KALA II OLD
According to Prof. Dr. Rustam Mochtar, MPH (1998), the notion of prolonged
parturition is labor that lasts more than 24 hours in primigravida and more than
18 hours in multigravida.
The old second stage is labor that lasts more than 2 hours on the primi, and more than
30 minutes to 1 hour in the multi. (Synopsis Obsestetri, 2010)stage
Secondis labor with no head reduction> 1 hour for nulliparous and multiparous.
(Sarwono, 2008)
Old labor is labor that lasts more than 12 hours, both in primiparas and multiparas. Old
labor can occur with an extension of period I and / or II. (Wiknjosastro, 2010).
His abnormality in strength or nature causes obstacles to the birth canal that are
commonly found in every birth, if it cannot be overcome it can cause labor
congestion. Whether or not he is judged by the progress of childbirth, the nature
of his own (frequency, duration, strength and relaxation) and the magnitude of
the succedaneum caput.
The birth leader who is wrong from the helper, the wrong technique, even the mother
who is tired and exhausted to deliver in the labor process can also be one of the
causes of the old second stage.
1.2.5 Pathway
Diagnosis 2: Anxiety
1.3.2.1 Definition
Feelings of discomfort or anxiety that are vague accompanied by
an autonomic response, feeling of fear caused by anticipation of
danger.
1.3.2.2. Defining characteristics
a. Restlessness
b. Expressing concern
c. Fears
d. Increased sweating
e. face tense
1.3.2.3 Factors related
a. crisis situations
b. Stress
c. Threats Death
d. Threats to the self concept
e. unfulfilled Needs
Planning 1.3.3
Diagnosis 1: Acute Pain
Criteria 1.3.3.1 Objectives and results(outcomescriteria):based on the
NOC (see reference list)
a. Shows effective individual relaxation techniques
b. Maintain pain levels
1.3.3.2 Nursing and rational interventions: based on the NIC (see
reference list)
a. Giving analgesics: using pharmacological agents
b. Pain management: Reduces or maintains pain to a level of
comfort
Diagnosis 2: Anxiety
1.3.3.1 Outcome objectives and criteria (outcomes criteria): based on the
NOC (see reference list)
a. Anxiety decreases
b. Demonstrate self-control of anxiety
1.3.3.2 Nursing and rational interventions: based on the NIC (see
reference list)
Extension of effective ways of straining
a. Explain the benefits of effective push
b. Teach your mother how to push effectively
1.4. Bibliography
Amalia, LN (2014). Midwifery Care In Mrs. "M" With the Actions of the
Section of the Section for the Indications of Old Time in the Vk Room, Irs
Rsup Ntb. Available in: www.academia .edu> case_kala_II_lama.
Prawirohadjo, S., 2002, Maternal and Neonatal Health Services Edition I, Bina
Pustaka Foundation, Jakarta.
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