CASE REPORT OF MIDWIFE CARE IN 19 YEARS OLD NY "M" WITH POSTPARTUM BLOODING DUE TO PERENIUM RUPTURE DEGREES III AT ROEMANI MUHAMMADIYAH HOSPITAL, SEMARANG
Abstract
Postpartum hemorrhage is one of the important problems because it is related to maternal health which can cause
death. One of the factors that influence the occurrence of postpartum hemorrhage is uterine atony, retained
placenta, birth canal laceration, and blood clotting disease (Ani Kristenngsih, 2019). The method used in
compiling this final report is a case study method with a midwifery management approach and documentation
through SOAP. Data were obtained by means of interviews, physical examination, observation and literature
study. The results of the study obtained subjective data that Mrs "M" was 19 years old, gave birth to her first child
1 hour ago. The placenta was born spontaneously 15 minutes later, after giving birth the mother experienced
profuse bleeding. The results of the TTV examination are: BP: 100/65 mmHg, N: 85x/minute, S: 36.3C, RR:
21x/minute, but the akral feels cold, the conjunctiva is pale, TFU 1 finger below the center, good contractions,
looks like a tear in the vaginal mucosa, posterior commissure, perineal skin, and perineal muscles. The
management provided was to provide oral informed consent, conduct exploration to identify bleeding, irrigate the
wound site and clean it with antiseptic, stop the source of bleeding, prepare the device, anesthetic lidocaine 1%,
position the mother comfortably, perform suturing, observe TTV, contractions and bleeding.
Keywords: Postpartum haemorrhage, Perineal Rupture.
death. One of the factors that influence the occurrence of postpartum hemorrhage is uterine atony, retained
placenta, birth canal laceration, and blood clotting disease (Ani Kristenngsih, 2019). The method used in
compiling this final report is a case study method with a midwifery management approach and documentation
through SOAP. Data were obtained by means of interviews, physical examination, observation and literature
study. The results of the study obtained subjective data that Mrs "M" was 19 years old, gave birth to her first child
1 hour ago. The placenta was born spontaneously 15 minutes later, after giving birth the mother experienced
profuse bleeding. The results of the TTV examination are: BP: 100/65 mmHg, N: 85x/minute, S: 36.3C, RR:
21x/minute, but the akral feels cold, the conjunctiva is pale, TFU 1 finger below the center, good contractions,
looks like a tear in the vaginal mucosa, posterior commissure, perineal skin, and perineal muscles. The
management provided was to provide oral informed consent, conduct exploration to identify bleeding, irrigate the
wound site and clean it with antiseptic, stop the source of bleeding, prepare the device, anesthetic lidocaine 1%,
position the mother comfortably, perform suturing, observe TTV, contractions and bleeding.
Keywords: Postpartum haemorrhage, Perineal Rupture.
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