Abstract
Perineal trauma is a common morbidity associated with vaginal birth and may affect women’s postpartum health and quality of life. Adequate antenatal education is therefore needed to improve pregnant women’s understanding of perineal trauma prevention, including antenatal perineal massage. This community service activity aimed to provide evidence-based education on perineal trauma and antenatal perineal massage and to describe changes in third-trimester pregnant women’s knowledge scores before and immediately after the educational activity. The activity was conducted at Papilio Maternity Home, Sidoarjo, on November 16, 2025, involving 20 participants. An educational approach combining an interactive lecture, demonstration, guided practice using a perineal model, discussion, leaflet distribution, and an instructional video was implemented. Knowledge was evaluated using a one-group pre-test–post-test design. The mean knowledge score increased from 7.90 before education to 9.00 immediately afterward, representing an increase of 1.1 points or 13.9% relative to the baseline mean score. These descriptive findings indicate an immediate improvement in participants’ knowledge following the educational activity. However, the absence of a control group and long-term follow-up precludes conclusions regarding causal effectiveness, knowledge retention, behavioural change, or reduced perineal trauma during birth. Integrating evidence-based perineal health education into antenatal care and pregnancy classes is recommended, accompanied by longer-term evaluation of knowledge, practice, and birth outcomes
Article Details
How to Cite
Citation FormatReferences
18 References- Aasheim, V., Nilsen, A. B. V., Reinar, L. M., & Lukasse, M. (2017). Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database of Systematic Reviews, 2017(6), Article CD006672. https://doi.org/10.1002/14651858.CD006672.pub3
- Abdelhakim, A. M., Eldesouky, E., Elmagd, I. A., Mohammed, A., Farag, E. A., Mohammed, A. E., Hamam, K. M., Hussein, A. S., Ali, A. S., Keshta, N. H. A., Hamza, M., Samy, A., & Abdel-Latif, A. A. (2020). Antenatal perineal massage benefits in reducing perineal trauma and postpartum morbidities: A systematic review and meta-analysis of randomized controlled trials. International Urogynecology Journal, 31(9), 1735–1745. https://doi.org/10.1007/s00192-020-04302-8
- Alsudani, H. K., Badr, H. A., & Alsaigh, R. R. (2025). Pregnant women’s knowledge regarding the practice of antenatal perineal massage. Women, 5(1), Article 9. https://doi.org/10.3390/women5010009
- American College of Obstetricians and Gynecologists. (2018). ACOG Practice Bulletin No. 198: Prevention and management of obstetric lacerations at vaginal delivery. Obstetrics & Gynecology, 132(3), e87–e102. https://doi.org/10.1097/AOG.0000000000002841
- Aquino, C. I., Guida, M., Saccone, G., Cruz, Y., Vitagliano, A., Zullo, F., & Berghella, V. (2020). Perineal massage during labor: A systematic review and meta-analysis of randomized controlled trials. The Journal of Maternal-Fetal & Neonatal Medicine, 33(6), 1051–1063. https://doi.org/10.1080/14767058.2018.1512574
- Beckmann, M. M., & Stock, O. M. (2013). Antenatal perineal massage for reducing perineal trauma. Cochrane Database of Systematic Reviews, 2013(4), Article CD005123. https://doi.org/10.1002/14651858.CD005123.pub3
- Dwan, K., Fox, T., Lutje, V., Lavender, T., & Mills, T. A. (2024). Perineal techniques during the second stage of labour for reducing perineal trauma and postpartum complications. Cochrane Database of Systematic Reviews, 2024(10), Article CD016148. https://doi.org/10.1002/14651858.CD016148
- Itsnaini, D., Rasyid, F. N., Ma’rifah, U., & Mukarromah, N. (2022). Hubungan antara paritas dengan kejadian ruptur perineum pada ibu bersalin di BPS Hj. Farida Hajri, Amd. Keb., Surabaya. SINAR Jurnal Kebidanan, 4(1), 38–46. https://journal.um-surabaya.ac.id/Sinar/article/view/14714
- Jiang, H., Qian, X., Carroli, G., & Garner, P. (2017). Selective versus routine use of episiotomy for vaginal birth. Cochrane Database of Systematic Reviews, 2017(2), Article CD000081. https://doi.org/10.1002/14651858.CD000081.pub3
