Relationship of Pregnancy Spacing to First Stage Event Prolonged Active Phase Occurrence


  • Maulana Idham Lutfi Universitas Lampung
  • Reisyah Dinda Syahfira Silitonga
  • Zulfadli Zulfadli



delivery, preganancy spacing, prolonged phase


Prolonged labor or what is called dystocia is a condition where the labor process experiences difficulties with slow progress. Signs indicating dystocia include a low-lying fetal presentation that fails to enter the pelvis on Leopold's examination, slow cervical dilatation, and a loose presenting part into the cervix. There are several factors that can cause dystocia including the strength of uterine contractions (power), condition of the birth canal (passage), position and size of the fetus (passenger), number of previous pregnancies (parity), premature rupture of membranes, mother's age, distance between pregnancies, social conditions economy, and the level of response to stress. A gap between pregnancies that is too long (>10 years) can increase the risk of dystocia during delivery. This study is a case report. Data was obtained from a 35 year old woman who complained of being at term pregnant with heartburn since 1 day before entering the hospital (SMRS). The patient admitted that abdominal pain had spread to the waist since 1 day before entering the hospital (SMRS). The patient then had an examination with the midwife and it was said to be opening 2, then the patient was sent home. On June 4 2024 at 11 am the patient underwent an examination with a gynecologist and was given misoprostol 50 mcg and then the patient complained of increasingly frequent heartburn. At 15.30 the patient was checked again by the midwife and found that it was 4 cm dilated, it was observed until 22.30 and it remained 4 cm dilated, then the patient was referred to RSAM. The patient admitted that she was pregnant at term and still felt the baby's movements. Pregnancy spacing is the most important factor in these patients. This pregnancy is the patient's second pregnancy, the first pregnancy was in 2012 which was born at term, vaginally, male with a birth weight of 2800 grams. Several previous studies have shown that there is a relationship between pregnancy spacing and the incidence of prolonged labor, but there is no theory that is considered absolutely correct to date. Therefore, intervention is needed for early prevention and early management of prolonged labor, especially regarding prevention of too long a pregnancy distance.

Author Biography

Zulfadli Zulfadli




Prawirohardjo S. Buku Ilmu Kebidanan. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2008.

WHO. Maternal Mortality [Internet]. 2024. [diperbarui tanggal 26 April 2024; disitasi tanggal 10 Juni 2024]. Tersedia dari:

Badan Pusat Statistik. Cerita Data Statistik untuk Indonesia 2024.01. Jakarta: Badan Pusat Statistik; 2024.

Yulizawati AR. Distosia pada Persalinan. Sidoarjo: Indomedia Pustaka; 2022.

Fitriah IP, Saputri LA, Marlin HA. Hubungan Paritas dan Usia Ibu dengan Kejadian Partus Lama di Rumah Sakit Umum Daerah Tapan Kabupaten Pesisir Selatan. Jurnal Doppler. 2022;6(1): 20-25.

Rahmawati NA. Asuhan Kebidanan pada Ny. U Umur 32 Tahun dengan Faktor Resiko Jarak Kehamilan Terlalu Jauh di Wilayah Puskesmas Paguyangan Tahun 2023. Indonesian Journal of Health Science. 2024; 4(2): 174-178.

Pratamaningtyas. Analisis Faktor yang Mempengaruhi Kejadian Persalinan Kala II Memanjang. Malang Journal of Midwifery. 2019; 1(1).

Sadiyah, Nailis. Pengaruh Faktor Reproduksi Ibu dan Anemia terhadap Lama Persalinan Kala 1 Fase Aktif. Jurnal Biometrika dan Kependudukan. 2014; 3(2).

Suryati. Kematian Maternal dan Faktor Predisposisi Penyebabnya. Jawa Tengah: Eureka Media Aksara; 2022.

Mutmaina, 2022. Hubungan antara Jarak Kehamilan, Umur, dan Paritas dengan Lama Persalinan Kala 1 di Kamar Bersalin RSU Anutapura Palu. Jurnal Info Kesehatan: 2022; 12(1).

Conningham FG, et al. Williams obstetrics. 25th ed, vol. 1. New York: McGraw-Hill Education; 2018.

Mandasari. Faktor-Faktor yang Berhubungan dengan Kejadian Persalinan Lama. Jurnal STIKES Al-Ma’arif Baturaja: 2023; 8(2).

Kissler K, Hurt KJ. The Pathophysiology of Labor Dystocia: Theme with Variations. Reprod Sci. 2023; 30(3):729-742.



How to Cite

Maulana Idham Lutfi, Silitonga, R. D. S., & Zulfadli, Z. (2024). Relationship of Pregnancy Spacing to First Stage Event Prolonged Active Phase Occurrence. Medical Profession Journal of Lampung, 14(6), 1150-1154.