Abstract

The environment in labor can have a great effect on the fears and anxieties experienced by the mother. Anxiety can inhibit cervical dilatation, so that the perception of pain increases. Cortisol is secreted in response to tension and anxiety, it affects the progress of cervical dilatation. The increasing concentration of cortisol during pregnancy and continue to rise until labor. Anxiety is usually associated with increased pain during labor and modification of labor pain can be done through psychological and physiological mechanisms. One way to modify psychological labor pain is by setting the delivery environment. The purpose of this study was to analyze the effect of the setting of the labor environment on the progress of labor. The results showed the average delivery progress (cm/hour) in the treatment group 1.38 (0.43) and the control group 1.23 (0.52), obtained p = 0.058, this indicates there was no difference in labor progress in both study groups. Based on the statistical test results of the effect of the setting of the delivery environment on the progress of labor, the p value = 0.015 shows that there is an influence of the delivery environment setting on the progress of labor and the RR value of 3.67 (IK = 1.14-11.84), which means that the mother gives birth in a Independent Midwifery Practice (IMP) who did not manage the delivery environment had a risk of having a cervical opening < 1 cm/hour by 3.67 times compared to mothers giving birth at the IMP who did the setting of the delivery environment. The conclusion of this research is that there is a positive influence of the delivery environment to the progress of labor.