CASE REPORT ON NUTRITIONAL MOTHER'S MIDWIFE IN MRS “E” AGE 22 YEARS POST SC IUD WITH SEVERE PRE ECLAMPSIA AT TUGUREJO HOSPITAL, SEMARANG

Yuni Hastuti, Siti Istiana, Maria Ulfa K.D, Novita Nining Anggraini

Abstract


Postpartum preeclampsia is a rare condition characterized by an increase in blood pressure of 140/90 mmHg or
higher, protein in the urine, blurred vision, headaches and swelling of the face and limbs. The risk factors for
preeclampsia are having a family history of hypertension, reproductive age that is too young or old, primigravida,
pregnancy more than 2 times, diabetes mellitus, kidney disorders, hypertension since before pregnancy, excess
weight gain during pregnancy (> 1 kg/week). (Prawirohardjo, 2012). 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 of Ny. E, aged 22 years, in the Bougenville room of the Tugurejo General Hospital,
the main problems were found, namely the two legs could not be moved, the stomach felt sore, the pain of the
surgical wound was like a cut in the lower abdomen on a scale of 5, it came and went. Based on the complaints
that the mother felt and based on the results of the examination carried out, currently the mother is experiencing
postoperative caesarean section + IUD on day 0 for indications of severe pre-eclampsia. The management
provided is to provide verbal informed consent, inform the mother about the results of the examination that has
been carried out, collaborate with the doctor to provide therapy and the actions to be taken, provide therapy
according to the doctor's advice, observe KU, TTV and PPV, teach the mother the technique deep breath relaxation
so that it feels more relaxed and pain is reduced by taking a deep breath through the nose and then exhaling through
the mouth, encourage your husband or family to provide encouragement, motivation and prayer to the mother.

Keywords: Postpartum, post SC, Pre-Eclampsia


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