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Upaya Pencapaian Herd Immunity melalui Aksi Cepat Tanggap Vaksinasi Covid -19 Dipoltekkes Sorong Vera Iriani Abdullah
PaKMas: Jurnal Pengabdian Kepada Masyarakat Vol 2 No 1 (2022): Mei 2022
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/pakmas.v2i1.791

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At the end of 2020 and early 2021 the Covid-19 vaccine has been approved for general use in various countries. The level of public doubt about the covid-19 vaccination is generally growing throughout the world and is quite influencing people's motivation to get vaccinated. The low level of acceptance of the COVID-19 vaccine is due to indecision, it is evident that the level of indecision for Covid-19 vaccination differs across the world based on perceptions of susceptibility and severity of Covid-19 and demographic characteristics of society such as gender, age, education, income, and population. profession. Efforts to optimize vaccination achievements are contained in the Presidential Regulation which was signed on October 6, 2020 regarding the procurement of vaccines and the implementation of the vaccination program to tackle the covid pandemic, so the government has seriously prepared the vaccination program carefully regarding its distribution and implementation. Vaccines are the most economical and effective way to prevent infectious diseases including COVID-19. The purpose of community service activities is to assist government programs in accelerating the implementation of COVID-19 vaccination, it is necessary to optimize the vertical technical implementation unit of the Ministry of Health including Poltekkes by achieving the vaccination target of 1 million doses/day. For this reason, as a lecturer, as a form of implementation of the tri dharma, universities are encouraged to take an active role in Covid-19 vaccination activities according to the Decree of the Director of the Sorong Health Polytechnic regarding the determination of the vaccination team as a form of community service. The method of implementing activities directly in the field is in the form of health services. The location of the activity is at the Poltekkes vaccination center of the Ministry of Health, Sorong, Jalan Basuki rachmat Km. 11.5 Sorong West Papua. The target is all people of Sorong City and Sorong Regency who have not received vaccinations.
Effectiveness Of Giving Green Coconut Water (Cocos Nucifera L) To Overcome Dysmenorhore Vera Iriani Abdullah
Jurnal Kebidanan Sorong Vol 1 No 1 (2021): JURNAL KEBIDANAN SORONG
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Sorong

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.593 KB) | DOI: 10.36741/jks.v1i1.119

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Di dunia lebih dari 50% perempuan mengalami dismenore, sedangkan prevalensi angka kejadian di Indonesia sekitar 64,25 % yang terdiri dari 54,89 % dismenore primer dan 9,36 % dismenore Sekunder, terbanyak dirasakan pada wanita usia reproduktif dan belum menikah. Bukti menujukkan dengan pemberian air kelapa muda dapat menurunkan terjadinya kejang otot, merelaksasikan pembuluh darah dan menghambat proses pembentukan prostaglandin. Kalsium dan Magnesium yang terkandung dalam air kelapa dapat mengurangi ketegangan otot dan vitamin C dapat menurunkan jumlah enzimcyclooxygenase yang memiliki peran dalam menghambat proses pembentukan prostaglandin. Tujuan penelitian untuk mengetahui pengaruh Pemberian Air Kelapa Hijau Terhadap Dismenore Pada Remaja Putri. Metode Penelitian ini jenis kuantitatif, Quasy Experimental dengan desain One Group Pretest-Posttest pada remaja putri di DI SMAN 2 Kota Sorong. Total sampel sebanyak 33 orang. Analisis statistik menggunakan non parametrik Uji Wilcoxon dengan ketentuan signifikansi bila p Value < α (0,05). Hasil Setelah di dapatkan data dengan pengukuran pre test dan post test pada intervensi pemberian air kelapa hijau pada remaja putri, maka peneliti melakukan uji statistic Wilcoxon dengan p Value < α (0,05). Kesimpulan Pemberian Air Kelapa Hijau efektivitas terhadap penurunan nyeri dismenore pada remaja putri.
The Effect Of Koya Reboned Powder Consumption On Protein Levels Of Pregnant Women In Prevention Of Stunting In Babies Vera Iriani Abdullah
Jurnal Kesehatan Prima Vol 15, No 2 (2021): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v15i2.624

