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Ruptur perineum perlu mendapatkan perhatian karena dapat menyebabkan disfungsi organ reproduksi wanita. Menurut WHO, 2015Terdapat 2,7 juta kasus rupture perineum pada ibu bersalin. Data dinas Kabupaten Sijunjung Pada tahun 2017 kejadian rupture perineum pada primipara 30%. Terjadi peningkatan pada tahun 2018 menjadi 37 %. Tujuan penelitian ini adalah untuk mengetahui Determinan Kejadian Rupture Perineum Persalinan Normal Pada Primipara Di Wilayah Kerja Puskesmas Kamang Kabupaten SijunjungTahun 2019. Jenispenelitian ini adalah deskriptif analitik dengan pendekatan cros sectional study. Tempat penelitian di wilayah kerja puskesmas Kamang. Waktu penelitian dilakukan pada bulan Oktober 2019. sampel yang digunakan sebanyak 85 orang dengan teknik simple random sampling diwilayah kerja Puskesmas Kamang dengan uji Chi-Square dengan derajat kepercayaan 95 %. Hasil penelitian menunjukkan60 orang (70,6%) memiliki umur yang tidak berisiko,Ada hubungan yang bermakna antara umur (p=0,031

Perineal rupture needs attention because it can cause dysfunction of the female reproductive organs. According to WHO data, there were 2.7 million cases of perineal rupture in maternal birth. Based on Sijunjung Regency official data In 2017 the incidence of rupture of the perineum in primipara was 30%. It was increase in 2018 to 37%. The purpose of this study was to determine Determinants of Normal Birth Rupture Perineum in Primipara in Kamang Community Health Center, Sijunjung Regency in 2019. The type of this study was descriptive analytic with cross sectional study approach. It was conducted in Kamang Community Health Center on October 2019. The samples were 85 people. They had been chosen by using simple random sampling technique. in the working area of the Kamang Community Health Center with the Chi-Square test with a 95% confidence level. The results of this study showed that 60 people (70.6%) had a risk-free age, 67 people (78.8%) had a risk-free birth interval, 56 people (65.9%) had birth weight of infants who were not at risk, 43 people (50.6%) had a strong HIS and 58 people (68.2%) did not suffer from shoulder dystocia. Moreover, There was a significant relationship between age (p = 0.031