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Journal : JKM (Jurnal Kebidanan Malahayati)

PENGARUH HYPNOBIRTHING TERHADAP LAMA PERSALINAN KALA II PADA IBU BERSALIN PRIMIGRAVIDA Desy Syswianti; Tri Wahyuni; Dina Mardiana
JKM (Jurnal Kebidanan Malahayati) Vol 6, No 4 (2020): Volume 6 Nomor 4 Oktober 2020
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v6i4.2937

Abstract

ABSTRACT Background: The labor process does not run smoothly if it is not handled properly. Hypnobirthing is an alternative to speed up the labor process. This technique aims to make the mother have a calm spirit with positive energy, which helps relieve pain and anxiety during contractions which have an impact on weakening the uterine contractions and causing the labor process to take a long time. Hypnobirthing can eliminate fear of women during childbirth so that the uterine muscles relax. This will make labor easier and lead to a stress-free delivery.Purposes: To find out the comparison of the length of the second stage of labor in mothers who apply hypnobirthing and do not apply hypnobirthing, as well as to analyze the effect of hypnobirthing on the duration of the second stage of labor at the Midwife Practice Dina Garut.Methods: This research is a quasy experiment, with posttest only with control group design. The research was conducted at the Practical Midwife Dina Garut. The sample was selected by purposive sampling, as many as 20 pregnant women for each sample group. Data collection was carried out by observation using the observation sheet for the duration of second stage labor. The data analysis used was the independent sample t test.Results: The results showed that the average of second stage lenght of labor in the experimental group was 20.24 minutes and the standard deviation was 3.0758. The average of second stage lenght of labor in the control group was 20 - 45 minutes and the standard deviation was 7.3045. Independent sample t test results obtained t of -8.746 and p of 0.000 (p <0.05), so hypnobirthing affects the length of second stage of labor. Conclusion: Hypnobirthing influences the length of second stage of labor in primigravida mothers at BPM Midwife Dina Garut.Suggestion: BPM Dina in particular and in general all midwives in the Garut area, in order to be able to apply to all pregnant women regarding hypnobirthing at an affordable cost, and apply to the entire delivery process Keywords: Hypnobirthing, the length of second stage of labor ABSTRAK Latar Belakang: Proses persalinan tidak berjalan lancar jika tidak ditangani dengan benar. Hypnobirthing menjadi alternatif untuk mempercepat proses persalinan. Teknik ini bertujuan agar ibu memiliki jiwa yang tenang dengan energi positif, yang membantu menghilangkan rasa sakit dan kecemasan selama kontraksi yang berdampak pada melemahnya kontraksi rahim dan menyebabkan proses persalinan berjalan lama.  Hypnobirthing dapat menghilangkan rasa takut pada wanita saat melahirkan sehingga otot rahim menjadi relaksasi. Hal ini akan mempermudah proses persalinan dan menyebabkan persalinan yang bebas stres.Tujuan: Untuk mengetahui perbandingan lama persalinan kala II pada ibu yang menerapkan hypnobirthing dan tidak menerapkan hypnobirthing, serta menganalisis pengaruh hypnobirthing terhadap lama persalinan kala II di Bidan Praktik  Dina Garut.Metode: Penelitian ini merupakan quasy eksperimen, dengan posttest only with control group design. Penelitian dilakukan di Bidan Praktik Dina Garut. Sampel dipilih dengan purposive sampling, sebanyak 20 wanita hamil untuk setiap kelompok sampel. Pengumpulan data dilakukan secara observasi dengan menggunakan lembar observasi lama persalinan kala II. Analisis data yang digunakan adalah uji t sampel independen.Hasil: Hasil penelitian menunjukkan bahwa rata-rata lama persalinan kala II pada kelompok eksperimen adalah 20,24 menit dan standar deviasi adalah 3,0758. Rata-rata lama persalinan kala II pada kelompok kontrol adalah 20 - 45 menit dan standar deviasi adalah 7,3045. Hasil uji t sampel independen diperoleh t sebesar -8,746 dan p sebesar 0,000 (p <0,05), sehingga hypnobirthing berpengaruh terhadap lama persalinan kala II.Kesimpulan: Hypnobirthing berpengaruh terhadap lama persalinan kala II pada ibu primigravida di BPM Bidan Dina Garut.Saran Bidan Praktik Dina khususnya dan secara umum seluruh bidan yang ada di wilayah Garut, agar dapat menerapkan kepada seluruh ibu hamil mengenai hypnobirthing dengan biaya yang terjangkau, dan menerapkan pada seluruh proses persalinan Kata Kunci: Hypnobirthing, Lama Persalinan Kala II 
Hypnobirthing And Rebozo Affect The Duration Of Labor In II And Apgar Scores Desy Syswianti; Tri Wahyuni
JKM (Jurnal Kebidanan Malahayati) Vol 9, No 1 (2023): Volume 9 No.1 Januari 2023
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v9i1.7378

