Result Research Methodology Levels of Measurement Results Samples with AAS

Walgito, Bimo. 2010. Bimbingan dan Konseling Studi dan Karier . Yogyakarta, Andi. Wikipedia 2015 Sulung . Wikipedia Bahasa Indonesia, Ensiklopedia Bebas, http:id.wikipedia.orgwikiSulung . Artikel diakses tanggal 27 Mei 2015. Winarti 2011. Pengaruh Pola Asuh Orang Tua Terhadap Pembentukan Akhlak Anak Usia 7-12 Tahun Di Ketapang Tangerang . Jakarta, Skripsi : Fakultas Dakwah dan Ilmu Komunikasi Universitas Islam Negeri Syarif Hidayatullah. Wulandaru, Wening. 2012. Bunda, Sekolah Pertamaku : Panduan Islami Mencetak Anak Unggul . Solo, Tinta Medina. 788 THE EFFECTIVENESS OF SEMI FOWLER POSITION TO THE DEGREE OF SPONTANEOUS PERINEUM RUPTURE ON PRIMIPARA AND MULTIPARA MATERNAL AT THE WORKING AREA OF PUSKESMAS NGADILUWIH KEDIRI Susanti Pratamaningtyas Health Ministry Health Polytechnique Malang ABSTRACT Semi Fowler position is the most often suggested position for second phase by setting pillow under knee, arm and back. Parity can influence a spontaneus rupture perineum because the perineum area net structure in multipara has different elasticity. The purpose of the research was to analyze the effectivity of Semi Fowler position to the degree of rupture perineum to primipara and multipara maternal. The research design was using a pre experiment post test only design where its independent variable was semi fowler position and its dependent variable was a spontaneus rupture perineum to primipara or multipara by using wilcoxon mann-whitney u-test statistic test. The population and sample of research consisted of 15 primipara intrapartum and 15 multipara intrapartum. The result of statistic test showed that U 1 = 47.5 and U 2 = 177,5 in which U 1 was used as the account value. So U test = 47.5 and this score then was compared with U table for n 1 = 15 and n 2 = 15 it showed that U tabel =56. AsU test U table so that h was rejected and h 1 was accepted. The conclusion of the research was the effetivity difference of a semi fowler position of spontaneus rupture perineum to primipara and multipara intrapartum maternal. The straining position influenced to the process of intrapartum, so the straining position could indirectlyinfluence a rupture perineum. Keyword : a semi fowler position, rupture perineum, primipara, multipara Background In the delivery process, there are opening and thinning of the cervix processes including process of descent into the birth canal that happens in full-term pregnancy which NICE, 2007 and 2 the active second stage is defined as the emergence of fetal, contraction of emergence with the finding that cervical fully dilated or any other signs that the cervix is fully dilated, is 37-42 weeks without any active maternal effort after full complications to the mother and fetus Saifuddin, 2006. The progress of labor and birth takes place in four stages Ladewig, 2006. Labor is divided into some stages and the first stage is when opening takes place from zero to the complete opening cervical dilatation confirmed, without any emergence contractions Helen, 2010, the third stage begins as soon as the fetus is born and ends with the birth of the placenta and fetal membranes. The third stage is also known as a stage of separation and which is divided into a latent phase placenta expulsion. Sarwono and active phase JNPK-KR, 2008, and the second stage of labor begins when the cervix is fully dilated, and ends when the baby is born Hellen, 2010. Second stage of labor is divided into 1 the passive second stage that is defined as findings of full cervix dilatation before or without Prawirohardjo 2008. Stage IV is after the birth of the placenta and ends two hours after that JNPK-KR, 2008. Labor is determined by several factors such as power, passage, passanger, psychology Lipincott, Williams, 2005. The percentage of direct maternal causes of death in unconscious delivery contractions 794 East Java in 2011 is bleeding