The Effectiveness Of Trial Position Half Sitting Position And Dorsal Recumbent In Stage Ii Labor To Reduce Trauma In Normal Labor In The Hospital Rhidos

Abstract

The high rate of cesarean section delivery is influenced by many things. One of them is the trauma of childbirth to the mother due to the long labor time. This can be due to the incorrect position of the labor. Most of the maternal and perinatal deaths occurred during delivery. One of the causes is long period II (37%) and asphyxia in infants (28%) (Depkes RI, 2009). The aim of the study was to determine the differences in the position of half-sitting, tilted to the left and dorsal recumbent labor towards the length of the second period in the hospital. Rhidos 2020. This research is a static experimental group comparison study, the sample of this study were all primigravida maternity with normal delivery care, divided into 3 groups, namely the group with half-sitting labor position as many as 20 respondents, the left tilted labor position group as many as 20 respondents. group of 20 people with the dorsal recumbent position. The study was conducted at the hospital. Rhidos City of Medan in 2020. Data analysis used univariate analysis presented with frequency distribution, and bivariate analysis to determine the difference in the length of second stage with left tilted position and semi-fowler / half-sitting position using the independent T test. The results showed that the half-sitting labor position group was 87.5 minutes, obtained p value = 0.029, which means the p value> of alpha (0.05), in the half-sitting position with α <0.05 (p-value = 0.029) and in the dorsal recumbent position with α <0.05 (p-value = 0.001) It can be concluded that Ho is rejected and Ha is accepted, meaning that there is a difference in the effectiveness of the oblique position, half-sitting position and dorsal recumbent position on the smoothness of the labor process.