- Kurniawati, E. M., Hardianto, G., Wahyuningtyas, R., Rahmawati, N. A., Mustofa, V. F., Safitri, C. T., Kurniawan, A. M., & Rustam, M. (2024). Perineum massage education to empower pregnant women in preventing perineal rupture at Peneleh Public Health Center Surabaya 2023. Jurnal Layanan Masyarakat (Journal of Public Services), 8(2), 162–169. https://doi.org/10.20473/jlm.v8i2.2024.162-169
- Masruroh, N., & Wisma Rina, D. (2025). Hubungan berat badan bayi baru lahir dengan kejadian ruptur perineum pada persalinan normal di RS Islam A. Yani Surabaya. Jurnal Penelitian Keperawatan Kontemporer, 5(2). https://doi.org/10.59894/jpkk.v5i2.941
- 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), Article 102627. https://doi.org/10.1016/j.jogoh.2023.102627
- Mudlikah, S., Safriana, R. E., & Ningsih, D. P. (2020). Pendidikan kesehatan tentang pijat perineum ibu hamil di wilayah kerja Puskesmas Kamoning Sampang. Jurnal Midpro, 12(1), 60–66. https://doi.org/10.30736/md.v12i1.136
- National Institute for Health and Care Excellence. (2023). Intrapartum care (NICE Guideline No. NG235; updated June 9, 2026). https://www.nice.org.uk/guidance/ng235
- Okeahialam, N. A., Sultan, A. H., & Thakar, R. (2024). The prevention of perineal trauma during vaginal birth. American Journal of Obstetrics and Gynecology, 230(3S), S991–S1004. https://doi.org/10.1016/j.ajog.2022.06.021
- Royal College of Obstetricians and Gynaecologists. (n.d.). Reducing your risk of perineal tears. Retrieved September 1, 2026, from https://www.rcog.org.uk/for-the-public/perineal-tears-and-episiotomies-in-childbirth/reducing-your-risk-of-perineal-tears/
- Ugwu, E. O., Iferikigwe, E. S., Obi, S. N., Eleje, G. U., & Ozumba, B. C. (2018). Effectiveness of antenatal perineal massage in reducing perineal trauma and post-partum morbidities: A randomized controlled trial. Journal of Obstetrics and Gynaecology Research, 44(7), 1252–1258. https://doi.org/10.1111/jog.13640
- Zang, Y., Hu, Y., & Lu, H. (2023). Effects of different techniques during the second stage of labour on reducing perineal laceration: An overview of systematic reviews. Journal of Clinical Nursing, 32(7–8), 996–1013. https://doi.org/10.1111/jocn.16276
License
Copyright (c) 2026 Masruhah Erwina, Riska Ismawati H, Siswanto Pabidang

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This is an open-access journal distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, reproduction, and adaptation in any medium (even commercially), provided appropriate credit is given to the original author(s), a link to the license is provided, and any changes made are indicated. Authors retain copyright without restrictions and grant the journal the right of first publication as well as non-exclusive publishing rights for archiving, indexing, and scholarly dissemination.
Downloads
OJS UsageStats PluginSimilar Articles
- Edukasi Tumbuhan Obat Lokal Tingkatkan Literasi Kesehatan Masyarakat Desa Blang Tingkuem Zumaidar Zumaidar, Nuzul Asmilia, Saudah Saudah · LANCAH: Jurnal Inovasi dan Tren · Vol. 4 No. 2 (2026): NOVEMBER
- Transformasi Kosmologi Kematian Masyarakat Suku Tonsawang: Dari Praktik Ritual menuju Memori Kolektif Yemima Imelda Margareth Manoppo, Izak Y.M. Lattu, Suwarto Adi · LANCAH: Jurnal Inovasi dan Tren · Vol. 4 No. 2 (2026): NOVEMBER
- Ayat-Ayat Kauniyah dan Qur’aniyah dalam Perspektif Epistemologi Ilmu Alya Mardatillah. B, Eva Dewi, Khairil Anwar · LANCAH: Jurnal Inovasi dan Tren · Vol. 3 No. 1 (2025): DESEMBER 2024 - MEI 2025
- Pengaruh Kepercayaan Merek, Persepsi Kualitas, dan Promosi Terhadap Keptusan Pembelian Serta Dampaknya Pada Kepuasan Konsumen di Kalangan Gen-Z (Studi Pada Digital Out of Home Advertising Mobile Led) Muhammad Dhafin Syah, Osly Usman, Nofriska Krissanya · LANCAH: Jurnal Inovasi dan Tren · Vol. 2 No. 2b (2024): Special Edition Juli
- Analisis Indikator Sumber Daya Alam untuk Pembangunan Desa Berkelanjutan di Kasepuhan Cibarani Kabupaten Lebak, Banten Abdul Muin, Muhammad Zid, Samadi Samadi · LANCAH: Jurnal Inovasi dan Tren · Vol. 4 No. 2 (2026): NOVEMBER
You may also start an advanced similarity search for this article.