Proceeding The International Conference on Practice and Innovation In Midwefery (ICPIM)
UNIMUS | University Muhammadiyah of Semarang Available online December 1, 2022
Copyright (c) 2022 Proceeding The International Conference on Practice and Innovation In Midwefery (ICPIM)
COMPREHENSIVE MIDWIFERY CARE OF MRS. S THE AGE IS 27 YEARS OLD AT KARANGMALANG HEALTH CENTER
Background is Maternal and perinatal mortality is a measure of the success of health services and family planning in a country. In Semarang the maternal deaths decreased from 2017 - 2019 from 23 cases in 2017 to 19 cases in 2018 and 18 cases in 2019. Meanwhile, in 2020 there were 17 cases of maternal death for the cause of death, namely hypertension in pregnancy of 25 .5%, bleeding 17.5%, circulatory system disorders 5.7%, infection 4.2%, and metabolic disorders 1.9%. The objective of this article aims to provide comprehensive care from pregnancy to the postpartum period for Ny. S 27 years old G2P1A0 at Karangmalang Health Center. Research design used is descriptive and the type of research is case study. Guidelines for observations, interviews and documentation studies in the form of a Midwifery Care format starting from the period of pregnancy, childbirth, newborns, postpartum and family planning. Results of the care provided to Mrs. S aged 27 years G2P1A0 starting from pregnancy, childbirth, postpartum, newborn and family planning went smoothly and the mother and baby were in normal condition. Based on the results of comprehensive midwifery care that has been carried out on Mrs. Conclution it is hoped that the client can apply the counseling that has been given during midwifery care so that the condition of the mother and baby remains good and can prevent complications and death. Keywords: comprehensive, normal, midwife.
COMPREHENSIVE MIDWIFERY CARE TO MRS. S 17 YEARS OLD WITH MILD ANEMIA, PREMATURE RUPTURE OF MEMBRANES AND PRETERM LABOR WITH VACUUM ECTRACTION IN ROEMANI’S HOSPITAL
According to the Health Profile Data of Central Java Province, the maternal death rate was 76.9 per 100,000 live births in 2019 and would rise to 98.6 per 100,000 live births in 2020. In contrast, the rate of infant mortality decreased to 7.8 per 1000 live births in 2020 from 8.24 per 1000 live births in 2019. Based on information from Roemani Hospital's Maternal Mortality Rate in 2022, there was a single instance of maternal mortality brought on by cardiac arrest and labor obstruction. The reasons of 6 instances in the Infant Mortality Rate data were severe asphyxia, neonates delivered by caesarean section, intestinal blockage, delayed fetal development, and singletons. The goal of this study is to provide comprehensive midwifery care starting with pregnancy, childbirth, newborns, postpartum, and family planning services in the form of a case study on Ny. S is a 17-year-old woman who experienced a premature rupture of the membranes and delivered her baby at Roemani Hospital using a vacuum extraction technique. The outcomes of midwifery care provided to Mrs. S, a 17 year old G1P0A0 who was 35 weeks and 5 days pregnant, had premature membranes, had a history of labor involving vacuum extraction, and had a healthy postpartum period without any complaints. Family planning care was also provided, including KIE family planning for breastfeeding mothers. In accordance with the BBL history, the woman is in good health, and the baby was delivered weighing 2,750 grams and measuring 48 cm. Additionally, there is a gap in the usage of PPE when assisting with delivery. The application of midwifery care has led researchers to the conclusion that there is a disconnect between the field's theory and the practice of midwifery care. Keywords: anemia, premature rupture of membranes, preterm, vacuum ectraction.
COMPREHENSIVE MIDWIFE CARE OF MRS. S AGE 33 YEARS G2P1A0 AT BLADO II HEALTH CENTER, BLADO DISTRICT, BATANG REGENCY
Maternal and child health is one of the efforts to improve the health status of Indonesia's Sustainable Development Goals (SDGs) in 2030. The physiological condition of the mother during pregnancy is expected to continue until the postpartum period ends. This condition will be achieved if the healthcare for the mothers is sufficient and of good quality. The purpose of this study is to provide comprehensive midwifery care to Mrs. S aged 33 years G2P1A0 at the Blado II Health Center, Blado District, Batang Regency starting from the period of pregnancy, labor, postpartum, newborn, and birth control (KB). This research uses a comprehensive midwifery care case type of study. Data were collected by observation, physical examination, interviews, and data in the KIA handbook. The results of comprehensive midwifery care for Mrs. S aged 33 years G2P1A0 in pregnancy, labor, postpartum, newborn, to birth control are without any complications. Services are performed in accordance with the standards of midwifery care. With comprehensive care for mothers from pregnancy to birth control services, it is expected to reduce maternal and infant mortality by detecting possible complications that could be avoided and handled appropriately. Keywords: Midwifery Pregnancy Care, labor, Postpartum, BBL, birth control.
CASE REPORT OF MIDWIFE CARE IN 19 YEARS OLD NY "M" WITH POSTPARTUM BLOODING DUE TO PERENIUM RUPTURE DEGREES III AT ROEMANI MUHAMMADIYAH HOSPITAL, SEMARANG
Postpartum hemorrhage is one of the important problems because it is related to maternal health which can cause death. One of the factors that influence the occurrence of postpartum hemorrhage is uterine atony, retained placenta, birth canal laceration, and blood clotting disease (Ani Kristenngsih, 2019). 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 that Mrs "M" was 19 years old, gave birth to her first child 1 hour ago. The placenta was born spontaneously 15 minutes later, after giving birth the mother experienced profuse bleeding. The results of the TTV examination are: BP: 100/65 mmHg, N: 85x/minute, S: 36.3C, RR: 21x/minute, but the akral feels cold, the conjunctiva is pale, TFU 1 finger below the center, good contractions, looks like a tear in the vaginal mucosa, posterior commissure, perineal skin, and perineal muscles. The management provided was to provide oral informed consent, conduct exploration to identify bleeding, irrigate the wound site and clean it with antiseptic, stop the source of bleeding, prepare the device, anesthetic lidocaine 1%, position the mother comfortably, perform suturing, observe TTV, contractions and bleeding. Keywords: Postpartum haemorrhage, Perineal Rupture.
CASE REPORT OF MIDWIFE CARE IN PREGNANT MOTHERS MRS "M" AGE 37 G3P2A0 WITH 31 WEEKS OF PREGNANCY WITH GESTATIONAL HYPERTENSION IN SENDANGGUWO SHIELD COMMUNITY
Background : Hypertension is blood pressure above the normal limit, which is > 140/90 mmHg. Hypertension is one of the global problems that hit the world. Factors that influence the occurrence of hypertension in pregnancy are age too young or too old, heredity, occupation, lifestyle, obesity, parity, physical activity of the child. (Sinambela & Sari, 2018). Risk factors if pregnant mothers have hypertension, one of which is premature birth. Method: This study used case study method with a midwifery management approach and documentation through SOAP. Data were collected by means of physical examination interviews, observation and literature study. Result: The results of the study showed that subjective data Mrs. M aged 37 years, third child pregnancy, gave birth 2 times, last child 5 years apart. The results of the examination showed BP 140/80 mmHg, pulse 82 x/minute, temperature 36.4°C, RR 20 x/minute, weight 92.8 kg, TB 157 cm, general condition was good, mid-central TFU and px (27 cm). Conclusion : Mrs. M age 37 years G3P2A0 gestational age 31 weeks single fetus, alive, intra uteri, longitude, head presentation, puki, has not entered the pelvic inlet, convergent with gestational hypertension. Keywords : Chronic hypertension, pregnant mothers
CASE REPORT OF ADOLESCENT MIDWIFE CARE MS. A 17 YEARS OLD G1P0A0 WITH 12 WEEKS OF PREGNANCY WITH ABORTUS IMMINENS AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
The maternal mortality rate is still very high. Approximately 99% of maternal deaths occur in developing countries. One of the direct causes of MMR is abortion. Abortion is the expulsion of the products of conception before the fetus is able to live outside the womb. In general, the exact cause of abortion is not known, but several risk factors for abortion include age, genetics, hormonal, immunological and environmental factors. Maternal age is the strongest risk factor for causing abortion, where the incidence of abortion increases in mothers aged 20 years or 35 years. Based on the anamnesis results obtained a history of sexual intercourse by the patient with a partner. Keywords: Adolescent, Pregnant, Abortion Imminens.
