Hubungan kehadiran pendamping ibu bersalin dengan lama proses persalinan kala II normal di ruang bersalin RSU Tidar Magelang

MUNAYAROKH, Prof.dr. Djaswadi Dasuki, MPH.,Sp.OG.,PhD

2002 | Tesis | S2 Ilmu Kesehatan Masyarakat

Kehadiran pendamping dalam proses persalinan menjadi topik yang menarik dalam program making pregnancy safer (MPS) karena dalam beberapa penelitian memperlihatkan hasil yang signifikan dalam menunjang proses persalinan kala 11. Penelitian ini bertujuan meningkatkan pelaksanaan program Making Pregnancy Safer (MPS) terutama dengan tuj uan khusus untuk mengetahui hubungan kehadiran pendamping, rasa aman, frekuensi his, dan durasi his dengan lama persalinan kala 11. Rancangan penelitian ini adalah cross sectional, dengan populasi semua ibu melahirkan pada satu bulan penelitian di Kota Magelang. Besar sampel dalam penelitian ini dihitung dengan rumus purposive sampling Lemeshow (1997) adalah 97 sampel. Hasil penelitian memperlihatkan adanya hubungan yang bermakna dari kehadiran pendamping ibu bersalin dengan lama persalinan kala I1 (nilai r = -0,89 dan p = O,OO), rasa aman dengan lama persalinan kala I1 (nilai r = -0,83 dan p = O , O O ) , frekuensi his dengan lama persalinan kala I1 (nilai r = -0,90 dan p = O , O O ) , durasi his dengan lama persalinan kala I1 (nilai r = -0,92 dan p = O , O O ) , dan variabel paritas dengan lama persalinan kala I1 (nilai r = -0,78 dan p = 0 , O O ) . Masing-masing variabel tersebut tetap bermakna (p < 0,051 pada saat diuji dengan Multivariabel. Kesimpulan akhir penelitian ini adalah bahwa normal tidaknya persalinan kala I1 berhubungan dengan kehadiran pendamping didukung rasa aman, frekuensi his teratur, durasi his baik, serta status ibu dengan multipara.

The presence of assistance in delivery process is ar. interesting topic in safe motherhood program because in some researches, it showed significant result in supporting the second stage delivery process. This research was aimed to improve the implementation of safe motherhood program especially with specific purpose to find out the presence influence of delivery mothers as s i stance , secuxe feeling, frequency of uterine contractLon, and duration of uterine contraction toward the length of second stage delivery process. This research was using cross sectional design with population of all mothers who gave birth in one-month research period in Magelang. The sample of this research that was calculated with Lemeshow formulation was 97 with prediction of RR=1,5. It was taken by using random sampling technique. The result of this research showed that there was a significant relationship between the presence of delivery process assistance with the length of second stage delivery processes (value r=-0,89 and p=O,OO), secure feeling with the length of second stage delivery processes (value r=-0,83 and p=O,OO), frequency of uterine contraction with the length of second stage delivery processes (value r=-0,90 and p=O,OO), duration of uterine contraction with the length of second stage delivery processes (value r=-O,92 and p=O, 00) and variable of parity control with the length of second stage delivery processes (value r=-0,78 and p=O,OO) Each of these variables was still significant (p

Kata Kunci : Kehadiran pendamping, rasa aman, frekuensi his, durasi his, lama persalinan kala 11, assistance presence, secure feeling, frequency of uterine contraction, duration of uterine contraction and the length of second stage delivery process