Maternity Mothers Research Articles

PENGARUH LATIHAN BIRTH BALL TERHADAP PENGURANGAN RASA NYERI PERSALINAN

Maternal mortality is still high. The maternal mortality rate (MMR) in Indonesia was recorded at 177 deaths per 100 thousand live births in 2017. This ratio is already better than the previous dozen years, which was more than 200 deaths per 100 thousand live births. However, Indonesia's MMR is still the third highest in Southeast Asia. (World Bank, (Lidwina, 2021). The Maternal Mortality Rate (MMR) based on the 2015 SUPAS report was 305 per 100,000 live births. This figure shows a decrease compared to the 2012 IDHS, which was 359 per 100,000 live births (Profile Lampung, 2020).In Lampung Province, there was an increase in 2020 that the number of cases of maternal death increased compared to 2019, from 110 cases to 115 cases (Profile Lampung, 2020).Based on the Health and Nutrition Section of the Lampung Provincial Health Office in 2020 that MMR occurred in Central Lampangg Regency. as many as 22 cases. Pain during labor arises as a result of the mother's physical and psychological reflexes. Emotional tension due to anxiety will worsen the mother's perception of the pain felt during childbirth. Pain that arises during labor requires proper pain management and this should be a concern for women, families and health workers. Pain in labor during the I m is pain with a scale of weight felt by the mother in labor for a l onger time. Non-pharmacological (complementary) methods are proven to reduce labor pain, one of which is by using Birth Ball exercises.To analyze the effectiveness of birth ball exercises in the first stage of labor to reduce labor pain in the Independent Midwife Practice (PMB) "E" in Central Lampung Regency.Experimental research with Pre and Post-Test Control Group Design approach. The population was primigravida maternity mothers in the active phase of the first phase with a total of 15 samples. The research was conducted at the Independent Midwife Practice (PMB) "E" in Central Lampung Regency. The instrument used was an observation sheet on the intensity of labor pain using the Faces Pain Rating Scale. Results: Statistical tests were carried out using the Wilcoxon test, the p-value (0.001 <0.05) was obtained, so it can be concluded that there is a significant difference in the intensity of labor pain before and after being given Birth Ball exercises to women giving birth. Birth Ball exercise is one of the complementary midwifery care that can be given easily, cheaply, simple, effective, and without adverse effects for maternity mothers and can significantly reduce labor pain in first-stage primigravida mothers.

BIRTHING BALL MENEKAN INTENSITAS NYERI PADA IBU BERSALIN KALA I

Data released by the Directorate of Maternal Health Development in 2012 showed that maternal mortality in Indonesia is caused by several factors. These factors include bleeding (30.1%), hypertension (26.9%), infection (5.6%), prolonged labor (1.8%), abortion (1.6%) and other causes (34.5%). Based on these data, prolongedlabor is one of the contributing factors to the maternal mortality rate in Indonesia, even though the percentage is quite small. The purpose of this study is to determine the effectiveness of giving birth balls to the stage 1 labor pain in active phase maternity in the Working Area of the TalangJawa Inpatient Health Center in 2021.This research was quantitative, quasi-experimental research design with an approach using pretest-posttest control group design. The study population was mothers who gave birth in the working area of TalangJawa Inpatient Health Center based on estimates from the birth interpretation in May-July 2021 totaling 68 people. Data analysis was univariate and bivariate with independent t-test.The average labor pain in the group given the birth ball before the intervention with a mean of 57.00 and after the intervention with a mean value of the first measurement is 62.67 and the second measurement is 68.93. The average labor pain in the group that was not given the birth ball pretest with a mean of 50.80, the mean value of the first measurement was 75.40 and the second measurement was 88.80. The results of the statistical test obtained a P-value = 0.000, which means that there is an effectiveness of giving birthballs to labor pain in maternity mothers in the working area of TalangJawa Inpatient Health Center in 2021.

