COMPREHENSIVE MIDWIFERY CARE TO MRS. S 17 YEARS OLD WITH MILD ANEMIA, PREMATURE RUPTURE OF MEMBRANES AND PRETERM LABOR WITH VACUUM ECTRACTION IN ROEMANI’S HOSPITAL

Zaini Mukaromah, Siti Istiana, Nuke Devi Indrawati, Fitriani Nur Damayanti

Abstract


According to the Health Profile Data of Central Java Province, the maternal death rate was 76.9 per 100,000 live
births in 2019 and would rise to 98.6 per 100,000 live births in 2020. In contrast, the rate of infant mortality
decreased to 7.8 per 1000 live births in 2020 from 8.24 per 1000 live births in 2019. Based on information from
Roemani Hospital's Maternal Mortality Rate in 2022, there was a single instance of maternal mortality brought
on by cardiac arrest and labor obstruction. The reasons of 6 instances in the Infant Mortality Rate data were severe
asphyxia, neonates delivered by caesarean section, intestinal blockage, delayed fetal development, and singletons.
The goal of this study is to provide comprehensive midwifery care starting with pregnancy, childbirth, newborns,
postpartum, and family planning services in the form of a case study on Ny. S is a 17-year-old woman who
experienced a premature rupture of the membranes and delivered her baby at Roemani Hospital using a vacuum
extraction technique. The outcomes of midwifery care provided to Mrs. S, a 17 year old G1P0A0 who was 35
weeks and 5 days pregnant, had premature membranes, had a history of labor involving vacuum extraction, and
had a healthy postpartum period without any complaints. Family planning care was also provided, including KIE
family planning for breastfeeding mothers. In accordance with the BBL history, the woman is in good health, and
the baby was delivered weighing 2,750 grams and measuring 48 cm. Additionally, there is a gap in the usage of
PPE when assisting with delivery. The application of midwifery care has led researchers to the conclusion that
there is a disconnect between the field's theory and the practice of midwifery care.
Keywords: anemia, premature rupture of membranes, preterm, vacuum ectraction.


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