Perineal rupture is a tear that occurs in the perineum during labour. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. The occurrence of perineal rupture is caused by maternal factors (parity, birth spacing and baby's weight), improper delivery leadership, history of delivery. Forceps extraction, vacuum extraction, device trauma and episiotomy. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. This case study describes how perineal rupture occurs and its healing process in Mrs. M, a 21 year old primipara. Efforts to handle or treat perineal wounds in this case are carried out by teaching how to do proper wound care, maintaining personal hygiene and providing education to increase client knowledge. Midwifery care provided can help clients accelerate the healing of perineal wounds. Comprehensive midwifery care regarding postpartum care needs to be carried out from the time of pregnancy until later in the puerperium. Thus, the client can prevent and deal with problems that occur independently so that there are no infections or complications during the puerperium.

Breast engorgement is one of the problems that often occurs during puerperium. Many factors can affect the occurrence of breast engorgement, including the lack of breastfeeding intensity, no breast care during pregnancy, abnormalities in the nipples and the lack of knowledge of the mother. Breast engorgement will greatly affect the fulfillment of the babies needs for breastmilk which is the only best food for them to help their growth and development. This case study describes how the occurrence of breast engorgement and the efforts to deal with it in Mrs. S, a 22-years-old primipara. The efforts to handle breast engorgement in this case were carried out by teaching the Mrs. S and her family how to care for breast and nipples, how to breastfeed properly, and providing education to increase her knowledge. The midwifery care provided can help Mrs. S to overcome breast engorgement and breastfeed her baby normally. Midwifery care related to preparation for breastfeeding needs to be carried out from pregnancy to postpartum period comprehensively. Thus, mothers can prevent and overcome breastfeeding problems independently so that exclusive breastfeeding for six months can be achieved.

Utilization of delivery assistance by professional staff (midwives) in the community is very low compared to the expected indicators. The behavior of pregnant women in planning for the selection of delivery assistance is influenced by various factors. This study aims to determine the factors associated with the selection of birth attendants. The type of research used is quantitative with a cross-sectional research design. The number of samples taken was 42 people with the Consecutive Sampling technique. The instrument used is a questionnaire. The data obtained was then analyzed with the Chi Square test. The results showed that there was a significant relationship between education and the selection of birth attendants (p value = 0.005). In addition, there is a significant relationship between parity and age and the selection of birth attendants (p value = 0.033 and p value = 0.025). Therefore, it is hoped that health workers can provide counseling related to the selection of birth attendants so that they can improve the health status of mothers and babies.