PENGARUH PIJAT OKSITOSIN TERHADAP LAMA PERSALINAN KALA I FASE AKTIF DI KLINIK PIM KOTA DEPOK TAHUN 2021

Background: The other causes of maternal deaths In West Java Province, 19.74%, one of which was due to prolonged labor. One way to speed up the progress of labor is by giving oxytocin massage. The purpose of the study was to knowing the effect of oxytocin massage on the duration of the active phase of the first stage of labor at the Ismail Medika Inpatient Pratama Clinic, Depok Period March-April 2021. Methods: quasi-experimental research design using a posttest only design with control groups. The sample in this study amounted to 30 mothers giving birth with each group consisting of 15 respondents with purposive sampling technique. The data were analyzed using the Mann-Whitney test which was previously tested for normality. Result: univariate analysis of the duration of labor in the first active phase of the intervention group was mostly normal 86.7%, the control group was mostly 66.7%. The results of the bivariate analysis showed that there was an effect of oxytocin massage on the duration of the first stage of labor in the active phase with a significance value of 0.000. The conclusion of this research is oxytocin massage affects the duration of the active phase of the first stage of labor. Suggestions for midwives are expected to be able to assist maternity mothers in meeting the mother's need for comfort in non-pharmacological pain control when providing delivery care by applying the oxytocin massage technique so that labor can run effectively and safely both in terms of the length of labor and the condition of the baby being born.

Studies of the Effect of Hypnoanasthesia in Reducing Perineal Laceration Suture Pain And Healing of Postpartum Perineal Wounds in Indonesia

Pervaginal childbirth until now is still the choice of the method of childbirth that is considered the safest and economical. Although the delivery assistance has been done correctly, most women will experience perineal trauma during the vaginal labor process and require perineal suturing. The problem that is often faced by a mother who has a perineal tear is pain during the suturing process and will last until the suture wound is dry and the duration of the healing process of the perineal suture wound. This type of research is quantitative analytics using a Quasi-Experimental research design with the one-group post-test design method. Free variables: Hypnoanasthetic method and bound variables: the pain of perineal suture wounds and healing of perineal wounds. The sample in this study was 66 maternity mothers using purposive sampling techniques. Instruments: Checklists and Observation sheets, data analysis using the Wilcoxon Test. The results showed that after being given the hypnoanastesi method, almost all respondents experienced mild pain during suturing perineal lacerations, namely 87.9% and most respondents took a fast time (2 weeks) in healing perineal wounds, namely 23 respondents (69.7%). This study concludes that the hypnoanastesi method is effective in reducing the pain of suturing perineal lacerations and is effective in the healing process of perineal wounds.

PENGARUH PEMBERIAN SARI KURMA TERHADAP LAMA KALA II PADA IBU PRIMIPARA

Prolonged labour is one of the pathological forms of labor. Manggopoh Community Health Center is one of the health centers have high reports of childbirth complications. They are 121 (23%) cases, dominated by cases of prolonged labor. This study aimed to determine The Effect of Dates Extract on Second Phase on Primipara Mothers in the Working Area of Manggopoh Community Health Center in 2021. The type of research was a quasi-experimental approach with pos test only with control group design approach. The population in this study were all maternity mothers in the working area of Manggopoh Community Health Center, as much as 44. By using purposive sampling technique, 32 people were chosen as the samples. The data were collected through observation sheets and it was analyzed by univariate analysis and bivariate analysis using t-independent test. The results showed that the administration of date palm juice had a significant effect on the length of the second stage of labor with an average difference of 4.875 minutes in the second stage of labor and p value = 0.001, where the length of the second stage of labor was shorter in the experimental group. It can be concluded that the administration of date palm juice at the end of pregnancy has a significant effect on the length of the second stage of labor. It is hoped that the Manggopoh Community Health Center will provide health information to pregnant women to always prepare themselves both physically and mentally in facing childbirth, one of them is by utilizing date palm juice at the end of pregnancy which is proven to be effective in the progress of labor. Keywords : Dates, Labor, Stage II