COMPREHENSIVE MIDWIFE CARE ON MRS. I, 29 YEARS OLD G2P1A0 IN PMB PUTRI FATHMA
Background: Comprehensive Midwifery Care includes four continuous examination activities including obstetric care for pregnancy (Antenatal Care), midwifery care for childbirth (Intranatal Care), midwifery care during the puerperium (Postnatal Care), newborn care (Neonatal Care), and postnatal care. and KB (Continuty Of Care) acceptors. Data obtained from the Cluwak Health Center in 2020 experienced an increase in infant mortality with 2 cases of BBLR cases, and 4 cases of congenital abnormalities. In 2021 there were infant deaths with 2 cases of BBLR, 7 cases of IUFD, 1 case of Fetal Distress, 1 case of mother with covid-19, 1 case of heart failure, and 1 postpartum maternal death due to exposure to the covid-19 virus. Objective: To provide comprehensive midwifery care from pregnancy to the puerperium to Mrs. I am 29 years old G2P1A0 at PMB Putri Fathma, S.Keb, Bd. Research Methods: Using midwifery management methods based on 7 steps Varney and SOAP. Results: Pregnancy care was carried out with 5 antenatal visits during pregnancy. In the third trimester with complaints of pain in the waist and has been resolved by the mother so that during pregnancy Mrs. "I" is in good condition and normal. Maternity care on 10 June 2022 Mrs. I gave birth normally, assisted by a midwife and according to APN, the baby was born spontaneously, female gender, BBL: 4000 grams, PB: 52 cm. Postpartum care for Mrs. I went smoothly and there were no complications for the mother and baby. During the postpartum, the mother was given IEC regarding perineal care and the danger signs of postpartum, and decided to use 3-month injectable KB after the postpartum period was over. Conclusion: Care for Mrs. I have carried out comprehensively from pregnancy, childbirth, postpartum and newborn so that the condition of the mother and baby does not experience complications. Keywords : comprehensive, normal.
CASE REPORT OF WIDFERY CARE IN MRS. “R” 36 YEARS POST SC 2 HOURS WITH SEVERE PREECLAMPSIA AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
The postpartum period is the period that begins after the birth of the placenta and ends when the uterus returns to its original state as before pregnancy, which lasts for 6 weeks or 42 days. During the recovery period, the She will experience many physical changes that are physiological and provide a lot of discomfort in the early postpartum, which does not rule out the possibility of becoming pathological if it is not followed by good care. The method used in study 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 showed that Mrs. "R" was 36 years old, gave birth to her fourth child 2 hours ago by cesarean section. The results of the TTV examination were: BP: 160/115 mmHg, N: 85x/minute, S: 36.3C, RR: 21x/minute, TFU 2 fingers below the center, good contractions, there were SC scars. The management provided is to provide informed consent, inform the She of the results of the examination, teach the She to do early mobilization, collaborate with the SpOG doctor to administer RL, MgSO4 infusion therapy, dopamet and observe TTV. Keywords: Midwifery management, Postpartum, Preeclampsia
COMPREHENSIVE MIDWIFERY CARE FOR 28-YEAR-OLD MRS. N AT PMB TATI HERYANTI, S.ST JEPARA
In Indonesia, health issues continue to require special attention from multiple stakeholders. Midwives are known as health workers who are always present with the mother; hence, midwives are needed to deliver continuous/comprehensive services (Continuity Of Care) to maximize early diagnosis of maternal and newborn problems. The goal of this study was to give Mrs. N, a 28-year-old woman at PMB Tati Heryanti, S.ST comprehensive midwifery care, including pregnancy, labor, newborns, postpartum, neonatal, and family planning services. Case study research and descriptive research with a qualitative approach comprise the research strategy. Interviews, observations, physical examinations, and documentation studies guided by the framework of Midwifery Care were used to collect data. The outcomes of midwifery care for Mrs. N, age 28, G3P2A0 normal pregnancy with complaints of leg cramps, physiological birth with 60 steps of APN therapy followed by a physiological postpartum period, and the mother's decision to inject contraception for three months. BBL history had a birth weight of 3,500 grams, a PB of 50 centimeters, and an umbilical cord loss when the baby was 3 days old. There were no discrepancies between the theory and practice of caregiving in the field. There were no discrepancies between the theory and practice of caregiving in the field. Midwives must give comprehensive care to mothers during pregnancy and family planning services after childbirth as a means of early detection of issues that may arise in the mother so that they can be avoided or addressed promptly. Keywords: Comprehensive Midwifery Care, BBL, postpartum, KB
COMPREHENSIVE MIDWIFERY CARE OF MRS.T 26 YEARS OLD AT PUSKESMAS ROWOSARI
Background : Comprehensive care is a series of processes of pregnancy, childbirth, postpartum, newborn baby and family planning are physiological processes, many mothers experience health problems that can increase maternal mortality. In 2020, the number of maternal deaths in 2020 showed 4,627 deaths in Indonesia. this number shows an increase compared to 2019 with 4,221 deaths. Objective: This study aims to provide comprehensive midwifery care to pregnant women at the Rowosari Health Center, using a case study approach that is subjective, objective and observational. Results: The result showed that the first pregnancy with a gestational age of 40 weeks 4 days there were no complaints, with physiological delivery, then physiological postpartum and received appropriate treatment, with normal anthropometric examination results both body weight, height, head circumference and arm circumference, perineal laceration in grade II, during the puerperium using the lactation amenorrhea method, in the care there are no gaps in theory and practice smoothly and the mother and baby are in normal condition. Conclusion: This study concludes that in the application of comprehensive care, the care provided is in accordance with what is given to the patient, so there is no gap between theory and cases in the field. Keywords: Midwifery Care, Comprehensive, Pregnant mother.
