Efektifitas Massage Perineum untuk Percepatan Persalinan Kala II pada Ibu Bersalin

Abstract

Background: Stiff perineum is caused by the nerves of the perineal muscle contain pyruvic acidwhich enters the mitochondria which are converted into lactic acid. Lactic acid causes metabolicproblems and shrinks between the perineal muscle cells, so the perineum becomes stiff. Theimpact of a stiff perineum can inhibit the second stage of labor which increases the risk of death tothe fetus and causes damage to the birth canal or laceration. Research Objectives: to accelerate thesecond stage of labor. Research Method: The design of this study uses the case study method. Thesampling method used was non probability sampling through a purposive sampling approach of 3patients. Patients used as participants were maternity patients in Cilacap District Hospital. Datawas collected from January 2 to January 25, 2019. After tabulation with data that has beenanalyzed using analysis of explanation and time series. Results: The study showed there was agreat impact of the Perineum Massage Midwifery Care for the Acceleration of Second Stage ofLabor in Maternity Women. With the results of the first participant the process of acceleratinglabor took place within 15 minutes. In the second participant, the process of labor accelerationtook place within 10 minutes. And in the third participant the process of accelerating labor tookplace within 20 minutes. Conclusion: Thus, that Perineum Massage Care for the Acceleration ofSecond Stage of Labor is really effective.