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Linear growth retardation in childhood has decreased over the past few decades, but has not had a positive effect. In Indonesia, the change in the prevalence of stunting is around 37%. The nutritional status of pregnant women plays an important role in the incidence of stunting, which will be seen at the age of <5 years in 1000 days of their life. Pregnant women with poor nutrition and significant infection can give birth to a baby with stunting. For this reason, nutritional intake is needed, one of the animal foods that are high in protein is rebon shrimp about 62.4 g / 100 grams of dried shrimp. Protein has an important component so it is necessary for the physical development of children. The purpose of this study was to analyze serum protein levels before and after consuming rebon shrimp based PMT powder in the intervention group and control group and to analyze differences in serum protein levels for pregnant women before and after consuming PMT Koya powder made from rebon shrimp between the control and intervention groups. . This type of research is a quantitative study with a quasi-experimental method using the pre post test control group design approach. The number of respondents was 30 people who were divided into 2 groups, namely the intervention group and the control group. The intervention group was given koya powder as much as 100 grams / day for 7 days, assuming the fulfillment of 70 KKal. Data analysis using Data analysis using the Mann-Whitney test, if the data is not normally distributed. If the data are not normally distributed using the free sample t2 test. The conclusion of the analysis results to answer the research hypothesis. The results of the study were significant values P 0.000 <0.05. Conclusion There was a significant difference in serum protein levels of pregnant women before and after consuming PMT Koya powder made from boiled shrimp between the control and intervention groups.
Pengaruh Pemberian PMT Bubuk Koya Berbahan Dasar Udang Rebon (Mysis relicta) terhadap Perubahan Kadar Hemoglobin Ibu Hamil Vera Iriani Abdullah
EMBRIO: Jurnal Kebidanan Vol 12 No 2 (2020): EMBRIO: Jurnal Kebidanan (NOVEMBER)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v12i2.2769

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Anemia in pregnancy, namely an Hb level of less than 11 g / dL or hematocrit, 33%, is still a global health problem, affecting nearly 50% of pregnant women, as well as a contributing factor to fetal and maternal morbidity. Iron tablets started early in pregnancy, according to WHO recommendations. However, in addition to the intake of blood-supplemented tablets, additional micronutrient intake is also needed by providing supplementation with foods containing iron. One of the animal food ingredients that meet multi micronutrients including iron, namely rebon shrimp because this is iron supplementation which is a source of animal food so that it is easier to absorb by the body. The purpose of this study was to analyze the differences in hemoglobin levels of pregnant women before and ingesting PMT koya powder made from rebon shrimp in the intervention and control groups. This type of research is a quantitative study with a quasi-experimental method using a posttest control group design approach. The results showed a p value of 0.000 <0.05, which is a significant difference between the control group and the intervention group. Conclusion the effect of PMT consumption of koya powder made from rebon shrimp on changes in hemoglobin levels of pregnant women.
Uji Efektifitas Sediaan Gel Ekstrak Daun Pegagan (Centella Asiatica ) Formula 10% untuk Penangganan Striae Gravidarum pada Ibu Hamil Mariana Isir; Vera Iriani Abdullah
EMBRIO: Jurnal Kebidanan Vol 13 No 2 (2021): EMBRIO: Jurnal Kebidanan (NOVEMBER)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v13i2.4145

