Effect of Kegel Gymnastics on Trimester III Pregnant Women: Avoiding Perineum Rupture (Perineal Tearing) During Maternity at Tanjung and Sumiariani Clinics in 2018

Maternal mortality rate is an indicator used to measure maternal health status in an area and refers to death during pregnancy or during a period of 42 days after pregnancy due to all causes or which is aggravated by pregnancy or treatment, but not due to accident or injury (Ministry of Health, 2014). From 2015 Inter-census Population Survey (SUPAS), mother morality rate (AKI) in Indonesia reached 305 per 100,000 live births. This figure decreased compared to 2012 Indonesian Health and Demographic Survey (SDKI) in which the AKI in Indonesia amounted to 359 per 100,000 live births (Ministry of Health, 2016). The fifth global target of the Millennium Development Goals is that the
AKI should only reach 102 per 100,000 live births in 2015 (Ministry of Health, 2014). Based on the 2010 population census, the AKI in North Sumatra amounted to 328 per 100,000 live births; this figure is still quite high when compared to the national figure of the 2010 population census in which tke AKI should reach 259 per 100,000 live births. From reports issued in district / city profiles, the AKI in North Sumatra in 2014 is reported to reach only 75 per 100,000 live births. The purpose of this study is to determine the effect of Kegel Gymnastics on trimester III pregnant women who experienced perineum rupture (perineal tearing) during their maternity at two maternity clinics, for example Tanjung and Sumiariani in Medan. This study is expected to strengthen the lecturing materials on Kegel Gymnastics which can prevent perineal tearing during labour. This research is an experiment, designed in correlational analytic and used post-test design approach. The study was conducted from March to July 2018. The sample was divided into experimental and the control groups in which the sample size was equal to N1 = N2. The sampling technique is accidental sampling of nonprobability and the research subjects (or respondents) were taken from all third trimester pregnant women visiting in February to March 2018 and maternity mothers appearing from March to June 2018; the respodents fulfilled the inclusion criteria set by the researchers. The statistical analysis in this study is the analysis of t-test with a confidence level of 0.05.