Pemberian Tablet Fe Terhadap Kejadian Anemia Ibu Nifas Di Pmb Rusmina Banyuasin.” Jurnal Kesehatan Abduranham Palembang 12(1):7–11.

Triana et al. 2018. “Modul Ajar Asuhan Kebidanan Nifas Dan Menyusui.” 92.

Wahyuni, Rahmawati, and Nursari Abdul Syukur. 2020. “Senam Nifas Dan Mobilisasi Dini Terhadap Penurunan Fundus Uteri Pada Ibu Post Partum Di Puskesmas Temindung.” Mahakam Midwifery Journal (MMJ) 5(1):27. doi: 10.35963/midwifery.v5i1.143.

Wang, Zhi, Qiuyue Liu, Lihua Min, and Xiaorong Mao. 2021. “The Effectiveness of the Laid-Back Position on Lactation-Related Nipple Problems and Comfort: A Meta-Analysis.” BMC Pregnancy and Childbirth 21(1):1–14. doi: 10.1186/s12884-021-03714-8.

Whitbourne, Richard P. Halgin &. Susan Krauss. 2020. Psikologi Abnormal: Perspektif Klinis Pada Gangguan Psikologis. Salemba Humanika.

Wijaya, Wulan, Tetty Oktavia Limbong, and Devi Yulianti. 2023. “Buku Ajar Buku Ajar Asuhan Kebidanan Dan Menyusi.” Akademi Kebidanan Griya Husada Surabaya 82.

Winarningsih, Rahayu Arum. 2024. Panduan Asuhan Kebidanan Pada Masa Nifas (Post Partum). Makkasar: CV. Tohar Media.

Yamada, Akiko, Yuki Takahashi, Masami Hirose, Yurika Usami, Saho Maruya, and Koji Tamakoshi. 2024. “Factors Associated with Perineal Pain on the First Postnatal Day after Vaginal Delivery: A Cross-Sectional Study of Primiparous Women.” Nagoya Journal of Medical Science 86(1):52–63. doi: 10.18999/nagjms.86.1.52.

Yulia Darma, Ika, Silvi Zaimy, Ramah Hayu, and Meldafia Idaman. 2023. “The Effectiveness of Warm Compress and Cold Compress Toward the Intensity of Labor Pain on Primipara Women.” 12(11):1–5.

Zuhana, Nina, and Lia Dwi Prafitri. 2022. “Perineal Wound Treatment as an Effort to Early Detect Wound Infection in Puerperal Mothers.” Jakarta Journal of Health Sciences 1(8):1168.

Author Biographies

Nadia Fardiana Isnaini Lestari, Poltekkes Kemenkes, Surabaya

Author Origin : Indonesia

Deasy Irawati, Poltekkes Kemenkes, Surabaya

Author Origin : Indonesia

Siti Anisak, Poltekkes Kemenkes, Surabaya

Author Origin : Indonesia

Sri Wayanti, Poltekkes Kemenkes, Surabaya

Author Origin : Indonesia

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How to Cite

Nadia Fardiana Isnaini Lestari, Deasy Irawati, Siti Anisak, & Sri Wayanti. (2026). CASE REPORT ON A POSTNATAL MOTHER WITH PERINEAL WOUND PAIN AND LACTATION DISORDERS IN THE WORKING AREA OF THE AROSBAYA COMMUNITY HEALTH CENTER, BANGKALAN REGENCY. Multidiciplinary Output Research For Actual and International Issue (MORFAI), 6(2), 2387–2396. https://doi.org/10.54443/morfai.v6i2.5017

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