IMPLEMENTASI MODUL KB PASCA SALIN TERHADAP PENGETAHUAN DAN SIKAP IBU BERSALIN

One of the factors that can affect maternal mortality is pregnancy and childbirth and the child she is carrying, therefore efforts are needed in planning pregnancy and childbirth, including for women giving birth to use postpartum family planning. The Pegang Baru Community Health Center is a health center with a relatively small number of post-partum family planning participants, namely only 2 people in 2019 – 2020. This study aims to implement the post-partum family planning module on the knowledge and attitudes of maternity mothers in the work area of the Pegang Baru Community Health Center, Pasaman Regency. The design of this research was quasi-experimental with the One Group Pretest-Posttest Design approach. The population in this study were all third trimester pregnant women in the work area of the Pegang Baru Community Health Center in November, as many as 10 people. Sampling using purposive sampling technique with a sample size of 10 pregnant women. Data collection in this study used a knowledge and attitude questionnaire. Data analysis includes univariate analysis and bivariate analysis using paired t-test. The results showed that the average knowledge of the respondents before the intervention was 11.8 and after the intervention was 15.1. While the average attitude before the intervention was 32.8 and after the intervention was 39.5. There was a difference in the average knowledge of respondents before and after the intervention with an average difference of 3.3 and p = 0.000. There was a difference in the average attitude of respondents before and after the intervention with an average difference of 6.7 and p value = 0.000. Where there was an increase after the intervention. It can be concluded that the implementation of the post-partum family planning module has a significant effect on the knowledge and attitudes of third trimester pregnant women about post-partum family planning. It is hoped that the Pegang Baru Community Health Center will be able to use the module as a media for post-partum family planning education for pregnant women. <br />Keywords : Module, Post-partum Family Planning, Knowledge, Attitude

The Effect of Fetal Weight and Uterine Contractions on the Duration of Labor

Background: Prolonged labor is defined as labor that has lasted 12 hours or more but is not followed by birth. The incidence of prolonged labor is quite high; it is known that 1 in 5 maternity mothers experience prolonged labor. The case of prolonged labor is included in the list of the 10 highest cases at Srikandi General Hospital Jember, Indonesia. Prolonged labor lasting > 12 hours is associated with severe postpartum hemorrhage, which is the second leading cause of death in East Java and the leading cause of maternal death in Jember Regency. Several factors are thought to affect the duration of labor including uterine contractions and fetal weight. Purpose: This study aims to determine the effect of fetal weight and uterine contractions on the duration of labor at Srikandi IBI General Hospital, Jember, East Java, Indonesia. Methodology: This is an observational analytic study using a cross-sectional design. The population consists of mothers who give birth at Srikandi General Hospital, Jember: 119 mothers who give birth with a sample size according to the Slovin formula of 92 mothers who give birth determined through Systematic Random Sampling. Research variables were assessed through partographs. Data were analyzed by path analysis. Findings: fetal weight has no significant effect on the duration of labor in both the first and second stages (t value = -0.07; 0.91). Uterine contractions had a significant effect on the duration of the second stage (t value = -2.22; -3.65) but did not significantly affect the duration of the first stage of labor (t value = -0.73; -1.13). Conclusion: This study shows that the more adequate uterine contractions, the shorter the duration of the second stage of labor. There may be other factors that influence the duration of labor including age, parity, nutritional status, maternal nutrition, psychology, family assistance, and non-pharmacological care. Further research is needed to examine the effect of these variables on labor.

The Role of Self-Practice Midwife on Maternal Health Services for The Period of The Covid-19 Pandemic in Palu City

The objective of this study was to know the relationship among the role of self-practice midwife on maternal health services based on the Antenatal Care variable, contraception method, and maternity services on Covid-19 pandemic period in Palu city. This study used cross sectional design method. The population on this study was all self-practice midwifes in Palu city as much as 57 and the sample was 56. The research variables consist of the characteristics of the respondents (age, education), The Role of Independent Practice Midwives (serve, not serve), Antenatal Care (Good, Not Good), Contraceptive (Good, Not Good), Maternity Mother ((Good, Not Good). This study was used Chi-square test with the number of significance was p<0,05. The result of this study showed that there was relation between self-practice midwife on ANC (p =0,015) service, there was relation between self-practice midwife on contraception service (p =0,003), there was relation between self-practice midwife on maternity (p =0,006). There were relations among self-practice midwife with Antenatal Care, contraception method, and maternity services on Covid-19 pandemic period in Palu city

