Wardani,, Dwi Kumala (2021) LAPORAN TUGAS AKHIR ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “L” USIA 24 TAHUN DENGAN KALA I FASE AKTIF MEMANJANG DI ASRIKATON JL. ANGGREK 1 1/3 PAKIS MALANG DWI KUMALA WARDANI NIM.1615.15401.1078. PERPUSTAAN STIKES WIDYAGAMA HUSADA MALANG, Malang.
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Abstract
SUMMARY Wardani, Dwi Kumala. 2019. Comprehensive Midwifery Care to Mrs. "L" 24 Years Old Prolonged Active Phase Jl. Anggrek 1 1/3 Asrikaton Pakis Malang. Final Task. DIII Midwifery Study Program of Widyagama Husada School of Health Malang. Advisor: (1) Yuniar Angelia P, S.SiT., M.Kes. Advisor: (2) Ervin Rufaindah, S.ST., M.Keb., The standard of ability and quality health service in the country it can be showed at Maternal and Infant Mortality Rate. In Indonesia the number of cases of infant mortality decreased from 33,278 in 2015 to 32,007 in 2016, and in 2017 in the first semester there were 10,294 cases. Likewise, the maternal mortality rate decreased 4,999 in 2015 to 4912 in 2016 and in 2017 (semester I) as many as 1712 cases (Ministry of Health Republic of Indonesia, 2017). The efforts to continue reducing the MMR were the Safe Motherhood Initiative which consists of 4 pillars were Antenatal Care, Safe or Clean Childbirth, Essential Neonatal Obstetric Services or Emergencies, and Family Planning. The Continuity of Care (COC) such as midwives, can monitor and ensure the condition of the pregnancy, childbirth, until the postpartum and family planning services. Midwifery care to Mrs. "L" 24 years old primigravida conducted in April to August 2019, pregnancy to family planning services. Midwifery care was carried out 13 visits comprehensively from the third trimester of 4 visits pregnancy, 1 delivery visit, 4 visits postpartum, 2 visits newborn, and 2 visits family planning, the documentation used Subjective, Objective, Analysis and Midwifery Management (SOAP) data. The results of care given to Mrs. "L" the process of pregnancy to family planning services, there are several problems. The exceeded maternal weight gain during pregnancy that didn’t recommended to pregnant women. The gestational age at term the baby's head had not been entered the pelvis. In the prolonged pathological labor, at the active phase. So, it must be carried out amniotomy and drip oxytocin. Furthermore, the second stage performed episiotomy, to accelerate the birth of a baby. In the third and fourth stages of labor smoothly. At newborn care physiological the baby was born spontaneously, immediately crying, active motion, reddish skin, weight 2,900 grams, length 48 cm, male. The results of physical examination, anthropometry, and normal reflexes infant. There were not any problem of puerperal period, uterine involution, lochia, and the lactation. The management of exclusive breastfeeding cannot be done because of the lack knowledge to breastfeeding programs. Patient choose 3-month injection contraception for family planning. It can be concluded that, Continuity of Care effectively implemented. The writer suggests that patients more active to consult to the health workers and it can be reduced Indonesia Maternal and Infant Mortality Rate (IMR). References : 46 references (2009-2018) Keywords : Pregnancy, Childbirth, Postpartum, Newborn, Family Planning
| Item Type: | Other |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | S1 Kebidanan |
| Depositing User: | Mulyono Mulyono |
| Date Deposited: | 16 Jun 2021 02:44 |
| Last Modified: | 16 Jun 2021 02:44 |
| URI: | http://repositori.widyagamahusada.ac.id/id/eprint/382 |
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