ABSTRAK
Latar Belakang : Angka kematian ibu yang disebabkan kala II lama sebesar 5%. Angka kejadian kala II lama di RSUD DR Moewardi pada tahun 2014 sebanyak 11,33%  kasus persalinan.
Tujuan : Untuk mempelajari dan memahami asuhan kebidanan pada kasus kalaII lama secara komprehensif.
Metode : Observasional deskriptif dengan pendekatan studi kasus. Pengambilan data melalui wawancara, observasi langsung dan studidokumen. Analisis data dilakukan secara deskriptif berdasarkan7 langkah Varney .
Hasil : Ny D G2P1A0 hamil 39+3minggu datang dengan keluhan merasa perutnyakenceng-kenceng, sudah mengeluarkan darah sejak pukul 19.00 WIB, ketubanpecah pukul 03.30 WIB dan ingin mengejan, sudah dipimpin mengejan oleh bidanklinik pukul 03.30 WIB, selama 3 jam 3 menit tetapi belum juga lahir.Vulva oedem dan his tidak adekuat. Dilakukan persalinan dengan vakum ekstraksi. Hasil penelitian pada kasus ini adalah bayilahir spontan.
Kesimpulan : Ny D G2P1A0umur 30 tahun dengan kala II lama melahirkandengan vakum ekstraksi. Pada pelaksanaan kasus kala II lamaNy D tidak muncul komplikasi, terdapat kesenjangan antara teori dan lahan yaitu tidak diberikan O2.
Kata Kunci : Asuhan Kebidanan Ibu Bersalin , Kala II lama
ABSTRACT
Background: The maternal mortality and morbidity rate due to long Delivery Phase 2 was 5 %. At Dr.Moewardi Local Hospital the percentage of the mothers experiencing long Delivery Phase 2 was 11.33 %.
Objective: The objective of this research is to study and understand the midwifery care on the case of long Delivery Phase 2 comprehensively.
Method: This research used the observational descriptive research method with the case study approach. The data of the research were gathered through in-depth interview, direct observation, and content analysis on the medical record. The data were analyzed descriptively based on the seven measures claimed by Varney.
Result: Mrs. D G2P1A0 with the gestational age of 39+3 weeks complains of abdominal tightening and has secreted blood since seven pm Western Indonesia Time. Her membranes rupture at 03.30 a.m, and she wants to strain. It has been guided by the midwife of the Community Health Center since 03.30 a.m for 3 hours 3 minutes, but the baby has not been born. The vulva has edema, and hicks contraction is not adequate. Labor by vacuum extraction is done. The baby is then born spontaneously.
Conclusion: Mrs. D G2P1A0 with the gestational age of 39+3 weeks and with long Delivery Phase 2 gets labor by vacuum extraction is done. However, in the implementation, the case of long Delivery Phase 2 at Dr. Moewardi Local Hospital, complication does not exist, and there no gap between the theory and the practice.
Keywords: Midwifery care and Delivery Phase 2