The Correlation between Pregnant Women with COVID-19 and Mode of Delivery

<p><strong>Background</strong>: COVID-19 is a virus caused by the Severe Acute Respiratory Coronavirus 2 (SARS-CoV-2). Pregnant women with COVID-19 will likely pose a greater risk compared to nonpregnant women. The Indonesian Society of Obstetrics and Gynecology Association (ISOG) stated that 13.7% of pregnant women are more susceptible to COVID-19. In the maternity management of mothers with COVID-19, the management for the mother and her child should be comprehended.</p><p><strong>Objectives</strong>: This research aims to determine the relationship between the characteristics of pregnant women with COVID-19 with the current mode of delivery at Bagas Waras Hospital, Klaten.</p><p><strong>Methods:</strong> This is quantitative analytical research conducted using a retrospective study approach. The population was maternity mothers with COVID-19 at Bagas Waras Hospital. The sampling method used was non-probability with purposive sampling technique. The statistical test was performed using Spearman’s rho.</p><p><strong>Results</strong>: Most respondents (82%) were in healthy reproductive age, 54.6% were housewives, 80% were in A term gestational age, 63.4% had multigravida, 95.1% had no more than 2 children, and 83.1% underwent sectio caesarea. The analysis showed correlation between maternal age and history of pregnancy (adequate p-value; r = 0.323), between pregnancy history and the number of children (r = 0.259), and between the number of children and the age of the mother (r = 353). Meanwhile, there was no relationship between mothers’ characteristics and the mode of delivery.</p><p><strong>Conclusion</strong>: There was significant relationship between the characteristics of pregnant women with COVID-19 and the current mode of delivery at the Bagas Waras Hospital.</p>

Pengaruh Psikoedukasi Terhadap Kadar Hormon Kortisol Pada Ibu Tujuan Dengan Depresi Postartum Di Wilayah Kerja Dinas Kesehatan Kota Langsa Tahun 2020

Maternity mothers About 50-80% experience baby blues within ten days of giving birth. This is if the mother does not get further treatment then the baby blues can escalate into heavier depression. There is no definitive test yet that can determine a mother suffering from postpartum depression. This is why most postpartum depression sufferers are undiagnosed and do not get treatment early. Treatment that can be given to mothers who are depressed by providing health education, one of which is by providing psychoedukasi to the mother. The purpose of this study was to look at the influence of psychoedukasi on cortisol hormone levels in mothers with postpartum depression in the working area of Langsa City Health Office in 2020. This research uses quasi experimental design with the design of the one group pretest-posttest. Observations were made before and after the treatment of psychoedukasi,, The number of samples in this study as many as 16 mothers postpartum the second day with postpartum depression. The analyses used were the Wilcoxon Test and the Whitney Mann Test. The results showed the influence of decreased levels of the hormone cortisol before and after the administration of psychoedukasi with sig value. 0.00, there is a decrease in postpartum depression by administering psychoeducation with sig value. 0.000 and the effect of decreased cortisol levels on postpartum depression decrease with sig value. 0.00.

Utilization of Maternity Waiting Homes in the Islands: A Study Literature

The maternal mortality rate is still high in Indonesia, especially in the archipelago, and shows a low level of health. A Maternity Waiting Home (MWH) is a place or room near a health facility (hospital, health center, poskesdes) that can be used as a temporary residence for pregnant women and their companions (husband/cadre/shaman/family) for several days while waiting for delivery and a few days after giving birth. A literature review using the narrative literature review method was carried out by synthesizing and analyzing 3 scientific article search engines. Searching for manuscripts on the three search engines found 6 manuscripts that match the specified topic, namely the use of birth waiting homes for mothers in the islands. The results of the literature review showed that several factors influence the use of MWH, including distance to health facilities, travel time, socio-economic conditions of the community, completeness of MWH facilities, and community participation. Efforts to utilize this MWH are expected to increase access to health services, and the number of deliveries to incompetent health care facilities and can reduce cases of complications for pregnant women, maternity mothers, postpartum mothers, and newborns.

