Perbedaan posisi persalinan miring kiri dan litotomi terhadap lamanya persalinan kala II pada Primigravida di PMB wilayah kerja Puskesms Kayon

Sinta, Hertati (2019) Perbedaan posisi persalinan miring kiri dan litotomi terhadap lamanya persalinan kala II pada Primigravida di PMB wilayah kerja Puskesms Kayon. Skripsi, PROGRAM STUDI SARJANA TERAPAN KEBIDANAN, POLTEKKES KEMENKES PALANGKARAYA.

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Abstract

Latar belakang: Masa persalinan merupakan periode kritis bagi seorang calon ibu. Dalam proses persalinan pengaturan posisi ikut berperan penting di dalam persalinan. Berdasarkan survey pendahuluan yang dilakukan di PMB Wilayah Kerja Puskesmas Kayon Rata-rata Posisi persalinan ibu bersalin dominan memilih posisi litotomi dari pada posisi miring kiri padahal posisi miring kiri dapat mempercepat proses penurunan kepala janin. Tujuan penelitian: Mengetahui Perbedaan Posisi Persalinan Miring dan litotomi terhadap Lamanya Persalinan Kala II pada Primigravida di PMB Wilayah Kerja Puskesmas Kayon. Metode penelitian: Jenis Penelitian ini adalah Quasi Eksperiment dengan menggunakan rancangan Control Grup Post Test Only Desain. Populasi penelitian ini adalah ibu bersalin primigravida yang melahirkan di PMB Wilayah Kerja Puskesmas Kayon bulan Januari 2019 dan besar sampel sebanyak 20 orang (10 orang sebagai kelompok kontrol dan 10 orang kelompok eksperimen) dengan tehnik sampling yang digunakan adalah purposive sampling. Uji statistik yang digunakan pada penelitian ini adalah uji Mann Whitney. Hasil: Uji statistik didapatkan nilai p value = 0.003 berarti nilai p value > alpha (0.05), artinya ada perbedaan yang signifikan lamanya kala II antara posisi miring kiri didapatkan niali rata-rata 37,40 menit dan posisi litotomi didapatkan nilai rata-rata 58,60 menit dengan perbedaan nilai rata-rata 21,2 menit. Kesimpulan: Adanya perbedaan yang signifikan lamanya Kala II antara Posisi Miring Kiri dan Posisis Litotomi dengan perbedaan nilai rata-rata 21,2 menit. Saran:Oleh karena itu diperlukan asuhan intranatal yang baik dan sesuai dengan prinsip asuhan sayang ibu, sehingga dapat membantu menurunkan angka kesakitan maupun kematian pada ibu dan janin serta proses persalinanpun menjadi lancar.

Background: The period of labor is a critical period for a prospective mother. In the process of childbirth, position regulation plays an important role in labor. Based on the preliminary survey conducted at the Independent Practice of Midwives in the Working Area of the Average Kayon Public Health Center the position of labor of the dominant maternity chose a lithotomy position from the left oblique position even though the left sloping position could accelerate the process of decreasing the fetal head. Objective: To determine the differences in the position of oblique labor and lithotomy on the duration of second stage labor in Primigravida in the independent practice of midwives in the working area of the Kayon health center Research methods: This type of research is Quasi Experiment using the design of the Post Test Only Design Group Control. The population of this study were primigravida maternity women who gave birth at the Independent Practice of Midwives in the Working Area of Kayon Public Health Center in January 2019 and a sample size of 20 people (10 people as the control group and 10 experimental group people) with purposive sampling. The statistical test used in this study was the Mann Whitney test. Results: Statistical tests obtained p value = 0.003 means the value of p value> alpha (0.05), meaning there is a significant difference in the duration of the second period between the left sloping position and an average value of 37.40 minutes and the lithotomy position is 58 , 60 minutes with a difference in the average value of 21.2 minutes. Conclusion: There is a significant difference in the duration of the second period between the Left Sloping Position and the Litotomy Position with a difference in the average value of 21.2 minutes. Suggestion: Therefore it is necessary to have good intranatal care and in accordance with the principle of care for the mother, so that it can help reduce the morbidity and mortality rates in the mother and fetus and the labor process becomes smooth.

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