ABSTRAK Latar Belakang: Persalinan merupakan suatu proses fisiologis, namun berkaitan
dengan nyeri dan rasa tidak nyaman. Selain itu induksi persalinan merupakan suatu
intervensi dari luar terhadap proses alami kehamilan sehingga menginisiasi terjadinya
kontraksi uterus dan dilatasi serviks Saat ini belum ada studi yang membandingkan
nyeri persalinan spontan dan nyeri induksi persalinan.
Tujuan: Mengetahui perbedaan nyeri persalinan spontan dan nyeri induksi
persalinan pada kala I dengan his 2-3 kali dalam 10 menit dan lama his 20-40 detik,
kala I dengan his 4 kali dalam 10 menit dan lama his lebih dari 40 detik, kala IV dan
satu hari pasca persalinan.
Metode: Penelitian dengan desain kohort prospektif membandingkan 50 ibu
persalinan spontan dan 50 ibu yang menjalani induksi persalinan sesuai dengan
kriteria inklusi dan eksklusi. Sampel didapatkan dari RS Cipto Mangunkusumo dan
RS jejaring lainnya periode Juli 2013- September 2013. Intensitas nyeri dinilai
dengan Visual Analogue Scale. pada persalinan spontan dan induksi persalinan .
Perbandingan data antara dua kelompok dianalisis dengan uji Mann-Whitney
Hasil : Didapatkan skor nyeri ibu dengan persalinan spontan dibandingkan induksi
persalinan pada kala I his 2-3x/10 menit lama his 20-30 detik (5,00 vs 6,00, nilai
tengah semu 38,36 vs 62,64, p <0,001), saat kala I his 4x/10 menit lama his lebih
dari 40 detik (10,00 vs 10,00, nilai tengah semu 45,50 vs 55,50, p= 0,013), kala IV
(1,00 vs 1,00, nilai tengah semu 44,53 vs 56,48, p 0,020). Sedangkan pada skor nyeri
ibu satu hari pasca persalinan didapatkan nilai median yang lebih tinggi pada skor
nyeri pasien dengan persalinan spomtan dan induksi persalinan (1,00 vs 0,00, nilai
tengah semu 46,00 vs 55,00, p=0,072) nilai p > 0,05 menunjukkan tak ada perbedaan
bermakna.
Kesimpulan : Persalinan induksi lebih nyeri dibandingkan persalinan spontan pada
kala I dengan his 2-3 kali dalam 10 menit dan lama his 20-40 detik, kala I his lebih
dari 4x /10 menit lama his lebih dari 40 detik dan kala IV. Pada penilaian satu hari
pasca persalinan, tidak ada perbedaan bermakna secara statistik pada ibu persalinan
spontan dengan induksi persalinan
ABSTRAK Background:Childbirth is a physiological process, but associated with pain and
discomfort. In addition, the induced labor is an external stimulation for the natural
process of pregnancy as to initiate uterine contractions and cervical dilation.
Currently no studies comparing the pain between spontaneous labor and induced
labor .
Objectives:Knowing the difference in spontaneous labor pain and induced labor pain
during 2-3 times in 10 minutes of contractions within 10 minutes in the first stage was
20-40 seconds length of contractions,4 times of contractions in the first stage wich
was more than 40 seconds length of contraction,in the fourth stage of labor and one
day after the birth.
Methods: An analytical cohort study, with 50 women undergoing spontaneous labor
and compared with 50 women undergoing induced labor, accordance with the
inclusion and exclusion criteria. Samples obtained from Cipto Mangunkusumo and
others networking hospital period July 2013 - September 2013. The Pain intensity in
spontaneous labor and induced labor was assessed by Visual Analogue Scale.
Comparison of data between the two groups were analyzed with the Mann-Whitney
test
Results:
Obtained pain scores by VAS compared to women with spontaneous labor
and induction of labor respectively, in the first stage with contraction 2-3 times in
10 minutes with 20-40 seconds length of contraction (5.00 vs 6.00, mean rank 38.36
vs. 62.64 , p <0.001) , in the first stage with contractions 4 time in 10 minutes more
than 40 seconds length of contraction (10.00 vs. 10.00,mean rank 45.50 vs 55.50, p =
0.013), fourth stage of labor (1.00 vs. 1.00 , mean rank 44.53 vs. 56.48, p 0.020).
While the pain score on one day after the birth (1.00 vs 0.00 , mean rank 46.00 vs.
55.00 , p 0,072).
Conclusion: Induced labor more painful than spontaneous labor in the first stage
with contraction 2-3 times in 10 minutes with 20-40 seconds length of contraction, the
first stage with contractions 4 time in 10 minutes more than 40 seconds length of
contraction and at the fourth stage of labor. On one day after the birth assessment,
there was no statistically significant difference at spontaneous labor pain compared
with induced labor pain.
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