MIDWIFE CARE IN NY. Y AGE 43 YEARS OLD PIIA0 OLD ACCEPTOR OF INTRA UTERINE DEVICE (IUD) WITH MENORRHAGIA AND MODERATE ANEMIA IN KEDUNGMUNDU PUSKESMAS, SEMARANG CITY
Intra Uterine Device(IUD) is a long-term contraceptive method that has high effectiveness. IUDs also have some side effects, one of which is menorrhagia. MenorrhagiamMenstrual disorders are characterized by menstruation for more than 7 days and the amount of blood that comes out is more than 80 ml.The number of erythrocytes that come out during bleeding can cause anemia. At the Kedungmundu Health Center, it was found that out of 10 IUD family planning acceptors, 8 of them experienced menorrhagia and 2 had normal menstruation. The purpose of this study was to provide midwifery care for Intra Uterine Device (IUD) acceptors with Menorrhagia using a 7-step Varney approach. The method used in this research is a case study. The location of this case study was conducted at the Kedungmundu Health Center. The subjects of the case study here are IUD family planning acceptors who experience menorrhagia. The time of the implementation of this case study was carried out on 06 – 27 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 was the administration of tranexamic acid 500 mg 3x1 for 7 days to treat bleeding and 1x1 blood-added tablets to help overcome anemia in the mother, as well as providing moral support to reduce maternal anxiety. After being given care for 22 days, the results were good general condition, no potential problems appeared, the mother was not anxious and felt comfortable, the bleeding stopped, anemia was resolved, but the mother chose to remove the IUD and change the method of family planning. After being given midwifery care for 22 days, IUD family planning acceptors no longer experienced menorrhagia and moderate anemia. However, the mother chose to remove the IUD and replace the method of family planning with MOW.
MIDWIFERY CARE FOR INFANT MOTHERS WITH HYPERBILIRUBIN IN THE PERISTI ROOM OF ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
Background: The most common complaint in neonates, Hyperbilirubin (12.8%), Sepsis (7.95%), Hypoxic Ischemic Encephalopathy (HIE) stage 2 – 3 (3.68%), Major Congenital Disorders (2.94%), Transient tachypnoea in newborn (2.89%), Respiratory Distress Syndrome (RDS) (2.78), Meconium aspiration (1.52 %), Persistent Pulmonary Hypertension of the Newborn (PPHN) (1.29%), Apnea (1.18%), and Necrotizing Enterocolitis (NEC), (0.63%). It can be seen that hyperbilirubin has the highest percentage of complaints in neonates. Objective: To be able to carry out midwifery care in infants with hyperbilirubin using 7 Varney steps Method: The writing method used by the author, by collecting data by interview, physical examination, observation, literature study, and documentation. Conclusion: in the application of midwifery care, the care provided is in accordance with that given to the patient, so there is no gap between theory and practice in the field. Keywords: Hyperbilirubin, neonates
COMMUNITY MIDWIFE CARE CASE REPORT ON MS. D 18 YEARS OLD G1P0A0 5 WEEKS OF PREGNANCY WITH UNWANTED PREGNANCY IN TANJUNG MAS
Free sex is a problem that causes fidgetiness in society. 80% of women and 84% of men claim to having been in a relationship. The reason why teenagers having sex is that a male or female partner insists, thinks that they are ready, they want to be loved and they do not want to make fun of by their friends just because they are still virgin. The method used in compiling ther final report is a case study method with a midwifery management approach and documentation through Varney. Data were obtained by means of interviews, physical examination, observation and literature study. The results of the study obtained subjective data from Ms. D is 18 years old, G1P0A0 5 weeks gestation, an unmarried teenage mother. Nn. D Complains that she does not want to take the vitamins given at health facilities, still feels nauseous, lack of appetite, uncomfortable sleep and urinate frequently. Management of Ms. D, which is given educated regarding physiological and pathological signs during pregnancy TM I, recommends continuing to take the pregnant vitamins, recommends checkup routine at adequate health facilities for pregnancy control until if there are any complaints. Keywords: Midwife, Community, Unwanted Pregnancy, Adolescents
CASE REPORT ON NY. M G2P1A0 AGE 35 YEARS OF PREGNANCY 10 WEEK 4 DAYS WITH INCOMPLETE ABORTION AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
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.
COMPREHENSIVE OBSTETRICS FOR MRS. W, 23 YEARS OLD WITH NORMAL PREGNANCYIN THE WORKING AREA OF TOROH 1 HEALTH CENTER GROBOGAN
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.
COMPREHENSIVE CARE FOR MRS. M G2P1A0 AGE 31 AT PMB EKA SETYOWATI, S.TR.KEB SEMARANG CITY
Background: Based on data from the Indonesian Demographic Health Survey (IDHS) in 2017, the Infant Mortality Rate (IMR) is 24/1000 KH, while the target for the Sustainable Development Goals (SDGs) in 2030 is for the MMR to reach 70/100,000 KH, while the IMR is 12/1000 KH. 1000 KH. MMR from 76.93 per 100,000 live births or 417 deaths in 2019, to 98.60 per 100,000 live births or 530 deaths in 2020. In 2021, until the third quarter, 2,851 cases have been recorded. IMR is an indicator to see the health and welfare of the community in an area or country. In addition, the SDGs target has not been achieved. Objective: To carry out comprehensive midwifery care for pregnant women, maternity mothers, postpartum mothers and family planning and BBL services. Methods: 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. Results: The diagnosis "Mrs. M aged 31 years G2P1A0 gestational age 38+2 weeks" had no complaints, followed by physiological delivery, then physiological postpartum and received appropriate treatment, Newborn with Weight: 2600 grams, PB: 46 cm, LD : 32 cm, LK : 33 cm gender is male and the mother said she would use injectable contraception 3 months after the puerperium period was over. in this care there is no gap between theory Conclusion: in the application ofcomprehensive care, the care provided is in accordance with what is given to the patient, so there is no gap between theory and practice in the ﬁeld. Keywords: comprehensive, normal.
COMPREHENSIVE MIDWIFE CARE IN NY.S AGE OF 23 YEARS AT LEBDOSARI PUSKESMAS SEMARANG
The number of maternal deaths in Indonesia compiled from the recording of family health programs at the Ministry of Health in 2020 shows 4,627 deaths. The IMR in Central Java in 2021 is 7.87 per 100,000 KH. Data on infant mortality shows that there are 3,977 cases of infant mortality in Central Java Province. One of the ways to help accelerate the decline in MMR and IMR is to carry out continuous care or Continuity of Care. The purpose of this study was to provide comprehensive care for pregnant women, maternity, Newborn (BBL), postpartum, and family planning (KB), according to midwifery service standards through a varnay midwifery management approach and SOAP management. This study uses a case study review method using a qualitative research design. observation guide, interviews and documentation studies in the form of Midwifery Care format starting from the period of pregnancy, childbirth, newborn, postpartum and family planning. The results of the care given to Mrs. S aged 23 years starting from pregnancy, childbirth, postpartum, newborn and family planning went smoothly. Comprehensive midwifery care needs to be carried out by midwives to assist efforts to accelerate the decline in MMR and IMR. Keywords: care, midwifery, comprehensiv.
