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All Journal International Journal of Health, Engineering and Technology The Shine Cahaya Dunia Kebidanan
Riska Mila Valentina
Akademi Kebidanan Murung Raya
Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Dentistry Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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THE RELATIONSHIP BETWEEN ACTIVE MOBILIZATION DURING THE FIRST STAGE OF LABOR AND THE DURATION OF LABOR AMONGPHYSIOLOGICAL CHILDBIRTH MOTHERS Meidayana Refisiliyani; Dewi Nur Anita; Riska Mila Valentina
The Shine Cahaya Dunia Kebidanan Vol. 11 No. 01 (2026): The Shine Cahaya Dunia Kebidanan
Publisher : Lppm Unan

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Abstract

Background : Duration of labor is an important indicator in assessing labor progress and the quality of midwifery care. Prolonged labor increases the risk of maternal and neonatal morbidity. Active mobilization during the first stage of labor is a recommended non-pharmacological intervention to support physiological labor progress. This study aimed to analyze the relationship between active mobilization during the first stage of labor and the duration of labor among physiological childbirth mothers at RSUD Puruk Cahu, Murung Raya Regency, Central Kalimantan. Method : This study employed an analytic descriptive design with a cross-sectional approach. A total of 20 physiological labor mothers were selected using consecutive sampling. Data on active mobilization were collected through observation sheets, while labor duration data were obtained from partographs and medical records. Data were analyzed using Chi-Square and Independent t-test with a significance level of α = 0.05. Results : A total of 55% of respondents performed active mobilization during the active phase of the first stage of labor. Most respondents (65%) experienced normal labor duration. Chi-Square analysis showed a significant relationship between active mobilization and labor duration (p = 0.048). The mean labor duration in the active mobilization group was 6.0 hours (SD ±1.1), shorter than in the non-mobilization group at 8.3 hours (SD ±1.4), with a significant difference (p = 0.012). Conclusion : There is a significant relationship between active mobilization during the first stage of labor and labor duration in physiological childbirth. Active mobilization contributes to shortening labor duration and can be recommended as a non-pharmacological intervention in evidence-based midwifery care.
The Effectiveness Of Integrated Antenatal Classes In Improving Knowledge And Childbirth Preparedness Among Pregnant Women Riska Mila Valentina; Fatmawaty Amir Tangke
International Journal of Health Engineering and Technology Vol. 5 No. 3 (2026): Vol. 5 No. 3 SEPTEMBER 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i3.1158

Abstract

To reduce the Maternal Mortality Rate (MMR) in Indonesia often driven by delays in recognizing pregnancy risks and a lack of birth preparedness promotive efforts in the form of Integrated Antenatal Classes were implemented. The program's effectiveness in enhancing the knowledge and birth preparedness of pregnant women was evaluated at the Puruk Cahu Sebrang Community Health Center (Puskesmas). This pre-experimental study (using a one-group pretest-posttest design) involved 50 pregnant women selected via total sampling. All participants underwent a series of interventions, including a pretest, four integrated educational sessions, and a posttest. Data analysis was conducted using the Shapiro-Wilk test and the Paired t-test. A significant increase in mean understanding was observed a rise of 27.82 points, from 58.42 (±10.36) to 86.24 (±7.18) (t=18.64; p<0.001). Birth preparedness scores also rose by 26.98 points, increasing from 61.18 (±9.54) to 88.16 (±6.92) (t=17.91; p<0.001). The percentage of pregnant women with good knowledge levels grew from 16.0% to 84.0%, while the proportion classified as "prepared for childbirth" surged from 32.0% to 90.0%. These results demonstrate the clear effectiveness of Integrated Antenatal Classes in boosting knowledge and birth preparedness; consequently, it is highly recommended that this program be sustainably integrated into maternal health service.
Co-Authors Dewi Nur Anita Fatmawaty Amir Tangke Meidayana Refisiliyani