Analysis of Factors Affecting the Implementation of Uterine Exploration at the Third Stage of Labor

 Abstract views: 231

Authors

  • Bayu Irianti Poltekkes Kemenkes Tasikmalaya
  • Qanita Wulandara Poltekkes Kemenkes Tasikmalaya, West Java, Indonesia
  • Uly Artha Silalahi Poltekkes Kemenkes Tasikmalaya, West Java, Indonesia

DOI:

https://doi.org/10.36456/embrio.v16i1.8020

Keywords:

AMTSL, Childbirth, Bleeding, Infection, Placental

Abstract

Labor is one of the critical periods for women based on IDHS data up to 2020 shows that bleeding, hypertension in pregnancy, and infection are the causes of maternal death. Observation data was conducted in January-February 2022 at 5 Puskesmas in the city of Tasikmalaya, and it was found that 3 out of 5 women in labor underwent exploratory procedures during the third stage of labor because there were signs of retained placenta. The act of uterus exploration could be a portal of bacterial entry into the cavity and cause infection. This study aimed to look at the factors that affect the implementation of uterine exploration in the third stage of labor. The research method uses a sequential explanatory mix method to analyze the supporting factors for third-stage exploration actions by midwives. The research sample was 43 midwives. Quantitative results showed that there was no influence of characteristic factors on exploration actions (ρ more than 0.05), and there was no influence of self-efficacy on uterus exploration (ρ more than 0.05). Qualitative results showed that there were four main factors supporting exploration, such as visible signs of bleeding and weak contractions, ensuring that there were no remaining placentas and routine actions that were carried out. The research concludes that the exploratory action carried out is the midwife's accumulated experience, which results in the perception of dealing with cases of retained placenta in the third stage of labor, this makes the uterus exploration an additional action to anticipate problems.

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References

Adu‐Bredu, T. K., & Owusu, Y. G. (2023). Prenatal diagnosis of focal placental invasion at the upper uterine segment: is the novel ‘separation sign’ a key? Ultrasound in Obstetrics & Gynecology. https://doi.org/10.1002/uog.26203 DOI: https://doi.org/10.1002/uog.26203

Ajavon, D. R. D., Bassowa, A., Douaguibe, B., Ketevi, A. A., Logbo-Akey, K. E., Djalogue, L., Kadjo, A., Ahiave, E., Abidi, A. V., Baniza, M., & Aboubakari, A.-S. (2021). Study of the Active Management of the Third Stage of Labor (AMTSL) in Four Maternity Hospitals in the Commune of Kara (Togo). Open Journal of Obstetrics and Gynecology, 11(09). https://doi.org/10.4236/ojog.2021.119109 DOI: https://doi.org/10.4236/ojog.2021.119109

Alviani, E. S., Wijaya, M., &; Apriliani, I. K. (2018). Gambaran Lama Waktu Pelepasan Plasenta Dengan Manajemen Aktif Kala Iii Dan Masase Fundus Setelah Bayi Lahir Di Rsud Kelas B Kabupaten Subang. Jurnal Sistem Kesehatan, 3(4). https://doi.org/10.24198/jsk.v3i4.18496 DOI: https://doi.org/10.24198/jsk.v3i4.18496

Baker, K., Stephenson, J., Leeming, D., & Soltani, H. (2021). A review of the third stage of labour care guidance. British Journal of Midwifery, 29(10). https://doi.org/10.12968/bjom.2021.29.10.557 DOI: https://doi.org/10.12968/bjom.2021.29.10.557

Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147. https://doi.org/10.1037/0003-066X.37.2.122 DOI: https://doi.org/10.1037//0003-066X.37.2.122

Bassiouny, A. M. M., Abdelfattah, A. T., & Elboghdady, A. A. (2022). Comparative study between intraumbilical oxytocin injection and placental cord drainage in management of third stage of labour. Al-Azhar International Medical Journal, 3(9), Article 7. https://doi.org/10.21608/aimj.2022.127362.1878 DOI: https://doi.org/10.21608/aimj.2022.127362.1878

Bonet, M., Ota, E., Chibueze, C. E., & Oladapo, O. T. (2017). Routine antibiotic prophylaxis after normal vaginal birth for reducing maternal infectious morbidity. The Cochrane database of systematic reviews, 11(11), CD012137. https://doi.org/10.1002/14651858.CD012137.pub2 DOI: https://doi.org/10.1002/14651858.CD012137.pub2

