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Aryawati, Wayan
Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan Universitas Malahayati
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The Factors on Labor and Delivery Duration Among Births and Hospitalization Records: The Application of Survival Analysis Astawa, I Gusti Made Yoga; Lukman, Iing; Aryawati, Wayan
Sigma&Mu: Journal of Mathematics, Statistics and Data Science Vol. 1 No. 1 (2023): March
Publisher : Balai Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56566/sigmamu.v1i1.44

Abstract

During labor and delivery has a risk of morbidity and mortality to the mother and the fetus. The length of duration process is one of the causes of maternal and fetal morbidity and mortality. Several cases reported of prolonged labor and delivery duration at Mutiara Bunda hospital, Tulang Bawang Lampung had been increasing in the first quarter of 2014 which caused 66.67% neonatal deaths, indicating 29.61% cesarean section and vacuum extraction. The aim of the study was to find out the factors on labor and delivery duration among births and hospitalization records: The application of survival analysis. A quantitative observational analytic study with a design retrospective cohort, using secondary data from births and hospitalization records: The application of survival analysis. The birth recorded from January to December 2013 and the Sample of 205 medical record taken by Circular Systematic Sampling. The research variables were labor and delivery duration, risk status mother's age, parity, Hemoglobin concentration, blood pressure, uterine contractions, and the baby's weight. Data were analyzed using survival analysis by method the cox proportional hazards regression analysis, consisting of univariate, bivariate, and multivariate analysis. Finding of 66.3% women who experienced spontaneous onset of labor with a median duration of labor of 7.50 hours, the fastest delivery time was 1.08 hours from admission to placental delivery spontaneously with or without curing (the longest 22.75 hours); mother's age  without risked status category of 81%; parity of 52.7% multiparous, Hemoglobin concentration of 75.1% had an abnormal, blood pressure of 63.9% had a normal, uterine contractions of 52.2% was adequate, infant weight 55.1% ≤ 3000 grams. There was a relationship factors a parity (p = 0.003, HR = 0.595), uterine contractions (p = 0.013, HR = 0.664) and the labor and delivery duration. Parity was the most dominant variable, and following by uterine contractions, related to labor and delivery duration. The Function model hazard maternity consisted of two variables without effect of interaction variables, parity (p = 0.007, HR = 0.617) and uterine contractions (p = 0.025, HR = 0.672). It is recommended, for hospital management to periodic monitoring and evaluation of midwifery services according to Minimum Service Standards and Standard Operating Procedure, continuous identification of progress in labor and the well-being of mother and fetus, feeling safe and comfortable for patients, increasing patient and family knowledge, increasing preventive promotive efforts, increasing capacity and officer abilities.