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Referring to the Sustainable Development Goals, there are 4 pillars, which one of them is the realization of biodiversity through bioprospecting activities in the fulfillment of medicinal raw materials. Centella asiatica or daun pegagan is a plant with an aromatic smell and has many benefits. Centella asiatica contains collagen. The collagen has functions to tighten and elasticize the skin fibers so that it can overcome striae gravidarum. The purpose of this study was to analyze the effectiveness of the gel preparation of Centella asiatica. This gel was made by extracting the Centella asiatica leaves at 10% concentration for the treatment of striae gravidarum grade 1, 2 and 3 which examined before and after the intervention. The research method is quasi-experimental with a one group pretest-posttest design approach. The repondents are 3 pregnant women who had experiencing striae gravidarum grade 1, 2 and 3. This research was carried out at the Mariyat Health Center, Sorong Regency from June to August 2021. The research instrument use G.S.S. Atwal L.K (2006) method to assess the degree of striae gravidarum, paired T test for the analysis. The results of the research, gel preparation of Centella asiatica leaves extract formula (10%) is effective for treatment of striae gravidarum grade 1,2 and 3.
Perbedaan Kadar Hemoglobin Antara Ibu Hamil Yang Mengkonsumsi Telur Ayam Rebus Dan Buah Pepaya Vera Iriani Abdullah; Titik Hafya Nur Fauziyah; Ariani Pongoh
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.396 KB) | DOI: 10.33024/mnj.v4i5.6332

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ABSTRACT Anemia in pregnancy is mostly caused by low iron intake in the body due to a poor diet, which includes the type of food, the amount of food, and the frequency of eating. Anemia due to iron deficiency can cause interference, impact, and inhibition of fetal growth, both body cells and brain cells. The prevalence of iron nutritional anemia in pregnant women in Indonesia based on the results of the Basic Health Research in 2013 was 37.1%, increasing in 2018 to 48.9%. Purpose to analyze differences in hemoglobin levels in groups of pregnant women who were given Boiled Chicken Eggs and Papaya Fruit (Carica Papaya L). Method this research is a comparative study with a quasi-experimental approach with a Pre-test-post-test group design approach. The subjects of this study were all pregnant women in the Teminabuan Health Center coverage area, totaling 40 pregnant women. Results of the statistical test using the independent t-test obtained the value of Sig. (2-tailed) of 0.006 is smaller than the alpha value of 0.05 (p < 0.05), then according to the basis for decision making with the test results, it means that there is a significant difference between papaya fruit and boiled eggs on the increase in hemoglobin levels. Papaya fruit and boiled eggs can significantly increase hemoglobin levels, but papaya fruit is more effective than boiled eggs. Keywords: Anemia, Antenatal Care, West Papua ABSTRAK Anemia pada kehamilan sebagian besar disebabkan oleh rendahnya asupan zat besi dalam tubuh yang disebabkan pola makan kurang baik, yang meliputi jenis makanan, jumlah makanan dan frekuensi makan. Anemia akibat kekurangan zat besi dapat menimbulkan gangguan, dampak serta hambatan pada pertumbuhan janin baik sel tubuh maupun sel otak. Prevalensi anemia gizi besi pada ibu hamil di Indonesia berdasarkan hasil Riset Kesehatan Dasar  pada tahun 2013 sebesar 37,1% meningkat pada tahun 2018 menjadi sebesar 48,9%. Tujuan untuk menganalisis perbedaan kadar hemoglobin pada kelompok ibu hamil yg di berikan Telur Ayam Ras Rebus dan Buah Pepaya (Carica Papaya L). Penelitian ini merupakan penelitian komparasi dengan quasi eksperimen dengan pendekatan Pre test-post test group design. Subjek penelitian ini adalah seluruh ibu hamil yang ada diwilayah cakupan puskesmas Teminabuan berjumlah 40 ibu hamil. Hasil uji statistic dengan menggunakan uji independen t-test diperoleh nilai Sig. (2-tailed) sebesar 0,006 lebih kecil dari nilai alfa 0,05 (p < α 0,05), maka sesuai dengan dasar pengambilan keputusan dengan hasil uji tersebut artinya terdapat  perbedaan yang signifikan antara buah pepaya dengan telur rebus terhadap kenaikan kadar hemoglobin.  Kesimpulan buah  pepaya dan  telur rebus secara signifikan mampu meningkatkan kadar hemoglobin namun buah papaya lebih efektif dibandingkan dengan telur rebus. Kata Kunci: Anemia, Antenatal  Care, Papua Barat
Efektifitas Baby SPA terhadap Kualitas Tidur Bayi Umur 5-12 Bulan Vera Iriani Abdullah; Haisah Haisah
Malahayati Nursing Journal Vol 4, No 1 (2022): Volume 4 Nomor 1 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.163 KB) | DOI: 10.33024/mnj.v4i1.5722

