Asuhan Kebidanan Continuity Of Care Ny. R Umur 43 Tahun di Klinik Bergas Waras

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.  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 third trimester pregnant woman, gestation age 35 weeks 1 day, G3P2A0.  Research time June 2023 – August 2023 in the working area of the Bergas Waras Clinic.  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.  R G3P2A0.  gestational age 35 weeks 1 day breech presentation.  Normal delivery in hospital.  The postpartum period was normal, there was no bleeding, good uterine contractions, lochea rubra, perineal wounds, the mother received vitamin A, the results of the newborn examination were normal and there were no congenital defects.  Mrs.  R decided to use birth control implants.

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. 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 III usia kehamilan 35 minggu 1 hari, G3P2A0. Waktu penelitian Juni 2023 – Agustus 2023 di wilayah kerja Klinik Bergas Waras. 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. R G3P2A0. usia kehamilan 35 minggu 1 hari presentasi bokong. Persalinan normal di RS. Masa nifas berlangsung normal tidak ada pendarahan, kontraksi uterus baik, lochea rubra, luka perineum, ibu mendapatkan vitamin A, pada bayi baru lahir hasil pemeriksaan normal dan tidak ada cacat kongenital. Ny. R memutuskan menggunakan KB implant.