ASUHAN KEBIDANAN KOMPREHENSIF PADA NY.S DI PMB ROSITA KOTA PEKANBARU

LILY ASRIANTI, P032115401022 (2024) ASUHAN KEBIDANAN KOMPREHENSIF PADA NY.S DI PMB ROSITA KOTA PEKANBARU. Diploma thesis, Poltekkes Kemenkes Riau.

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Abstract

Model asuhan Continuity of Midwifery Care (CoMC) dilakukan untuk menjamin agar setiap ibu mampu mengakses pelayanan kesehatan yang berkualitas tinggi dengan biaya yang efektif sesuai dengan evidance based kebidanan. Laporan tugas akhir ini bertujuan untuk memberikan asuhan kebidanan secara komprehensif dari kehamilan trimester III, bersalin, nifas, dan neonatus dengan menggunakan metode pendekatan manajemen kebidanan pada Ny.S di PMB Rosita Kota Pekanbaru. Asuhan kebidanan ini dimulai sejak bulan September – Desember 2023. Pada masa kehamilan dilakukan sebanyak 3 kali, nifas 4 kali dan neonatus 3 kali kunjungan. Masalah yang dialami ibu pada kehamilannya yaitu Kekurangan Energi kronik (KEK) pada usia kehamilan 28 minggu dengan lila 23 cm. Asuhan yang diberikan kepada ibu yaitu dengan memberikan pendidikan kesehatan mengenai kecukupan gizi ibu hamil, sehingga pada usia kehamilan 38-39 minggu lila ibu bertambah menjadi 24 cm dan termasuk kategori lila normal. Asuhan persalinan dilakukan sesuai dengan standar Asuhan Persalinan Normal. Bayi lahir spontan, jenis kelamin perempuan, BB: 3.800 gram, PB: 50 cm dan terdapat laserasi jalan lahir derajat II. Pada masa nifas ditemukan masalah nyeri luka jahitan perineum yang diatasi dengan menggunakan teknik relaksasi dan perawatan luka jahitan perineum. Pada akhir asuhan (40 hari) ibu menggunakan KB suntik 3 bulan. Pada asuhan neonatus diberikan pendidikan kesehatan mengenai perawatan tali pusat, menjaga kehangatan bayi dan melakukan pijat bayi. Bayi Ny.S diberikan ASI saja. Terjadi peningkatan berat badan bayi dari 3800 gram menjadi 4400 gram pada usia 27 hari. Diharapkan tenaga kesehatan khususnya bidan dapat mempertahankan asuhan kebidanan secara berkesinambungan dan berkelanjutan berdasarkan evidence based. ABSTRACT The Continuity of Midwifery Care (CoMC) model of care is implemented to ensure that every mother is able to access high-quality, cost-effective health services in accordance with evidence-based midwifery. This final project report aims to provide comprehensive midwifery care from the third trimester of pregnancy, childbirth, postpartum and neonates using the midwifery management approach method for Mrs. S at PMB Rosita, Pekanbaru City. This midwifery care starts from September – December 2023. During pregnancy, it is carried out 3 times, postpartum 4 times and neonates 3 times. The problem experienced by the mother during her pregnancy was chronic energy deficiency (CED) at 28 weeks' gestation with a 23 cm birth. The care given to mothers is by providing health education regarding the nutritional adequacy of pregnant women, so that at 38-39 weeks of gestation the mother's lila increases to 24 cm and is included in the normal lila category. Childbirth care is carried out in accordance with Normal Childbirth Care standards. The baby was born spontaneously, female, BB: 3,800 grams, PB: 50 cm and there was a second degree birth canal laceration. During the postpartum period, the problem of perineal suture wound pain was discovered which was overcome using relaxation techniques and perineal suture wound care. At the end of care (40 days) the mother used injectable birth control for 3 months. In neonate care, health education is provided regarding umbilical cord care, keeping the baby warm and doing baby massage. Mrs. S's baby was given breast milk only. There was an increase in the baby's weight from 3800 grams to 4400 grams at 27 days of age. It is hoped that health workers, especially midwives, can maintain midwifery care continuously and sustainably based on evidence based.

Item Type:	Thesis (Diploma)
Uncontrolled Keywords:	Asuhan kebidanan, komprehensif, kehamilan, persalinan, nifas, neonatus
Subjects:	R Medicine > RG Gynecology and obstetrics
Depositing User:	kebidanan 2024 PKR
Date Deposited:	16 Aug 2024 02:32
Last Modified:	16 Aug 2024 02:32
URI:	http://repository.pkr.ac.id/id/eprint/4892

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