CASE REPORT OF MIDWIFE CARE IN PERIMENOUPOUSE MOTHERS WITH UTERIAL MYOMA IN TUGUREJO HOSPITAL, SEMARANG
Abstract
Perimenopause is a transitional period between before menopause and after menopause. Perimenopause begins
when menstruation starts to become irregular and there are complaints ranging from the age of 45 to 55 years,
Women who enter the perimenopause period, decreased hormones related to reproduction, namely the hormones
estrogen and progesterone. One of them is uterine myoma. Uterine fibroids are benign tumors of the uterine muscle
and its connective tissue. Uterine fibroids are the most common benign tumor found, which is one in four women
during the active reproductive period. The purpose of this study was to provide midwifery care for perimenopausal
women with uterine myomas using the 7-step Varney method. The method used in this research is a case study.
The location of this case study was conducted at Tugurejo Hospital, Semarang. As for the subject of the case study
here is a mother who experienced uterine myoma. The time of the implementation of this case study was carried
out on 28-31 July 2022. Data collection techniques were from physical examination, interviews and observations,
secondary data including literature study.The care provided in this case was infusion with Ringer's lactak fluid
with 20 tpm, 1.5 ml bactesyn injection, 500 mg tranexamic acid injection, profenid supp 1 therapy given after
surgery, as well as providing moral support to help the mother recover, after being given care for 4 days, the
results obtained that the mother's general condition was good, the mother felt comfortable, was able to move and
was allowed to go home.After being given midwifery care for 4 days, the mother with uterine fibroids no longer
felt pain and bleeding from the birth canal and a lump that grew on the uterine wall the size of a goose egg was
removed.
Keywords: Perimenopouse, uterine myoma
when menstruation starts to become irregular and there are complaints ranging from the age of 45 to 55 years,
Women who enter the perimenopause period, decreased hormones related to reproduction, namely the hormones
estrogen and progesterone. One of them is uterine myoma. Uterine fibroids are benign tumors of the uterine muscle
and its connective tissue. Uterine fibroids are the most common benign tumor found, which is one in four women
during the active reproductive period. The purpose of this study was to provide midwifery care for perimenopausal
women with uterine myomas using the 7-step Varney method. The method used in this research is a case study.
The location of this case study was conducted at Tugurejo Hospital, Semarang. As for the subject of the case study
here is a mother who experienced uterine myoma. The time of the implementation of this case study was carried
out on 28-31 July 2022. Data collection techniques were from physical examination, interviews and observations,
secondary data including literature study.The care provided in this case was infusion with Ringer's lactak fluid
with 20 tpm, 1.5 ml bactesyn injection, 500 mg tranexamic acid injection, profenid supp 1 therapy given after
surgery, as well as providing moral support to help the mother recover, after being given care for 4 days, the
results obtained that the mother's general condition was good, the mother felt comfortable, was able to move and
was allowed to go home.After being given midwifery care for 4 days, the mother with uterine fibroids no longer
felt pain and bleeding from the birth canal and a lump that grew on the uterine wall the size of a goose egg was
removed.
Keywords: Perimenopouse, uterine myoma
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