The Effectiveness of Deep Relaxation Techniques and Murotal Al-Qur'an Audio on Pain of Labor Pain in the Working Area of Health Center, Ingin Jaya District, Aceh Besar, Indonesia

Labor pain has an impact on the barriers to the delivery process due to the lack of self-control of the mother on labor pain so that the mother's physical condition can be weak. So the risk of cesarean delivery. One method of reducing pain is by non-pharmacological methods. Some non-morphological methods that can be used are deep breath relaxation, murotal Al-Qur'an and the aroma of lavender therapy. The purpose of this study was to determine the effectiveness of breath relaxation techniques and murottal quran audio on delivery pain first stage in ingin jaya health center, aceh besar regency. This study is a quasi-experimental study with a two-group pre-posttest design using a randomized controlled trial. The population of maternity mothers in the Working Area of the Ingin jaya Health Center, Ingin jaya District, Aceh Besar regency. The sample selection is purposive sampling with inclusion and exclusion criteria, the sample is 70 people. The results showed that there were significant differences between before and after treatment with P value 0.00<0.05.Treatment with audio murotal and aromatherapy significantly reduced labor pain with P value 0.00 <0.05. Aromatherapy and Audio Murotal Al-Quran are effective in reducing pain in the first stage of labor in the work area of the Ingin jaya Public Health Center, Aceh Besar regency.

The Effect Of Counterpressure Birth Ball On The Reduction Of Labor Pain In Bpm Maiharti Kisaran Barat In 2022

Childbirth is a natural process that every pregnant woman will experience. Labor is defined as the stretching and dilation of the cervix due to contraction of the uterine muscles to promote the expulsion of conception. The labor experienced was a painful, most maternity mothers began to feel the peak of pain in the first stage of the active phase, namely in the maximal dilatation phase and deceleration phase. , and strong so that the sensation of pain felt increased by HIS and the opening of labor affected the pain felt by the mother. The more intense the HIS and the bigger the opening, the stronger the pain, so it requires birthball exercises as a decrease in labor pain scale during pregnancy, Counterpressure is a massage by placing the heel of the hand or the flat part of the hand, massaged 20 minutes every hour during labor will be more free from pain, can manage fear, create a feeling of comfort, relax and respond positively, Birth ball is a physical therapy ball that helps mothers in the first stage of labor to kneel and lean on the birthball can reduce pain so that mothers are more comfortable . When the birthing adjust the position, control anxiety and have a birth attendant who can divert her mind from the perception of pain, the pain will decrease. So the combination of Counterpressure Birth Ball is very important for pregnant women to learn when they want to give birth.

STUDI KASUS RUPTURE PERINEUM PADA IBU BERSALIN DI PMB MASFUFAH

Perineal rupture is an injury to the birth canal that occurs spontaneously which can occur from various complications, one of which is during the second stage of labor so that it can cause loss of normal function in the reproductive organs in women such as a stiff perineum. As a result of the pelvic floor muscles that are often tense is one of the causes of perineal tears, especially in primigravida. The results of the implementation of midwifery care aims to determine the factors that relate to the occurrence in the second stage of maternity mothers. The method used is the midwifery management approach with the SOAP method, through a qualitative descriptive type of research with a case study approach to midwifery care conducted at PMB Masfufah Badegan Ponorogoon Mrs. A 22 years old. Childbirth in the second stage with rigid perineal problems. After the mother was given some care and guidance, the perineal problem remained tense due to the mother's fear, so she was forced to cut the episiotomy so as not to hinder the continuation of labor.

