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Dwi Sri Handayani
Pendidikan Profesi Ners, Fakultas Ilmu Kesehatan, Universitas ‘Aisyiyah Yogyakarta
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Studi Kasus Asuhan Keperawatan Pada Ibu P4A2 Dengan Post Sectio Caesarea A/I Fetal Compromised Krisis Hipertensi Endah Dwi Kusuma; Dwi Sri Handayani
JOURNAL SAINS STUDENT RESEARCH Vol. 4 No. 4 (2026): Agustus: Jurnal Sains Student Research
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jssr.v4i4.11326

Abstract

Sectio caesarea is a surgical procedure to deliver the fetus through an incision in the abdomen and uterus, performed for specific indications to save the mother or the fetus. The post-sectio caesarea condition requires comprehensive nursing care because it can lead to various physical and psychological problems during the recovery period. This case study aims to describe the implementation of nursing care in a patient with a medical diagnosis of post-sectio caesarea due to fetal compromise and hypertensive crisis in the delivery room. The method used is a descriptive case study with a nursing process approach including assessment, nursing diagnosis, intervention, implementation, and evaluation. The subject of this case study was Mrs. S P4A2 with a medical diagnosis of post-sectio caesarea due to fetal compromise and hypertensive crisis. The assessment results showed that the patient experienced surgical wound pain, breast milk had not yet been produced, and she felt weak and afraid to move. The nursing diagnoses identified were acute pain, ineffective breastfeeding, and activity intolerance. After two days of nursing care, the patient's condition showed good progress, characterized by decreased pain, improved breastfeeding ability, and gradually increased activity tolerance. Comprehensive nursing care plays an important role in supporting the recovery process of post-sectio caesarea patients.
Studi Kasus Asuhan Keperawatan pada Pasien Post Sectio Caesarea dengan Masalah Menyusui Tidak Efektif melalui Intervensi Pijat Oksitosin Nurhidayah Dewi Pramesthi; Dwi Sri Handayani
JOURNAL SAINS STUDENT RESEARCH Vol. 4 No. 4 (2026): Agustus: Jurnal Sains Student Research
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jssr.v4i4.11330

Abstract

Cesarean section is a surgical procedure that often causes delayed breast milk production due to postoperative pain, anesthesia effects, limited mobilization, and disruption of oxytocin hormone stimulation. This condition can lead to ineffective breastfeeding in postpartum mothers. One non-pharmacological intervention that can be performed to help facilitate breast milk production is oxytocin massage. This study aims to describe the application of oxytocin massage on the smoothness of breast milk production in post-cesarean section patients with indications of oligohydramnios. The research method used a descriptive design with a case study approach on Mrs. D P1A0 post-cesarean section in the Kalibiru Lor Room of Wates Regional Hospital, Kulon Progo, Yogyakarta. The intervention was conducted for 3x24 hours through oxytocin massage, breastfeeding education, warm compresses, family support, and observation of breast milk production. The results showed that before the intervention, the patient reported that her breast milk had not flowed smoothly and she felt less confident about breastfeeding. After performing oxytocin massage for 3x24 hours, the patient reported that her breast milk began to flow more smoothly, her breasts felt more comfortable, and she appeared more confident in breastfeeding. Additionally, there was a reduction in pain from a scale of 6 to 2 and an improvement in the patient's mobilization ability. Oxytocin massage is effective in helping to improve the smoothness of breast milk production and can be used as a non-pharmacological nursing intervention for post-cesarean section patients.
Co-Authors Endah Dwi Kusuma Nurhidayah Dewi Pramesthi