COMPREHENSIVE MIDWIFERY CARE FOR MRS. W 19 YEARS OLD G1P0A0 AT PMB TRI WIJAYATI, S.ST.KEB GROBOGAN REGENCY
Health sector in Indonesia is a sector that still problematic so it requires special attention from various parties. Midwives as health workers related to mothers and babies who have a role to carry out comprehensive care, so they can do early detection optimally if there are complications or things that can occur in maternal or neonatal. The purpose of this research is providing comprehensive care to Mrs. W G1P0A0 19 years old at PMB Tri Wijayati, S.ST.Keb, Grobogan Regency starting from pregnancy, childbirth, postpartum, newborn, and family planning/birth control. The research design used is case study research and descriptive research with a qualitative approach. Data were taken using Varney's 7-step midwifery care method and SOAP documentation, it was also accompanied by in-depth interviews, observations and documentation. The result of the care given to Mrs. W 19 years old G1P0A0 starting from pregnancy, childbirth, postpartum, newborn and family planning/birth control run smoothly, mother and her baby were within normal limits. In the implementation of comprehensive midwifery care, there is a gap in pregnancy care, Antenatal Care should be done twice in the 1st and 3rd trimesters, but respondent only done it once in the 1st trimester. This is where the gap is found between theory and practice of midwifery care in the field. The importance of comprehensive care carried out by midwives for mothers from pregnancy to family planning services after labor is an effort to prevent or detect early complications that can occur in the mother so that they can be avoided or treated early. Keywords : Comprehensive; Normal
CASE REPORT OF MIDWIFERY CARE IN ADOLESCENTS WITH DYSMENORRHEA AT DR. ADHYATMA HOSPITAL, MPH SEMARANG
Background: The World Health Organization (WHO) reported in 2018 that the incidence of dysmenorrhea was 90% in women and 10-15% of them experienced severe dysmenorrhea. In 2019 the incidence of dysmenorrhea was 55% among productive age, of which 15% complained of limited activity due to dysmenorrhea. In Indonesia, around 45-95% of women of productive age experience dysmenorrhea. In 2020 the incidence rate in Central Java was 56% experiencing primary dysmenorrhea and 44% experiencing secondary dysmenorrhea. The prevalence of dysmenorrhea that occurs in adolescents in Semarang City is 87.8% experiencing dysmenorrhea. Objective: To be able to carry out midwifery care in adolescents with dysmenorrhea using the 7 steps of Varney. Methods: The writing method used by the author, by collecting data by interview, physical examination, observation, literature study, and documentation. Conclusion: in the application of care, the care provided is in accordance with that given to the patient, so there is no gap between theory and practice in the field. Keywords: adolescent, dysmenorrhea
MIDWIFERY CARE FOR MOTHERS IN LABOR WITH PREMATURE MEMBRANES RUPTURE AT TUGUREJO HOSPITAL SEMARANG
Background: According to the Health Profile data, the number of maternal deaths in 2018-2019 decreased from 4,226 to 4,221 maternal deaths in Indonesia based on the report. In 2019, the most common causes of maternal death were bleeding 1,280 cases (50.14%), hypertension in pregnancy 1,066 cases (41.75%), infection 207 cases (8.11%).(Ministry of Health RI, 2019). Premature rupture of membranes (PROM) is the rupture of the membranes before the time of delivery / before the signs of labor, which can occur at the end of pregnancy or long before the time of delivery. If premature rupture of membranes occurs at 37 weeks of gestation, it is called term premature rupture of membranes and if premature rupture of membranes occurs at < 37 weeks of gestation, it is called preterm premature rupture of membranes. Objective: To be able to carry out midwifery care for pregnant women with KPD using 7 Varney steps. Methods: The writing method used by the author is to collect data by means of interviews, physical examinations, observations, literature studies, and documentation. Conclusion: in the application of care, the care provided is in accordance with that given to the patient, so there is no gap between theory and practice in the field Keywords: Prom
COMPREHENSIVE MIDWIFERY CARE OF MRS. C AT THE AGE OF 32 YEARS OLD AT PUSKESMAS LEBDOSARI SEMARANG
Background: A case of maternal mortality and neonatal mortality in Semarang is raised within these two years. The maternal mortality rate was 17 people in 2020 and 21 people in 2021. Meanwhile, the neonatal mortality rate increased from 112 in 2020 up to 133 in 2021. In Puskesmas Lebdosari, there was no maternal mortality during pregnancy, delivery, and post delivery. However, neonatal mortality was found in 2021 with 3 neonatal mortalities. The midwife is a medical worker who always accompanies mothers during their pregnancy, Childbirth, Peurperium, Newborn, and Family Planning period; also, the family planning program is given continuely and healthcare comprehensive as early detection of maternal and neonatal complications. Research Objective: To perform comprehensive midwifery care of Mrs. C, at the age of 32 years old, at Puskesmas Lebdosari Semarang. Methods: It was a comprehensive case study that descriptively employed 7 steps of Varney and SOAP. The analysis was performed through an interview, physical check-up, and observation. Finding: Mrs. C, at the age of 32 years old, G1 P0 A0 pregnancy, childbirth, peurperium, newborn, and family planning ran well. Conclusion: Comprehensive midwifery care is a very important form of early detection of either maternal or neonatal symptoms to reduce maternal mortality and neonatal mortality rate. Keywords: comprehensive, midwifery care.
COMPREHENSIVE MIDWIFERY CARE FOR MRS. M WAS 37 WEEKS PREGNANT AT THE ROWOSARI HEALTH CENTER IN SEMARANG CITY, TEMBALANG DISTRICT
Comprehensive care is a series of processes of pregnancy, childbirth, postpartum, BBL and family planning are physiological processes, not a few mothers experience health problems that can increase maternal mortality. In 2020, the number of maternal deaths in 2020 showed 3,142 deaths in Indonesia. Objective: This study is to provide comprehensive midwifery care to Mrs. M, age 20 at the Rowosari Health Center, Method: using a case study approach to the Varney 7-step midwifery process and SOAP. The study was carried out by looking at the results of subjective, objective and observational data. Results: the diagnosis obtained by Mrs. M aged 20 years G2P1A0 39 weeks gestation, with complaints of tightness in the abdomen followed by physiological delivery, then physiological postpartum and received appropriate treatment, history of newborn with weight: 3230 grams, PB : 48 cm, LD : 32 cm, LK : 33 cm male gender, and the mother said she used lactation birth control pills, there was no gap between theory and practice in her care. Conclusion: in the application of comprehensive care, the care provided is in accordance with the standards of Midwifery Care, so there is no gap between theory and cases in the field. Keywords: Comprehensive; Normal
COMPREHENSIVE MIDWIFERY CARE FOR Mrs. A 21 YEARS OLD G2P1A0 37 WEEKS GESTATION WITH NORMAL PREGNANCY AT KEDUNGMUNDU PUBLIC HEALTH CENTER TEMBALANG DISTRICT SEMARANG CITY
Background: Comprehensive care which consists of a series of processes of pregnancy, childbirth, postpartum, BBL and family planning is a physiological process, not a few mothers experience health problems that can increase maternal mortality, In 2021, the number of maternal deaths in 2021 shows 1712 per 1000.000 Dead. this number shows an increase compared to 2020 of 305 per 100,000 deaths. Objectives: this study is to provide comprehensive midwifery care to Mrs. A 21 years old at the Kedungmundu Health Center, Methods: using a case study approach to the 7-step varney midwifery process and SOAP assessment conducted by looking at the results of subjective, objective and observational data. Results: the diagnosis obtained was Mrs. A, age 21, G2P1A0 at 37 weeks of gestation, there were no complaints, followed by physiological delivery, then physiologic postpartum and received appropriate treatment, history of newborn with weight: 3230 grams, PB: 50 cm, LD : 33 cm, LK: 34 cm male sex, there is no laceration in the birth canal, and the mother said she would use injectable contraception 3 months after the postpartum period, in the care there were no gaps in theory and practice smoothly and the mother and baby were in normal condition . Conclusion: in the application of comprehensive care, the care provided is in accordance with what is given to the patient, so there is no gap between theory and cases in the field. Keywords: Comprehensive; Normal
