Asuhan Kebidanan Continuity Of Care NY. G Umur 24 Tahun di Klinik Rahayu Ungaran

Abstract

The period of pregnancy, childbirth, postpartum, neonate is a physiological condition that may threaten the life of the mother and baby and even cause death. One effort that can be made is implementing a comprehensive midwifery care model that can optimize the detection of high risk maternal neonates. The aim of the research was to analyze the implementation of midwifery care for pregnant women, maternity, postpartum, BBL and family planning. Analytical descriptive observational research method. The case study approach to the implementation of midwifery care includes care for pregnancy, childbirth, newborns, postpartum, and family planning (KB). The sample was a second trimester pregnant woman, gestation age 23 weeks 1 day, G3P1A1. Research time July 2023 – December 2023 at Rahayu Clinic Ungaran. The research instrument uses the SOAP documentation method with a Varney management mindset. Collection techniques use primary data through interviews, observations, physical examinations, KIA books. The results of the care obtained by Mrs. G G3P1A1 gestational age 23 weeks 4 days with placenta previa, complaints of recurrent fresh red bleeding without abdominal pain and onset slowly, and a history of hydatidiform molar pregnancy and the mother experiencing anemia. The mother gave birth via SC at 35 weeks of gestation with problems with bleeding without abdominal pain or anemia. The postpartum period was normal, there was no bleeding, uterine contractions were good, lochea rubra, the mother received vitamin A. In the newborn the results of the anthropometric examination were normal, SHK was negative and OEA passed. Mrs. G decided to use IUD contraception.

Abstrak

Masa kehamilan, persalinan, nifas, neonatus merupakan suatu keadaan fisiologis yang kemungkinan mengancam jiwa ibu, bayi bahkan menyebabkan kematian. Salah satu upaya yang dapat dilakukan menerapkan model asuhan kebidanan komperehensif yang dapat mengoptimalkan deteksi risiko tinggi maternal neonatal. Tujuan penelitian melakukan analisis pelaksanaan asuhan kebidanan ibu hamil, bersalin, nifas, BBL dan KB. Metode penelitian observasional desktiptif analitik. Pendekatan studi kasus pada pelaksanaan asuhan kebidanan meliputi asuhan kehamilan, persalinan, bayi baru lahir, nifas, dan keluarga berecana (KB). Sampel adalah seorang ibu hamil trimester II usia kehamilan 23 minggu 1 hari, G3P1A1. Waktu penelitian Juli 2023 – Desember 2023 di Klinik Rahayu Ungaran. Instrumen penelitian menggunakan metode dokumentasi SOAP dengan pola pikir manajemen varney. Teknik pengumpulan menggunakan data primer melalui wawancara, observasi, pemeriksaan fisik, buku KIA. Hasil asuhan didapatkan Ny. G G3P1A1 usia kehamilan 23 minggu 4 hari dengan masalah plasenta previa ditemukan keluhan mengeluarkan darah berwarna merah segar yang berulang tanpa disertai nyeri perut dan timbulnya perlahan-lahan serta memiliki riwayat kehamilan mola hidatidosa serta ibu mengalami anemia. Persalinan ibu dilakukan secara SC pada usia kehamilan 35 minggu dengan masalah keluar darah tidak disertai nyeri perut dan anemia. Masa nifas berlangsung normal tidak ada pendarahan, kontraksi uterus baik, lochea rubra, ibu mendapatkan vitamin A. Pada bayi baru lahir hasil pemeriksaan antropometri normal, SHK negative dan OEA lulus. Ny. G memutuskan menggunakan KB IUD