PERBANDINGAN POSISI TEGAK (UPRIGHT) DAN ACTIVE BIRTH TERHADAP LAMANYA KALA I PERSALINAN PADA IBU PRIMIPARA

Nina Fitri, Olivia Putri Gumanti
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Abstract

The Demographic and Health Survey results in 2012 showed there was a significant increase in MMR (359 / 100,000 live births). But AKI again showed a decrease (305 / 100,000 live births) based on the results of the 2015 Intercensal Population Survey (SUPAS) (Indonesian health profile, 2016). The Number of Mother Mortality in West Sumatra in 2016, they were 107 people. It was decreased when it was compared in 2015 (111 people). The details of maternal mortality consisted of the death of 30 pregnant women, 25 maternal deaths and 52 postpartum deaths. (Padang Health Office, 2016). The type of research used was quasi-experimental with non-equivalent control group design. The populations were 24 primiparous mothers who were going to have a Maternal Birth Maternal Neti Padang Midwife. Purposive sampling technique with inclusion and exclusion criteria had been used to choose the sample. Then, there 7 multiparous mothers with upright mothers and 7 mothers with active birth positions were chosen as the samples of the research. It was conducted in July 2018. The data was collected trough a patograph sheet as a basis for observation. Then, it was analyzed by univariate and bivariate analysis with Mann-Whitney statistical test. The statistical test results obtained that an average value of the first time the active phase in primiparous mothers with upright position was 318 minutes. While, the average time period I was active in primiparous mothers with active birth position for about 367 minutes. Then, the upright position (upright) and active birth obtained P= 165 where p-value> 0.05. It can be concluded that the upright position and the active birth position did not have much difference to the acceleration of labor during the active phase.  Keywords         : Acceleration of Labor, Upright, Active Birth
2012年人口与健康调查结果显示,产妇死亡率大幅上升(每10万活产359例)。但根据2015年人口普查(SUPAS)(2016年印度尼西亚健康概况)的结果,AKI再次显示下降(305 / 10万活产)。2016年西苏门答腊的母亲死亡率为107人。与2015年(111人)相比,这一数字有所下降。产妇死亡率的细节包括30名孕妇死亡、25名产妇死亡和52名产后死亡。(巴东卫生局,2016)。使用的研究类型是准实验与非等效对照组设计。人口是24位初产母亲她们将有一个产妇分娩产妇内蒂·巴东助产士。采用纳入和排除标准的有目的抽样技术选择样本。然后,选取7位产妇采用直立体位和7位产妇采用活动体位作为研究样本。该调查于2018年7月进行。数据是通过扫描表收集的,作为观察的基础。采用Mann-Whitney统计检验进行单因素和双因素分析。统计检验结果显示,直立体位的初产妇第一次活动的平均时间为318分钟。而我在初产妇中活动的平均时间为367分钟左右。然后,直立体位(直立)与主动分娩P= 165, P值> 0.05。由此可见,胎位与产位对产程的加速无明显差异。关键词:产程加速,直立,主动分娩
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