The Differences between Pregnant Women with Obese and Non Obese towards Length of Labor Time in SADEWA Mother and Children Hospital, Yogyakarta

Abstract

According to the study , the incidence of prolonged labor is 2.8% -4.9%. The prolonged labor can cause complications and can improve mortality both to the mother and the children. Prolonged labor contributed 5% of the mortality and morbidity of the mothers and babies born in Indonesia,. The prevalence of obesity in Indonesia was greater in women (23.8%) than men (13.9%). The active phase of first stage of labor in pregnant women with overweight and obesity was longer than pregnant women with normal weight.The purpose of this research is finding the difference lenght of labor time between pregnant women with obese and non-obese. This research is cross sectional method which is using retrospective approach. The subject in this research is primigravida and multigravida which is get normal labor in SADEWA Mother and Children Hospital of Yogyakarta 2010 until 2013 that is consists of obese and non-obese category. The instrument of this research is medical record of the pregnant women who have passed of labor.The analyzed of data using Mann Whitney test and the result are there is no differences long of first stage, second stage and fourth stage of labor time between primigravida with obese and non-obese category (p=0,693; p=0,913; p=1.00; p<0,05), there is differences lenght of third stage of labor time between primigravida with obese and non-obese category (p=0,013; p<0,05), there is differences long of first stage and third stage of labor time between multigravida with obese and non-obese category (p=0,011 dan p=0,042; p<0,05), there is no differences lenght of second stage and fourth stage of labor time between multigravida with obese and non-obese category (p=0,765 dan p=1,00; p<0,05).The conclusion of this research is obesity before pregnant has influence the lenght of first stage of labor time in primigravida and third stage of labor time both to the primigravida and multigravida.

Keywords: Pregnant Women, Obese, Non-Obese,  Length Of Labor Time