PENGARUH UPRIGT POSITION TERHADAP LAMA KALA I FASE AKTIF PADA PRIMIGRAVIDA

AbstrakPersalinan lama merupakan penyumbang komplikasi persalinan terbesar di Indonesia (41%). Salah satu upaya pencegahan yang mudah melakukan mobilisasi pada persalinan dengan upright position. Upright position pada persalinan kala I fase aktif dapat memperpendek waktu persalinan lebih kurang 1 jam dan dapat memberikan relaksasi pada pembuluh darah dan juga dapat memberikan percepatan penurunan kepala karena adanya gaya gravitasi bumi sehingga dapat memperpendek kala I. Sebagian besar PMB di Muara Enim sudah mengajar posisi persalinan namun belum dilihat efektifitasnya. Penelitian ini bertujuan untuk mengetahui pengaruh lama kala I fase aktif dengan upright position pada primigravida di PMB Wilayah Sekitar Muara Enim Tahun 2021.Penelitian ini menggunakan desain quasy experiment dengan pendekatan post test only with control group. Subjek penelitian ini adalah ibu bersalin kala I primigravida di PMB Wilayah Sekitar Muara Enim Tahun 2021. Jumlah sampel adalah 30 orang kelompok intervensi dan 30 orang kelompok control. Teknik sampling menggunakan quota sampling. Pengukuran lama kala I menggunakan durasi menit pada kedua kelompok sejak ibu berssalin di diagnosis persalinan kala I fase aktif. Analisis data menggunakan uji T Independent test.Hasil penelitian didapatkan bahwa rata-rata lama kala I pada fase aktif pada kelompok kontrol adalah 317±64,0 menit, sedangkan pada kelompok intervensi adalah 212±53,5menit. Ada Pengaruh Upright position Terhadap Lama Kala I Fase Aktif Pada Primigravida Di PMB Wilayah Sekitar Muara Enim Tahun 2021 ( P value= 0,000). Disarankan agar bidan mempromosikan ibu bersalin menggunakan upright position untuk memperpendek waktu persalinan sehingga morbiditas ibu lebih berkurang Kata Kunci: Ibu bersalin, lama kala I, upright position AbstractProplonged labor is the largest contributor to childbirth complications in Indonesia (41%). One of the prevention efforts that is easy to mobilize in labor is the upright position. The upright position in the active phase of the first stage of labor can shorten the delivery time by approximately 1 hour and can provide relaxation to the blood vessels and can also accelerate the descent of the head due to the gravitational force of the earth so that it can shorten the first stage. Most of the PMB in Muara Enim have taught the position delivery but its effectiveness has not been seen. This study aims to determine the effect of the duration of the active phase I with the upright position on primigravida in PMB in the area around Muara Enim in 2021.This study uses a quasi-experimental design with a post-test only approach with a control group. The subjects of this study were mothers who gave birth in the first stage of primigravida in PMB in the area around Muara Enim in 2021. The number of samples was 30 people in the intervention group and 30 people in the control group. The sampling technique uses quota sampling. Measurement of the length of the first stage using the duration of minutes in both groups since the mother gave birth to the diagnosis of active phase I labor. Data analysis using T test Independent test.The results showed that the average length of the first stage in the active phase in the control group was 317±64.0 minutes, while in the intervention group it was 212±53.5 minutes. There is an Effect of Upright Position on the First Stage of Active Phase in Primigravida in PMB Areas Around Muara Enim in 2021 (P value = 0.000). It is recommended that midwives promote childbirth using an upright position to shorten delivery time so that maternal morbidity is reduced Keywords: Labor, Duration first stage, upright position

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