COMPREHENSIVE OBSTETRICS FOR MRS. W, 23 YEARS OLD WITH NORMAL PREGNANCYIN THE WORKING AREA OF TOROH 1 HEALTH CENTER GROBOGAN

Fajar Yuli Astari, Nuke Devi Indrawati, Dewi Puspitaningrum, Novita Nining Anggraini

Abstract


Background : Maternal mortality rate is a measure that reflects the obstetric risk faced by a woman every time
she becomes pregnant. This risk increases as the number of pregnancies experienced increases. The high maternal
mortality rate in developing countries is mostly related to political and social problems, especially problems of
poverty and the status of women. The process of pregnancy, childbirth and the puerperium is a physiological
process. In this process, many mothers experience health problems that can increase the amount of maternal and
infant morbidity and mortality. MMR and IMR in Grobogan Regency from 2019 to 2021 have increased and
decreased. The MMR in Grobogan Regency has increased and decreased from the previous year, namely 166.50
per 100,000 KH in 2019 and 145.71 per 100. 000 KH in 2020 to 418.85 per 100,000 KH in 2021. IMR in Grobogan
Regency tends to decrease and increase, recorded as much as 13.17 per 1,000 KH in 2019 and 13.77 per 1,000
KH in 2020 to 12, 42 per 1000 KH. Maternal health can be improved through comprehensive midwifery care.
Destination :Writing this Final Project comprehensively examines midwifery care in the form of a case study on
Mrs. W aged 23 years, 40 weeks pregnant, in the working area of Toroh I Public Health Center, Grobogan
Regency. Method :This final project writing method uses Varney's 7 step midwifery process approach and SOAP.
The assessment was carried out by looking at the results of subjective and objective data and observing each visit.
Results :In this final project, the diagnosis was obtained G2P1A0 at 42 physiological weeks of gestation with
normal complaints, a history of physiological delivery followed by a physiological puerperium no complaints, 3
months injectable family planning. BBL history. Babies born with BB 3,100 gr, PB 51 cm, LIKA 31 cm, healthy
babies . In the comprehensive midwifery care provided to Mrs. W, there was no gap between theory and facts in
the field. Conclusion :In the application of midwifery care, there is no gap between the theory and facts of
midwifery care in the field.
Keywords : Comprehensive midwifery care, Pregnancy, Childbirth, Postpartum, Newborn.

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