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Istiqomah Dwi Andari
Politeknik Harapan Bersama Tegal
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Asuhan Kebidanan Komprehensif Pada Ny. F Dengan Faktor Resiko Umur 36 Tahun Dan Jarak Kehamilan 11 Tahun (Studi Kasus terhadap Ny. F di Puskesmas Jatibogor Kabupaten Tegal) Rina Sukmawati; Istiqomah Dwi Andari; Riska Arsita Harnawati
Jurnal Ilmiah Dan Karya Mahasiswa Vol. 1 No. 3 (2023): JUNI : JURNAL ILMIAH DAN KARYA MAHASISWA
Publisher : Institut Teknologi dan Bisnis (ITB) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/jikma.v1i3.372

Abstract

MMR worldwide according to WHO in 2020 is 295.000 in Indonesia, there are 4.627 cases of AKI in 2020. In Central Java, AKI in 2020 is 98.6/100.000 with the city of Tegal having 29.78% and cases of IMR. Data at the Jatibogor Health Center for cases aged >35 years amounted to 16.7% of 840 people. One of the risk factors for pregancy that causes complications and maternal death is the mother’s age (>35 years) and the interval between preganancies >10 years. The governmen always atrives to improve quality maternal health services, there are several things that the government does, including seeking an adequate number of health workers with the best possible quality, providing health service facilities according to standarts, and mobilizing all levels of society to implement birth planning programs with prevention of complications (P4K). The purpose of this case study was to comprehensively carry out midwifery care for pregnant women, women in childbirt, postpartum women and newborns using midwifery management according to Varney and documentation using the SOAP method. The object of this case is Mrs. F G2 P1 A0 36 years old with normal pregnancy, childbirth and postpartum. This case was described out in October 2022 in the work area of the Jatibogor Health Center. The care was described in its entirety, starting from the TM III pregnant patient (37 weeks plus 5 days and 38 weeks plus 5 days) and normal postpartum (9 hours postpartum to 22 days postpartum). The result obtained were Comprehensive Midwifery Care for Mrs. F from gestational age 37 weeks and 5 days, from delivery to postpartum 22 days postaprtum. The preparation concluded that during pregnancy, childbirth and postpartum Mrs. F goes on normally.
Asuhan Kebidanan Komprehensif Pada Ny. D Dengan Resiko Tinggi : (Studi Kasus Terhadap Ny D Di Puskesmas Pangkah Kabupaten Tegal Tahun 2023) Islakhul Zachro; Istiqomah Dwi Andari; Riska Arsita
Jurnal Ilmiah Dan Karya Mahasiswa Vol. 2 No. 3 (2024): JUNI: JURNAL ILMIAH DAN KARYA MAHASISWA
Publisher : Institut Teknologi dan Bisnis (ITB) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/jikma.v2i3.1844

Abstract

In 2022, Pangkah Public Health Center in Tegal Regency recorded 2 cases of maternal deaths, attributed to hemorrhage and umbilical cord embolism. Data obtained from the health center in 2023 revealed a total of 874 pregnant women, with 475 categorized as high-risk. Risk factors included maternal age <20 years (17 cases), maternal age >35 years (133 cases), interpregnancy interval <2 years (31 cases), nutritional problems (109 cases), anemia (50 cases), presence of more than 5 children (17 cases), and others (118 cases). Among high-risk pregnancies, women aged >35 years and those falling into the "others" category were the two most prevalent groups. The general objective of this case study is to gain insights and real-life experiences in providing comprehensive midwifery care to Mrs. D at Pangkah Public Health Center in 2023, focusing on high-risk grandemultipara and women aged >35 years, utilizing the 7-step Varney midwifery care management and SOAP development data. This research adopts a case study approach, with Mrs. D, a 36-year-old grandemultipara with advanced maternal age, as the subject. Comprehensive care is provided throughout the antenatal, intrapartum, postpartum, and neonatal periods, including the application of Postnatal Massage therapy. From the data collected, it is concluded that the subject experienced numbness in her hands upon waking up from 38 weeks of gestation onwards. The patient perceives her pregnancy as highly risky due to being a grandemultipara and advanced maternal age, necessitating close monitoring by healthcare providers.
Co-Authors Harnawati, Riska Arsita Islakhul Zachro Rina Sukmawati Riska Arsita