Detection of Uterine Contractions in Mothers in the First Stage of Active Phase Using Instruments Uterine Electromyograpy
DOI:
https://doi.org/10.36990/hijp.v16i2.1494Keywords:
Uterine Contractions, Uterine Electromyography, Labor, First Stage Active PhaseAbstract
Ringkasan: Latar belakang: Angka kematian ibu di Indonesia mencapai 3.572 jiwa tahun 2022, dengan distosia akibat kelainan kontraksi menjadi salah satu penyebab komplikasi persalinan. Deteksi kontraksi uterus melalui palpasi manual menunjukkan keterbatasan akurasi, sehingga diperlukan metode pemantauan yang lebih objektif. Tujuan: Menganalisis pemanfaatan uterine electromyography dalam deteksi kontraksi uterus pada ibu bersalin kala I fase aktif. Metode: Systematic review menggunakan rumusan PICO dengan pencarian artikel pada database ProQuest, Sage Journal, ScienceDirect, Scopus, dan Google Scholar. Dari 4.875 artikel ditemukan, 8 artikel dipilih sesuai kriteria inklusi dan disusun dalam bentuk tabel. Hasil: Uterine electromyography mampu mendeteksi aktivitas kelistrikan otot uterus selama kontraksi dengan akurasi tinggi, menunjukkan pola frekuensi, durasi, interval, dan potensial aksi yang meningkat mendekati kala II persalinan. Teknologi ini terbukti lebih sensitif dibandingkan tokodinamometer dalam mendeteksi kontraksi. Simpulan: Uterine electromyography efektif mendeteksi kontraksi uterus berdasarkan pengukuran aktivitas kelistrikan otot rahim. Saran: Pengembangan lebih lanjut alat deteksi kontraksi uterus yang akurat dan mudah digunakan untuk implementasi klinis.
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