影响二级产妇分娩时间的因素分析

Tutik Iswanti, Nintinjri Husnida, Hani Sutianingsih
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摘要

第二阶段是婴儿排出的时期,从完全打开开始直到婴儿出生。如果第二阶段持续时间过长,会出现脱水、感染、产妇疲劳、宫内胎儿死亡等症状。本研究的目的是确定影响母亲分娩的第二产程持续时间的因素。本研究为二次研究,共87名受访者。本研究的抽样方法采用了系统抽样技术,即系统抽样。用公式计算后,区间值为11,因此从总体中抽取的一些样本是11个数的倍数,然后对数据进行分析。结果:产妇长时间分娩占8.0%,高危年龄占24.1%,初产妇占32.2%,子宫惯性占13.8%,胎膜早破占12.6%,胎儿体重不正常占2.3%,第一次月经长度占32.2%。影响第二期的因素是收缩(p值≤0.001)和第一期(p值= 0.033)。年龄(p值= 1000)、胎次(p值= 0.421)、胎膜早破(p值= 0.214)、胎重(p值= 1000)不受影响。第一产程持续时间对第二产程的影响最大,OR为0.074。影响第二阶段的因素是宫缩和第一阶段的持续时间。
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Factors That Influence the Time Of Labor in The 2nd Class of Mothers
Stage II is the period of the expulsion of the baby, starting from the complete opening until the baby is born. If the second stage lasts long, there will be symptoms such as dehydration, infection, maternal fatigue, and intrauterine fetal death. This study's objective is to determine the factors that affect the duration of second-stage labor for mothers giving birth. This study is a secondary study with a total sample of 87 respondents. The sampling method in this study used a systematic sampling technique, namely systematic sampling. After calculating with the formula, the interval value is 11, so the sample taken from some of the population is a multiple of 11 numbers, and then the data were analyzed. Results of the study are Maternal labor who experienced a long period II was 8.0%, age at risk was 24.1%, primigravida was 32.2%, uterine inertia was 13.8%, PROM was 12.6%, fetal weight was not normal by 2,3%, and the length of the first period is 32,2%. The factors that affect the second period are contraction (P-value ≤ 0,001) and the first period (P-value = 0.033). The factors that did not affect were age (P-value = 1,000), parity (P-value = 0.421), PROM (P-value = 0.214) and fetal weight (P-value = 1,000). The factor of the duration of the first stage had the strongest effect on the second delivery stage in mothers with an OR of 0.074. Factors that influence the second stage are contraction and the duration of the I stage.
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