PERILAKU BIDAN DALAM MENOLONG PERSALINAN PASCA PELATIHAN ASUHAN PERSALINAN NORMAL (STUDI KUALITATIF DI KECAMATAN SINTANG KABUPATEN SINTANG)

Abstract

Untuk mempercepat penurunan Angka Kematian Ibu dan Bayi, WHO meluncurkan strategi Making Prognancy Saver. Jika pertolongan persalinan menggunakan prinsip Asuhan Persalinan Normal, maka Angka Kematian Ibu dapat ditekan 40-45 per 100.000 kelahiran hidup. Pelatihan pada dasarnya menuju kepada suatu perubahan perilaku. Untuk mengetahui perubahan tersebut diperlukan evaluasi. Tujuan penelitian adalah untuk mendeskripsikan tentang perilaku bidan menolong persalinan. Jenis penelitian adalah deskriptif dengan pendekatan kualitatif. Populasi adalah bidan yang telah mengikuti pelatihan asuhan persalinan normal tahun 2004 samapai tahun 2006, sebanyak 6 orang. Data diperoleh dari hasil wawancara mendalam terhadap responden dengan menggunakan daftar wawancara. Cross check dengan wawancara mendalam pada kepala puskesmas dan teman sejawat serta hasil observasi terhadap responden dengan menggunakan instrument 60 langkah asuhan persalinan normal. Data diolah menggunakan metode pengolahan analisa deskriptif isi (countent analysis). Hasil penelitian menggambarkan secara umum pengetahuan bidan baik, mengetahui pergeseran paradigma dari menunggu dan menangani komplikasi menjadi mencegah komplikasi, lima aspek benang merah yang harus ada dalam tiap asuhan, lagkah-langkah merujuk, mampu menjelaskan partograf, manuver tangan saat kelahiran bayi, manajemen aktif kala tiga, dan asuhan bayi baru lahir. Sikap bidan sangat setuju dengan asuhan persalinan normal, dan siap menolong kapan saja jika diperlukan oleh pasien. Praktek bidan baik, berusaha menerapkan enam puluh langkah asuhan persalinan, walau kadang sulit dilakukan karena tergantung kondisi dan merubah kebiasaan lama memerlukan waktu. Saran agar bidan meningkatkan pengetahuan dan ketrampilan melalui pendidikan formal maupun non formal, dan hendaknya selalu dilakukan monitoring dan evaluasi secara berkala oleh Dinas Kesehatan, organisasi profesi. Kata Kunci: Bidan, Pasca Persalinan, Pelatihan THE BEHAVIOUR OF MIDWIFES AT THEIR OF PARTUM CARED AFTER THEY HAVE GOT THE NORMAL PARTUM CARE TRAINING. (QUALITATIVE STUDY IN SUB DISTRICT SINTANG DISTRICT SINTANG) To decreased Mathernal Mortality Rate and Infant Mortality Rate WHO to let slide strategy Making Pregnancy Saver with 3 key message one of is : every confinement is helped by health worker trained. If help confinement gets every mother normal confinement care, then mother mortality rate can pressured a lot of 40-45/100.000 life birth. The trained basicly goes to behaviour changed. There were need evaluated to knew that changed. The aim research are to description behaviour midwife help confinement. The kind of research are descriptive research with approach qualitative. Population are midwife already follow training normal confinement care begin year 2004 to year 2006, as much as 6 person. Data get from result of deep interview to respondent with use questionair. Cross check with deep interview with head community health centre and friend together result observation to respondent with use instrument. Data analysed with use methode content analysis. The result of this research description that generally there was good midwifes knowledge, to knew paradigm move of complication waited and took, five relationship aspects that had to be at every care, revocation steps, could explain the patograf, the hands maneuver when neonatal, the active management labour three and newborn care. Midwifes attitude was gree o normaly partum care and they where ready to helped the needful patients anytime. The widwifes was good, they tried to sixty steps of normally partum care even it had difficult to be done cause hang up the condition and they needed to changed their old habit. The suggestion that midwife could increase their knowledge and skill through the formal or non formal education and they had to be monitored and evaluation by district health office and proffesionce organization. Keyword: Midwifes, post partum, training