MIDWIFE CARE OF REPRODUCTIVE SYSTEM DISORDERS IN NY K WITH M IOMA UTERUS AT SULTAN IMANUDDIN HOSPITALS PANGKALAN BUN
Abstract
Uterine fibroids are benign tumors of the uterus, in addition to being malignant, benign tumors of the uterus or uterine
myomas are more common. There is not only one type of tumor. It can grow on the outer wall of the uterus, on the
uterine muscles, or it can also grow on the inner wall of the uterus itself. This type of tumor is more commonly found.
Average in women over the age of 30 years According to data from the health profile of the Sultan Imanudin
Hospital Pangkalan Bun, it states that the most common gynecological disease sequence is 33 with cases of
uterine myoma found in 2019, in 2021 as many as 45 patients and data obtained from January to May 2022 there
are already as many as 57 patients with uterine myoma cases. The purpose of this study was to perform obstetric
care for reproductive system disorders in Mrs. K with uterine fibroids with a documentation system for midwifery care
management and case studies using Varney's 7-step approach. The method used in this research is a case study. The
location of this case study was conducted at the Sultan Imanuddin Hospital. The subject of the case study here is Mrs.
K who has uterine fibroids . The time of the implementation of this case study was carried out in January-June 2022.
Data collection techniques were from physical examination, interviews and observations, secondary data including
documentation studies and literature studies. The care given in this case is uterine fibroid surgery with laparotomy, as
well as providing moral support to reduce maternal anxiety. After being given 1 hour postoperative care and 4 hours
postoperative care, the results were good general condition, no potential problems that arose, the mother was not
anxious and felt comfortable with her current situation, but sometimes there is still pain in the former operation. After
being given midwifery care for 1 hour and 4 days post-surgery, Mrs. K no longer feels comfortable with her condition,
but still feels pain in her surgical scars.
Keywords : uterine myoma, laparotomy, post operation
myomas are more common. There is not only one type of tumor. It can grow on the outer wall of the uterus, on the
uterine muscles, or it can also grow on the inner wall of the uterus itself. This type of tumor is more commonly found.
Average in women over the age of 30 years According to data from the health profile of the Sultan Imanudin
Hospital Pangkalan Bun, it states that the most common gynecological disease sequence is 33 with cases of
uterine myoma found in 2019, in 2021 as many as 45 patients and data obtained from January to May 2022 there
are already as many as 57 patients with uterine myoma cases. The purpose of this study was to perform obstetric
care for reproductive system disorders in Mrs. K with uterine fibroids with a documentation system for midwifery care
management and case studies using Varney's 7-step approach. The method used in this research is a case study. The
location of this case study was conducted at the Sultan Imanuddin Hospital. The subject of the case study here is Mrs.
K who has uterine fibroids . The time of the implementation of this case study was carried out in January-June 2022.
Data collection techniques were from physical examination, interviews and observations, secondary data including
documentation studies and literature studies. The care given in this case is uterine fibroid surgery with laparotomy, as
well as providing moral support to reduce maternal anxiety. After being given 1 hour postoperative care and 4 hours
postoperative care, the results were good general condition, no potential problems that arose, the mother was not
anxious and felt comfortable with her current situation, but sometimes there is still pain in the former operation. After
being given midwifery care for 1 hour and 4 days post-surgery, Mrs. K no longer feels comfortable with her condition,
but still feels pain in her surgical scars.
Keywords : uterine myoma, laparotomy, post operation
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