OBSTETRIC CARE IN ADOLESCENTS WITH UNWANTED PREGNANCY
Background : incidence of unwanted pregnancies has increased globally in 2018, namely there are 208 million pregnancies in the world and 185 million of them occur in developing countries, then 86 million (41%) of unwanted pregnancies. Unwanted pregnancies in developed countries were (20%) and in developing countries were higher by (29%). The highest unwanted pregnancy is found in Asian countries (54%). Objective: Able to carry out obstetric care in Infants with Hyperbilirubin using 7 steps varney. Method: This type of research is meta-analysis research with the literature review method, writing method used with the author, by collecting data with wawncara, physical examination, observation, literature study, and documentation. Conclusion : in the application of upbringing, the care given is in accordance with what is given to the patient, so that there is no gap between theory and practice in the future. Keywords : unwanted pregnancy, adolescents
CASE REPORT PREECLAMSIA IN PREGNANT WOMEN IN WORK AREA KISMANTORO HEALTH CENTER WONOGIRI WITH DASH METHOD
Preeclampsia is one of the causes of the high maternal mortality rate seen on a national and regional scale and is usually characterized by symptoms such as hypertension, edema, proteinuria. In 2021 there were 23 cases of preeclampsia and 11 cases with preeclampsia referred. The results of interviews with 2 mothers who experienced preeclampsia were a history of hypertension before pregnancy and the mother's age was > 35 years with multipara. DASH (Dietary Approaches to Stop Hypertension) is an effective diet method for people with hypertension. The DASH diet approach can be used as a non-pharmacological therapy and as a substitute for drugs. The results of the study showed that participants had complaints of dizziness and heartburn for 3 days, pregnant women at the age of > 35 years and had a history of high blood pressure before pregnancy. Objective data showed high blood pressure 150/100, edema in the right and left legs, positive urine protein. The diagnosis in this case was preeclampsia with initial treatment in collaboration with doctors for further examination and treatment and recommending participants to adopt a DASH diet every day at home. Notes of development in the first week, participants were no longer dizzy and heartburn and edema were reduced. The results of the second week, participants did not experience edema and decreased blood pressure. Treatment of preeclampsia with the DASH diet method can lower blood pressure when properly applied every day. Keywords: Preeclampsia, DASH, Pregnancy
CASE REPORT MEDICAL DELIVERY CARE IN NY. M G1P0A0 AGE 26 YEARS OF PREGNANCY AGE 41 WEEKS WITH PREMATURE RUPTURE OF MEMBRANES (PROM) AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
Childbirth is a process of expulsion of the products of conception. This phase takes place when the fetus is mature to live outside the womb. Normal or spontaneous labor usually lasts for 18 hours without complications. The cause of maternal death in Indonesia is caused by one of them, namely premature rupture of membranes (PROM). Premature rupture of membranes is the spontaneous rupture of the membranes before entering the labor phase. Premature rupture of membranes can be caused by weakening of the amniotic membrane accompanied by continuous uterine contractions. The purpose of this study was to provide midwifery care for mothers with premature rupture of membranes (PROM) using the 7-step Varney approach. The method used in this research is a case study. The location of this case study was conducted at Roemani Muhammadiyah Hospital, Semarang. As for the subject of the case study is the mother who experienced PROM. The time of the implementation of this case study was carried out on July 28, 2022. The technique of collecting data was from physical examination, interviews and observations (Observation), Secondary data included literature study.The care provided in this case is the administration of Ringer Lactate infusion as much as 20tpm and providing moral support to reduce maternal anxiety. After being given 2 days of care, the result is that the mother's general condition is good and the baby has been born safely After being given midwifery care for 2 days, the mother has given birth safely. Keywords: Labor, KPD
EMERGENCY CASE STUDY IN 20 YEARS OLD NY E P1A0 ACCEPTOR OLD CONTRACEPTION MKJP IMPLANT WITH FAILURE (PREGNANT) AT KEDUNGMUNDU PUBLIC HEALTH CENTER
The main problem In making the final project, many theories state that the effectiveness of implant contraceptives is high between 97-99%, according to data reported by BKKBN in one research journal, there are 2 implant contraceptive acceptors who fail. This can be reviewed, one of which is in terms of the services of health workers. Destinationthesis,applyemergency midwifery care for Mrs. E aged 20 years P1A0 old acceptor of MKJP implant contraception with failure (pregnancy) at the Kedungmundu Public Health Center. Scopenamely implant contraceptive acceptors in the working area of the Kedungmundu Health Center. The final project report method is a descriptive method, the type of the final project report is a case study. Results from the discussion of this final projectconducted from April 11, 2022 to June 10, 2022, that foundthere is a gap between theory and practice, where the actions taken by puskesmas officers when placing implants in family planning safari activities, namely directly installing implant capsules,without doing a PP test or making sure the prospective acceptor is not pregnant first, this is behaviorwhich is not in accordance with the SOP of the Kedungmundu Health Center and several previous research journals. In conclusion, after the author conducted a case study, it can be concluded that the author can applyEmergency Case Study on Mrs. E, Age 20 Years Old P1A0 Acceptor of MKJP Implant Contraception with Failure (Pregnant) at Kedungmundu Health Center Keywords: Failure, MKJP, Implant, Pregnancy
PREGNANT MOTHER’S ASSESSMENT ON HEALTH PROTOCOLS IMPLEMENTATION DURING COVID-19 PANDEMIC
Implementing health protocols during the COVID-19 pandemic is crucial for pregnant women and midwives to protect mothers and their fetuses from the risk of COVID-19 infection. However, several studies showed a low proportion of people who implemented adequate preventive behavior. The study aimed to determine pregnant women's implementation of health protocols and assess midwives' health protocols. The methodology used is quantitative research with descriptive analysis. Primary data were collected through interviews using a questionnaire of 156 respondents selected by a simple random sampling method. Data collection was carried out in November 2020 in Sunggal Subdistrict and Hamparan Perak Subdistrict, Deli Serdang Regency, North Sumatra Province. The study results show that most pregnant women were 21-35 years were pregnant in the third trimester. The pregnant women were also educated in secondary school, had health insurance, and were not working. The implementation of Health protocols for pregnant women during health checks was 85.5 percent categorized as poor in terms of making no appointment before accessing ANC services and not conducting online consultations. The health protocol assessment performed by midwives is categorized as good (81.4 percent) which can be seen in the use of masks, using hand sanitizers, maintaining distance during services, not shaking hands, available hand washing facilities with soap (CTPS), and using PPE. Recommendations for Midwives are always expected to provide Information Communication and Education (counseling) to pregnant women regarding the importance of complying with the COVID-19 health protocol to break the transmission of the COVID-19 virus. Keywords: Antenatal care, COVID-19, Health Protocol, Pregnancy
CASE REPORT ON BY MRS. D AGE 0 DAYS WITH MODERATE ASPHYXIA AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG
