ASUHAN KEBIDANAN PADA NY. S USIA 35 TAHUN DENGAN KETUBAN PECAH DINI DI RUANG BERSALIN BLUD RS SEKARWANGI

Main Author: Penulis : Bunga Yulianti Pertiwi Pembimbing : Ni Nyoman Sasnitari, M.Keb Penguji I : Ina Handayani, M.Keb Penguji II : Faudah Ashri N, M.Keb Penguji III : Ni Nyoman Sasnitari, M.Keb
Other Authors: Suhaebah,Amd
Format: KTI Mahasiswa pdf
Terbitan: Poltekkes kemenkes Bandung Prodi Kebidanan Bogor , 2017
Subjects:
Online Access: http://repository.poltekkesbdg.info/items/show/1593
http://repository.poltekkesbdg.info/files/original/b9c117d3c3eb061b92b3326d7158501c.pdf
Daftar Isi:
  • According to the Indonesian Ministry of Health in 2010, the three main factors of maternal mortality are bleeding 28%, eclampsia 24% and infection of 11%, according to the Indonesian Demographic Health Survey (IDHS) in 2012, . Based on data of 2016 at BLUD RS Sekarwangi KPD was ranked first of 10 highest obstetric cases in labor room as many as 1,201 cases (25,85%) from 3,834 obstetric cases. During the practice the authors found data of labor with KPD as many as 32 out of 97 number of deliveries. Of the 32 maternity mothers with KPD were found 20 mothers with complications in their infants. Complications that occur are asphyxia, low birth weight (LBW), and baby's rest. The purpose of writing this Final Report to apply midwifery care with KPD in Maternity Room Blud RS Sekarwangi. The method used is case study. Form of documentation used is SOAP, Technique of collecting data obtained through interview, observation, physical and laboratory examination, documentation study, and literature study. The results of subjective data assessment found the mother complained of heartburn since 16.00 wib (24 March 2017) and felt out of water at 18.00 wib, colorless and distinctive smell. Physical examination, good general condition, results of normal vital signs. In a high abdominal palpation of the 29cm uterine fundus, the palpable fundus of the buttocks, vulva and vagina are no complaints, there is clear and characteristic smear of amniotic fluid, 1 cm opening, negative amniotic membrane. The case diagnosis is Ny. S age 35 years G4P3A0 38 weeks pregnant with premature rupture of membranes, single live fetal head presentation. Management performed informed consent, infusion dextrose 5% 20 tpm, collaboration with physician SpOG for Non Stress Test (NST), induction of 5 IU drip oxytocin labor in dextrose dextrose 5% 20 tpm, injection of 1x1 gr ceftriaxone IV, Mafenamat 3x500 / oral acid, maternal condition observation, fetus, labor progress on March 25, 2017. After induction, the mother was given a complete opening at 19.00 wib. At the time of delivery using 58 steps APN and childbirth care is normal, the baby born spontaneously, immediately crying, good muscle tone, redness skin. Suggestions recommended for the practice area are maintaining existing services and upgrading them. For mothers are expected to maintain more personal hygiene and planning the use of contraceptives KB.