HAND AND KNEE POSITION ON THE PROGRESS OF LABOR IN THE FIRST ACTIVE PHASE LABOR AT PMB SOESI HERAWATI KEPANJEN, MALANG DISTRICT

Dini Ria Oktaavia, Endah Sri Wulandari, Faiqotul Muktamaroh

Abstract


Background: Abnormal labor patterns can occur during the active phase of labor, such as when cervical dilation takes longer than 6 hours, leading to prolonged labor, maternal and neonatal emergencies, or the need for a cesarean delivery. The hand-and-knee position can help rotate the fetus from a less ideal position (occipito-posterior) to a more favorable position (anterior), facilitating the baby's descent and speeding up cervical dilation.

Method: This study was conducted on 20 women in active labor at PMB Soesi Herawati Kepanjen. It compared two groups: those who used the hand-and-knee position and those who did not. A quasi-experimental design was used, with data collected using observation sheets and partographs, and analyzed with the Fisher's exact test in SPSS 25.0.

Result: The results showed a significant effect of the hand-and-knee position on labor progress during the active phase, with a p-value of 0.011 (α < 0.05). The hand-and-knee position helps create more space in the pelvic area, allowing the baby to move into an optimal position and speeding up cervical dilation.

Conclusion: The research concludes that the hand-and-knee position can help the fetus rotate into an ideal position, aiding cervical effacement and the descent of the fetal head, thus speeding up the active phase of labor. Midwives are encouraged to promote this position to mothers in labor, as it can facilitate cervical dilation and help the fetus descend deeper into the pelvis


Keywords


Hand and Knee Potition, Phase Active Labor, First Stage labor

Full Text:

PDF
rticle

References


  1. Romano, A. M., & Lothian, J. A. Lothian (2008). Promoting, Protecting, and Supporting Normal Birth: A Look at the Evidence. Association of Women’s Health, Obstetric and Neonatal Nurse, 27 (1), pp: 94-105.
  2. Neal, J. L., Lowe, N. K., Ahijevych, K. L. (2010). Active Labor’ Duration and Dilation Rates Among Low-Risk, Nulliparous Women with Spontaneous Labor Onset: A Systematic Review. J Midwifery Womens Health, 55(4): 308–318. doi: 10.1016/j.jmwh.2009.08.004 King, T. L. et.al. (2019) Varney’s Midwefery. Burilington: World Headquarters Jones & Bartlett Learning.
  3. Syaifuddin. (2017). Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawiroharjo.
  4. Friedman, E. A., Cohen, W. R. (2023). The Active Phase Labor. American Journal of Obstetrics & Gynecology, S1037-1049, https://doi.org/10.1016.2021.12.269
  5. LeFevre, N. M., Krumm, E., & Cobb W. J. (2021). Labor Dystocia in Nulliparous Patients. American Family Physician, 103(2), pp:90-96.
  6. Rosli, A. A., Nawi, A. M., Atan, I. K., et. all. (2023). Cervical Dilatation at Diagnosis of Active Phase of Labour Determines the Mode of Delivery and Peripartum Outcomes: A Retrospective Study in A Single Tertiary Centre in Malaysia. BMC Pregnancy and Childbirth, 23(221), pp: 1-7. https://doi.org/10.1186/s12884-023-05523-7
  7. Huang, J., Zang, Y., Ren, L. H., et. All. (2019). A Review and Comparison of Common Maternal Positions During the Second-Stage of Labor. International Journal of Nursing Sciences, (6), pp: 460-467, https://doi.org/10.1016/j.ijnss.2019.06.007
  8. Aifa, W. E., Nadia, F., Rosalia, H. (2022). The Long of Labor in the Active Phase I in The Bangkinang Hospital Kampar District as A Result of Maternal Positioning. The3 Al Insyirah International Scientific Conference of Health.
  9. Valiani, M., Rezaie, M., Shahshahan Z. (2016). Comparative Study on The Influence of Three Delivery Positions on Pain Intensity During the Second Stage of Labor. Iranian Journal of Nursing and Midwifery Research, 21(4), pp:372-378. Doi: 10.4103/1735-9066.185578
  10. Zhang, H., Shu, R., Zhao, N. N. (2016). Comparing maternal and neonatal outcomes between hands-and-knees delivery position and supine position. International Journal of Nursing Sciences, 3, pp: 178-184. http://dx.doi.org/10.1016/j.ijnss.2016.05.001
  11. Nikoukar, F., Dadkhahtehrani, T., Valiani, M., and Movahedi, M. (2023). Comparison of Maternal and Fetal Outcomes Between Lithotomy with Hands and Knees Positions for Childbirth: A Randomized Clinical Trial. J Nurs Midwifery Sci, 10(2), e135325, https://doi.org/10.5812/jnms-135325.
  12. Septiasari, Y., Sulistianingsih, A. (2022). The Effect of The Application of The Upright Position on Duration Time Delivery. Gaster Jurnal Kesehatan, 20(2), pp: 132-143.
  13. Putri, N., Andriyanti, A. (2019). Perbedaan Lama Persalinan Kala I Fase Aktif Antara Posisi Persalinan Merangkak Dan Miring Pada Primipara di Ruang Bersalin RS DKT Kota Kediri. Jurnal Bidan Pintar, 1(1), pp: 57-65, DOI: https://doi.org/10.30737/jubitar.v1i1




DOI: https://doi.org/10.20961/placentum.v12i2.84901

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya

View My Stats

Lisensi Creative Commons
This work is licensed under a Creative Commons Attribution-ShareAlike International 4.0 (CC BY-SA 4.0).