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All Journal 2-TRIK: TUNAS-TUNAS RISET KESEHATAN INDOGENIUS Jurnal Riset Kebidanan Indonesia Jurnal VNUS (Vocational Nursing Science) Genius Midwifery Journal Nurul Ilmi : Journal of Health Sciences and Midwifery Prosiding Seminar Nasional Unimus Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat
Sunarni, Neli
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Humanities Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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Asuhan Kebidanan Pada Ibu Hamil Dengan Anemia Ringan sunarni, neli
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 4 (2024): Oktober-Desember 2024
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

 Nationally, the cause of the highest maternal mortality rate (MMR) is bleeding. While anemia in pregnant women is the main cause of bleeding. Anemia in pregnant women is a risk condition that affects maternal mortality. The number of pregnant women in Ciamis Regency in 2021 is 20,051 with an anemia prevalence of 2,309 or 11.5% of the number of pregnancies. According to data from the TPMB Titin Kusumahningrum from January-March 2022 from 23 pregnant women, 30.4% of pregnancies with anemia. The effects of anemia include bleeding and infection in the mother, in infants it can cause IUGR, low birth weight and asphyxia. Meanwhile, the cause of anemia in pregnant women is a lack of iron, folic acid and other nutrients. The purpose of this study was to provide an overview of the midwifery care provided to 4 pregnant women with anemia. This research method uses a qualitative description method with a case study approach. This care is carried out on February 25 – March 17, 2022. Midwives have carried out midwifery care for pregnant women with mild anemia in accordance with their standards and authorities, starting from assessment, formulation of midwifery diagnoses, planning, implementation and evaluation.Keywords: Pregnant women; anemiaSecara nasional penyebab Angka Kematian Ibu (AKI) paling tinggi adalah perdarahan. Sementara anemia pada ibu hamil menjadi penyebab utama terjadinya perdarahan. Anemia pada ibu hamil adalah suatu keadaan risiko yang berpengaruh terhadap angka kematian ibu. Jumlah ibu hamil di Kabupaten Ciamis pada tahun 2021 sebanyak 20.051 dengan prevalensi anemia sebanyak 2.309 atau 11,5% dari jumlah kehamilan. Menurut data di TPMB Titin Kusumahningrum dari bulan Januari-Maret 2022 dari 23 ibu hamil, kehamilan dengan anemia sebanyak 30,4%. Dampak anemia diantaranya pada ibu terjadi perdarahan dan infeksi, pada bayi dapat menyebabkan IUGR, BBLR dan Asfiksia. Sementara itu, penyebab anemia pada ibu hamil adalah kekurangan zat besi, asam folat dan zat gizi lainnya. Tujuan penelitian ini adalah untuk memberikan gambaran asuhan kebidanan yang diberikan kepada 4 orang ibu hamil yang mengalami anemia. Metode penelitian ini menggunakan metode deskripsi kualitatif dengan pendekatan studi kasus. Asuhan ini dilaksanakan pada tanggal 25 Februari – 17 Maret 2022. Bidan telah melaksanakan asuhan kebidanan pada ibu hamil dengan anemia ringan sesuai dengan standar dan kewenangannya, mulai dari pengkajian, perumusan diagnosis kebidanan, perencanaan, implementasi dan evaluasi.Kata kunci: ibu hamil; anemia.
Case Study: Evaluation of Menstrual Cycle Changes and Anxiety in Mothers Who Are Family Planning Acceptors Using Injectable Contraceptives Roslianti, Elis; Fitri, Amelia; Sunarni, Neli; Srinayanti, Yanti
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 1 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i1.578

Abstract

Family planning is a health service that helps individuals and couples control fertility, prevent unplanned pregnancies, and determine the number and spacing of children. According to the World Health Organization (WHO), injectable contraceptives are the most widely used method globally, accounting for 35.3% of contraceptive users. Despite their effectiveness, injectable contraceptives are associated with side effects, including changes in the menstrual cycle, which can lead to anxiety among users. This case study aims to scientifically document nursing care for mothers using injectable contraceptives, focusing on the biological, psychological, social, and spiritual aspects. It emphasizes the importance of comprehensive nursing assessment, diagnosis, planning, intervention, evaluation, and documentation to support maternal and family health. The descriptive case study method was applied to explore changes in the menstrual cycle and anxiety in mothers using injectable contraceptives. Data collection involved interviews, physical examinations, observation, document review, demographic data, and quality of life questionnaires. Data validity was maintained using credibility, transferability, dependability, and confirmability criteria. Ethical considerations included informed consent, anonymity, and confidentiality. Data were analyzed systematically to identify key findings. Findings indicated that menstrual disturbances in mothers were linked to the hormonal effects of injectable contraceptives, specifically the impact of progesterone on the hypothalamic-pituitary axis, leading to suppression of ovulation and alteration of menstrual patterns. Nursing interventions contributed to a reduction in anxiety and improvement in menstrual regulation. Proper nursing care, guided by structured assessment and ongoing evaluation, can address anxiety and menstrual issues related to injectable contraceptive use. Continued documentation is essential for ensuring the effectiveness and continuity of care.
Co-Authors Amelia Fitri Andriani, Teni Ariani, Dini Aulia Ridla Fauzi Ayu Endang Purwati Ima Sukmawati, Ima Resna Litasari Rizqiyani, Annisa Tsania roslianti, elis Septiani, Hani Solihah, Rosidah Sri Wulan Ratna Dewi Srinayanti, Yanti SUSILAWATI, SUSI