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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

LAMA KALA II PERSALINAN PADA IBU PRIMIGRAVIDA YANG MENGIKUTI SENAM DAN TIDAK SENAM HAMIL Uswatun Hasanah; Wahyul Anis; Bambang Purwanto
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.70-76

Abstract

Abstrak Latar Belakang: Kehamilan dan persalinan merupakan proses alamiah bagi wanita namun peluang terjadinya komplikasi bisa saja terjadi. Komplikasi yg terjadi selama persalinan menjadi penyumbang angka kematian ibu di Indonesia seperti kala II memanjang. Primigravida merupakan faktor risiko terjadinya kala II memanjang, jika lebih dari 2 jam berisiko 1.42 kali menyebabkan trauma jalan lahir dan perdarahan. Upaya pemerintah untuk mencegah komplikasi tersebut dengan menyelenggarakan senam hamil untuk menyeimbangkan emosional, mental, fisik dan spiritual sehingga mengurangi risiko persalinan lama. Penelitian ini bertujuan untuk mengetahui perbedaan pada durasi lama kala II persalinan pada primigravida yg mengikuti senam hamil dan tidak senam hamil. Metode: Penelitian ini adalah anlitik observasional dengan rancangan cross-sectional, jumlah sampel 92 responden dengan teknik total sampling. Variabel independen adalah senam hamil dan variabel dependen yaitu lama kala II persalinan. Instrumen yang digunakan adalah rekam medis dan kuesioner. Analisis data menggunakan uji Mann Whitney Test. Hasil: Hasil penelitian menunjukkan variabel durasi kala II persalinan  p = 0,000 (p<0,05). Kesimpulan: Durasi kala II persalinan pada primigravida yang mengikuti senam hamil lebih cepat dibandingkan dengan ibu yang tidak senam hamil. AbstractBackground: Pregnancy and childbirth are natural processes for women but the chance of complications can occur. Complications that occur during labor contribute to the maternal mortality rate in Indonesia such as elongation in the second period. Primigravida is a risk factor for prolonged stage II, if more than 2 hours the risk is 1.42 times causing trauma to the birth canal and bleeding. Government efforts to prevent these complications by carrying out pregnancy exercises to balance emotional, mental, physical and spiritual thus reducing the risk of prolonged labor. The aim of this study was to determine the differences in the duration of the second stage of labor in primigravidas who followed and did not follow pregnancy exercise. Method: This study was an observational analytic with a cross-sectional design, with a total sample of 92 respondents with a total sampling technique. The independent variable is pregnancy exercise and the dependent variable is the duration of second stage of labor. The instruments used medical records and questionnaires. Data analysis using the Mann Whitney Test. Results: The results showed the variable duration of second stage of labor p = 0,000 (p <0.05). Conclusions: The duration of the second stage of labor in primigravidas who followed pregnancy exercise  was faster than did not follow pregnancy exercise.  
THE RELATIONSHIP OF STRESS LEVEL WITH MENSTRUAL CYCLE IN MIDWIFE AT RSUD DR. SOETOMO DURING THE COVID-19 PANDEMIC Dwi Wulan Suci; Bambang Purwanto; Atika
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 4 (2022): Indonesian Midwifery and Health Sciences Journal, October 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i4.2022.341-349

Abstract

Background: An interrupted menstrual cycle can indicate reproductive system problems. However, there are several factors that can affect the length of the menstrual cycle such as nutritional status, diet, stress, hormonal drugs, smoking, and sleep quality. The current COVID-19 pandemic has had a major impact, one of which is an increase in stress, especially for health workers who serve COVID-19 problems. This study aims to analyze the relationship between stress levels with the length of the midwife's menstrual cycle during the COVID-19 pandemic. Methods: The type of research that will be used is an observational analytic study using a cross sectional design. The number of samples used were 47 midwives who work in RSUD Dr. Soetomo Surabaya during the COVID-19 pandemic. Bivariate analysis using Spearman tests. Results: There were 63.8% of midwives who had moderate stress levels and 88.2% of midwives with normal menstrual cycle length. The results of the analysis showed that there was no relationship between the midwife's stress level with the length of her menstrual cycle with p=0,660 and p = 0.568. Conclusion: Based on the results of this study, it can be concluded that there is no relationship between stress levels with the length of the menstrual cycle in midwives during the COVID-19 pandemic, so education and information about stress handling mechanisms are needed so that stress does not increase.  Keywords: Stress level, menstrual cycle length, COVID-19 pandemic