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All Journal Jurnal Kebidanan (JBd) Poltekkes Kemenkes Maluku
Siska Febrina Fauziah
Program Studi D-III Kebidanan Ambon, Poltekkes Kemenkes Maluku
Health Professions Medicine & Pharmacology Nursing Public Health

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STUDI KASUS: KECEMASAN DALAM KEHAMILAN DAPAT MENGHAMBAT PROSES PERSALINAN Siska Febrina Fauziah
Jurnal Kebidanan Vol 1 No 1 (2021): Jurnal Kebidanan (JBd) Juni 2021
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v1i1.246

Abstract

At the end stage of pregnancy, a certain amount of anxiety is considered a normal thing experienced by a woman in preparation for the upcoming birth. In some women, this feeling develops into fear of childbirth which might have negative consequences on both the mother and the baby. This case study describes the anxiety experienced by Mrs. G, a 27-years-old primigravida, which caused obstacles in the labor process. The anxiety arose because Mrs. G had no felt any signs of labor until a week after the due date. Counseling and personal approaches are carried out to deal with anxiety, as well as the use of hot herbal compress for relaxation. Meanwhile, uterine contraction was induced naturally by doing oxytocin massage and acupressure on the BL 67 point. Midwifery care provided in this case could reduce anxiety and stimulate uterine contractions to initiate the labor process. Comprehensive and continuous support and assistance from health workers is needed to obtain optimal midwifery care outcomes.
STUDI KASUS: KONSUMSI PUTIH TELUR UNTUK MEMPERCEPAT PENYEMBUHAN LUKA PERINEUM Sri Yuliana; Siska Febrina Fauziah
Jurnal Kebidanan Vol 1 No 2 (2021): Jurnal Kebidanan (JBd) Desember 2021
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v1i2.322

Abstract

Perineal suturing due to spontaneous obstetric tears or episiotomy is the most common operative procedure experienced by women. More than 90% of primiparas experience trauma to the labia, vagina or perineum during vaginal delivery. Perineal wound healing duration is influenced by nutritional factors. This case study describes the wound healing process in two primiparas who had second-degree perineal tears. Both of those primiparas have the same socio-economic characteristics. One primipara was given additional nutrition intake of 140 grams egg white per day, while the other primipara was given standard care of education related to perineal wound care and nutritional needs during puerperium. Perineal wound observation was performed using REEDA scale, while daily intake data were collected using a food recall form. Primipara who consumed egg white every day had an average protein intake of 89 grams and her perineal wound recovered in 6 days. Meanwhile, primipara who only received standard care had an average protein intake of 67 grams and her perineal wound recovered in 8 days. Perineal wound healing was faster in primipara who received additional protein intake from egg white consumption. So that, education related to nutritional needs during puerperium is important to inform the mother and family.
STUDI KASUS: PENANGANAN PUTING LECET PADA IBU MENYUSUI Siska Febrina Fauziah; Rahmawati Musiin
Jurnal Kebidanan Vol 2 No 2 (2022): Jurnal Kebidanan (JBd) Desember 2022
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v2i2.420

Abstract

Exclusive breastfeeding is recognized as the single most effective preventive intervention to reduce child mortality in the world. Unfortunately, the success of this exclusive breastfeeding has still a lot of obstacles in daily practice. Breast pain due to nipple crack is one of the most common reasons for premature weaning of breastfeeding. This case study describes the management of midwifery care for Mrs. A, a 29-years-old primipara, who experienced nipple crack on the 19th day of postpartum. She was confused because her baby refused to be given milk formula while she had difficulty giving breastmilk because her nipple soreness. Expressed Breastmilk (EBM) was suggested to be applied topically on the nipple to heal the crack. Meanwhile correction of position and attachment as well as breast care were suggested to prevent repeated nipple trauma. The midwifery care provided in this case made Mrs. A was able to breastfeed her baby comfortably and the sores on her nipple had completely healed within 8 days. Single intervention is not enough to treat nipple crack for breastfeeding mothers. It is necessary to provide combination of continuous midwifery interventions so that the results are more effective. Interventions to prevent nipple trauma in breastfeeding mothers which include correct breastfeeding positions and techniques, breast care and EBM for topical use should be given as standard information provided by health workers in antenatal and postnatal counseling to ensure continuity of breastfeeding and the success of exclusive breastfeeding.
Co-Authors Rahmawati Musiin Sri Yuliana