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Journal : Nursing Applied Journal

Asuhan Kebidanan Komprehensif Pada Ny. R Umur 24 Tahun G1P0A0 Dengan Kelainan Letak Janin Oblique Di Puskesmas Paguyangan Kabupaten Brebes Laelatul Gorro; Endang Susilowati; Widi Astuti
Nursing Applied Journal Vol. 2 No. 1 (2024): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v2i1.98

Abstract

In Indonesia in 2020, there were 4,627 cases of MMR and 20,266 cases of IMR. One of the causes MMR and IMR is complications during pregnancy, childbirth, postpartum and newborn, even 47% of deaths of children under five occur during the neonatal period. Therefore, one of the efforts that can be made to prevent MMR and IMR is with comprehensive midwifery care that is carried out continuously. The purpose of this study was to be able to carry out Comprehensive Midwifery Care on Mrs. R aged 24 years. The research method used is descriptive qualitative method with a case study approach. The results of the research that has been done are known to Mrs. R experiencing oblique fetal position abnormalities in pregnancy 29 + 6 weeks. At delivery the fetus experienced fetal distress because Mrs. R experienced anxiety disorders so that delivery was performed by sectio caesarea, then at the neonate visit when the baby was 5 days old the baby experienced physiological jaundice, while in the postpartum period the mother did not experience any complications, then the mother chose MAL birth control. The conclusion of this study can be drawn that there is no gap between practice and theory.  
Asuhan Kebidanan Komprehensif Ny. A Umur 30 Tahun Grandemulti dengan Anemia di Rumah Sakit Umum Daerah Bumiayu Tahun 2024 Nunung Febriyaningsih; Endang Susilowati; Nurhidayah Nurhidayah
Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.524

Abstract

The maternal mortality rate is an indicator of health status and is one of the health problems in the world. Brebes Regency is one of the contributors to the highest maternal mortality rate in Central Java. In 2021, the Bumiayu Regional General Hospital contributed to the Maternal Mortality Rate in Brebes Regency by 15 cases. The purpose of this research is to be able to provide comprehensive midwifery care for Mrs. The research method used is qualitative descriptive research with a case study approach. The case study carried out is in the form of comprehensive midwifery care that examines pregnancy, childbirth, newborns, postpartum and family planning with Varney's 7-step midwifery management and SOAP. The results of the pregnancy were found to be anemia and CED, delivery by caesarean section, the newborn was normal, during the neonatal period physiological jaundice was found, then appropriate management was carried out so that it could be resolved, during the postpartum period no problems were found, the mother used MOW KB. The conclusion obtained was that care had been carried out in accordance with midwifery service standards and the problem of anemia and CED had not been resolved
Asuhan Kebidanan Komprehensif pada Ny.N dengan Faktor Resiko Umur >35 Tahun  dan  Multiparitas di Puskesmas Paguyangan Kabupaten Brebes Intan Tri Lestari; Endang Susilowati; Widi Astuti
Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.855

Abstract

This study aims to provide an overview of comprehensive midwifery care in reducing maternal morbidity and mortality at the Paguyangan Health Center, Brebes Regency. According to WHO data in 2023, the maternal mortality rate was recorded at 4,129 per 100,000 live births, with the same rate in Indonesia and 335 per 100,000 in Central Java. In Brebes Regency, there were 54 cases of maternal death caused by various factors. This study used a case study method with a descriptive approach to analyze midwifery care during pregnancy, childbirth, postpartum, newborn care, and family planning programs. The results show that Mrs. Ny. N, aged 35 and with a history of multiparity, had a pregnancy with high-risk factors. Despite this, her delivery proceeded naturally with a spontaneous birth of a female baby, who cried loudly, weighing 3110 grams, and measuring 50 cm in length. During the postpartum period, no complications were found, uterine reflexes were normal, and lochia was physiologically appropriate. The baby was healthy and received hepatitis B immunization and vitamin K1. In the family planning program, the mother chose to use a 3-month injection contraception. The conclusion of this study is that despite the high-risk factors faced by the mother, comprehensive midwifery care can help minimize risks and improve the quality of care during pregnancy and childbirth.