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Family Support and Midwives Motivation for the First Stage of Labor Siska Nawang Ayunda Maqfiro; Triany Laila Pelu
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 1 (2023): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2776

Abstract

The first stage of labor is the longest duration compared to the second, third, and fourth stages. At this time requires extra energy because contractions occur that cause feelings of fear, anxiety, and excessive stress, triggering the release of non-epinephrine hormones that inhibit the work of oxytocin so that it can prolong the first stage of labor. The purpose of this study was to investigate the relationship between family support and the midwives's motivation for the first stage of labor progress in an Independent Midwifery Practice within working area of Kalumata Public Health Center, Ternate City. The population is woman who during the first stage of labor in an Independent Midwifery Practice in Ternate City. There were 30 samples in this research that have been selected by using quota sampling technique. The data were collected by using questionnaires and partographs. The results of multivariate analysis using logistic regression showed that the two independent variables, family support and midwife's motivation when correlated multivariate together showed that had not relationship with the progress of the first stage of labor with the significant value equal to 0,05 and more than 0,05 is 0,999. The progress of labor is multifactorial that related with each other and not independent. Although the woman had received support from her family and motivation from the midwife, if her self efficacy was low, that can make anxiety and increased intervention in labor. Support in labor should be a standard procedure that is planned to be provided by midwife to pregnant woman and their families before the signs and symptoms that labor has begun.
Effectiveness of the GURAKA Application in Enhancing Maternal Preparedness for Childbirth Siska Nawang Ayunda Maqfiro Maqfiro; Triany Laila Pelu
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 13 No. 1 (2026): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v13i1.8080

Abstract

Birth Preparedness and Complication Readiness (BPCCR) is a strategy aimed at promoting planning for childbirth and emergency preparedness among pregnant women, their families, and communities. The study aimed to determine the effectiveness of the GURAKA application on maternal preparedness for childbirth. The study population consisted of third-trimester pregnant women in the service area of Kota Community Health Center. Sixty participants were selected using consecutive sampling and were allocated into two groups: one group used the GURAKA application, while the control group used the MCH Book. Data were analyzed sequentially using test of normality and homogeneity, Wilcoxon Signed Rank Test, and Mann–Whitney U test. The Mann-Whitney analysis showed that, in the pretest, the intervention group demonstrated a higher mean rank (36.32) than the control group (24.68), with the difference being statistically significant (p = 0.009). In the posttest, the intervention group’s mean rank increased to 37.10, while the control group decreased to 23.90, with p = 0.003 (p<0.05). These findings indicate that the GURAKA Application is more effective than the MCH Book in enhancing maternal readiness for childbirth.