Search Repository Universitas Fort De Kock

Partus lama adalah persalinan yang lebih dari 24 jam pada primipara dan lebih dari 18 jam pada multipara. Insiden partus lama menurut penelitian adalah 2,8% - 4,9% dari jumlah persalinan di dunia. Insiden partus lama di Indonesia 5,9%, Sumatera Barat 6,2% dan di RSUD Pasaman Barat 21%. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kejadian partus lama. Jenis penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Metode penelitian adalah retrospektif yaitu pengambilan data rekam medik di masa lampau. Penelitian dilakukan di RSUD Pasaman Barat pada Agustus - September 2017. Populasi penelitian adalah ibu bersalin di RSUD Pasaman Barat dengan jumlah 414 dan pengambilan sampel adalah total sampling, sehingga besar sampel adalah 414 orang. Pengumpulan data dilakukan dengan menggunakan kuesioner dengan studi dokumentasi. Pengolahan data dilakukan secara univariat dan bivariat dengan uji Chi Square. Berdasarkan hasil penelitian diketahui bahwa 21,7% responden mengalami ketuban pecah dini, 19,6% responden mengalami kelainan letak, 22,9% responden memiliki janin besar, 17,1% responden mengalami kelainan his, 21,5% responden memiliki usia beresiko, 20,5% responden memiliki paritas beresiko dan 21% responden mengalami partus lama. Hasil uji Chi Square mendapatkan nilai p value <0,005 (ketuban pecah dini 0,0005, OR 9,696. Kelainan letak 0,0005, OR 14,025. Janin besar 0,0005, OR 9,813. Kelainan His 0,0005, OR 26,760. Usia 0,0005, OR 19,097. Paritas 0,0005, OR 24,394) sehingga dapat disimpulkan bahwa terdapat hubungan ketuban pecah dini, kelainan letak, janin besar, kelainan his, usia dan paritas dengan kejadian partus lama. Berdasarkan penelitian maka diharapkan petugas dapat meningkatkan kompetensinya dalam penatalaksanaan partus lama dan petugas ruang kebidanan dapat meningkatkan pelayanan kebidanan terutama terhadap pelaksanaan perawatan ibu bersalin yang mengalami partus lama.

The old partus is more than 24 hours of labor in primipara and more than 18 hours in multiparas. The old incidence of partus according to the study was 2.8% - 4.9% of the total number of deliveries in the world. The incidence of old partus in Indonesia was 5.9%, West Sumatra 6.2% and in RSUD Pasaman Barat 21%. This study aims to determine the factors associated with the occurrence of old partus. The type of this research is descriptive analytic with cross sectional approach. The research method is retrospective that is retrieval of medical record data in the past. The research was conducted in RS Pasaman Barat in August - September 2017. The research population was maternity mother in RSUD Pasaman Barat with total 414 and sampling was total sampling, so the sample size was 414 people. The data were collected by using questionnaires with documentation study. Data processing is done univariat and bivariate with Chi Square test. Based on the result of the research, it is known that 21,7% of respondents experience premature rupture membrane, 19,6% of respondents have abnormalities, 22,9% of respondents have big fetus, 17,1% of respondents have their abnormalities, 21,5% of respondents have risky age, 20,5% % of respondents have risk parity and 21% of respondents are experiencing an old partus. Chi Square test results obtained p value <0.005 for all bivariate analysis (early rupture of membrans 0,0005, OR 9,696. Abnormalities, 0,0005,OR 14,025. Large fetus 0,0005, OR 9,813. Abnormalities his 0,0005, OR 26,760. age 0,0005, OR 19,097. Parity 0,0005, OR 24,394) so that it can be concluded that there is an early rupture of membranes, abnormalities, large fetus, abnormalities, age and parity with old partus events. Based on the research, it is expected that officers can improve their competence in the old partus management and midwifery room officers can improve midwifery services especially on the implementation of maternal care that experienced the old partus..