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Sitti Saleha
Universitas Islam Negeri Alauddin Makassar
Health Professions

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MANAJEMEN ASUHAN KEBIDANAN ANTENATAL PADA NY "N" DENGAN ABORTUS INKOMPLIT DI RSUD SYEKH YUSUF KAB. GOWA TAHUN 2019 Tenriani Wulandari; Sitti Saleha; Jelita Inayah Sari
Jurnal Midwifery Vol 4 No 1 (2022): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v4i1.27715

Abstract

Introduction Incomplete abortion is the loss of some of the product of conceptiononof pregnancy, causing some of the fetal tissues are still deposited in the uterus such as decidua and placenta. During the process, the initial sign isthe bleeding in the basal decidua followed by the occurrence of necrosis in the surrounding tissue. Afterwards, a part if not all of the conception product would be detached. As it is considered to be a foreign object, the uterus would contract to expel it. At week 8 of gestation, all of the products of conception would be excluded because the choreal villi had not deeply penetrated the decidua. At weeks 8-14 of gestation, the choreal villi already deeply entered the decidua. Therefore, at this stage, some of the conception would come out and some would remain which causes the bleeding on the mother. Method This case study investigated the case of incomplete Abortion on Mrs. “N” at Public Regional Hospital of Syekh Yusuf in Gowa Regency. This study was conducted by employing 7- stages midwifery care approach suggested by Helen Varney and SOAP documentation procedure. The results of the case study conducted on Mrs. “N” indicated that the patient got an incomplete abortion case based on an anamnesis and physical examination taken. Mrs. "N", came to the regional hospital of Syekh Yusuf Gowa with the complaint of bleeding from her birth canal. The patient said that she had been bleeding since October 5, 2019 which stopped after wards. On October 30, 2019 at 6:00 a.m., there was blood as a result of her massage a couple of weeks before. The condition of the patients was considered to be weak, composmentis with the blood pressure of 110/70 mmHg. Her uterine fundal height was not palpable, and her ostium uteri externum and internum were closed. Based on the ultrasound examination with her residual tissue impression, uterine anteflexion, and FL (-), the patient was possibly diagnosed to get an incomplete abortion. Therefore, curettage was administered. On the first day after the curette, the patient’s condition improved. There was some bleeding and pain felt from the vagina, particularly from her lower abdomen. However, in general, the curettage was considered to be successful in which no obstacles were found during the implementation of the procedure. Conclusion After conducting an assessment and analysis based on the 7-stages of Varney and SOAP documentation procedure, it was apparent that the diagnosis given to Mrs “N” was the incomplete abortion case. Therefore, curettage was administered to the patient, and it had been succesfully conducted by the health workers in the hospital.
MANAJEMEN ASUHAN KEBIDANAN PADA IBU HAMIL DENGAN FLOUR ALBUS PATOLOGIS PADA NY’’A’’ DI KLINIK WIRAHUSADA MEDICAL CENTER MAKASSAR TANGGAL 01 OKTOBER – 30 NOVEMBER 2021 Jusmawati; Sitti Saleha; Dewi Setiawati
Jurnal Midwifery Vol 4 No 1 (2022): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v4i1.28244

Abstract

Introduction Vaginal discharge is a condition that is often experienced by women throughout the phase of their life commencing from adolescence, reproduction age, and cycle characterized by odorless and clear fluid. The normal vaginal discharge does not also couse any itching and pain. However, abnormal vaginal discharge occurs because of infection from various microorganisms, including bacteria, fungi and parasites. The major purpose of this study was to conduct the midwifery care management on a pregnant patient with the case of pathological flour albus. This research was conducted at Wirahusada Medical Center of Makassar based on the 7stages of varney Management approach and SOAP documentation procedure. The findings of this research indicated that the treatment given to Mrs ‘’A’’ was considered to be good in which the amoung of vaginal discharge experienced by the patient reduced, and the itching and pain could be overcome. The treatment and monitoring were conducted for 5 times, the patient was suggested to maintaint her vaginal moisture, reduce stress, and decrease any tireless activities. At the time of examination, the condition of the fetus wa in good condition where the blood pressure of the patient was 100/70 mmHg. The patient also had no complaints or complication from her pathological flour albus. Finally, based on the research data analysis, this research could be concluded that the problem found on Mrs ‘’A’’with pathological flour albus at Wirahusada Medical Center of Makassar was well resolved. The general condition of the patient was good, and the fetus was also considered to be in a good condition. The patient showed composmentis consciousness, and her vital signs were within normal limits moreover, the results of the examination showed no signs of infection.
MANAJEMEN ASUHAN KEBIDANAN PADA IBU NIFAS DENGAN BENDUNGAN ASI Nurul Khaerunnisa; Sitti Saleha; Jelita Inayah Sari
Jurnal Midwifery Vol 3 No 1 (2021): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v3i1.20992

