Pengaruh Pengetahuan Dan Sikap Bidan Praktik Swasta Terhadap Penggunaan Partograf Dalam Proses Persalinan Normal Di Wilayah Kerja Dinas Kota Medan
ABSTRAK
Terjadinya kasus persalinan macet di pelayanan persalinan oleh Bidan Praktik
Swasta (BPS) di Kota Medan berdampak langsung pada tingginya resiko gawat janin
dan tingginya angka kematian ibu dan perinatal. Salah satu faktor yang menyebabkan
terjadinya persalinan macet karena BPS tidak menggunakan partograf pada
pertolongan persalinan normal, yang diduga dipengaruhi oleh pengetahuan dan sikap
BPS. Tujuan penelitian ini untuk menganalisis pengaruh pengetahuan dan sikap BPS
terhadap penggunaan partograf dalam proses persalinan normal.
Penelitian ini adalah survei analitik dengan pendekatan cross sectional
Penelitian dilakukan di Wilayah Kerja Dinas Kesehatan Kota Medan. Populasi
penelitian sebanyak 339 orang dan sampel diperoleh sebanyak 65 orang. Penarikan
sampel dengan teknik purposive sampling. Analisis data menggunakan analisis
univariat, analisis bivariat dengan uji chi-square, dan analisis multivariat dengan uji
regresi logistik ganda.
Hasil penelitian dengan menunjukkan bahwa pengetahuan bidan praktek
swasta berpengaruh signifikan terhadap penggunaan partograf di Wilayah Kerja
Dinas Kesehatan Kota Medan tahun 2013 (p=0,0240,05). Semakin baik pengetahuan bidan
praktek swasta maka bidan akan selalu menggunakan partograf dalam pertolongan
persalinan normal.
Disarankan kepada Dinas Kesehatan Kota Medan perlu upaya pembinaan
tentang penggunaan partograf kepada BPS dengan mengevaluasi praktik pelayanan
BPS dalam pertolongan persalinan normal, bila perlu memberi sanksi bagi BPS yang
tidak menggunakan partograf.
Kata Kunci: Pengetahuan, Sikap, Bidan, Partograf, Persalinan Normal
Universitas Sumatera Utara
ABSTRACT
The incidence of childbirth failures in the Maternity Care by BPS (Private
Midwife Practitioners) in Medan directly influences the high risk for fetus emergency
and high maternity and prenatal death rate. One of the factors which bring about
childbirth failure is that BPS does not use partograph in normal childbirth aid which
is probably caused by BPS' lack of knowledge and attitude. The objective of the
research was to analyze the influence of BPS' knowledge and attitude on the use of
partogaph in the process of normal childbirth.
The research was an analytic survey with cross sectional design. It was
conducted in the working area of the Health Service, Medan. The population was 339
private midwife practitioners, and 65 of them were used as the samples, taken by
using purposive sampling technique. The data were analyzed by using univariate
analysis, bivariate analysis with chi square test, and multivariate analysis with
multiple logistic regression analysis.
The result of the research showed that private midwife practitioners
knowledge had significant influence on the use of partograph in the working area of
Medan Health Service in 2013 (p= 0.024< 0.05), and their attitude did not have any
influence on the use of partograph in the working area of the Health Service, Medan,
in 2013 (p= 0.253> 0.05). The better the knowledge of the private midwife
practitioners was, the more frequent they used partograph in normal childbirth aid.
It is recommended that the management of Medan Health Service motivate
BPS to use partograph in normal childbirth. If it is necessary, have sanction upon
them who do not use partograph.
Keywords : Knowledge, Attitude, Midwife, Partograph, Normal Childbirth
Universitas Sumatera Utara
Terjadinya kasus persalinan macet di pelayanan persalinan oleh Bidan Praktik
Swasta (BPS) di Kota Medan berdampak langsung pada tingginya resiko gawat janin
dan tingginya angka kematian ibu dan perinatal. Salah satu faktor yang menyebabkan
terjadinya persalinan macet karena BPS tidak menggunakan partograf pada
pertolongan persalinan normal, yang diduga dipengaruhi oleh pengetahuan dan sikap
BPS. Tujuan penelitian ini untuk menganalisis pengaruh pengetahuan dan sikap BPS
terhadap penggunaan partograf dalam proses persalinan normal.
Penelitian ini adalah survei analitik dengan pendekatan cross sectional
Penelitian dilakukan di Wilayah Kerja Dinas Kesehatan Kota Medan. Populasi
penelitian sebanyak 339 orang dan sampel diperoleh sebanyak 65 orang. Penarikan
sampel dengan teknik purposive sampling. Analisis data menggunakan analisis
univariat, analisis bivariat dengan uji chi-square, dan analisis multivariat dengan uji
regresi logistik ganda.
Hasil penelitian dengan menunjukkan bahwa pengetahuan bidan praktek
swasta berpengaruh signifikan terhadap penggunaan partograf di Wilayah Kerja
Dinas Kesehatan Kota Medan tahun 2013 (p=0,0240,05). Semakin baik pengetahuan bidan
praktek swasta maka bidan akan selalu menggunakan partograf dalam pertolongan
persalinan normal.
Disarankan kepada Dinas Kesehatan Kota Medan perlu upaya pembinaan
tentang penggunaan partograf kepada BPS dengan mengevaluasi praktik pelayanan
BPS dalam pertolongan persalinan normal, bila perlu memberi sanksi bagi BPS yang
tidak menggunakan partograf.
Kata Kunci: Pengetahuan, Sikap, Bidan, Partograf, Persalinan Normal
Universitas Sumatera Utara
ABSTRACT
The incidence of childbirth failures in the Maternity Care by BPS (Private
Midwife Practitioners) in Medan directly influences the high risk for fetus emergency
and high maternity and prenatal death rate. One of the factors which bring about
childbirth failure is that BPS does not use partograph in normal childbirth aid which
is probably caused by BPS' lack of knowledge and attitude. The objective of the
research was to analyze the influence of BPS' knowledge and attitude on the use of
partogaph in the process of normal childbirth.
The research was an analytic survey with cross sectional design. It was
conducted in the working area of the Health Service, Medan. The population was 339
private midwife practitioners, and 65 of them were used as the samples, taken by
using purposive sampling technique. The data were analyzed by using univariate
analysis, bivariate analysis with chi square test, and multivariate analysis with
multiple logistic regression analysis.
The result of the research showed that private midwife practitioners
knowledge had significant influence on the use of partograph in the working area of
Medan Health Service in 2013 (p= 0.024< 0.05), and their attitude did not have any
influence on the use of partograph in the working area of the Health Service, Medan,
in 2013 (p= 0.253> 0.05). The better the knowledge of the private midwife
practitioners was, the more frequent they used partograph in normal childbirth aid.
It is recommended that the management of Medan Health Service motivate
BPS to use partograph in normal childbirth. If it is necessary, have sanction upon
them who do not use partograph.
Keywords : Knowledge, Attitude, Midwife, Partograph, Normal Childbirth
Universitas Sumatera Utara