ASUHAN KEBIDANAN PADA NY “KD” UMUR 21 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 31 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS

Wahyuni, Ni Komang Acintya (2025) ASUHAN KEBIDANAN PADA NY “KD” UMUR 21 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 31 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Kebidanan 2025.

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Abstract

MIDWIFERY CARE FOR MRS “KD” AGE 21 YEARS PRIMIGRAVIDA FROM 31 WEEKS 6 DAYS TO 42 DAYS OF POSTPARTUM PERIOD Care is carried out in the working area of the Regional Technical Implementation Unit Public Health Center I, under the Health Office of South Denpasar Subdistrict, in the year 2025. ABSTRACT Efforts that can be provided to pregnant women through the postpartum period to reduce the Maternal Mortality Rate (MMR) include implementing continuous midwifery care. This case report aims to present the outcomes of comprehensive and continuous midwifery care provided in accordance with established standards to Mrs. "KD", a 21-year-old primigravida, from 31 weeks and 6 days of pregnancy until 42 days postpartum. Mrs. "KD" received care based on the 12T standard. During the third trimester of pregnancy, she experienced lower back pain and was given complementary care in the form of effleurage massage. Labor occurred at 40 weeks of gestation. The first stage of labor lasted 10 hours, the second stage lasted 10 minutes with the application of the 60 APN steps, and the third stage lasted 5 minutes. The mother experienced a grade II perineal laceration. In the fourth stage, monitoring was conducted for two hours, and the mother's condition remained stable. The postpartum period progressed physiologically, with monitoring conducted from Postnatal Visit 1 (KF1) to Postnatal Visit 4 (KF4). The mother was given a single dose of 200,000 IU of vitamin A (category II) and received complementary care in the form of oxytocin massage. The baby was full-term, cried immediately, moved actively, weighed 3,500 grams at birth, and measured 51 cm in length. The neonate showed normal growth and development up to 42 days of age. Complementary care in the form of infant massage was also provided. Monitoring was conducted by the author from Neonatal Visit 1 (KN1) to Neonatal Visit 3 (KN3) and continued until the baby reached 42 days old. Mrs. "KD" expressed and stored breast milk in a freezer. In conclusion, the midwifery care provided to Mrs. "KD" during pregnancy, childbirth, the postpartum period, and newborn care progressed physiologically. However, it did not fully comply with standards because the mother only became aware of her pregnancy at 14 weeks and 3 days of gestation. Keywords: midwifery care, pregnancy, childbirth, postpartum, newborn ASUHAN KEBIDANAN PADA NY “KD” UMUR 21 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 31 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS Asuhan dilaksanakan di Wilayah Kerja Unit Pelaksana Teknis Daerah Puskesmas I Dinas Kesehatan Kecamatan Denpasar Selatan Tahun 2025 ABSTRAK Upaya yang dapat diberikan kepada ibu hamil hingga masa nifas untuk menekan Angka kematian Ibu (AKI) dengan menerapkan asuhan kebidanan secara berkelanjutan. Laporan kasus ini bertujuan untuk mengetahui hasil penerapan asuhan kebidanan sesuai standar secara menyeluruh dan berkesinambungan pada Ny. “KD” umur 21 tahun, primigravida, mulai dari usia kehamilan 31 minggu 6 hari hingga 42 hari masa nifas. Ibu “KD” mendapatkan pemeriksaan sesuai standar 12T, ibu “KD” mengalami nyeri pada pinggang pada kehamilan trimester III dan mendapatkan asuhan komplementer efflurage massase. Persalinan terjadi pada usia kehamilan 40 minggu, kala I berlangsung 10 jam, kala II berlangsung 10 menit menggunakan 60 langkah APN, kala III berlangsung 5 menit dan ibu mengalami laserasi perineum grade II, kala IV dilakukan pemantauan selama 2 jam kondisi ibu baik. Masa nifas berlangsung fisiologis, dengan pemantauan dari KF1 hingga KF4, pemberian vitamin A 1x 200.000 iu (II), diberikan asuhan komplementer berupa pijat oksitosin. Bayi cukup bulan, segera menangis dan gerak aktif dengan berat badan lahir 3500 gram, panjang badan 51 cm, neonatus sampai bayi umur 42 hari tumbuh dan berkembang secara normal. Asuhan komplementer berupa pijat bayi. Pemantauan oleh penulis dari KN1 hingga KN3 dan sampai bayi berumur 42 hari. Ibu “KD” melakukan pemerahaan ASI dan di simpan di frezeer. Dapat disimpulkan, bahwa asuhan kebidanan yang diberikan kepada ibu “KD” selama kehamilan, persalinan, nifas, dan bayi berlangsung secara fisiologis namun belum sesuai dengan standar dikarenakan ibu baru mengetahui kehamilannya pada usia kehamilan 14 minggu 3 hari. Kata Kunci: asuhan kebidanan, kehamilan, persalinan, nifas, bayi.

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