Asuhan Kebidanan Pada Ibu TD Umur 24 Tahun Primigravida Dari Usia Kehamilan 33 Minggu 4 Hari Sampai 42 Hari Masa Nifas

Indriyani Cahyaningtyas, Ni Made (2025) Asuhan Kebidanan Pada Ibu TD Umur 24 Tahun Primigravida Dari Usia Kehamilan 33 Minggu 4 Hari Sampai 42 Hari Masa Nifas. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Kebidanan 2025.

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Abstract

MIDWIFERY CARE OF MRS. “TD” AGE 24 YEARS OLD PRIMIGRAVIDA FROM 33 WEEKS 4 DAYS OF PREGNANCY UNTIL 42 DAYS POSTPARTUM Care is carried out in the Work Area of UPTD Puskesmas II Sukawati District Health Office in 2025 ABSTRACT Early efforts to reduce maternal and infant mortality are in the form of comprehensive and continuous Midwifery Care. Continuity Of Care (COC) care is continuous care from pregnancy, childbirth, newborns, postpartum period to family planning. This report aims to determine the results of the implementation of comprehensive midwifery care for a 24- year-old primigravida mother "TD" from 33 weeks 4 days of pregnancy to 42 days of postpartum period and her baby. This report was written using interview, observation, examination, and documentation methods. Pregnancy was physiological, the care provided was not in accordance with the 12 T standard during pregnancy examinations because the mother had not received mental screening during pregnancy. The labor process took place pathologically at 40 weeks 1 day of pregnancy, the mother experienced a prolonged active phase PK I process with a diagnosis of uterine inertia so that the birth process took place by caesarean section (SC) to avoid fetal distress and the risk of infection. The newborn immediately cried, moved actively, had reddish skin color, and weighed 3065 grams. The postpartum period was pathological because the mother had received a caesarean section (CS). The mother received midwifery care according to KF1-KF4 standards with additional complementary care using the oxytocin massage and the mother underwent IUD insertion on day 42 of the postpartum period. The neonate until the age of 28 days progressed normally without any complications, had received midwifery care according to KN1-KN3 standards and had SHK and PJB examinations as well as complementary care of baby massage. Health workers are expected to be able to detect early any indications or complications during pregnancy, childbirth, postpartum, and newborns. Keywords : Pregnancy, childbirth, postpartum post sc, newborns ASUHAN KEBIDANAN PADA IBU “TD” UMUR 24 TAHUN PRIMIGRAVIDA DARI USIA KEHAMILAN 33 MINGGU 4 HARI SAMPAI 42 HARI MASA NIFAS Asuhan dilaksanakan di Wilayah Kerja UPTD Puskesmas II Dinas Kesehatan Kecamatan Sukawati Tahun 2025 ABSTRAK Upaya sejak dini untuk menurunkan kematian ibu dan kematian bayi yaitu berupa Asuhan Kebidanan secara komprehensif dan berkesinambungan. Asuhan Continuity Of Care (COC) merupakan asuhan secara berkesinambungan dari kehamilan, persalinan, bayi baru lahir, masa nifas sampai dengan keluarga berencana. Laporan ini bertujuan untuk mengetahui hasil penerapan asuhan kebidanan yang komprehensif pada ibu “TD” umur 24 tahun primigravida dari usia kehamilan 33 minggu 4 hari sampai 42 hari masa nifas serta bayinya. Penulisan laporan ini menggunakan metode wawancara, observasi, pemeriksaan, dan dokumentasi. Kehamilan berlangsung fisiologis, asuhan yang diberikan belum sesuai standar 12T selama pemeriksaan kehamilan dikarenakan ibu belum mendapatkan skrining jiwa selama kehamilan. Proses persalinan berlangsung secara patologis di usia kehamilan 40 minggu 1 hari, Ibu mengalami proses PK I fase aktif memanjang dengan diagnosa inersia uteri sehingga proses persalinan berlangsung secara sectio caesarea (SC) untuk menghindari terajadinya gawat janin dan resiko infeksi. Bayi lahir segera menangis gerak aktif warna kulit kemerahan berat badan 3065 gram. Masa nifas berlangsung patologis dikarenakan ibu sudah mendapatkan tindakan sectio Caesarea (SC). Ibu mendapatkan asuhan kebidanan sesuai standar KF1-KF4 dengan tambahan asuhan komplementer metode pijat oksitosin dan ibu melakukan pemasangan KB IUD pada 42 hari masa nifas. Neonatus sampai umur 28 hari berlangsung normal tanpa ada komplikasi, sudah mendapatkan asuhan kebidanan sesuai standar KN1-KN3 dan dilakukan pemeriksaan SHK dan PJB serta asuhan komplementer pijat bayi. Tenaga kesehatan diharapkan dapat mendeteksi lebih dini adanya indikasi maupun komplikasi selama kehamilan, persalinan, nifas, hingga bayi baru lahir. Kata Kunci : Kehamilan, persalinan, nifas post sc, bayi baru lahir

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