Factors Affecting Prolonged Labor at Muna District Hospital, South East Sulawesi

Eka Septiani, Nur Aida, Ulfa Ultriani


Masters Program in Public Health, School of Health Sciences Mandala Waluya, Kendari



Background: Prolonged labor, also known as failure to progress, occurs when labor lasts for approximately 20 hours or more if you are a first-time mother, and 14 hours or more if you have previously given birth. A prolonged latent phase happens during the first stage of labor. It can be exhausting and emotionally draining, but rarely leads to com­­plications. The purpose of this study was to determine factors affecting prolonged labor at Muna district hospital, South East Sulawesi.

Subjects and Method: This was a cross sectional study conducted at Muna district hospital, Kendari, South East Sulawesi. A total sample of 82 labor mothers was selected for this study by simple random sampling. The dependent variable was prolonged labor. The independent va­riables were premature rupture of membranes, preeclampsia, and cephalo-pelvic dis­pro­portion (CPD). The data were collected by questionnaire and ob­ser­v­ation sheet. The data were analyzed by chi square.

Results: The associations between premature rupture of membranes (OR= 2.81; 95%CI=1.02 to 7.75; p=0.041), as well as preeclampsia (OR= 6.22; 95%CI= 2.09 to 18.41; p<0.001), with affecting prolonged labor were statiscally significant. The asso­ciations bet­ween cephalo-pelvic disproportionandaffecting prolonged labor (OR=0.53; 95%CI= 0.18 t0 1.46; p=0.215), was statiscally not significant.

Conclusion: Premature rupture of membranes and preeclampsia are associated with prolonged labor.

Keywords: premature rupture of membranes, preeclampsia, cephalo-pelvic disproportion

Correspondence: Eka Septiani.Masters Program in Public Health, School of Health Sciences Mandala Waluya, Jl. A.H.Nasution No. G 37, Kendari, South East Sulawesi Email: septianieka271@gmail.com. Mobile: 085395193374.



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