CASE REPORT ON NY. M G2P1A0 AGE 35 YEARS OF PREGNANCY 10 WEEK 4 DAYS WITH INCOMPLETE ABORTION AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
Abstract
More than 5000 women died mainly due to bleeding and hypertensive disorders. The fourth highest cause of AKI in
Indonesia is abortion by 4.6%. There were 234 abortion cases, including incomplete abortion (62.4%), imminent abortion
(35.9%) and missed abortion (1.7%). These data indicate that the incidence of incomplete abortion is still quite high when
compared to the incidence of other types of abortion. The number of maternal deaths in Semarang City in 2020 was 23
cases, it is known that maternal deaths caused by bleeding were 17.65%. Abortion also contributes to MMR in Indonesia.
Objective: To carry out midwifery care using a midwifery management approach to pregnant women, mothers in labor,
postpartum mothers and comprehensive family planning, BBL, and pathological obstetrics services. Method : Using
Varney's 7-step case study approach and SOAP, the study was carried out by looking at the results of subjective, objective
and observational data. Result: The diagnosis "Mrs. M aged 35 years G2P1A0 gestational age 10+4 weeks" has
complained since June 22, 2022, fresh blood is coming out of the birth canal and convolutions and is still bleeding. The
results of the examination showed signs of incomplete abortion, namely the presence of vaginal discharge (fresh blood)
and an open uterine os. Ultrasound examination was carried out on July 4, 2022 and the results showed that there were
still remnants of conception. Laboratory investigations were also carried out on July 4, 2022 at 21:42 wib, with the results
of HBsAg (-) and hemoglobin results (10.1), which means the mother is anemic.
Indonesia is abortion by 4.6%. There were 234 abortion cases, including incomplete abortion (62.4%), imminent abortion
(35.9%) and missed abortion (1.7%). These data indicate that the incidence of incomplete abortion is still quite high when
compared to the incidence of other types of abortion. The number of maternal deaths in Semarang City in 2020 was 23
cases, it is known that maternal deaths caused by bleeding were 17.65%. Abortion also contributes to MMR in Indonesia.
Objective: To carry out midwifery care using a midwifery management approach to pregnant women, mothers in labor,
postpartum mothers and comprehensive family planning, BBL, and pathological obstetrics services. Method : Using
Varney's 7-step case study approach and SOAP, the study was carried out by looking at the results of subjective, objective
and observational data. Result: The diagnosis "Mrs. M aged 35 years G2P1A0 gestational age 10+4 weeks" has
complained since June 22, 2022, fresh blood is coming out of the birth canal and convolutions and is still bleeding. The
results of the examination showed signs of incomplete abortion, namely the presence of vaginal discharge (fresh blood)
and an open uterine os. Ultrasound examination was carried out on July 4, 2022 and the results showed that there were
still remnants of conception. Laboratory investigations were also carried out on July 4, 2022 at 21:42 wib, with the results
of HBsAg (-) and hemoglobin results (10.1), which means the mother is anemic.
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