Abstract

Latar Belakang: Angka kematinan ibu dan angka kematian bayi di Indonesia masih tinggi. Partus lama menjadi penyebab 31% kematian ibu. Adapun kematian bayi 27,4% disebabkan karena asfiksia. Asfiksia dapat dideteksi dengan melalui pengukuran skor Apgar. Pemberian hypnobirthing dan teknik rebozo dipercaya dapat mempercepat lama persalinan kala II dan meningkatkan skor Apgar.Tujuan: Mengetahui pengaruh pemberian hypnobirthing dan rebozo terhadap lama persalinan kala II dan skor Apgar.Metode: Penelitian merupakan quasy experiment, dengan desain posttest only with control group design, di mana kelompok eksperimen diberikan hypnobirthing dan rebozo dan kelompok kontrol hanya diberikan hypnobirthing. Populasi adalah ibu melahirkan di BPM Bidan D di Garut pada periode November – Desember 2021. Sampel masing-masing kelompok sejumlah 20 ibu melahirkan, diambil dengan purposive sampling. Pengukuran lama persalinan kala II digunakan stopwatch dan pada skor Apgar digunakan tes Apgar. Analisis data digunakan uji t sampel independen  apabila data penelitian distribusi data normal, dan uji Mann Whitney apabila data penelitian tidak distribusi data normal.Hasil: Hasil pengujian Mann-Whitney menunjukkan bahwa pemberian hypnobirthing dan rebozo berpengaruh terhadap lama persalinan kala II, ditunjukkan dari nilai Z sebesar -4,420 dan p sebesar 0,000 (p<0,05). pemberian hypnobirthing dan rebozo tidak berpengaruh terhadap skor Apgar, ditunjukkan dari nilai Z sebesar --0,284 dan p sebesar 0,776 (p>0,05).Kesimpulan:  Pemberian hypnobirthing dan rebozo berpengaruh terhadap penurunan lama persalinan kala II, dan tidak berpengaruh terhadap skor Apgar.Saran:  hendaknya bidan membuat suatu video pembelajaran teknik hypnobirthing dan rebozo, agar ibu hamil dapat menerapkan teknik hypnobirthing selama masa kehamilan, dan sebagai pembelajaran bagi bidan agar dapat membantu ibu bersalin dalam melakukan teknik rebozo. Kata kunci: Skor Apgar, Hypnobirthing, Lama Persalinan Kala II ABSTRACT Background: Maternal and infant mortality rates in Indonesia are still high. Long parturition is the cause of 31% of maternal deaths. The 27.4% infant mortality was caused by asphyxia. Asphyxia can be detected by measuring the Apgar score. Giving hypnobirthing and rebozo technique is believed to speed up the duration of the second stage of labor and increase the Apgar score.Purpose: To determine the effect of hypnobirthing and rebozo on the duration of the second stage of labor and the Apgar score.Methods:  This research is a quasi experiment, with a posttest only design with control group design, where the experimental group was given hypnobirthing and rebozo and the control group was only given hypnobirthing. The population is mothers giving birth at BPM Midwife Dina Garut in the period November – December 2021. The sample of each group is 20 mothers who give birth, taken by purposive sampling. The measurement of the duration of the second stage of labor was used a stopwatch and the Apgar score was used for the Apgar test. Data analysis used the independent sample t test if the research data was normally distributed, and the Mann Whitney test if the research data was not normally distributed.Result: The results of the Mann-Whitney test showed that hypnobirthing and rebozo had an effect on the duration of the second stage of labor, indicated by the Z value of -4.420 and p of 0.000 (p<0.05). giving hypnobirthing and rebozo had no effect on Apgar score, indicated by Z value of -0.284 and p of 0.776 (p>0.05).Conclusion: The implementation of hypnobirthing and rebozo had an effect on decreasing the length of the second stage of labor, and had no effect on the Apgar score.Suggestion: Midwives should make a video learning the hypnobirthing and rebozo techniques, so that pregnant women can apply the hypnobirthing technique during pregnancy, and as a lesson for midwives so they can help mothers in childbirth in doing the rebozo technique. Keywords: Apgar Score, Hypnobirthing, Second Stage Labor Duration