Asphyxia neonatorum is a condition that occurs when a baby does not get enough oxygen during the birth process. Asphyxia neonatorum is a condition in which the baby cannot breathe spontaneously and regularly, so it can reduce O2 and increasing CO2 which has bad consequences infurther life. Many theories state that the neonatal mortality rate reflects the level of health development of a country and the quality of life of the community. One of the causes of infant mortality is asphyxia by 22.7%. In one research journal, Asphyxia is caused by fetal hypoxia in the uterus. Fetal hypoxia occurs due to disruption of the exchange and transportation of oxygen from mother to fetus so that oxygen supply to the fetus decreases and carbon dioxide levels increase so that asphyxia in neonates can cause organ system dysfunction. Based on the results of the assessment that has been done, the complaint Infants born spontaneously, term babies, weak KU, moaning, unable to breathe spontaneously, inactive movements, red body and blue extremities, the baby is hypothermic with a temperature of 35.20C. Based on the results of the previous history, the mother gave birth with a history of Premature rupture of membranes. The diagnosis in this case was Moderate Asphyxia with initial treatment of live saving and initial management (warm up, adjust position, inhale mucus, dry and tactile stimulation, adjust position, perform assessment), perform Positive Pressure Ventilation and administer 02. After treatment Moderate Asphyxia Management at Roemani Semarang Hospital was continued with home visits on July 20, 2022 for newborns for monitoring and providing counseling. Keywords: Asphyxia, Neonate
CASE REPORT ON NUTRITIONAL MOTHER'S MIDWIFE IN MRS “E” AGE 22 YEARS POST SC IUD WITH SEVERE PRE ECLAMPSIA AT TUGUREJO HOSPITAL, SEMARANG
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
CASE REPORT PREGNANT MOTHER WITH SEVERE PRE ECLAMPSIA
Preeclampsia is a problem that has a high level of complexity, and contributes to the cause of maternal death. The problem of preeclampsia not only affects to the mother during pregnancy and childbirth, but also causes postpartum problems due to endothelial dysfunction of various organs. The main goals of treating preeclampsia are to prevent eclampsia, give birth to babies without asphyxia, and prevent maternal and perinatal mortality. To find out how to perform midwifery care for pregnant women with severe preeclampsia. Using a case study method and located in Tugurejo Hospital, Semarang. Pregnant women who had severe pre-eclampsia. The case study was conducted on July 30, 2022. The data collection techniques by interviews, physical examinations, observations, secondary data including documentation studies and literature studies. Based on the main problem in Mrs. N The care carried out is by doing expectatif therapy, recommending patients to reduce strenuous physical activity, which can cause fatigue. KIE to mothers regarding the management of PEB patients according to doctor's advice, and providing therapy according to doctor's advice, namely the administration of MgSO4, antihypertensives and corticosteroids for lung maturation. Conclusion: after midwifery care on Ny. N 41 years 33 weeks pregnant with severe preeclampsia, placenta previa totalis, the general condition was good, better blood pressure, eclampsia did not occur, the patient had pregnancy termination at 35 weeks 5 days of gestation with sectio caesarea. Keywords: severe preeclampsia, pregnant women, management of preeclampsia
CASE REPORT : MIDWIFE CARE OF MOMS IN DELIVERY WITH SEVERE PREECLAMPSIA IN THE DELIVERY ROOM AT TUGUREJO HOSPITAL SEMARANG
Maternal mortality rate (MMR) is one indicator to determine the health status of a nation. Maternal mortality in Indonesia in 2021 was caused by 1,330 cases of bleeding, 1,110 cases of hypertension in pregnancy, and 230 cases of circulatory system disorders. Preeclampsia is a serious condition that is progressive, characterized by an increase in blood pressure 140/90 mmHg and protein in the urine ≥300 mg/24 hours. Tugurejo Hospital is a referral hospital, in 2021 there were cases of preeclampsia/eclampsia in maternity women of 20.85%, premature rupture of membranes (PROM) 19.82%, bleeding 11.46%. The purpose of this study was to provide midwifery care for pregnant women with severe pre-eclampsia using the 7-step Varney approach. 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 are mothers who experience severe pre-eclampsia. This case study was conducted on July 22, 2022. Data collection techniques were interviews, physical examinations, observations, secondary data including documentation studies and literature studies. Result : The care provided in this case is to collaborate with doctors to provide therapy to patients, namely by administering magnesium sulfate to prevent seizures, nifedipine and methyldopa as antihypertensive drugs, conducting close supervision of labor and preparation for delivery. Conclusion: after midwifery care was carried out and an evaluation of the progress of labor was carried out, it turned out that there was no progress in labor so that the patient was delivered by cesarean section, to improve the condition of the mother and save the fetus. Keywords: Severe Preeclampsia, Childbirth, Sectio caesarea
THE CASE REPORTS ORPHANAGE OBSTETRICS MENOPAUSE WITH BLEEDING 2 MONTHS AT PREMARY HEALTH CARE NGESREP
The world health organization ( who ) in asia , in 2025 number of women have menopause would rise from 107 million people being 373 million people. Suds menopause experienced by many women almost all the world around 70 - 80 % European women , 60 % in America , 57 % in Malaysia , 18 % in China , 10 % in Japan and also 10 % in Indonesia. According to the central bureau of statistics bps 2013 ( ) years increase in life expectancy ( UHH ) in 2000 in indonesia is 64,5 years 7,18 % with the elderly population .This figure rose to 69,43 in in 2010 with the elderly population 7,56 % and in a year with the 2011 69,65 % 7,58 elderly population. With increasing life expectancy, is an increased occurrence of disease in women. old especially Women experiencing menopause, good, early menopause pre menopausal, perimenopause and post menopause general to experience symptoms of the top ( climacteric ) and transition or intermediate. Bleeding pascamenopause are complaints who was often experienced by women pascamenopause.Bleeding pascamenopause happens to about 4-11 % whose woman is menopause.10 % cases caused by the ferocity of, namely. endometrial cancer The highest insidensi endometrial cancer found in women pascamenopause aged 60-79 years.Case studies by the observational descriptive with the approach the case study method research conducted by means of research the problem through a case consisting of a single unit .This case study using the obstetrics care 7 varney from collecting a baseline data to evaluation and the development of using SOAP. Found the bleeding leading to pathology so done the act of collaboration with dr. SpOG for further examination . Examination laborat support , ultrasound and referred to the hospital. A woman can be said in menopause when the menstrual cycle stop for at least 12 months consecutive. After menopause, some women can still bleeding from the vagina called also as pascamenopause bleeding Keywords : Menopause, pascamenopause bleeding
CASE REPORT ON BY S WITH LOW NEW BORN WEIGHT AT MIDWIFE INDEPENDENT PRACTICE (PMB) OKTA FITRIANA SEMARANG
The World Health Organization (WHO) reports that in 2019 deaths occurring in children aged under 1 month still reached 2.5 million, which means that one child dies at every 55 births. In Indonesia, as many as 6.2% were born with BBLR conditions. In 2020, the incidence rate in central Java was 24,796 babies (4.6%) had BBLR. The prevalence of infant mortality in 2020 in Semarang City was 145 out of 23,825 live births. Able to carry out obstetric care for newborns with BBLR using 7 steps varney. Writing method used with the author, by collecting data by interview, physical examination, observation, literature study, and documentation. In the application of up bringing , the care provided is in accordance with that given to patients,so there is no gap between theory and practice in the land Keywords: obstetric care of newborns, low birth weight
MIDWIFE CARE OF REPRODUCTIVE SYSTEM DISORDERS IN NY K WITH M IOMA UTERUS AT SULTAN IMANUDDIN HOSPITALS PANGKALAN BUN
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
THE DETERMINANTS OF ASSESSING ANTENATAL CARE SERVICE ON MIDWIVES DURING THE COVID-19 PANDEMIC
The implementation of the Large-Scale Community Social Restriction (PSBB) policy during the COVID-19 pandemic aimed to limit the spread of the virus in the community, which resulted in the limited activities of the community, including pregnant women. The lack of information related to health care or antenatal care (ANC) faced by pregnant women results in decreased coverage of K1 and K4 visits. Deli Serdang Regency is one of the districts that experienced a declined antenatal care visit. Data from the Health Department in 2020 indicated a 1.53 per cent decrease in the K1 visit, while K4 was increased by 2.99 per cent. The purpose of the study was to analyze the factors related to antenatal care examinations during the COVID-19 pandemic in the Deli Serdang district. This research implemented a crosssectional quantitative design using primary data. Data were collected through interviews using a questionnaire. Data collection was performed in November 2020 in Sunggal District and Hamparan Perak District, Deli Serdang Regency, North Sumatra Province. The number of respondents was 154 pregnant women, which were selected using a simple random sampling. The dependent variable is the ANC examination by the midwife. The independent variables include the age of pregnant women, age at first marriage, employment status, education, income, health insurance ownership, husband's age, and childbirth plans. Data were analyzed using simple logistic regression analysis, with α = 0.05. The result showed that the sociodemographic characteristics of pregnant women who carry out ANC examinations by midwives are pregnant at an ideal age (age less than 35 years), married for the first time at the age of less than 24 years, not working, having a low level of education with income 3 million/month, not having health insurance and planning to have birth at the midwife. The analysis also showed that there is a smaller percentage of conducting ANC examinations in midwives among women with higher education. Based on the study's results, it was found that the variables that significantly related to conducting ANC examination in midwives were age, age at first marriage, have a spouse withing ideal age, and planning childbirth at the midwife. Keywords: Antenatal care, COVID-19, Midwife, Pregnancy
THE THE STATUS OF CED, ANEMIA IN PREGNANCY, AND LOW BIRTH WEIGHT IN PUSKESMAS PETARUKAN PEMALANG WORK AREA STATUS OF CED, ANEMIA IN PREGNANCY, AND LOW BIRTH WEIGHT IN PUSKESMAS PETARUKAN PEMALANG WORK AREA
Low birth weight (LBW) is a term used to describe babies who are born weighing less than 2,500 grams and whose risk of morbidity and mortality are higher than babies with normal birth weight. The nutrition status of a pregnant mother with chronic energy deficiency (CED) and anemia affected health conditions and fetal growth. The prevalence of LBW around the Puskesmas Petarukan work area in 2020 was 3.27%. This study aimed to describe the status of CED, anemia in pregnancy, and LBW around the Puskesmas Petarukan Pemalang work area. It was descriptive quantitative research with a retrospective approach. The sample of the research was all of the newborns with LBW and mothers who gave birth to LBW with a total of 20 respondents. The univariate analysis obtained the average Mid Upper Arm Circumference (MUAC) of the pregnant mothers was 24.95 cm, the mean Hb level at 11.55 g/dl ± 0.52 and the lowest birth weight was 1,700 grams. This study concluded that there are pregnant mothers with CED status, anemia, and LBW. Keywords: Low birth weight (LBW), CED, Anemia
DHIKR RELAXATION TO IMPROVE MOTHER'S READINESS DEALING WITH LABOR AND PREVENTING CHILDBIRTH COMPLICATIONS
Objective: The development of pregnancy until before delivery causes anxiety in the majority of pregnant women. Anxiety increases the risk of miscarriage, premature birth and can continue to the mother's unpreparedness for childbirth, as well as childbirth complications that are at risk of death. The maternal mortality rate in Indonesia is relatively high, and has not yet met the 3rd SDGs target. Appropriate care is needed to help provide psychological calm for pregnant women, namely dhikr relaxation, which combines relaxation response techniques with individual belief systems. Relaxation techniques combine relaxation of muscles, breath, and mind with a spiritual approach according to the patient's beliefs. The purpose of the study was to determine the effect of dhikr relaxation techniques in increasing maternal readiness for childbirth and preventing complications during childbirth. Material and methods: The research design was a One-Group Pretest-Posttest Design, using one group of dhikr relaxation treatment. The subjects of the study were pregnant women in the third trimester, 28-34 weeks of gestation, a total of 20 pregnant women. The results were tested with the assumptions of Saphiro-Wilk and Kolmogorov-Smirnov. The results of the non-parametric Wilcoxon test obtained a z-count value of -2.025 with a significance of 0.043 <0.050 on the variable of maternal readiness to face labor and a z-value of -2.174 with a significance of 0.030 <0.050 on the variable of labor complications. Conclusions: It was concluded that the relaxation of dhikr can increase the mother's readiness to face childbirth and reduce the risk of childbirth complications. Keywords: dhikr relaxation, pregnancy, readiness, labor complications.
THE EFFECTIVENESS OF COUNSELING WITH THE MEDIA LEAFLET AND AUDIO VISUAL ON MOTHER'S KNOWLEDGE ABOUT DENTAL AND MOUTH CARE TODDLERS
Dental and oral health care needs to be applied to children from an early age. The participation of maternal knowledge is needed in supporting the health of children's teeth and mouth. Based on the results of the researcher's preliminary study, ten out of fourteen mothers in Klidang Wetan village who have toddlers still lack knowledge about the correct tooth brushing time. The mother's lack of knowledge about the child's dental and oral health care will have an impact on the child's dental and oral health. Knowledge can be improved through health promotion. Leaflet and audio-visual media are health promotion media that can be used to help increase maternal knowledge. Objective: Knowing the effectiveness of counseling with leaflet and audio-visual media on maternal knowledge about dental and oral care in toddlers in Klidang Wetan Batang Village. A type of pseudo-experimental research using a nonequivalent control group design. The samples in the study were 66 mothers in Klidang Wetan Village who had toddler children, filled out Counseling using audio-visual media and leaflets obtained a sig value. (2- tailed) of (0.006 and 0.010) < 0.05, meaning there is a difference. Counseling with audio-visual media shows a sum of ranks or mean rank value higher than counseling using leaflet media. Counseling with audio-visual media is more effective than leaflet media on maternal knowledge about dental and oral care in toddlers. Keywords: Promotion of children's oral health, Leaflets, Audio Visual
CASE REPORT ON MRS. T AGE 28 YEARS OLD P2A0 ACCEPTANCE OF CONTRACEPTION FOR 3 MONTHS WITH MENORRHAGIA AND MILD ANEMIA IN KEDUNGMUNDU PREMARY HEALTH CARE SEMARANG
The main problem, the 3-month injectable contraceptive method has a percentage of side effects of menstrual disorders (2.9%), based on a preliminary study at the Kedungmundu Premary Health Care, 3 months injectable contraceptive acceptors (88.13%), experienced menstrual disorders (16.23%). One of the types of menstrual disorders is menorrhagia and as many as (0.78%). Respondents experienced continuous menstruation for 26 days and were often weak and lethargic. The problem in this case is Mrs. T, age 28 years P2A0, acceptor of 3-month injectable contraception with menorrhagia with mild anemia. Destination, for administering the 3 Months Injectable Contraceptive KB Acceptor with menorrhagia at the Kedungmundu Health Center. The scope is, the 3 month injection contraceptive acceptor with menorrhagia in the working area of the Kedungmundu Public Health Center. The method used is descriptive method, the type of final project report is a case study. The results after being given combined oral pill therapy, is a treatment for menorrhagia due to progesterone contraception, so that menorrhagia becomes significantly decreased and the menstrual cycle returns to normal, while in mild anemia, Fe tablets are given and recommend foods containing iron so that the first Hb level is 10.5 g /Dl categorized as mild anemia rose to 12 g/dL and was not anemic. Keywords: Contraception, DMPA, Menorrhagia.