Relationship of Age with the Event of Chronic Energy Lack For Pregnant Mothers

Background : According to WHO, every day in 2019 around 810 women died, by the end of the year 295,000 people from 94% of them were in developing countries. The direct cause of maternal death by 90% are complications that occur during delivery and after delivery. Chronic Energy Deficiency is a condition caused by an imbalance in nutritional intake between energy and protein, so that the nutrients needed by the body are not fulfilled. Based on the results of the Nutrition Status Monitoring in 2017, it was found that the percentage of pregnant women with chronic energy deficiency in Indonesia was 14.8%. The prevalence of CED in pregnant women in Indonesia based on Riskesdas data in 2018 is 17.3% and based on the Indonesian Health profile that the incidence of CED in pregnant women in 2019 is 17.9%
 Objective : Knowing the relationship between age and the incidence of chronic energy deficiency (KEK) in pregnant women
 Methods : Analytical with cross sectional approach. The sample in this study were all maternity mothers registered in the register from March 2021 to May 2022 as many as 224 people (total sampling).
 Results : The distribution of the frequency of CED incidence in pregnant women is 366.6%. Age of pregnant women mostly aged 20-35 years 69.2%, LBW 3.6% and 3.1% bleeding. There is a significant relationship between age and the incidence of CED in pregnant women with a p value of 0.000.
 Conclusions and Suggestions: There is a significant relationship between age and the incidence of CED in pregnant women. It is expected that health workers, especially midwives, provide counseling to pregnant women about nutritional needs during pregnancy.

Prevalence and Factors Associated with Premature Rupture of Membranes in Denpasar Bali

Premature rupture of membranes (PROM) is an obstetric problem which is one of the factors causing prematurity, infection, malpresentation, umbilical cord prolapse and perinatal mortality. This study aims to identify the relationship between sociodemographic and obstetric factors with the premature rupture of membranes in women giving birth. This cross-sectional study involved 274 people from 859 deliveries from January to December 2020, at a referral hospital in Denpasar, Bali. The sampling technique used is simple random sampling. The process of collecting data was taken from medical records and hospital registers. Data analysis using chi-square and logistic regression. Study found that the prevalence of PROM was 22.6%. The results of multivariate analysis found that age (p=0.733), occupation (p=0.816), gestational age (p= 0.055), parity (p= 0.477), and intra uterine pressure (p= 0.105 ) were not associated with PROM. Educational factors (p=0.021), hemoglobin level (p=0.000), and history of PROM (p=0.005) were significantly related to the premature rupture of membranes. There is a relationship between education factors, hemoglobin levels and a history of PROM with premature rupture of membranes. This information is important for service providers to understand so that they can carry out early detection and treatment efforts to prevent PROM. Keywords: premature rupture of membranes, maternity mother, hemoglobin, education.

The Phenomenon Of Pregnant Women's Anxiety In Facing Labor

Background: The delivery process is a natural event of conception in the form of a baby and placenta from the uterus that can cause anxiety. If anxiety in pregnant women is not managed properly, it will have an impact on the physical and psychological health of the mother and baby.
 Methods: This study uses descriptive methods. The implementation of the research will take place in December 2021–May 2022 at PMB Lutfiana. A total of 40 maternity mothers during phase I was active were obtained through a total sampling technique. The data collection technique uses the STAI scale. Data analysis using descriptive analysis.
 Result: The age characteristics of respondents aged 20–35 years included as many as 34 respondents (85%). The majority of low-educated elementary-junior high school students amounted to 21 respondents (52.5 %). The majority of respondents did not work, a total of 27 respondents (67.5%), and the majority of multiparous respondents amounted to 31 respondents (77.5%). The majority of maternity mothers' anxiety during the active phase was severe anxiety level, with 28 respondents (70%). The average anxiety score was 46.43, with 95% of the CI being at a score of 43.01-49.84.
 Conclusion: The majority of anxiety levels in active phase maternity mothers are severe anxiety levels.

