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Andryani, Zelna Yuni
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Health Professions

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Manajemen Asuhan Kebidanan Keluarga Brencana pada Ny “D” dengan Calon Akseptor Baru KB Implant di Puskesmas Jumpandang Baru Tahun 2023: Management of Family Planning Midwifery Care on Mrs “D” a New Acceptor Candidate for Implant Birth Control at Community Health Centre Jumpandang Baru in 2023 Sartika; Firdayanti; Al Kautzar, Anieq Mumthi'ah; Andryani, Zelna Yuni
Jurnal Midwifery Vol 6 No 2 (2024): AUGUST
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v6i2.49880

Abstract

Pendahuluan Keluarga berencana merupakan tindakan membantu individu atau pasangan suami istri untuk menunda kehamilan dan menjarangkangkan kelahiran serta menghindari kelahiran yang tidak diinginkan. Dari hasil pencatatan dipuskesmas Jumpandang Baru Makassar tahun 2021 sejumlah 1875 aksektor, pengguna akseptor implant sebanyak 79 akseptor (4,06%). Pada tahun 2022 sejumlah 1760 akseptor dengan pengguna akseptor implant sebanyak 158 akseptor (8,44%), sedangkan pada tahun 2023 bulan Januari-Mei sejumlah 807 akseptor, penggunaan kontrasepsi implant sebanyak 76 akseptor (10,93%). Implant adalah kontrasepsi yang mengandung Levonogestrel (LNG) yang dibungkus dalam kapsul silastic silicon dan dipasang dibawah kulit. Cara kerja Implant sangat efektif dengan kegagalan 0,2-1 kehamilan per 100 perempuan dengan lama efektifitas 3 tahun. Metode pendekatan Manajemen Asuhan Kebidanan Keluarga Berencana pada Ny “D” Calon Akseptor Baru KB Implant di Puskesmas Jumpandang Baru sesuai dengan 7 langkah varney dan SOAP. Hasil dari studi kasus ditegakkan diagnosa Ny “D” P1A0 dengan calon akseptor baru KB implant indikasi pemesangan implan berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang sehingga tidak ditemukan hambatan pada saat pemasangan implan. Pemantauan pasca pemasangan implan dilakukan sebanyak 6 kali selama kurang lebih 2 bulan termasuk melakukan pemeriksaan fisik, TTV dan penimbangan berat badan. Pada tanggal 02 Oktober 2023 sampai 04 Oktober 2023 pasca pemasangan implant, lengan berwarna merah, nyeri dan bengkak. Tanggal 8 Oktober 2023 seminggu pasca pemasangan implant luka insisi mulai sembuh. Tanggal 15 Oktober 2023 dua minggu pasca pemasangan implant merasa nyeri pada lengan yang terpasang implant ketika mengangkat barang yang berat. Pemantauan selanjutnya pasca pemasangan implant tanggal 29 Oktober 2023 sampai tanggal 26 November 2023 ibu mengalami kenaikan berat badan. Kesimpulan dari studi kasus yaitu Ny “D” telah menjadi akseptor KB implant dan mulai ibu tidak mengalami komplikasi setelah pemasangan implant. Ibu mengalami efek samping implant yaitu kenaikan berat badan penyebabnya adalah meningkatnya pola makan.
Management of Antenatal Care Midwifery Care in Mrs. "O" with Hyperemesis Gravidarum Level I at Puskesmas Bara-Baraya Makassar from September 26, 2023 to November 13, 2023 Nurhuzaifa; Salehah, Sitti; Andryani, Zelna Yuni; Diarfah, Andi Dian
Jurnal Midwifery Vol 7 No 1 (2025): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v7i1.47221

Abstract

Introduction Hyperemesis gravidarum is a condition in which pregnant women experience excessive vomiting, leading to weight loss, dehydration, starvation-induced acidosis. The exact cause is not yet known. However, there are several factors suspected to contribute to hyperemesis gravidarum in pregnant women, such as being a first-time mother (primigravida), having a history of mola-hydatidiform, or carrying twins/ multiple pregnancies. The research aimed to provide midwifery care for Mrs. 'O' with Hyperemesis Gravidarum of Level I at Bara-Baraya Health Center in Makassar from September 26th to November 13th, 2023. Method The method used was a case study which was appropriate to the client's needs and the midwife's authority, using midwifery care management approach of 7-step Varney and documentation in SOAP format. Result The results of the case study on Mrs. 'O' with Hyperemesis Gravidarum of Level I, a 38-year-old woman, revealed complaints of excessive vomiting, mostly in the morning, and her appetite began to decrease. After eight weeks of care, Mrs “O” no longer experienced vomiting, her appetite was good, and vital signs were within normal limits. The general condition of the Mrs “O” was good, with a compos-mentis consciousness level, normal vital signs, and no abnormalities found in the physical examination. Conclusion. In conclusion, the case study on Mrs. 'O' with Hyperemesis Gravidarum of Level I was well-conducted. Thus, the documentation of all findings and the actions given to Mrs. 'O' indicated no gaps.
Midwifery Care Management of Intranatal Physiology in Mrs. "S" GIIIPIIA0 with 39 Weeks 2 Days Gestational Age at Haji Hospital Makassar Vebrianti; Taherong, Ferawati; Andryani, Zelna Yuni; Diarfah, Andi Dian
Jurnal Midwifery Vol 7 No 2 (2025): AUGUST
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v7i2.57058

Abstract

Introduction Normal childbirth is the process of delivering the fetus that occurs during pregnancy. The labor process is a complex stage as it involves saving two lives. A full-term pregnancy is defined as a gestational age of 37–42 weeks, with spontaneous delivery in a cephalic (head-first) presentation lasting approximately 18 hours, without any complications for either the mother or the baby. The purpose of this study is to provide physiological intranatal midwifery care to Mrs. “S”, GIII PII A0. Method used in this study is a case study approach following the 7 steps of Varney. Results of the case study on Mrs. “S”, a 31-year-old woman, showed that the normal labor care proceeded without any problems, indicating that the management provided was in accordance with normal delivery procedures during stages I–IV. The baby was born spontaneously/normally in good condition, and the mother's general condition was also good, with no complications during labor or postpartum. Conclusion, the care provided went smoothly and effectively, with no identified gaps. The midwife played a role in providing care in accordance with her competencies and authority.
Co-Authors Al Kautzar, Anieq Mumthi'ah Diarfah, Andi Dian Firdayanti Nurhuzaifa Salehah, Sitti Sartika Taherong, Ferawati Vebrianti