Chikkamath, S. B., Katageri, G. M., Mallapur, A. A., Vernekar, S. S., Somannavar, M. S., Piaggio, G., Carroli, G., de Carvalho, J. F., Althabe, F., Hofmeyr, G. J., Widmer, M., Gulmezoglu, A. M., & Goudar, S. S. (2021). Duration of third stage labour and postpartum blood loss: a secondary analysis of the WHO CHAMPION trial data. Reproductive Health, 18(1). https://doi.org/10.1186/s12978-021-01284-8 DOI: https://doi.org/10.1186/s12978-021-01284-8

Goodburn, E. A., Chowdhury, M., Gazi, R., Marshall, T., & Graham, W. (2000). Training traditional birth attendants in clean delivery does not prevent postpartum infection. Health policy and planning, 15(4), 394–399. https:/doi.org/10.1093/heapol/15.4.394 DOI: https://doi.org/10.1093/heapol/15.4.394

Gündüz, Ü., & Öztürk, S. (2023). The Effect of Skin-to-Skin Contact on Placental Separation Time and Initiation of Breastfeeding. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 18(7). https://doi.org/10.1089/bfm.2023.0083 DOI: https://doi.org/10.1089/bfm.2023.0083

Handayani, H. (2022). THE EXTERNAL RELATIONSHIP OF PREGNANCY TO THE INCIDENCE OF ANEMIA IN THE THIRD TRIMESTER. Journal of Nursing and Midwifery Sciences, 1(2). https://doi.org/10.54771/jnms.v1i2.640 DOI: https://doi.org/10.54771/jnms.v1i2.640

Heidari, K., Amiri-Farahani, L., & Pezaro, S. (2023). The relationship between attitude and self-efficacy of labor support with supportive behaviors from the perspective of midwives. BMC Nursing, 22(36). https://doi.org/10.1186/s12912-023-01197-w DOI: https://doi.org/10.1186/s12912-023-01197-w

Ika Sandhi, S., &; Wijayanti Eko Dewi, D. (2022). THE EFFECT OF AJWA DATE CONSUMPTION ON UTERINE CONTRACTIONS IS SEEN FROM THE LENGTH OF LABOR. Indonesian Journal of Midwifery, 14(1). https://doi.org/10.36419/jki.v14i1.762 DOI: https://doi.org/10.36419/jki.v14i1.762

Irdayanti, I., Budiono, D. I., & Sari, G. M. (2021). MIDWIVES’ PERCEPTIONS OF THE CONCEPT OF THIRD STAGE OF LABOUR IN DI RS DR TADJUDDIN CHALID MAKASAR. Indonesian Midwifery and Health Sciences Journal, 5(1), 38–52. https://doi.org/10.20473/imhsj.v5i1.2021.38-52 DOI: https://doi.org/10.20473/imhsj.v5i1.2021.38-52

Jumiatun, & Nani, S. A. (2020). Analysis of Midwives' Readiness in the Implementation of Complementary Midwifery Services. Journal of Smart Midwifery, 7(2).

Juwita, C. P., Damayanti, D. R., Besral, & Aras, D. (2023). Self-efficacy resources program for behavior changes: A systematic literature review. Nursing management, 54(5), 29-35. https://doi.org/10.1097/nmg.0000000000000013 DOI: https://doi.org/10.1097/nmg.0000000000000013

Keman, K. (2010). Physiology of the placenta. UB Press.

Kesehatan. (2020). Indonesia Demographic Survey 2020.

Klassen, R. M., & Klassen, J. R. L. (2018). Self-efficacy beliefs of medical students: a critical review. Perspectives on medical education, 7(2), 76–82. https://doi.org/10.1007/s40037-018-0411-3 DOI: https://doi.org/10.1007/S40037-018-0411-3

Kundu, A., & Jana, M. (2021). Assessment on the Effect of Active Management of Third Stage of Labour With and Without Uterine Massage on Maternal Outcome among Postnatal Mothers. International Journal of Research and Review, 8(8). https://doi.org/10.52403/ijrr.20210807 DOI: https://doi.org/10.52403/ijrr.20210807

Mihretie, G. N., Ayele, A. D., Liyeh, T. M., Beyene, F. Y., Kassa, B. G., Arega, D. T., Belay, H. G., & Worke, M. D. (2023). Active management of the third stage of labour in Ethiopia: A systematic review and meta-analysis. PLoS ONE, 18(4 APRIL). https://doi.org/10.1371/journal.pone.0281343 DOI: https://doi.org/10.1371/journal.pone.0281343

Ouyang, R. G., Long, Y., Zhang, J. Q., & Cao, Z. (2023). Interventions for improving self-efficacy in patients after stroke based on self-efficacy-related principles of Bandura's cognition theory: a systematic review and meta-analysis. Topics in stroke rehabilitation, 30(8), 820–832. https://doi.org/10.1080/10749357.2023.2172832 DOI: https://doi.org/10.1080/10749357.2023.2172832

Oxorn, H. F. W. R. (2010). Obstetrics, Pathology &; Physiology of Childbirth (Vol. 2).

