Relationship between Discussion 1 Parenting Pattern
second stage of labor has many advantages such as lack of perineal
trauma, more easily meneran and Apgar score 1 minute and 5 minutes
better. Therefore, health care providers should explain to maternal
and maternal companion that can decide themselves felt most
comfortable position for himself. The role of health care providers is to give
support to the mother in choosing any chosen position, suggest alternatives
if the selected position for himself endanger the mother and for the
babyAnik,maryunani.2010.
According to Dr. Dwi Rahmiati upright position, and is related to the
duration of the second stage is shorter, episiotomy and aid delivery
more a little. Based on preliminary studies
conducted in health centers Kediri district Ngadiluwih conducted on 21 s
d February 28, 2014 obtained four deliveries, two birth mothers and two
labor primiparous multiparous mothers. Results obtained 3 of them
did not rupture perineum and one of them suffered spontaneous rupture
perineum.
Based on the description above, researchers are interested in
Hasyar position most commonly conducting research on the degree of
applied in various maternity hospitals perineal rupture associated with strain
RSB or midwives practice position.
Therefore the researchers independently BPM in all over the
country are on their backs supine, which has the disadvantage that one
chose to study with the title
The Effectiveness of Semi Fowler Position
to the Degree of Rupture Perineum
of them is increasing the pressure on
Spontaneus on
Primipara and
the perineum which can increase tear and degree episiotomy while in the
semi-Fowler position of 50 for this position enough to make the
mother comfortable but has the drawback that is approximately equal
to the lithotomy position that is by the patient sits with his back leaning
against a pillow, legs bent and thighs opened to the side. Other positions
are slanted position used in the second stage of labor is about 40
but the obstacles complicate tilted position midwife to assist the delivery
process. In a sense, hard to monitor
Multipara in maternal at Working Area Puskesmas Ngadiluwih Kediri
. It is hoped this can help health
workers, especially those related to the aid delivery process to assist the
mother in choosing straining position, as well as help birth mothers find a
comfortable position. So as to reduce complications during childbirth in the
second stage.
Reseach objectives
Determine the effectiveness of semi fowler position to the perineum rupture
spontaneously in maternal primiparous the babys head, held, as well as
and multiparous
in Puskesmas
directed. Midwives will have trouble when performing episiotomy, while
in a squatting position used 10 in the second stage of labor positions.
Weakness in the squatting position Ngadiluwih Kediri.
Methodology
This study was a comparative analytical study design is research that
can potentially make your babys head attempts
to explore how the
injury as well as complicate the monitoring of opening and other labor
actions eg episiotomy. In a systematic review evidence relating to the
position of the alternative second stage, Gupta Hofmeyr 2004
concluded that meneran would be more effective if the mother is in an
796 phenomenon occurs. This study design
using pre-experimental design post test only design that is in the draft
absolutely no control. The draft can be described as follows:
experiment Post test
Mother Ruptur Perineum
X O2
in Tidak
I II
III Jumlah
lab or
n n
n n
n
Results 1. Rupture of perineum on Primipara
Primipa ra
1 6,67
2 13,33 9 60,
3 20,0 1
50,0
Maternal with Semi Fowler Position
1
in Puskesmas Ngadiluwih Kediri.
Rupture of the perineum on primiparous maternal using semi
Multipa ra
7 46,67
4 26,67 3 20,
1 6
,
1 5
50,00 5
fowler position can be seen in the table below:
Table 1.2 Rupture of the perineum Multipara Maternal with
6 6
Ruptur Perineum
1. Unrupture 2. Grade I
3. Grade II
n
7 4
3
Persentase
46,67 26,67
20,00
Semi Fowler Position
Table 1.2 shows that the majority of multiparous
maternal not
experienced spontaneous perineum rupture as many as seven people.