The Influence of Labor Environment Settings on Labor Progression
DOI:
https://doi.org/10.37506/ijfmt.v14i4.12896Keywords:
Labor progress, labor environment, childbirt, cortisol, cervical dilatation.Abstract
The environment in labor can have a great effect on the fears and anxieties experienced by the mother. Anxiety
can inhibit cervical dilatation, so that the perception of pain increases. Cortisol is secreted in response to
tension and anxiety, it affects the progress of cervical dilatation. The increasing concentration of cortisol
during pregnancy and continue to rise until labor. Anxiety is usually associated with increased pain during
labor and modification of labor pain can be done through psychological and physiological mechanisms. One
way to modify psychological labor pain is by setting the delivery environment. The purpose of this study
was to analyze the effect of the setting of the labor environment on the progress of labor.
The results showed the average delivery progress (cm/hour) in the treatment group 1.38 (0.43) and the
control group 1.23 (0.52), obtained p = 0.058, this indicates there was no difference in labor progress in both
study groups. Based on the statistical test results of the effect of the setting of the delivery environment on
the progress of labor, the p value = 0.015 shows that there is an influence of the delivery environment setting
on the progress of labor and the RR value of 3.67 (IK = 1.14-11.84), which means that the mother gives
birth in a Independent Midwifery Practice (IMP) who did not manage the delivery environment had a risk of
having a cervical opening < 1 cm/hour by 3.67 times compared to mothers giving birth at the IMP who did
the setting of the delivery environment.
The conclusion of this research is that there is a positive influence of the delivery environment to the progress
of labor.
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