Abstract

Pendahuluan bendungan asi adalah suatu kejadian dimana aliran vena dan limfatik tersumbat, aliran susu menjadi terhambat dan tekanan pada saluran susu ibu dan alveoli meningkat. Kejadian ini biasanya disebebkan karena air susu yang terkumpul tidak dikeluarkan sehingga menjadi sumbatan. Pada umumnya benudngan asi terjadi sejak hari ketiga sampai hari keenam setelah persalinan, ketika asi secara normal di hasilkan. Gejala yang sering muncul pada saat terjadi bendungan asi antara lain payudara bengkak, payudara terasa panas dan keras dan suhu tubuh ibu sampai 380C. Berdasarkan dari penelitian dan buku bahwa tindakan yang dilakukan untuk penatalaksanaan ibu nifas dengan bendungan asi yaitu pemeriksaan tanda-tanda vital seperti tekanan darah, nadi, suhu dan pernapasan, melakukan konseling tentang diet seimbang untuk ibu nifas dan menganjurkan ibu untuk rutin melakukan perawatan payudara serta sering mengosongkan payudara. Kesimpulan dari literatur review ini didapatkannya ibu nifas dengan bendungan asi. Jika dilakukan penatalaksanaan yang tepat dan sesuai dengan keadaan ibu nifas dengan bendungan asi maka akan didapatkan hasil evaluasi dengan keadaan ibu baik tanpa ada penyulit dan tidak ditemukannya komplikasi atau masalah pada ibu. ABSTRACT Introduction Breast dam is an increase of venous and lymph flow in the breast when preparing for lactation. As a result of an increase of breast veins and lymph’s flow during the process of lactation, breast engorgement could occur. The breast engorgement can be caused by irregular patterns of breast feeding. This irregularity causes milk to clog around the milk ducts and makes breast swell. Commonly, in normal condition, this problem occurs on the third day to the sixth day after delivery. The major symptom of this problem was the engorgement of breast where the mother would suffer from fever above 38 degree and felt the pain and hard on her breast. From a number of different literature and resources such as books and hournal, it was apparent that the treatment given to patients with breast dam consisted of examing the vital signs of the patient such os blood pressure, pulse, temperature, and respiration. In addition, counseling should also be given in wich information related to balanced diet as well as breast caring tips were given. In order to help the healing process of the patient, patients are suggested to feed their babies regularly. Conclusion This research investigated midwifery care management on patients with breast dam and was conducted through 7-stages of Helen varney midwifery care treatments, patients with breast dam could be well recovered in which no problmes and compiations qould be found
MANAJEMEN ASUHAN KEBIDANAN INTRANATAL PATOLOGI DENGAN PERSALINAN LETAK SUNGSANG (LITERATUR REVIEW) Nur Dinda; Sitti Saleha; Nadyah Haruna
Jurnal Midwifery Vol 3 No 2 (2021): AUGUST
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v3i2.24345

Abstract

Pendahuluan Persalinan letak sungsang merupakan suatu kelainan patologis, dimana janin dilahirkan letak memanjang dengan kepala berada di fundus uteri dan bokong berada dibagian bawah kavum uteri. Persalinan letak sungsang adalah salah satu penyulit persalinan yang dapat menyebabkan kematian janin. Metode Menggunakan studi kepustakaan dan pengumpulan referensi yang kemudian dibuat menjadi Literatur review dengan menggunakan berbagai referensi literature dan membandingkan referensi satu dengan yang lainnya. Hasil Berdasarkan hasil penelitian-penelitian bahwa pemeriksaan untuk mendiagnosis persalinan letak sungsang dilakukan melalui pemeriksaan perut menggunakan manuver leopold yang dikombinasikan dengan pemeriksaan serviks, dan ultrasonografi. Kesimpulan Pertolongan persalinan letak sungsang dengan sectio caesarea maupun pervaginam dilakukan dengan banyak pertimbangan. diperlukan evaluasi kembali agar tindakan yang dilakukan terhadap pasien dengan kasus yang sesuai untuk kebutuhan medisnya.
MANAJEMEN ASUHAN KEBIDANAN ANTENATAL PATOLOGI DENGAN HIPEREMESIS GRAVIDARUM TUNGKAT II (LITERATURE REVIEW) Melinda; Sitti Saleha; Syatirah
Jurnal Midwifery Vol 4 No 2 (2022): AUGUST
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v4i2.29473

