Pengaruh Amniotomi terhadap Lama Persalinan dan Luaran Janin pada Induksi Persalinan dengan Misoprostol  

Oleh:

Nurhayati, Nanik ; Hakimi, Moh. ; Alkaff, Zain

Jenis: Article from Journal - ilmiah nasional
Dalam koleksi: Berkala Kesehatan Klinik vol. 14 no. 02 (Dec. 2008), page 71-75 .
Topik: Amniotomy-misoprostol induction-length of labor-asphyxia

Ketersediaan

Perpustakaan FK Nomor Panggil: B25.K.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background: Labors can release anxiety and afraid for some women, especially for women who under induction with misoprostol. Prolonged labor increases maternal and fetal morbidity, example infection, weakness, and fetal asphyxia. Amniotomy is one of active management of labor, because it can accelerate the labor. Objective: To determine the impact of amniotomy to the length of labor and fetal outcome on the patients who under induction with misoprostol. Methods: This is a prospective randomized controlled trial which is conducted in Sardjito hospital, Wonosari hospital, Sleman hospital, Klaten hospital, Mergangsan and Tegalrejo primary health care. A total 144 subjects eligible under induction with misoprostol are randomly assigned to a treated (amniotomy) and a control (not amniotomy) group. On treated group amniotomy is done at 4cm cervical dilatation. The time when complete cervical dilatation is reached, the incidence of unprogressed labor, Apgar score, and cesarean section were noted on both of group. The result was processed computerized. Results and Conclusion: There was significantly different between treated and control group in length of labor (197.57 ± 74.78 minutes versus 288.75 ± 95.82 minutes p=0.00). The incidence of un progressed labor was clinically different, but no significantly different (RR = 0.65; 95%CI 0.20-2.40). There is no significantly different on first minute asphyxia (RR 0.67, 95%CI 0.20-¬2.26). No difference in the fifth minute asphyxia, cesarean section, and prolonged labor in both groups. Therefore, it can be concluded that Amniotomy which is done on the patients who under induction with misoprostol is proven to short the length of labor. It is no influenced by the incidence of asphyxia, unprogressed labor, cesarean section, and prolonged labor.

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