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ABSTRACT : BABY SPA EFFECTIVENESS ON BABY SLEEP QUALITY AGE 5-12 MONTHS Background: According to WHO (2015), the global neonatal mortality rate is 19 per 1,000 live births. Meanwhile, according to the results of the Indonesian Demographic and Health Survey (IDHS) in 2017, the AKN was 15 per 1,000 live births. Sleep is a period characterized by marked changes in brain activity. However, inadequate sleep and poor sleep quality can result in several disorders in the wrong baby so that it can affect the baby's motor skills. One way or action to overcome or improve the quality of a baby's sleep is by massage, but it can also be combined with a baby spa.Objective: To analyze the effectiveness of sleep quality before and before baby spa treatment for infants aged 5-12.Method : uses a quasi-experimental research design using a one-group pretest-posttest design. The number of samples as many as 15 respondents were taken using purposive sampling technique. Data analysis using Wilcoxon statistical test.Result: The research shows that Baby Spa is Effective on Sleep Quality of Infants Age 6-12 Months, this is evidenced by the results of the Wilcoxon statistical test with a p-value of 0.001 <0.05.Conclusion: Baby Spa is Effective on Sleep Quality for Babies Age 6-12 Months Keywords: Kota Sorong, Massase, Sleep Quality  INTISARI : Baby Spa Effectiveness On Baby Sleep Quality Age 5-12 Months Latar belakang : Menurut WHO (2015), angka kematian  neonatal global adalah 19 per 1.000 kelahiran hidup. Sedangkan menurut hasil Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 menunjukkan AKN sebesar 15 per 1.000 kelahiran hidup. Tidur adalah periode yang ditandai dengan perubahan nyata dalam aktivitas otak. Namun, tidur yang tidak adekuat dan kualitas tidur yang buruk dapat mengakibatkan beberapa gangguan pada bayi salah satunya dapat mempengaruhi motorik bayi. Salah satu cara atau tindakan untuk megatasi atau memperbaiki kualitas tidur bayi yaitu dengan pijatan, selain itu juga dapat dikombinasikan dengan baby spa.Tujuan : Untuk menganalisis efektifitas kualitas tidur sebelum dan sesudah dilakukan baby spa pada bayi umur 5-12.Metode penelitian ini menggunakan quasi eksperimen dengan rancangan penelitian menggunakan one-group pretest-posttest design. Jumlah sampel sebanyak 15 responden yang diambil menggunakan  teknik purposive sampling. Analisis data menggunakan uji statistik Wilcoxon.Hasil : penelitian menunjukkan bahwa Baby Spa Efektif Terhadap Kualitas Tidur Bayi Umur 6-12 Bulan, hal ini dibuktikan dengan hasil uji statistik Wilcoxondengan nilai p-value 0,001 < 0,05.Kesimpulan : Baby Spa Efektif Terhadap Kualitas Tidur Bayi Umur 6-12 Bulan Kata Kunci: Sorong City, Pijat, Kualitas Tidur
PENINGKATAN PENGETAHUAN MASYARAKAT DALAM PEMANFAATAN TANAMAN OBAT Vera Iriani Abdullah; Mariana Isir
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 3 (2022): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (455.754 KB) | DOI: 10.31764/jmm.v6i3.8537

