Suryaningtyas, Lilis (2021) CONTINUITY OF CARE PADA NY “I” DENGAN KEHAMILAN TRIMESTER III HINGGA PENGGUNAAN ALAT KONTRASEPSI DI RS TK. II DR. SOEPRAOEN MALANG. Other thesis, ITSK RS dr. Soepraoen.
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Abstract
Periode hamil merupakan keadaan yang sangat rentan terhadap timbulnya berbagai masalah kesehatan, oleh sebab itu setiap kehamilan memerlukan asuhan kebidanan yang berkelanjutan ( COC). Asuhan kehamilan Ny. “I” usia 38 tahun hamil ke-6 anak hidup 3 pernah keguguran 2x, trimester III. KSPR skor awal hamil 2, usia ibu ≥ 35 tahun skor 4, anak 4 lebih skor 4, abortus 2x skor 8, kelompok resiko sangat tinggi total skor 18. Dx: G6 P3 A2 uk 39 Mgg 4 hari janin I/T/H presentasi kepala dengan kehamilan resiko sangat tinggi. Pertemuan pertama masalah edema kaki memberikan inovasi kebidanan foot masage, kedua masalah nyeri punggung memberikan inovasi kebidanan senam Yoga. Asuhan persalinan Dx: G6 P3 A2 UK 40 mgg 1 hari janin I/T/H presentasi kepala dengan inpartu fase aktif masalah nyeri persalinan inovasi kebidanan counter pressur massage. Asuhan BBL diruang neonatus RS Tk II dr.Soepraoen Malang. Bayi lahir spontan ditolong bidan tgl 29-04-2021 jam 02.35 WIB, A-S 8-9, jenis perempuan BB 2900gr, PB 49 Cm, anus positif. Asuhan nifas 6 jam post partum normal di ruang Adelwes masalah ASI belum lancar inovasi kebidanan akupresur pada titik meridian ST 15 dan ST 16. Asuhan KB calon akseptor KB suntik 3 bulan Implementasi edema kaki inovasi melakukan pemijatan pada kedua kaki selama 20 menit 1x setiap hari. Nyeri punggung inovasi kebidanan membimbing senam Yoga selama 3 hari. Masalah nyeri persalinan kala I fase aktif inovasi kebidanan counter pressur massage pemijatan dengan penekanan didaerah lumbo sakral menggunakan kepalan tangan selama 20 menit dengan posisi duduk. Penekanan dilakukan ketika ibu mengalami his. Masalah 6 jam post partum ASI belum lancar inovasi kebidanan tindakan akupresur pada titik meridian ST 15 dan ST 16. Evaluasi masalah edema kaki Ny. “I” merasa lebih nyaman karena edema kaki berkurang, edema kaki berkurang setiap harinya, masalah nyeri punggung berkurang. Inpartu fase aktif masalah nyeri persalinan ibu dapat mengalihkan perhatian nyeri berkurang. Masalah ASI belum lancar akupresur pada titik meridian ST 15 dan ST 16.dilakukan selama 2 hari berturut-turut hari pertama dan kedua ternyata tindakan ini dapat membuat Ny "I" merasa rileks sehingga ASI lancar. Hasil penelitian menunjukan asuhan yang diberikan pada Ny “I” hamil trimester III hingga penggunaan alat kontrasepsi di RS TK. II Dr. Soepraoen Malang sesuai dengan standar asuhan kebidanan dan penelitian. Kesimpulan, inovasi kebidanan foot masasge edema kaki berkurang setiap harinya. Inovasi yoga terbukti efektif dapat mengurangi nyeri punggung. Inovasi counter pressur massage dapat mengurangi nyeri persalinan kala I fase aktif. Inovasi akupresur pada titik meridian ST 15 dan ST 16 menjadikan produksi ASI lancar. ABSTRACTS The period of pregnancy is a condition that is very vulnerable to the emergence of various health problems, there fore every pregnancy requires Continuity Of Care Pregnancy care Mrs "I" age 38 year, 6 pregnant, 3 live children, 2x abortion, KSPR early pregnancy score 2, maternal age 35 years score 4, child 4 more than score 4, 2x abortion score 8, high risk group total score 18. Dx: G6 P3 A2 gestasi age 39 sunday fetus I/T/H cephalic presentation with a very high risk pregnancy. The first meeting of the problem of foot edema gave midwifery foot massage innovation, the second problem of back pain provide midwifery innovation Yoga gymnastics. Maternity care Dx: G6 P3 A2 gestasi age 40 sunday fetus I/T/H head presentation with active phase labor labor pain problem midwifery innovation counter pressur massage. Neonatus care at RS Tk II dr.Soepraoen Malang. The baby is born spontaneous with the help of the midwife date 29-04-2021 o’clock 02.35 A-S 8-9, gender of girl, weight 2900 gr, length 49 Cm. Postpartum care 6 hours in room Adelwes problem Breastfeeding has not been smooth, midwifery acupressure innovation at the meridian point ST 15 dan ST 16. Care family planning 3 months injection acceptor The implementation of innovative foot edema performs foot massage innovation for 20 minutes once a day. Midwifery innovation back pain guiding Yoga gymnastics for 3 days. The problem of labor pain in the first stage of the active phase of midwifery innovation counter pressur massage massage with emphasis on the lumbo-sacral area using fists for 20 minutes in a sitting position. Emphasis is applied when the mother has his. The problem of 6 hours post partum breastfeeding has not been smooth midwifery innovation of acupressure action at the ST 15 and ST 16 meridians Evaluation of the problem foot edema Mrs. “I” feels more comfortable because foot edema is reduced, foot edema is reduced every day, the back pain problem is reduced. Inpartu in the active phase of the problem of maternal labor pain can distract the pain from reducing. The problem of breastfeeding has not been smooth, acupressure at the ST 15 and ST 16 meridians was carried out for 2 consecutive days the first and second days, apparently this action can make Mrs. "I" feel relaxed so that breastfeeding is smooth The results showed that the care provided to Mrs. "I" was pregnant in the third trimester to the use of contraceptives at RS TK. II Dr Soepraoen Malang. in accordance with the standards of midwifery care and research. In conclusion, the innovation of obstetric foot massage reduces foot edema every day. Yoga innovations are proven to be effective in reducing back pain. Innovation of counter pressure massage can reduce labor pain in the active phase of the first stage. Acupressure innovation at the ST 15 and ST 16 meridians makes breast milk production smooth produksi
| Item Type: | Thesis (Other) | ||||||||||||
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| Uncontrolled Keywords: | Asuhan kebidanan masa hamil, asuhan persalinan, asuhan masa nifas, asuhan bayi baru lahir, akseptor baru KB suntik 3 bulan; pregnancy, childbirth, postpartum, newborns to to the use of contraception | ||||||||||||
| Subjects: | R Medicine > R Medicine (General) | ||||||||||||
| Divisions: | Midwivery Study Program | ||||||||||||
| Depositing User: | Yacobus Sudaryono | ||||||||||||
| Date Deposited: | 03 Nov 2021 02:25 | ||||||||||||
| Last Modified: | 25 Jul 2024 06:52 | ||||||||||||
| URI: | http://repository.itsk-soepraoen.ac.id/id/eprint/620 |
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