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

 

ABSTRACT

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.

DOIhttps://doi.org/10.26911/theicph.2019.03.40

 

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