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Abstrak: Papua Barat merupakan salah satu wilayah yang memiliki potensi tanaman obat sangat banyak, namun belum di manfaatkan dengan maksimal. Hal ini disebabkan karena kurangnya pengetahuan masyarakat terkait mengenal tanaman obat dan manfaatnya serta teknik pengolahan dan cara mengkonsumsi secara baik dan benar. Oleh sebab itu, tim tergerak untuk melakukan kegiatan pengabdian masyarakat dengan tujuan meningkatkan pengetahuan masyarakat terkait jenis dan khasiat tanaman obat. Kegiatan pengabmas ini menggunakan metode penyuluhan. Mitra kegiatan terdiri dari mitra utama dan mitra pendukung, mitra utama kader posyandu dan ibu PKK sedangkan mitra pendukung kepala Distrik, Kepala Kelurahan dan tokoh masyarakat sebanyak 50 orang. Evaluasi awal menggunakan kuesioner, sedangkan evaluasi akhir dilakukan dengan observasi dan tanya jawab secara langsung dengan mitra. Hasilnya, 93% mitra telah mengenal tanaman obat dan khasiat serta cara pengolahannya.Abstract: West Papua is one area that has a lot of potential for medicinal plants, but it has not been utilized to its full potential. This is due to the lack of public knowledge regarding medicinal plants and their benefits as well as processing techniques and how to consume them properly and correctly. Therefore, the team was moved to carry out community service activities with the aim of increasing public knowledge regarding the types and efficacy of medicinal plants. This community service activity uses the extension method. The activity partners consist of main partners and supporting partners, main partners of posyandu cadres and PKK mothers, while 50 people support the head of the District, Head of Kelurahan and community leaders. The initial evaluation uses a questionnaire, while the final evaluation is carried out by direct observation and question and answer with partners. As a result, 93% of partners are familiar with medicinal plants and their properties and processing methods. 
Kampanye Pemutusan Mata Rantai Penularan Covid-19 Melalui Edukasi Kesehatan Pada Masyarakat DTPK Vera Iriani Abdullah
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 1 Februari 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i1.3583

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ABSTRAK Virus corona menyebar dengan sangat cepat keseluruh dunia termasuk ke Indonesia, dari asalnya Kota Wuhan Provinsi Hubei, Cina. Data Pertanggal 14 Desember 2020 menunjukkan jumlah kasus di Dunia sebanyak 72,2 juta dan sekitar 1,61 juta meninggal.  Di Indonesia Pertanggal 14 Desember 2020 total kasus sudah mencapai 618 ribu. Penyakit ini pada umumnya menyerang saluran pernafasan, kurangnya pengetahuan  masyarakat akan mempengaruhi sikapnya, berbagai strategi telah ditetapkan baik di tingkat nasional maupun lokal sesuai dengan pedoman WHO untuk meningkatkan pengetahuan masyarakat terkait COVID-19 sebagai  upaya untuk mendorong masyarakat tentang tindakan pencegahan. Masyakat di daerah tertinggal atau pedesaan, memiliki keterbatasan akses informasi baik dari media cetak maupun elektronik, untuk itu informasi secara akurat yang spesifik sangat  diperlukan. Tujuan kegiatan pengabmas ini untuk  membantu meningkatan pengetahuan masyarakt khususnya didaerah DTPK (Daerah Tertinggal, Perbatasan dan Kepulauan Terluar) tentang cara pencegahan Covid-19 serta pemberian bantuan langsung 150 paket alat pencegahan Covid-19 berupa masker, hand sanitizer serta vitamin. Bahan dan metode yang digunakan berupa penyuluhan kesehatan serta demonstrasi cara mencuci tanggan yang baik dan benar.  Hasil yang dicapai masyarakat yang hadir sebanyak 49 orang dan 150 paket alat pencegahan Covid-19 dapat terdistribusi secara baik kepada masyarakat.  Kesimpulan Covid-19 merupakan    penyakit  yang  menyerang sistem  saluran pernapasan melalui kampanye pemutusan mata rantai Covid-19 ini  diharapkan dapat meningkatkan pengetahuan masyarakat sehingga dapat mempengaruhi sikapnya dalam pemutusan penyebaran virus corona khususnya masyarakat di daerah DTPK. Saran Pemerintah daerah dapat terus memberikan edukasi kepada masyarakat. Kata Kunci : Covid-19, Edukasi Kesehatan, DTPK  ABSTRACT             The spread of the corona virus is very fast throughout the world including to Indonesia, from the origin of Wuhan City, Hubei Province, China. Data dated December 14, 2020, shows that the number of cases in the world was 72.2 million and around 1.61 million died. In Indonesia as of December 14, 2020, the total number of cases has reached 618 thousand. Diseases in general are respiratory tract, lack of public knowledge that will affect their attitudes, various strategies that have been established both at the national and local levels according to the new WHO to increase public knowledge regarding COVID-19 in an effort to encourage the public about preventive action. Communities in underdeveloped or rural areas have limited access to information from both print and electronic media. Therefore, specific accurate information is needed. The purpose of this community service activity is to help increase the knowledge of the community, especially in the DTPK area (Disadvantaged Areas, Borders and Outermost Islands) about how to prevent Covid-19 and provide direct assistance to 150 packages of Covid-19 prevention tools in the form of masks, hand sanitizers and vitamins. The materials and methods used were in the form of health education and information on how to measure good and correct coverage. The results achieved by the community who attended were 49 people and 150 packages of Covid-19 prevention tools that were well distributed to the community. Conclusion Covid-19 is a disease that attacks the respiratory system through the campaign to break the Covid-19 chain, which is expected to increase public knowledge so that it can influence their attitude in terminating the spread of the corona virus, especially people in the DTPK area. Suggestion The local government can continue to provide education to the community. Keywords: Covid-19, Health Education, DTPK
Asuhan Kebidanan Nifas Patologis Pada Ny.D 19 tahun P1A0 Post Manual Plastenta Di Wilayah Kerja Puskesmas sorong Barat VERA IRIANI ABDULLAH; Maria Nopalina Tambunan
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 13 No 2 (2021): MARET (EDISI SPESIAL)
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v13i2.369

