Author : Tamera Grace Natalia*, Rasmin Hi Abd Mutalib, Frangki Mapanawang
The World Health Organization (WHO) in 2014 AKI in Indonesia 214/100.000 live births. (SDKI) in 2012, maternal mortality (AKI) related to pregnancy, childbirth, and parturition of 359 per 100.000 live births. One of the causes of maternal death in Indonesia caused Kala II long by 5%. Kala II long is delivery that lasted more than 2 hours on a primigravida, and over 30 minutes to 1 hour on a multigravida (Prawirohardjo Sarwono, 2010). The purpose of study and understand the direction of midwifery in the case of kala II long in Tobelo of clinics. The methods used are descriptive, namely by applying the management approach as well as Obstetrics Care case studies. The Subject Of Ny. Y aged 22 years old G1P0A0 with kala II long in Tobelo of clinics. Data retrieval through interviews, direct observation and documentation of the medical record. Descriptive data analysis is carried out based on the 7 steps varney. (Varney, 2009) After the authors apply Midwifery Care in Ny. Y age of 22 G1P0A0 labor could run well and smoothly given Fluid Therapy D5% and Oxytocin drips ½ cc. His regular start and lead delivery. On 04 August 2017, 7 pm was born a baby with the gender of males. NY. Y aged 22 years 40 weeks pregnant with G1P0A0 kala II long and childbirth with induction (oxytocin drips ½ cc). The issue is resolved the old epoch II and mother healthy baby with no complications. The old labor is one of the direct cause of maternal death, therefore the role of health workers is essential in monitoring the labor to detect any complications and provide a sense of security when giving birth. Key words: Orphanage Obstetrics, Kala II long.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD