
Asuhan Kebidanan Komprehensif Pada Ny. A Di Puskesmas Pantai Amal Kota Tarakan
Pengarang : Yuni Astria - Personal Name;
Perpustakaan UBT : Universitas Borneo Tarakan., 2022XML Detail Export Citation
Abstract
Asuhan kebidanan komprehensif adalah asuhan yang diberikan secara Menyeluruh dengan adanya pemeriksaan sederhana dan konseling asuhan Kebidanan yang mencakup pemeriksaan berkesinambungan diantaranya asuhan Kehamilan, persalinan, bayi baru lahir, nifas dan KB. Pelayanan kesehatan maternal dan neonatal yang berkualitas dibutuhkan tenaga kesehatan terampil yang didukung tersedianya sarana dan prasarana yang memadai. Asuhan kebidanan komprehensif yang diberikan kepada Ny.A secara lengkap dengan pemeriksaan sesuai standar dan konseling asuhan kebidanan yang mencakup asuhan kebidanan kehamilan, persalinan, nifas dan bayi baru lahir. Asuhan kebidanan secara komprehensif pada Ny.A pada masa kehamilan,Bersalin, nifas dan bayi baru lahir bertujuan untuk memberikan pelayanan yang Berkualitas untuk mencegah kematian ibu dan anak. Kebidanan yang Dilakukan menggunakan metode pendekatan menejemen varney.
Kunjungan Antenatal Care pada Ny.A dilakukan sebanyak 2 kali pada usia kehamilan 37 dan 38 minggu 4 hari dengan pemeriksaan sesuai standar pelayanan 10 T yaitu Timbang berat badan, Tekanan darah diperiksa, Tinggi puncak rahim, Vaksinasi tetanus, Tablet zat besi, tetapkan status gizi, tes laboratorium, Periksa detak jantung janin, Tatalaksana kasus, temu wicara. Kebidanaan persalinan yang dilakukan pada Ny.A menggunakan 60 langkah Asuhan Persalinan Normal pada umur kehamilan 38 minggu 4 hari. Asuhan kebidanan masa nifas Ny. A dilakukan sebanyak 1 kali pada kunjungan 6 jam post partum (KF1), Hasil tanda tanda vital, proses involusi, tinggi fundus uteri, kontraksi uterus, proses laktasi, dan pengeluaran lochea, pada masa nifas berjalan secara fisiologis. Asuhan kebidanan bayi baru lahir yang dilakukan pada bayi Ny.A sebanyak 1 kali. Kunjungan pada bayi baru lahir dilakukan 6 jam setelah lahir (KN1).
Kunjungan Antenatal care pada Ny.A sebanyak 2 kali dengan hasil pemeriksaan 10T, BB : 57,5 , Tekanan Darah : 123/71, Tinggi fundus uteri : 28 cm , Ibu mengatakan Imunisasi TT lengkap, ibu telah diberi tablet zat besi, telah diberi konseling mengenai gizi yang harus dipenuhi selama kehamilan, Pemeriksaan laboratorium seperti protein urine (-) , HB : 11,2% gr/dl , HbsAg : Negatif , VCT : Non Reaktif. Detak jantung janin: 132 x/menit. Pada kunjungan Antenatal care pada ny. A tidak ditemukan komplikasi dan untuk semua pemeriksaan normal. Kala 1 berlangsung selama 4 jam, kala II berlangsung 15 menit, Kala III berlangsung selama 10 menit, dan kala IV berlangsung selama 2 jam dan tidak ada komplikasi pada saat persalinan. Kunjungan nifas 6 jam pada Ny.A tidak terdapat komplikasi atau tanda-tanda bahaya masa nifas. Kunjungan bayi 6 jam Hasil yang didapatkan bayi sehat,Menyusu kuat dan tidak ada tanda-tanda infeksi.
Asuhan kebidanan pada Ny.A telah diberikan secara komprehensif mulai dari masa kehamilan, persalinan, nifas dan bayi baru lahir sesuai dengan standar pelayanan asuhan kebidanan dan telah didokumentasikan dalam bentuk SOAP. Pada pemeriksaan kehamilan didepatkan TFU dan kenaikan berat badan yang tidak sesuai dengan usia kehamilan dan dapat disimpulkan adanya kesenjangan antara teori dan hasil pemeriksaan.
Comprehensive midwifery care is care that is provided comprehensively with simple examinations and midwifery care counseling which includes continuous examinations including care for pregnancy, childbirth, newborns, postpartum and family planning. Quality maternal and neonatal health services require skilled health workers who are supported by the availability of adequate facilities and infrastructure. Comprehensive midwifery care provided to Mrs. A is complete with standardized examinations and midwifery care counseling which includes midwifery care for pregnancy, childbirth, postpartum and newborns. Comprehensive midwifery care for Mrs. A during pregnancy, childbirth, postpartum and newborns aims to provide quality services to prevent maternal and child deaths. Obstetrics performed using the varney management approach. Antenatal Care visits to Mrs. A were carried out 2 times at 37 and 38 weeks 4 days of gestation with an examination according to the 10 T service standard, namely Weighing weight, checking blood pressure, uterine peak height, Tetanus vaccination, Iron tablets, determining nutritional status , laboratory tests, Check fetal heart rate, Case management, interview. Midwifery delivery performed on Mrs. A using 60 steps of Normal Childbirth Care at 38 weeks 4 days of gestation. Midwifery care during the puerperium Mrs. A was performed 1 time at a 6-hour post partum visit (KF1). The results of vital signs, involution process, uterine fundal height, uterine contractions, lactation process, and lochea expenditure, during the puerperium went physiologically. Midwifery care for newborns was carried out on Mrs. A's baby once. Visits to newborns were carried out 6 hours after birth (KN1). Antenatal care visits to Mrs. A twice with examination results 10T, weight: 57.5, Blood Pressure: 123/71, uterine fundus height: 28 cm, Mother said the TT immunization was complete, mother had been given iron tablets, had been given counseling regarding nutrition that must be met during pregnancy, laboratory tests such as urine protein (-), HB: 11.2% gr/dl, HBsAg: Negative, VCT: Non Reactive. Fetal heart rate: 132 beats/minute. At the Antenatal care visit to Mrs. A No complications were found and all examinations were normal. The first stage lasts for 4 hours, the second stage lasts 15 minutes, the third stage lasts 10 minutes, and the fourth stage lasts 2 hours and there are no complications at the time of delivery. The 6-hour postpartum visit on Mrs. A did not show any complications or signs of danger during the puerperium. Baby visit 6 hours The results obtained by the baby are healthy, breastfeeding is strong and there are no signs of infection. Midwifery care for Mrs. A has been provided comprehensively starting from the period of pregnancy, childbirth, postpartum and newborn in accordance with the standards of midwifery care services and has been documented in the form of SOAP. During the pregnancy examination, it was found that TFU and weight gain were not in accordance with gestational age and it could be concluded that there was a gap between the theory and the results of the examination.