The Effect of Yophytta Exercise for Shortening the Second Stage of Labor in Primigravidas

Introduction: The prolonged labor in the second
stage has a dangerous effect on the fetus and mother.
Yophytta exercise trains to regulate the breath during
labor. In addition, the muscles are more elastic, which
also makes it easier to deliver the baby process. The
purpose of this study aims to investigate the effect of
yophytta exercise on shortening the second stage of
labor in primigravidas.
Methods: This paper was a retrospective comparative
research design. The population was 100 primigravidas
with spontaneous birth in the maternity ward from
August 2017- to January 2018. Meanwhile, there were
46 samples with simple random sampling, divided into
23 samples in the intervention group (with yophytta
exercise) and 23 in the control group (without yophytta
exercise). This research was conducted in February
2018 at the Mother and Child Hospital, Surabaya.
The independent variable was yophytta exercise, while
the dependent variable was the duration of the second
stage of labor. Data collection was secondary data
from the patient’s medical records and maternity room
registers to assess mothers who performed yophytta
exercises for three consecutive weeks and participated
two times a week with a duration of 60 minutes each
time. The statistical analysis study used the Mann�Whitney test with a significance value of 0.05.
Results: Most respondents in the experiment group
experienced the second stage of labor less than 1.5
hours (71 %), while the control group experienced more
than 2 hours (53.3 %). In addition, the Mann-Whitney
test between both groups obtained p=0.00 (p<0.05),
indicating a significant difference between the groups.
Conclusion: This study concludes that yophytta
exercise shortens the duration of the second stage
labor in primigravidas. Yophytta exercise could be
an intervention in antenatal care services to prevent
the prolonged second stage of labor. However, further
study should involve more participants and control
confounding factors to minimize bias.