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Pada tanggal 19 april 2021 Ny.D dengan usia kehamilan 40 minggu datang ke puskesmas sorong barat untuk bersalin. Pada kala III persalinan Ny.D mengalami komplikasi yaitu retensio plastenta sehingga dilakukan manual plasenta. Pada kasus ini diperlukan pemantuan yang lebih lanjut dalam masa nifas Ny.D dikarenakan komplikasi yang terjadi pada kala III persalinan dapat mengakibatkan masalah yang berkesinambungan atau timbulnya masalah yang baru pada mana nifas. Asuhan Kebidanan Nifas Patologis adalah asuhan yang di berikan secara komprehensif kepada ibu selama nifas yaitu setelah plasenta lahir hingga 40 hari. Asuhan ini diberikan dengan mengunakan pendekatan manajemen varney dan pendokumentasian melalui metode SOAP. Pelaksanaan Asuhan Kebidanan Nifas Patologis di mulai pada bulan april-mei 2021 di wilayah kerja puskesmas sorong barat dengan Ny.D sebagai responden untuk pelaksanaan asuhan kebidanan patologis. Berdasarkan asuhan yang di berikan, masalah yang terjadi selama masa nifas yaitu ibu mengalami baby blues post partum, hipertensi, bendungan asi akan tetapi telah di berikan asuhan kebidanan sesuai dengan teori kebidanan sehingga permasalahan yang terjadi pada masa Nifas Ny.D dapat teratasi sehingga ibu dapat melewati masa nifas patologis dengan baik. Asuhan nifas dilakukan sebanyak 5 kali. Yaitu nifas 2 jam post partum, nifas 6 jam, nifas 6 hari, nifas 14 hari dan nifas 40 hari. Hasil pemeriksaan Ny.D dengan nifas patologis telah di lakukan asuhan sesuai kebutuhan dan tidak terjadi kesenjangan antara teori dan praktik.