Pelatihan Massage Endorphine Dan Gym Ball Exercise Bagi Praktik Mandiri Bidan (PMB) Di Ikatan Bidan Indonesia (IBI) Kabupaten Badung

During pregnancy and childbirth, there can be physical and psychological changes in the mother. These changes can cause anxiety, stress and can eventually lead to depression. The risks that can be caused are the birth of babies with low birth weight (LBW), small head size (microsomia), premature birth, weakening of the baby's immune system, and prolonged labor. The problems that give rise to this idea are the high incidence of anxiety experienced by pregnant and maternity mothers so that it can cause complications for mothers and babies, lack of training and ignorance of the Independent Midwife Practice (PMB) at the Indonesian Midwives Association (IBI) Badung district towards complementary therapies, especially Massage Endorphins. and gymball exercise. The service is carried out by providing 2 training materials, namely Massage Endorphin and gymball exercise which is given to 40 members of the Midwife Independent Practice who are members of the PC IBI Badung Regency which is carried out online.

Analysis of the Impact of Covid-19 on Pregnant Women on Preparation for Childbirth

All routine services, including maternal and newborn health services, face many constraints during this pandemic. In the early stages of pregnancy, almost every pregnant woman begins to prepare for labor. There are many things that can be done to prepare, from preparing for the needs of the baby, the needs of the mother, psychological preparation, to preparing for the choice of a birthing facility. Welcoming babies into families is a habit, but during the Covid-19 pandemic, it's another story. Objective: The purpose of this Systematic Review is to analyze the effect of immunization services during the COVID-19 pandemic. Methods: Database search includes Google Scholar, Science Direct, and Pubmed with the keywords used are impact, anxiety; pregnant mother; maternity mother; childbirth, pandemic, COVID-19. The next stage is to select articles according to the criteria, which are published in 2017-2022 with the full text of 12 articles that meet the inclusion criteria. Results: Findings from 12 articles showed that the impact of COVID-19 on the preparation of pregnant women for childbirth in health facilities differed from maternal anxiety. In addition, the anxiety of pregnant women about childbirth greatly affects the mother's readiness to carry out prenatal care and preparation for delivery. And the effects of Covid-19 on childbirth have not been shown to be contagious to the newborn. However, mothers who are infected with Covid-19 must still follow health protocols, including self-isolation or separation from their newborn babies. Conclusion: the impact of covid 19 on preparation for childbirth is the anxiety of pregnant women, This anxiety can be reduced by providing guidance, counseling and education for pregnant women about transmission and routes of transmission. How to protect yourself from COVID-19 and its prevention. It is transmitted from pregnant women to babies. More importantly, if the mother is hesitant and afraid to go for a pregnancy check-up at the hospital for fear of contracting the virus from other people, a solution can be given to check her womb at the nearest midwife or clinic so that she can avoid contact with other people as well as when the delivery process arrives.

Hubungan Paritas Ibu Bersalin dengan Kejadian Perpanjangan Kala 1 Fase Aktif

The maternal mortality rate is mostly caused by prolonged labor as much as 8%, one of which is caused by the extension of the first stage of the active phase. 16.7% maternity mothers experienced an extension of the first stage of the active phase caused by parity factors. The purpose of this study was to determine the relationship between maternal parity and the incidence of prolongation of the active phase.This research design is correlation analytic, based on cross sectional time. The population and sample of this study were all mothers who gave birth in January-May 2022 as many as 35 respondents using saturated sampling technique. The independent variable is maternal parity, while the dependent variable is the incidence of prolongation of the first stage of the active phase. Data obtained using partograph with contingency coefficient statistical test.The results of statistical tests obtained X2count (7.047) > X2table (5.991) with a contingency coefficient of 0.409 so it can be concluded that there is a moderate relationship between maternal parity and the extension of stage 1 of the active phase.For mothers with primiparas, it is expected to routinely carry out antenatal checks so that high risks are detected early during delivery, multiparous mothers minimize the occurrence of extension of the active phase 1 by following the advice of midwives during labor and grandemultipara mothers are advised not to have more children so that there is no risk high rates of pregnancy and childbirth with participation in family planning programs