Co-Authors Ab, Fitriana Abadi, Adelia Nurul Abkonita, Ria Afifah Khoirur Rizqi Agung Aji Perdana Agung, Rahmat Agus Kelana Benni Akhmalbih, Muhamad Amelia Hayati Angelina F, Christin Angkas Mandala Putra Aprilia Belkis, Happy Aprilia Susanti, Fitri Aprina Apriwesa, Teloe Artina, Selvi Aryastuti, Nurul Astari, Yulia Astawa, I Gusti Made Yoga Astri Aulia, Hanifah Astriana Astriana, Astriana Aulyya Rahmah Ayu L, Dwi Azzahra Kania Fatihah Azzahra, Dhika Bagus Perdana Kusuma Zain Bustami, Anita Christin Angelina Febriani Daka, Rohman Daniel Happy Putra Dekotyanti, Trivira Desi Nurzana Desy Fatmawaty Devita Anggraini Dewi Sintwati Dian Purnama Oktera Diana Sari Dina Dwi Nuryani Divia Oktari Khairunnisa Dwiyana, M Rizal Dyah Ayu, Dyah Dyah Gaby Kesuma Easter Yanti, Dhiny Echa Rafika Eka Sari, Fitri Eka Yuliana Ekasari, Fitri Elsa Rizki Lilian Nofita Sari Ermasari, Anisa Ernawati Ernawati Evi Herlinda F, Christin Angelina Fadhilah Amanda Sari Farah Ulya Suryadana Farahdisa, Ratih Mary Farida Aryani Farra Hayka Salsabilla Febrani, Christin Angelina Febriani, Christin Febrianti Febrianti Fidel Rama Nugraha Fitri Aprilia Susanti Fitri Eka Sari Fitri Eka Sari Siregar Forcepta, Chania Ghina Gabriella Yusuf Gusnita Silaen, Rahel Hadinata, Andri Hafiratul Fitri Usfa Hanifah Astri Aulia Hanifah Shabrina Happy Aprilia Belkis Hartono, Bella Kurniane Hayati, Amelia Herlinda, Evi Hermawan, Desi Hermawan, Dessy Ida Maya Meika Sari Iing Lukman Indah Mulia Herwisdiane Indriani, Annisa Ismunarti, Diah Jaya, Satrya Juwita Lestari Kania Fatihah, Azzahra Karunia Viandra Yoanisa Kelana Benni, Agus Kharisma, Rr.Salwa Zasya Aura Khoidar Amirus Khoirur Rizqi, Afifah Kundayani, Tri Kurniasari, Devi Lathifah, Neneng Siti Lestari, Juwita Lina Safitri Lintang Safitri, Nafisa Lolita Sary Lydia Sihotang Marina, Ni Nyoman Marisa Marisa Mariyam, Riyanti Mariza, Ana Maryam, Riyanti Muhammad Shendy Febrian Sahapati Muhan, Nova Muhani, Nova Mukhlisin Mukhlisin Nabila, Nia Nafisa Lintang Safitri Natalia, Betseba Nawawi, Achmad Nova Muhani Nuke Indrawati Nur Hasanah Nur Izzati, Syahdila Nurhalina Sari Nurliyani Nurliyani Nurzana, Desi Oktari Khairunnisa, Divia Perdana Kusuma Zain, Bagus Pramata, Gilang Raka Pratama, Gilang Raka Puspita, Elvia Putra, Indra Jaya Putri Puspita sari Rafika, Echa Rahel Gusnita Silaen Rahmat Effendi, Rahmat Rayhan Arnando, RD RD Rayhan Arnando Reviza SF, Zeni Ria Abkonita Riantik, Sofia Risdinar, Risa Rismaya Riyanti Riyanti Rohman Daka Rudi, Renna Oktavia Safitri, Lina Salsabilla, Nadya Samino Samino Samino, Saminp Saputri, Desty Alifia Saputri, Firdha Azzahra Sari Prawardani Sari, Dayu Linda Sari, Fadhilah Amanda Sari, Fitri Eka Sari, Nita Evriana Sari, Yunila Sastini, Ketut Satrya Jaya Setiawati Setiawati Setiawati, Octa Reni Setiawati, Tengku Ani Setya P., Kevin Andhara Shabrina, Hanifah Shintani, Clara Sihotang, Lydia Silaen, Rahel Gusnita Sintawati, Dewi Sintwati, Dewi Sofia Riantik Sri Utami Sri Wahyuni Suharman Suharman Suharman Suharman, Suharman sutarmi sutarmi Suti, Shalsabila Suti, Shasabila Tamara, Yayang Suci Taufik, Rohman Trikundayani, Trikundayani Utami, Vida Wira Viandra Yoanisa, Karunia Wirawan Anggorotomo, Wirawan Yanti, Dhiny Yanti, Dhiny Easter Yohanes, Efriza Yolandha Adinda Pratiwi Yuli Yantina Yulia Astari Yulyani, Vera Yunila Sari Yunita Sari Yusuf, Ghina Gabriella Zahra Shafa Anisa Zeni Reviza SF Zulius Alfandi