Asuhan Kebidanan Komprehensif pada Ny. T Usia 29 Tahun dengan Hipertensi dalam Kehamilan

Abstract

The period of pregnancy, childbirth, postpartum, neonate is a physiological condition that can threaten the lives of the mother and baby and even cause death. One effort that can be made is to implement a comprehensive midwifery care model that can optimize high maternal and neonatal risks. The aim of the research was to analyze midwifery care for pregnant women, maternity, postpartum, BBL and family planning. The research method is analytical descriptive observational. 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 20 weeks 2 days, with G3P2A0. The research period is May 2023-November 2023 in the Dedai Community Health Center working area. The research instrument uses the SOAP documentation method with a Varney management mindset. The collection technique uses primary data through interviews, physical examination observations, KIA books. The results of the care were obtained from Mrs. T G3P2A0 with a gestational age of 20 weeks 2 days with hypertension problems, complaints of headaches, blurred vision/vision problems, abdominal pain were found. Blood pressure was found to be 140/100 mmHg. Complaints were felt since 16 weeks of gestation and only occurred during pregnancy, the patient had no previous history of hypertension. During pregnancy the patient received antihypertensive medication previously. During pregnancy, the patient received antihypertensive drug therapy, namely methyldopa (dopamet). During labor, receive dopamet drug therapy. The postpartum period was normal, there was no bleeding, good uterine contractions, lochea rubra, perineal abrasions, the mother received vitamin A. The results of the anthropometric examination of the newborn were normal, SHK was negative. Mrs. T decided to use IUD contraception.

Abstrak

Masa kehamilan, persalinan, nifas, neonatus merupakan suatu keadaan fisiologis yang memungkinkan mengancam jiwa ibu dan bayi bahkan menyebabkan kematian. Salah satu upaya yang dapat dilakukan ialah menerapakan model asuhan kebidanan komprehensif yang dapat mengoptimalkan risiko tinggi maternal neonatal. Tujuan penelitian melakukan analisis asuhan kebidanan ibu hamil, bersalin, nifas, BBL dan KB. Metode penelitian dengan observasional deskriptif analitik. Pendekatan studi kasus pada pelaksanaan asuhan kebidanan meliputi asuhan kehamilan, persalinan, bayi baru lahir, nifas dan keluarga berencana (KB). Sampel adalah seorang ibu hamil trimester II usia kehamilan 20 minggu 2 hari, dengan G3P2A0. Waktu penelitian Mei 2023-November 2023 di wilayah kerja Puskesmas Dedai. Instrument penelitian menggunakan metode dokumentasi SOAP dengan pola pikir manajeman varney. Teknik pengumpulan data menggunakan data primer melalui wawancara, observasi pemeriksaan fisik, buku KIA. Hasil asuhan didapatkan pada Ny. T G3P2A0 dengan usia kehamilan 20 minggu 2 hari dengan masalah hipertensi ditemukan keluhan nyeri kepala, pandangan kabur/gangguan penglihatan, nyeri perut. Didapatkan tekanan darah 140/100 mmHg.  Keluhan dirasakan sejak usia kehamilan 16 minggu dan hanya terjadi saat hamil, pasiennya tidak ada Riwayat hipertensi sebelumnya. Saat hamil pasien mendapatkan obat antihipertensi sebelumnya. Saat hamil pasien mendapatkan terapi obat antihipertensi yaitu metildopa (dopamet). Saat persalinan mendapatkan terapi obat dopamet. Masa nifas berlangsung normal tidak ada perdarahan, kontraksi uterus baik, lochea rubra, luka lecet perineum, ibu mendapatkan vitamin A. pada bayi baru lahir hasil pemeriksaan antropometri normal, SHK negative. Ny. T memutuskan menggunakan KB IUD.