ABSTRAK
Latar Belakang: Persalinan merupakan suatu proses fisiologis, namun berkaitandengan nyeri dan rasa tidak nyaman. Selain itu induksi persalinan merupakan suatuintervensi dari luar terhadap proses alami kehamilan sehingga menginisiasi terjadinyakontraksi uterus dan dilatasi serviks Saat ini belum ada studi yang membandingkannyeri persalinan spontan dan nyeri induksi persalinan.Tujuan: Mengetahui perbedaan nyeri persalinan spontan dan nyeri induksipersalinan 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 dansatu hari pasca persalinan.Metode: Penelitian dengan desain kohort prospektif membandingkan 50 ibupersalinan spontan dan 50 ibu yang menjalani induksi persalinan sesuai dengankriteria inklusi dan eksklusi. Sampel didapatkan dari RS Cipto Mangunkusumo danRS jejaring lainnya periode Juli 2013- September 2013. Intensitas nyeri dinilaidengan Visual Analogue Scale. pada persalinan spontan dan induksi persalinan .Perbandingan data antara dua kelompok dianalisis dengan uji Mann-WhitneyHasil : Didapatkan skor nyeri ibu dengan persalinan spontan dibandingkan induksipersalinan pada kala I his 2-3x/10 menit lama his 20-30 detik (5,00 vs 6,00, nilaitengah semu 38,36 vs 62,64, p <0,001), saat kala I his 4x/10 menit lama his lebihdari 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 nyeriibu satu hari pasca persalinan didapatkan nilai median yang lebih tinggi pada skornyeri pasien dengan persalinan spomtan dan induksi persalinan (1,00 vs 0,00, nilaitengah semu 46,00 vs 55,00, p=0,072) nilai p > 0,05 menunjukkan tak ada perbedaanbermakna.Kesimpulan : Persalinan induksi lebih nyeri dibandingkan persalinan spontan padakala I dengan his 2-3 kali dalam 10 menit dan lama his 20-40 detik, kala I his lebihdari 4x /10 menit lama his lebih dari 40 detik dan kala IV. Pada penilaian satu haripasca persalinan, tidak ada perbedaan bermakna secara statistik pada ibu persalinanspontan dengan induksi persalinan
ABSTRAK
Background:Childbirth is a physiological process, but associated with pain anddiscomfort. In addition, the induced labor is an external stimulation for the naturalprocess of pregnancy as to initiate uterine contractions and cervical dilation.Currently no studies comparing the pain between spontaneous labor and inducedlabor .Objectives:Knowing the difference in spontaneous labor pain and induced labor painduring 2-3 times in 10 minutes of contractions within 10 minutes in the first stage was20-40 seconds length of contractions,4 times of contractions in the first stage wichwas more than 40 seconds length of contraction,in the fourth stage of labor and oneday after the birth.Methods: An analytical cohort study, with 50 women undergoing spontaneous laborand compared with 50 women undergoing induced labor, accordance with theinclusion and exclusion criteria. Samples obtained from Cipto Mangunkusumo andothers networking hospital period July 2013 - September 2013. The Pain intensity inspontaneous labor and induced labor was assessed by Visual Analogue Scale.Comparison of data between the two groups were analyzed with the Mann-WhitneytestResults:Obtained pain scores by VAS compared to women with spontaneous laborand induction of labor respectively, in the first stage with contraction 2-3 times in10 minutes with 20-40 seconds length of contraction (5.00 vs 6.00, mean rank 38.36vs. 62.64 , p <0.001) , in the first stage with contractions 4 time in 10 minutes morethan 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 stagewith contraction 2-3 times in 10 minutes with 20-40 seconds length of contraction, thefirst stage with contractions 4 time in 10 minutes more than 40 seconds length ofcontraction and at the fourth stage of labor. On one day after the birth assessment,there was no statistically significant difference at spontaneous labor pain comparedwith induced labor pain. |
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