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Presented By : Neni Isnaeni

2002 032 0043

THE RELATIONSHIP OF HUSBAND SUPPORT

SYSTEM WITH THE MOTHER LEVEL ANXIETY IN

THE CHILDBIRTH PROCESS STAGE I IN THETEGALREJO PUBLIC HEALTH CENTER

YOGYAKARTA 2006

NURSING SCIENCE PROGRAMEMEDICAL FACULTY

MUHAMMADIYAH UNIVERSITY OF

YOGYAKARTA

2006



CONTENTS……

Purpose

Research Method

Research Result

Problem Formulation

Background of the problem

Conclusion & Suggestion

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Background of The Problem• In the Asean countries, Indonesia has the highest

of mother death rate and prenatal. It means thatthe totally qualifiead improvements in the aspectare still necessary. Being predicted that thechildbirth 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 casesminute ( Manuaba, 1998 ).

• Syahri (2002), in his research about maternal care

program, states that the high rate of family andsocial care. The lack of it can lead to the threekinds of late action, including : recognizing thedanger, taking to the referred place and givingtreatment in the referred place.



CONT….

• The men participation in the reproductionhealth is so low. In KB program only 2%

participation of men. Mother date rate (AKI)in indonesia is high; 373/100.000 succesfulchildbirth, in which 17.000 fatal cases occur

because of three kinds of late treatmen and68% of childbirth is without accompanimentof husband. The level of high fatalitychildbirth and low quality of womanreproduction come from the patriarchalcustom (Anonymous, 2004).

• Childbirth process is one of factor causing ananxiety because it is not only somatic butalso 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 levelarises because many childbirth processes arewithout the accompaniment of husband orfamily.

• Tegalrejo puskesmas is one public health centerunder apervised by Dinas Kesehatan kotaYogyakarta with significant visit level of

pregnant mother, it is about 1093 in 2005 or onthe average 91 pregnant mother per month withone dead baby in 2005 (Sistem Pencatatan danPelaporan 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 childbirthprocess 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. Research Variable2. Research Subject

3. Research Location

4. Research Time

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Research Related

• Mardeyanti (2001), conducts a research about the

different level of mother anxiety primigravida andmultigravida in facing the childbirth in Tegalrejo public healt center Yogyakarta.



Literatur Review

1. Support System

2. Anxiety level

3. Childbirth Process

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Framework

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Husband

Support

System

Mother

anxiety levelin

the childbirth

process stage I

Variabel Perantara

1. Fear oh herself

2. Fear of her baby

3. Painfull childbirth

LowMedium

High



Hypothesis

• “There is a relationship between husband

support system and mother anxiety level

in the childbirth process stage I in publichealth 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.

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No Characteristic Sum %

1 Age

< 20year

20-29 year

30-35 yaer

35 year

4

34

18

4

6,7

56,6

30

6,7

2 Education

SDSLTP

SLTA

PT

410

37

9

6,716,7

61,6

15



Cont….

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No Characteristic Sum %

3. Occupation

Housewife

Worker

Private

Public servant

31

11

8

-

51,7

18,3

30

-

4. Paritas

Primipara

Multipara

34

26

56,7

43,3

Total 60 100



Cont……. 2. The description of childbirth process to the Support

System

Support system distr ibuti on

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3. The description of respondent anxiety level in the childbirthprocess stage I.

Mother anxiety level in the childbirth process stage I distribution

Husband Support

system

Frequency %

Accompanied

Not accompanied

30

30

50

50

Total 60 100

Mother anxiety level

in the childbirthprocess stage I

Frequency %

Low

Medium

High

8

18

34

13,3

30,0

56,7

Total 60 100,0

C t



Cont…

Level of anxiety Suppor t system

Accompanied Not accompained

Low

Medium

High

8 (13,3%)

12 (20,0%)

10 (16,7%)

-

6 (10,0%)

24 (40,0%)

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5. The relationship between husband support system with mother anxiety levelin the childbirth process stage I.

Pearson correlative analysis between husband support system with motheranxiety level in the childbirth process stage I.

4. 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.

Variabel

Mother anxiety level in childbirth

process stage I

Koefisien korelasi

Pearson Chi-

square r²

Signifikansi

(P. value)

Husband Support

System

15,765 0,00

DISCUSSION



DISCUSSION

The result shows that the whole respondents get the high scores(14-25).

in husband accompaniment, it is obtained that the high anxietyin respondents accompanied by their husband is lower 16,7%than those without. In the anxiety level of the respondentwithout husband accompaniment is 40%.

The anxiety on pregnant mother before childbirth processcomes from the worriedness of unwanted situation both by

anxiety, unconcentration, trembling, easy to get angry, coldsweat, stressed, frequent urinating, upchucking are kinds ofprocess happens. The mother feels that it is hard to conduct thechildbirth and consequently, some of them say that they areubwilling to have babies anymore.

By using the statistic test Chi-Square, it is obtained thathusband support system during the childbirth process stage Icorrelates significantly with the mother anxiety level(r²=15,765; P=0,000 < 0,05). It assumes that there is ameaningful relationship between husband support system andthe mother anxiety level in childbirth process stage I.

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B i F t



Barrier Factor

1. Not all normally childbirth mother accompanied bytheir husbands can be used as respondents because

their processes happen at the sametime, so yhe writercannot observe all the processes.

2. Not all husbands can be regarded as respondents because some of them are just waiting oraccompanying outside the childbirth room. It may be

caused by the lack of knowledge about theimportance of husband support system

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Research Limited

• The technique collecting of data byquestioner

CONCLUSIONS & SUGGESTIONS



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 theprocess.

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2. There are different mother anxiety level is between mothernot accompanied by their husbands and those with theirhusbands. The absence of husband support System enhances

the level of mother anxiety.3. There are some factor causing the anxiety during the

childbirth process;they are:painful contraction, crying,anxiety, unconcentration, trembling, easy to get angry, coldsweat, stressed, frequent urinating upchucking, reluctant to

eat, and frequent calling for the paramedic, and hard tofollow the instructions when the childbirth is processing.

4. There is a meaningful relationship between husband supportsystem and mother anxiety level in the childbirth process

stage I.

SUGGESTIONS



SUGGESTIONS

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1. For the research.

It needs condusting a wider-scoped research byconsidering other variables influencing the anxiaty.

2. For the Paramedic.

a. It is hoped that they should apply therapeuticcommunication because it has very important rolein every maternal service processes, so it can keepthe clients satisfied and reduce their anxiety.

b. It is necessary to give guidances to mother abouthow the childbirth processes happen and what preparation should be done in order to minimizethe level of anxiety.



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.



hank You