Prawirohardjo, S. (2014). Midwifery Science. PT Bina Pustaka Sarwono.

Schunk, D. H., & DiBenedetto, M. K. (2021). Self-efficacy and human motivation. In A. J. Elliot (Ed.), Advances in motivation science, 8(1), 153–179. https://doi.org/10.1016/bs.adms.2020.10.001 DOI: https://doi.org/10.1016/bs.adms.2020.10.001

Shiau, W.-L., Yuan, Y., Pu, X., Ray, S., & Chen, C. C. (2020). Understanding fintech continuance; perspective from self-efficacy and ECT-IS theories. Industrial Management & Data System, 120(9), 1659-1689. https://doi.org/10.1108/IMDS-02-2020-0069 DOI: https://doi.org/10.1108/IMDS-02-2020-0069

Shrivastava, D., Khamsara, D., Pandey, P., & Bhute, S. (2023). A Comparative Study on Sublingual 400 µg Misoprostol and Intravenous 0.2 mg Methylergometrine for Active Management of Third Stage of Labor. Perspective of Recent Advances in Medical Research, 4, 124–134. https://doi.org/10.9734/bpi/pramr/v4/3438b DOI: https://doi.org/10.9734/bpi/pramr/v4/3438B

Siregar, M., Pakpahan, S., & Simbolon, G.(2017). Analysis of Midwives' Performance in Active Management Management Period III and Anticipation of Primary Postpartum Hemorrhage in North Tapanuli Regency in 2015. Journal of Reproductive Health, 2(1). http://e-journal.sari-mutiara.ac.id/index.php/JRH/article/view/1499

Sukmiati, E. (2015). Evaluasi Manajemen Aktif Kala III Persalinan di Rumah Bersalin Pangestu Bandung. Journal Medika Cendikia, 2(1), 42-49. https://doi.org/10.33482/medika.v2i1.26

Susiloningtyas, I., &; Purwanti, Y. (2012). Kajian Pengaruh Manajemen Aktif Kala III Terhadap Pencegahan Perdarahan Postpartum (Sistematik Review ). Majalah Ilmiah Sultan Agung, 50(128). https://jurnal.unissula.ac.id/index.php/majalahilmiahsultanagung/article/view/73

Tanjung, M. (2019). Tingkat Pengetahuan Bidan Tentang Manajemen Aktif Kala III Di RSUD. Dr. Tengku Mansyur Kota Tanjung Balai Februari 2019. JURNAL ILMIAH MAKSITEK, 4(2). https://makarioz.sciencemakarioz.org/index.php/JIM/article/view/70

Tesfay, N., Tariku, R., Zenebe, A., & Woldeyohannes, F. (2022). Critical factors associated with postpartum maternal death in Ethiopia. PLoS ONE, 17(6 June). https://doi.org/10.1371/journal.pone.0270495 DOI: https://doi.org/10.1371/journal.pone.0270495

Ulya, N., Ningsih, D. A., Yunadi, F. D., &; Retnowati, M. (2021). Textbook of Postpartum and Breastfeeding Midwifery Care. NEM.

Wardiyah, A., Rilyani, R., &; Zandi, A. A. (2021). The relationship of family support for the self-efficacy of breastfeeding mothers in providing exclusive breastfeeding at the Sumur Batu Health Center in Bandar Lampung City. Malahayati Nursing Journal, 3(4). https://doi.org/10.33024/mnj.v3i4.4706 DOI: https://doi.org/10.33024/mnj.v3i4.4706

WHO, UNICEF, & UNFPA. (2000). Trends in maternal mortality 2000-2017.

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Published

2024-05-31

How to Cite

Irianti, B., Wulandara, Q., & Silalahi, U. A. (2024). Analysis of Factors Affecting the Implementation of Uterine Exploration at the Third Stage of Labor. EMBRIO: Jurnal Kebidanan, 16(1), 18–27. https://doi.org/10.36456/embrio.v16i1.8020