Hubungan kadar hemoglobin (HB) dengan lama persalinan kala II pada ibu bersalin di RS Pratama Tumbang Samba

Viviyanti, Viviyanti (2025) Hubungan kadar hemoglobin (HB) dengan lama persalinan kala II pada ibu bersalin di RS Pratama Tumbang Samba. Jurnal Forum Kesehatan. (Unpublished)

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Abstract

AKI di Indonesia pada tahun 2023 adalah 189 per 100.000 kelahiran hidup, yang mana jauh dari target penurunan pada tahun 2030. Kematian pada ibu paling banyak karena perdarahan, anemia dianggap menjadi salah satu penyebab perdarahan. Kadar hemoglobin normal diperlukan dalam proses persalinan untuk tenaga melahirkan bayi dan mencegah terjadi kala II lama. Tujuan penelitian adalah untuk mengetahui hubungan kadar hemoglobin (HB) dengan lama persalinan kala II pada ibu bersalin di RS Pratama Tumbang Samba. Jenis penelitian analitik observasional serta desain desain Cross sectional, menggunakan total sampling dengan jumlah populasi dan sampel 53 ibu bersalin. Data sekunder menggunakan lembar observasi yang diambil pada kohort ibu bersalin di RS Pratama Tumbang Samba. Analisis univariat menggunakan distribusi frekuensi, sedangkan analisis bivariat menggunakan uji chi square. Dari penelitian ini didapatkan hasil bahwa sebagian besar ibu bersalin dengan kala II normal berjumlah 42 orang (79,2%) dan tidak anemia berjumlah 37 orang (69,8%). Analisis bivariat menunjukkan tidak ada hubungan antara usia ibu dengan lama kala II (p-value = 0,942), ada hubungan antara paritas dengan lama kala II (p-value = 0,001), tidak ada hubungan antara berat badan lahir dengan lama kala II (p-value = 0,307), serta tidak ada hubungan antara letak janin dengan lama kala II (p-value = 0,605), serta ada hubungan antara kadar hemoglobin dengan lama kala II pada ibu bersalin di Rumah Sakit Pratama Tumbang Samba (p-value = 0,007). Kesimpulan ada hubungan antara paritas dan kadar hemoglobin dengan lama kala II pada ibu bersalin di Rumah Sakit Pratama Tumbang Samba. Diharapkan pada ibu agar aktif dalam melakukan pemeriksaan kesehatan terutama pada periode kehamilan.

The mortality rate in Indonesia in 2023 was 189 in 100,000 liveborn, which is far from the target of reducing mortality by 2030. Most maternal deaths are due to bleeding, and anemia is considered to be one of the causes of bleeding. Normal hemoglobin levels are needed in the process of childbirth for labor to deliver babies and prevent prolonged labor. The purpose of the study was to determine the relationship between hemoglobin (HB) levels and the duration of labor in the second stage of labor in laboring women at Tumbang Samba Pratama Hospital. This research is an observational analytic and cross-sectional design, using total sampling with a population and sample of 53 laboring women. The data was secondary, using observation sheets taken from the cohort of laboring mothers at Tumbang Samba Pratama Hospital. Univariate analysis used frequency distribution, and bivariate analysis used the chi-square test. This research found that most of the mothers with normal labor stage II were 42 people (79,2%), and not anemic were 37 people (69.8%). Bivariate analysis showed there was no relationship between maternal age and the duration of kala II (p-value = 0.942), there was a relationship between parity and the duration of kala II (p-value = 0.001), there was no relationship between birth weight and the duration of stage II (p-value = 0.307), and there was no relationship between fetal location and the duration of stage II (p-value = 0.605), and there was a relationship between hemoglobin levels and the duration of stage II in laboring women at Tumbang Samba Primary Hospital (p-value = 0.007). The conclusion is that there is a relationship between parity and hemoglobin levels with the duration of stage II in laboring women at Tumbang Samba Primary Hospital. Hopefully, mothers will be active in conducting health checks, especially during pregnancy.

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