Search Repository Universitas Fort De Kock

Persalinan kala III dan kala IV merupakan tahap yang berbahaya bagi ibu karena dapat terjadi perdarahan postpartum yang merupakan penyebab kematian ibu. Kesalahan penatalaksanaan manajemen aktif kala III dan kala IV dapat meningkatkan resiko perdarahan. Penelitian dilaksanakan di Ruangan PONEK RSUD Pariaman bulan Agustus s/d September 2016, menggunakan metode deskriptif analitik dengan pendekatan cross sectional dengan populasi seluruh bidan di RSUD Pariaman sebanyak 32 orang. Teknik pengambilan sampel secara total sampling diperoleh sebanyak 32 orang. Proses pengumpulan data melalui kuesioner data dan observasi. Data diolah secara bivariat dan univariat dengan bantuan aplikasi komputer SPSS. Hasil penelitian ditemukan sebanyak 46,9% bidan memiliki masa kerja baru, 25% bidan berpengetahuan rendah, 28,1% bidan memiliki supervisi yang kurang baik, 37,5% penatalaksanaan kala III dan IV tidak sesuai SOP di RSUD Pariaman Tahun 2016. Analisis bivariat ditemukan terdapat hubungan yang bermakna antara masa kerja (p value = 0,035), pengetahuan (p value = 0,003) dan supervise (p value = 0,011) dengan penatalaksanaan kala III dan kala IV di RSUD Pariaman Tahun 2016. Mengingat hasil penelitian ini ada hubungan terhadap penatalaksanaan Kala III dan kala IV sesuai standart operating procedure, sehingga peneliti menyarankan pihak rumah sakit untuk melakukan pelatihan-pelatihan tindakan penatalaksanaan Kala III dan kala IV untuk peningkatan kualitas pelayanan selanjutnya serta diharapkan pihak rumah sakit untuk mengevaluasi pemahaman para bidan tentang standart operating procedure rumah sakit dan supervisi pihak rumah sakit lebih ditingkatkan sehingga tingkat kedisiplinan bidan dapat terpantau.

And the third stage of labor when the IV is the stage that is dangerous for the mother because it can occur postpartum hemorrhage which is a cause of maternal mortality. Fault management of active management of the third stage and fourth stage may increase the risk of bleeding. The experiment was conducted at room PONEK Pariaman Public Hospital in August s / d September 2016, using descriptive analytic method with cross sectional approach to the entire population of midwives in hospitals Pariaman as many as 32 people. The sampling technique total sampling obtained as many as 32 people. The process of data collection through the questionnaire data and observations. Data is processed using bivariate and univariate with the help of a computer application SPSS. The research found as many as 46.9% of midwives has a new working period, 25% higher knowledgeable midwives, 28.1% of the midwives had poor supervision, 37.5% stage III and IV management is not appropriate SOP in hospitals Pariaman Year 2016 Analysis bivariate found there is a significant relationship between length of service (p value = 0,035), knowledge (p value = 0,003) and supervision (p value = 0,011) of the management of the third stage and fourth stage in Pariaman Public Hospital 2016. Given the results of this study no relation to the treatment of Kala III and IV according to standard operating procedure, so the researchers suggest is expected the hospital to conduct training action management Kala III and IV for the improvement of service quality further and, as expected the hospital to evaluate the understanding of midwives standard operating procedure of the hospital and the hospital supervision further enhanced so that the level of discipline midwife can be monitored.