CASE REPORT OF PRE-ECLAMPSIA IN PREGNANT WOMEN AT THE GAYAMSARI HEALTH CENTER, SEMARANG CITY WITH THE SAN PIISAN PROGRAM
Pre-eclampsia is a hypertensive disorder of pregnancy, considered one of the leading causes of maternal death in the world. Pre-eclampsia is a multisystemic disease characterized by the development of hypertension after 20 weeks of gestation, with or without urinary protein accompanied by symptoms suggestive of organ injury. The city of Semarang has a program in an effort to reduce MMR, namely SAN PIISAN (Love and Care for Mothers and Children in Semarang City). The SAN PIISAN program is a preventive effort in reducing MMR, namely doing homecare for pregnant women, postpartum mothers and babies. The aim of this program is to prevent the occurrence of 3 late. One of the public health center that runs the SAN PIISAN program and there is a maternal death due to preeclampsia is the Gayamsari Health Center. Based on the results of the assessment that was carried out during the SAN PIISAN visit, The main symptom in this case is an increase in maternal blood pressure to 174/101mmHg accompanied by edema in the mother's legs. Based on the results of the previous anamnesis, the mother had no history of hypertension. The mother explained that she had experienced an increase in blood pressure during her second pregnancy and after the baby was born, her blood pressure returned to normal. The diagnosis in this case was preeclampsia in pregnant women with initial treatment carried out during the SAN PIISAN visit, namely the administration of 250 mg of methyldopa and followed by referral to the hospital. Management of preeclampsia in pregnant women with preeclampsia with the SAN PIISAN program is carried out by home visits with the provision of therapy and followed by referrals and monitoring via online. Keywords: management of preeclampsia, SAN PIISAN, preeclampsia
CASE REPORT OF MIDWIFE CARE IN PERIMENOUPOUSE MOTHERS WITH UTERIAL MYOMA IN TUGUREJO HOSPITAL, SEMARANG
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
LITERATURE REVIEW : RELATIONSHIP OF MENORRGHAGIA AND ANEMIA IN IUD KB ACCEPTERS
The IUD has several side effects, one of which is menorrhagia. Menorrhagia is menstrual bleeding that is heavy and longer than normal, ie > 7 days and changing pads 5-6 times per day and 60-80cc of blood issued. The number of erythrocytes that come out during menstruation can cause anemia. The purpose of this study was to determine the relationship between menorrhagia and anemia in IUD family planning acceptors. This article uses a literature review study method from scientific journals with the keywords IUD, menorrhagia, anemia as a guide. There were 5 scientific journals selected from research journals related to the research topic, namely the relationship between menorrhagia and anemia in IUD family planning acceptors. From the results of the literature review that has been presented, all articles explain the results of the study of the relationship between menorrhagia and anemia in IUD family planning acceptors. The insertion of an Intra Uterine Device (IUD) can cause an increase in the concentration of plasminogen activators (enzymes that break down proteins and activate the dissolution of blood clots) in the endometrium, and these enzymes cause increased fibrinolytic activity and inhibit blood clotting, resulting in more bleeding and bleeding. cause anemia. Based on the results of the literature review, it can be concluded that there is a relationship between menorrhagia and anemia in IUD family planning acceptors Keywords: IUD, Menorrhagia, Anemia
CHILDBIRTH IN MOTHER WITH COVID-19 (A CASE STUDY AT RSUD KRMT WONGSONEGORO)
Coronavirus Disease 2019 (COVID-19) is an acute respiratory disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This coronavirus initially infected the elderly. However, recently, it has infected all age groups, from people in productive age, adolescents, toddlers, babies, and mothers during pregnancy and childbirth. Mothers in pregnancy and childbirth are at higher risk of infection due to the physiological change and the immune response mechanism in the body. The respiratory infection during childbirth would increase the risk of obstetric complications. This research was to describe the process of childbirth in mothers with covid-19. It was a descriptive quantitative research with mothers in the childbirth process from January to August 2021. The sample was taken by using the total sampling technique. The results showed that mothers with covid-19 who went through vaginal delivery were 67.2%, mothers with Caesarean delivery was 17.5%, mothers who received conservative treatment were 11.9%, and mothers with abortion were 3.5%. In the case of severity of the covid-19 infection, the percentage of mild infection was 67%, moderate infection 14.8%, and severe infection was 15.4%. The effect of covid-19 during the childbirth process was in the form of Perinatal asphyxia at 37.9%, premature delivery at 20.3%, severe preeclampsia at 16.9%, Premature rupture of membranes (PROM) at 12.4%, while 12.4% was without any side effect. The neonatal mortality rate in mothers with covid19 was 15.3%, with 84.7% live birth. Meanwhile, the maternal mortality during childbirth due to covid-19 was 15.8%, with 84.2% surviving mothers. Keywords: case, childbirth, covid 19
THE EFFECT OF PSYCOEDUCATION REGARDING STUNTING IN PREVENTING STUNTING IN TODDLERS
The problem of stunting needs to be a concern because stunting can interfere with intelligence, metabolism in the body, and physical growth. The stunting prevalence rate in Indonesia is still far above the limit set by the WHO, which is below 20%, this shows that the stunting problem in Indonesia is classified as a chronic problem. Psychoeducation in the form of providing information about stunting can help prevent stunting in children. The method used in this study is a literature review study. The database used in the source search is Google Schler. The search for articles was carried out by collecting themes about the effect of psychoeducation on stunting in preventing stunting in toddlers. Psychoeducation about stunting is effective in increasing parents' knowledge about stunting and is also needed not only for housewives or married women but also for late teens who have not yet entered the marriage phase as a provision for them when having and raising children. Keywords: psychoeducation, stunting, toddlers
MIDWIFE KNOWLEDGE ABOUT REPRODUCTIVE RIGHTS IN MIDWIFERY SERVICES IN THE COMMUNITY
Background: Midwives are at the forefront of women's reproductive health services in the community. Its role is very important in reducing maternal and infant mortality rates. Reproductive rights are the rights of every individual, everyone has the right to determine their reproductive life and is free from discrimination and coercion from any party. The government is targeting the death rate to be 183 AKI / 100000 KH, while the infant mortality rate is targeted to be 16 AKB / 1000 KH. Meanwhile, based on 2015 SUPAS data, MMR was recorded as 305/100000 KH and AKB 24/1000 AKB (IDHS, 2017). Meanwhile, the total fertility rate according to SKAP in 2019 is 2.45 and the prevalence of infertility is still high, around 36% (Riskesdas, 2018). Research Objectives: To determine of knowledge of midwives about reproductive rights in midwifery services in the community. The research used was a descriptive study with the population of all midwives attending the international midwifery seminar. The sample used is 45 respondents by means of sample random sampling. The research instrument used a questionnaire. The variable studied was the level of knowledge of midwives about reproductive rights. The results showed that knowledge of midwives about reproductive rights in midwifery services in a community with sufficient knowledge of 23 people (51%), good knowledge of 17 people (38%) and less knowledge of 5 people (11%). Keywords: Knowledge, Midwives, Reproductive Rights