
Asuhan Kebidanan Komprehensif Pada Ny. D Di Praktik Mandiri Bidan Hj. Rahmi Padlilah, S.ST., M.Keb.
Pengarang : Mariska Herlita Aulia - Personal Name;
Perpustakaan UBT : Universitas Borneo Tarakan., 2023XML Detail Export Citation
Abstract
Data World Health Oganization (WHO) mengenai kesehatan pada capaian target Sustainable Development Goals (SDGs) secara global sekitar 830 wanita meninggal setiap hari karena komplikasi selama kehamilan dan persalinanAngka Kematian Ibu (AKI) 303 per 100.000 kelahiran hidup (WHO, 2019)Tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Ibu (AKB) menjadi masalah besar bagi Indonesia, karena dapat memberikan gambaran perkembangan kesehatan dan juga sebagai indikator dalam penilaian keberhasilan pelayanan kesehatan, program pembangunan kesehatanMasalah dapat diatasi dengan melakukan pelayanan kebidanan komprehensif yang merupakan asuhan kebidanan yang berkesinambunagan mulai kehamilan, persalinan, nifas dan bayi baru lahir, sehingga dapat meningkatkan mutu pelayanan dan kesejahteraan ibu dan bayi serta menurunkan resiko tejadinya komplikasi pada ibu dan bayiAsuhan Kebidanan Komprehensif dilakukan terhadap Ny. D G2P1AO, melakukan kunjungan Antenatal Care sebanyak 2 kali pada usia kehamilan 36 minggu 6 hari dan 37 minggu 6 hari. Asuhan yang dilakukan pada persalinan yaitu pada tanggal 21 Mei 2022, pukul 09.00 WITA umur kehamilan 38 minggu 6 hari. Kala 1 berlangsung selama 8 jam 50 menit, kala II berlangsung 10 menit, Kala III berlangsung selama 5 menit, dan kala IV berlangsung selama 2 jam. Masa nifas Ny. D berjalan dengan normal mulai dari kunjungan 6 jam di mulai tanggal 21 Mei 2022. Tanda-tanda vital, proses involusi, tinggi fundus uteri, kontraksi uterus, proses laktasi, dan pengeluaran lochea, pada masa nifas berjalan secara fisiologisObservasi pada bayi baru lahir yang dilakukan adalah selama 1 kali. Kunjungan pada bayi baru lahir dilakukan sejak 0-3 jam setelah lahirBayi lahir dengan berat badan 2900 gram normal, spontan, tidak ditemukan komplikasi, tidak ada kelainan kongenital, bayi juga melakukan IMD. Kesimpulan yang didapatkan tidak terdapat kesenjangan selama pelaksanaan asuhan komprehensif.
Kata Kunci: Bayi Baru Lahir, Kehamilan, Komprehensif, Nifas, Persalinan
Around 830 women die every day worldwide as a result of difficulties during pregnancy and childbirth, according to data from the World Health Organization (WHO) addressing health in reaching the Sustainable Development Goals (SDGs) targets. According to WHO data from 2019, there are 303 maternal deaths for every 100,000 live births. Because they can give a general picture of health advances and serve as indicators for gauging the effectiveness of health services and development initiatives, Indonesia's high maternal mortality rate (MMR) and infant mortality rate (IMR) are a major problem. In order to improve the welfare of mothers and babies, lower the risk of complications in both mothers and babies, and improve the quality of services, comprehensive midwifery services, which are continuous midwifery care starting from pregnancy, childbirth, postpartum, and newborns, can be provided. Mrs. D G2P1A0 had complete midwifery care and had two antenatal care visits at 36 weeks and 6 days and 37 weeks and 6 days of gestation. When the baby was due, on May 21, 2022, at 9:00 WITA, she was 38 weeks and 6 days pregnant. The first stage lasted for 8 hours and 50 minutes, the second stage for 10 minutes, the third stage for 5 minutes, and the fourth stage for 2 hours. Puerperal stage from the beginning of the 6-hour visit on May 21, 2022, Mrs. D walked properly. During the puerperium, the involution process, uterine fundal height, uterine contractions, lactation process, and locheal discharge were all physiologically functioning. Once, newborns were the subject of observations. Newborns were visited within the first three hours of birth. The infant underwent IMD and was born naturally at a normal weight of 2900 grams without any difficulties or congenital anomalies. There were no gaps in the implementation of comprehensive care, according to the conclusion reached. Keywords: Newborn, Pregnancy, Comprehensive, Postpartum, Delivery