Analysis of the Factors that Relate to Widwives Practice in Implementing Active Management of Period III at Kendari Public Hospital, Southeast Sulawesi

Abstract

Maternal mortality rate in 2003 was 307/1000.000 life birth. Percentage of maternal mortality rate at Southeast Sulawesi caused by blooding was 53.22 %. Number of blooding cases at Kendari Public Hospital caused by atonia uteri was 146 persons anda caused by retensio placenta was 65 persons. Procedures of active management of period III had not been applied well, midwives education was still low, implementation of hospital manegement was still weak, allocation of budget for educating and training of midwives had not been a main priority by Kendari Public Hospital. Aim of this research was to identity the factors that related to supervision, incentive, punishment, attitudes, and motivation of midwives in implementing active management of period III at Kendari Public Hospital. This was observational research using descriptive-analytic method, cross-sectional approach, and combined by qualitative method. Population was all midwives at childbirth room at Kendari Public Hospital. Number of sample was 30 persons. The result of this research shows that most of the respondents have sufficient supervision (63.3%), sufficient incentive (63.3%), sufficient punishment (46.6%), good attitudes (40%), and sufficient motivation (70%). The variables that have significant relationship with implementation of active management of period III are supervision (p=0.006), incentive (p=0.026), punishment (p=0.012), attitudes (p=0.003), and motivation (p=0.005). The hospital management should improve implementation of supervision, evaluate the result of supervision, provide incentive in accordance with midwives’ work performance, and implement punishment in accordance with infraction. Beside that, the management should provide opportunity for midwives to continue their study, to follow training, and to promote their position. Indonesia Midwifery Association could evaluate the result of training for midwives that has been performed in accordance with standard of Normal Childbirth Care. Key Words : Supervision, Incentive, Punishment, Attitudes, Midwifes Motivation, Active Management of Period III, Kendari Public Hospital Bibliography : 45 (1985-2007)