Abstract

Introduction Hyperemesis gravidarum is a health issue often found during gestational period signified by a severe and excessive nausea and vomiting. Once a mother experiences an excessive nause and vomitting, she will probably lose her weight. In addition, a mother will also suffer from acetone and skin dryness. Nausea and vomiting in pregnancy usually begins in the 9th to 10th weeks of gestational period. It would mostly become worse in 11th to 13th weeks. In general, the issues would end in the 12th to 14th weeks. The data shows that rarely do pregnancy’ssymptoms persist to be more the 20th to 22nd week. The proportion has been only around 1-10%. For the cases of hyperemesis gravidarum, they were found on 0.3-2% of pregnancies in which patients should be well treated in a hospital. Method The methodological approach used in this research was literature review. The major purpose was to conduct research on the issue related to hyperemesis gravidarum. The research was conducted based on the 7-stages of Varney and SOAP documentation procedures. Result Based on the research data analysis from various different references, it could be noticed that the treatments that could be given to patients with hyperemesis gravidarum were in the forms of providing adequate parenteral fluids as well as administering protein electrolytes with 5% of glucose dissolved into 2 to 3 liters of physiologist saline. In addition, other important potions such as potassium depending on the conditon of patients. Initial fluid administration could also be given in the forms of 2L RL solvent for approximately 3-5 hours. The fluid should further be replaced with 5% of dextrose dissolved in 0.45% of saline. The RL dextrose ratio of 2:1 could be implemented with 40 drops per minute to be given to patients. Conclusion The findings of this research were the results of the analysis on 70 references. It could be concluded that with appropriate treatments and medication, patients with the case of hyperemesis gravidarum could be cured. The major examination that could be taken to confirm the status of patients is by checking the vital signs such as blood pressure, pulse, temperature and respiration
Manajemen Asuhan Kebidanan Antenatal Care Patologi Pada Ny “K” Dengan Hiperemesis Gravidarum Tingkat I Gestasi 12 minggu 2 Hari Di RS Al-Jala Ammari Makassar Tanggal 03 Agustus – 21 Agustus 2022 : Midwifery Care Management of Antenatal Care Pathology in Mrs. “K” with Hyperemesis Gravidarum Level I in the Gestational Period of 12-14 Weeks at Al-Jala Ammari Hospital of Makassar, August 3rd - August 21st 2022 Nurhidayanti; Sitti Saleha; Zelna Yuni Andryani
Jurnal Midwifery Vol 5 No 1 (2023): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v5i1.33340

Abstract

Introduction Hyperemesis Gravidarum is a complication in pregnancy characterized by excessive nausea and vomiting which can affect the general condition of pregnant women. Hyperemesis Gravidarum is divided into three levels, namely level I (mild), level II (moderate), level III (severe). The purpose of this study was to provide Antenatal Care Midwifery Care for Mrs. “K” with the case of Hyperemesis Gravidarum Level I in the gestational period of 12-14 weeks at Al-Jala Ammari Hospital of Makassar. Method The study was conducted by utilizing a 7-stage of Varney management approach. Result of this study indicated that during the caring management, various observations and four home visits were conducted. After the treaments, the condition of the patient gradually improved. This is evidenced by the results of the last observation at the patient’s house showing that her vital signs were within normal, and her excessive nausea and vomiting were resolved. Moreover, the patient’s appetite had also considerably improved. Conclusion The hyperemesis gravidarum experieced by the patient could be well handled and treated. The treatments were given both during the home visits and in the hospital.
Management of Physiology Intranatal Midwifery Care for Mrs. “J” on the Gestanional Period of 39 Weeks and 6 Days with the 3rd Stage of Inpartu at Jumpandang Baru Health Center, July 31st, 2022: Manajemen Asuhan Kebidanan Intranatal Fisiologi Pada Ny”J” dengan Gestasi 39 Minggu 6 Hari Inpartu Kala III Di Puskesmas Jumpandang Makassar Indah Lestari Sutrang; Sitti Saleha; Zelna Yuni Andryani
Jurnal Midwifery Vol 5 No 2 (2023): AUGUST
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v5i2.33365

Abstract

Introduction The third stage of labor is the uri stage, namely the birth of the baby and the release of the placenta and the amniotic membranes. Active management of the third stage is the management on the expulsion of the placenta. In most cases, the maternal morbidity and mortality in Indonesia were caused by uterine atony and retained placenta. However, these issues could actually be prevented by enhancng the active management of the third stage. Method In this research, the 7-stage of Varney management approach was employed in accordance with proper procedure based on the competence and authority of the midwifes. Result The findings of this research indicated that there were no particular obstacles found during the process of treatment given to Mrs “J” with the third stage of labor. The patient experienced a normal lower abdominal pain and pains in the perineum on day 1. However, on the next monitoring day, the patient had no complaints, and there were no complications found. Conclusion His study concluded that the research was conducted based on the mentioned approach and SOAP procedure, and it revealed that from the third stage to the fourth stage there were no obstacles and complications found in both the mother and fetus. The condition of both the mother and the baby was generally good where their vital signs were within normal limits.
Co-Authors Dewi Setiawati Indah Lestari Sutrang Jelita Inayah Sari Jusmawati Melinda Nadyah . Nur Dinda Nurhidayanti Nurul Khaerunnisa Syatirah Tenriani Wulandari Zelna Yuni Andryani