THE RELATIONSHIP OF HUSBAND SUPPORT SYSTEM WITH THE MOTHER LEVEL ANXIETY IN THE CHILDBIRTH PROCESS STAGE I IN THE

TEGALREJO PUBLIC HEALTH CENTER YOGYAKARTA 2006

Presented By : Neni Isnaeni 2002 032 0043
NURSING SCIENCE PROGRAME MEDICAL FACULTY MUHAMMADIYAH UNIVERSITY OF YOGYAKARTA 2006

CONTENTS
Background of the problem
Problem Formulation Purpose Research Method Research Result

Conclusion & Suggestion

Background of The Problem

In the Asean countries, Indonesia has the highest of mother death rate and prenatal. It means that the totally qualifiead improvements in the aspect are still necessary. Being predicted that the childbirth rate in the Indonesia is about 5.000.000 / year, it can be described that the mother death rate is 19.500 200.000 annually or 26 27 cases minute ( Manuaba, 1998 ). Syahri (2002), in his research about maternal care program, states that the high rate of family and social care. The lack of it can lead to the three kinds of late action, including : recognizing the danger, taking to the referred place and giving treatment in the referred place.

CONT.
The men participation in the reproduction health is so low. In KB program only 2% participation of men. Mother date rate (AKI) in indonesia is high; 373/100.000 succesful childbirth, in which 17.000 fatal cases occur because of three kinds of late treatmen and 68% of childbirth is without accompaniment of husband. The level of high fatality childbirth and low quality of woman reproduction come from the patriarchal custom (Anonymous, 2004). Childbirth process is one of factor causing an anxiety because it is not only somatic but also psychosomatic (Kartono, 1992).
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CONT.
Based on the previous survey conducted in November 28, 2005 in Tegalrejo public health center of husband accompaniment. However, there are still cases in which the anxiety level arises because many childbirth processes are without the accompaniment of husband or family. Tegalrejo puskesmas is one public health center under apervised by Dinas Kesehatan kota Yogyakarta with significant visit level of pregnant mother, it is about 1093 in 2005 or on the average 91 pregnant mother per month with one dead baby in 2005 (Sistem Pencatatan dan Pelaporan Terpadu Puskesmas (SP2TP) Puskesmas Tegalrejo 2005).
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Problem Formulation
Is

there any relationship between the husband support system and the mother anxiety level in childbirth process stage I ?

Research Purposes
1. General purpose 2. Specific purpose

Benefits of Research
1. For the tegalrejo Public Health Center of Yogyakarta. 2. For the Couple. 3. For the Research. 4. For the nursing.

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Scope of the Problem

1. 2. 3. 4. Research Variable Research Subject Research Location Research Time

Research Related
Mardeyanti (2001), conducts a research about the different level of mother anxiety primigravida and multigravida in facing the childbirth in Tegalrejo public healt center Yogyakarta.
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Literatur Review
1. Support System 2. Anxiety level 3. Childbirth Process

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Framework
Husband Support System Mother anxiety level in the childbirth process stage I Low Medium High

Variabel Perantara 1. Fear oh herself 2. Fear of her baby 3. Painfull childbirth

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Hypothesis
There is a relationship between husband support system and mother anxiety level in the childbirth process stage I in public health center Tegalrejo Yogyakarta .

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Research Method
A. Kind of the Research
Analytic descriptive by means of cross sectional approach

B. Population dan Sample

60 respondent, Quota sampling

 Operational Definition Research Instrument Validity & Reability Test

Processing & analysis data

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Result and Discussion

1. The respondent characteristis of mother in the childbirth process stage I.
No Characteristic Age < 20year 20-29 year 30-35 yaer 35 year Sum %

4 34 18 4

6,7 56,6 30 6,7

Education SD SLTP SLTA PT

4 10 37 9

6,7 16,7 61,6 15

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Cont.
No
3.

Characteristic
Occupation Housewife Worker Private Public servant

Sum
31 11 8 -

%
51,7 18,3 30 -

4.

Paritas Primipara Multipara

34 26 60

56,7 43,3 100

Total

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Cont.
2. The description of childbirth process to the Support
System
Support system distribution Husband Support system Accompanied Not accompanied Total Frequency
30 30 60

%
50 50 100

3. The description of respondent anxiety level in the childbirth process stage I. Mother anxiety level in the childbirth process stage I distribution Mother anxiety level in the childbirth process stage I Low Medium High Total

Frequency 8 18 34 60

% 13,3 30,0 56,7 100,0 NEXT

4.

Cont
The description husband support system with mother anxiety level in childbirth process stage I. The distribution of anxiety level viewed from the support system presence. Support system Level of anxiety Accompanied Not accompained Low Medium High 8 (13,3%) 12 (20,0%) 10 (16,7%) 6 (10,0%) 24 (40,0%)

5.

The relationship between husband support system with mother anxiety level in the childbirth process stage I. Pearson correlative analysis between husband support system with mother anxiety level in the childbirth process stage I. Mother anxiety level in childbirth process stage I Koefisien korelasi Signifikansi Pearson Chi(P. value) square r Husband Support System 15,765 0,00
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Variabel

DISCUSSION
The result shows that the whole respondents get the high scores (14-25). in husband accompaniment, it is obtained that the high anxiety in respondents accompanied by their husband is lower 16,7% than those without. In the anxiety level of the respondent without husband accompaniment is 40%. The anxiety on pregnant mother before childbirth process comes from the worriedness of unwanted situation both by anxiety, unconcentration, trembling, easy to get angry, cold sweat, stressed, frequent urinating, upchucking are kinds of process happens. The mother feels that it is hard to conduct the childbirth and consequently, some of them say that they are ubwilling to have babies anymore. By using the statistic test Chi-Square, it is obtained that husband support system during the childbirth process stage I correlates significantly with the mother anxiety level (r=15,765; P=0,000 < 0,05). It assumes that there is a meaningful relationship between husband support system and the mother anxiety level in childbirth process stage I. NEXT

Barrier Factor
1. Not all normally childbirth mother accompanied by their husbands can be used as respondents because their processes happen at the sametime, so yhe writer cannot observe all the processes. 2. Not all husbands can be regarded as respondents because some of them are just waiting or accompanying outside the childbirth room. It may be caused by the lack of knowledge about the importance of husband support system

Research Limited
The technique questioner collecting of data by

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CONCLUSIONS & SUGGESTIONS

1. The husband accompaniment in childbirth process shows that all respindents get the high scores (14-25). It exposes that all respondents need their husband beside them during the process. There are different mother anxiety level is between mother not accompanied by their husbands and those with their husbands. The absence of husband support System enhances the level of mother anxiety. There are some factor causing the anxiety during the childbirth process;they are:painful contraction, crying, anxiety, unconcentration, trembling, easy to get angry, cold sweat, stressed, frequent urinating upchucking, reluctant to eat, and frequent calling for the paramedic, and hard to follow the instructions when the childbirth is processing.

2.

3.

4.

There is a meaningful relationship between husband support system and mother anxiety level in the childbirth process stage I. NEXT

SUGGESTIONS
1. For the research.
It needs condusting a wider-scoped research by considering other variables influencing the anxiaty.

2. For the Paramedic.

a. It is hoped that they should apply therapeutic communication because it has very important role in every maternal service processes, so it can keep the clients satisfied and reduce their anxiety. b. It is necessary to give guidances to mother about how the childbirth processes happen and what preparation should be done in order to minimize the level of anxiety.
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Cont.
3. For the Couple. It is expected that the couple (husband and wife) should take care of their reproductional health, and husband should participate in improving mother health and give more support from the pregnancy to the childbirth process.

Thank You