Jasmawati Jasmawati
Poltekkes Kemenkes Kalimantan Timur

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ASUHAN KEBIDANAN KOMPREHENSIF DAN BERKESINAMBUNGAN (CONTINUITY OF CARE) PADA IBU S DI KLINIK UMUM DAN BERSALIN KUSUMA SAMARINDA TAHUN 2025 Bella Rizki Az Zahra; Jasmawati Jasmawati; Sutrisno Sutrisno; Desy Eka Prastiwi; Ratna Wati
Jurnal Kesehatan Husada Gemilang Vol 8 No 2 (2025): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v8i2.131

Abstract

Comprehensive Midwifery Care is continuous care for mothers during pregnancy, childbirth, postpartum, newborns and family planning to reduce MMR and IMR. Varney's midwifery management method is in the form of SOAP. Care for Mrs. S, 33 years old, G4P3003, at the Kusuma Clinic and home visits began on January 31 to April 12, 2025, and data collection was carried out through anamnesis, observation, physical examination and supporting. In the comprehensive care that has been carried out, there is a gap between theory and practice, namely: in Antenatal Care examinations only 2 times, in the care of the First Stage of labor went well, in the First Stage the mother used Oxygen assistance, RL infusion installation 20 tpm, the Second Stage for 10 minutes, the Third Stage lasted for 5 minutes, and the Fourth Stage lasted for 2 hours there was a first-degree rupture. The baby was born spontaneously, weighing 3805 grams, body length 53 cm and neonatal visits were carried out 3 times. The postpartum period was normal without any complications. Four visits were conducted, and Mrs. S chose family planning with a 3-monthly injection. These results indicate that the comprehensive care provided to Mrs. S met her needs. Asuhan Kebidanan Komprehensif adalah asuhan yang diberikan secara berkesinambungan kepada ibu selama kehamilan, persalinan, nifas, bayi baru lahir dan keluarga berencana untuk menurunkan AKI dan AKB. Metode pendekatan dengan manajemen kebidanan pola pikir varney yang dituangkan dalam bentuk SOAP. Asuhan diberikan pada Ny. S umur 33 tahun G4P3003 di Klinik Umum dan Bersalin Kusuma dan kunjungan rumah dimulai tanggal 31 Januari sampai 12 April 2025 serta dilakukan pengumpulan data melalui anamnesa, observasi, pemeriksaan fisik dan pemeriksaan penunjang. Pada asuhan komprehensif yang telah dilakukan terdapat kesenjangan antara teori dan praktik yaitu : pada pemeriksaan Antenatal Care hanya 2 kali, pada asuhan Kala I persalinan berjalan dengan baik, di kala I ibu menggunakan bantuan Oksigen, pemasangan infus RL 20 tpm, kala II berlangsung selama 10 menit, Kala III berlangsung selama 5 menit, dan kala IV berlangsung selama 2 jam terdapat ruptur derajat I. Bayi lahir spontan, berat badan 3805 gr, panjang badan 53 cm dan dilakukan kunjungan neonatus sebanyak 3 kali. Masa nifas berjalan normal tanpa ada penyulit, dilakukan kunjungan sebanyak 4 kali dan asuhan keluarga berencana Ny. S memilih keluarga berencana suntik 3 bulan. Dari hasil tersebut dapat disimpulkan bahwa asuhan komprehensif yang diberikan pada Ny. S sesuai dengan kebutuhan pasien.
ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY. R UMUR 25 TAHUN, GIIP1001 DI UPT PUSKESMAS SUNGAI TURAK TAHUN 2025 Noorjanah Noorjanah; Ratna Wati; Siti Khodijah; Jasmawati Jasmawati
Jurnal Kesehatan Husada Gemilang Vol 8 No 2 (2025): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v8i2.132

Abstract

This study aims to evaluate the continuity of care in midwifery for Mrs. R, a 25-year-old mother with pregnancy GIIP1001 at UPT Puskesmas Sungai Turak. The method used is a case study with a comprehensive approach, including antenatal, intranatal, postnatal, and neonatal assessments. Data was collected through observation, interviews, and document analysis. The analysis results show that the midwifery care provided is in accordance with service standards, where Mrs. R experienced a normal pregnancy process despite having mild anemia detected during the examination. The discussion reveals that the health education provided to Mrs. R and support from her family play a crucial role in improving the health of mothers and babies. Furthermore, the implementation of continuity of care management has proven effective in monitoring and managing risks that may arise during pregnancy and childbirth. The conclusion of this study emphasizes that continuous midwifery care can enhance the quality of health services for pregnant women. The recommendation given is the need for increased training for healthcare personnel to strengthen their knowledge and skills in providing comprehensive and responsive midwifery care to meet patient needs. Penelitian ini bertujuan untuk mengevaluasi asuhan kebidanan continuity of care pada Ny. R, seorang ibu berusia 25 tahun dengan kehamilan GIIP1001 di UPT Puskesmas Sungai Turak. Metode yang digunakan adalah studi kasus dengan pendekatan komprehensif, mencakup pengkajian antenatal, intranatal, postnatal, dan neonatal. Data dikumpulkan melalui observasi, wawancara, dan analisis dokumentasi. Hasil analisis menunjukkan bahwa asuhan kebidanan yang diberikan sesuai dengan standar pelayanan, di mana Ny. R mengalami proses kehamilan yang normal meskipun terdapat anemia ringan yang terdeteksi selama pemeriksaan. Pembahasan mengungkapkan bahwa pendidikan kesehatan yang diberikan kepada Ny. R dan dukungan dari keluarga berperan penting dalam meningkatkan kesehatan ibu dan bayi. Selain itu, penerapan manajemen continuity of care terbukti efektif dalam memantau dan mengelola risiko yang mungkin terjadi selama kehamilan dan persalinan. Kesimpulan dari penelitian ini menegaskan bahwa asuhan kebidanan yang berkesinambungan dapat meningkatkan kualitas pelayanan kesehatan ibu hamil. Saran yang diberikan adalah perlunya peningkatan pelatihan bagi tenaga kesehatan untuk memperkuat pengetahuan dan keterampilan dalam memberikan asuhan kebidanan yang komprehensif dan responsif terhadap kebutuhan pasien.
Hubungan riwayat pemberian ASI eksklusif dengan kejadian stunting pada balita usia 24 - 60 bulan di wilayah kerja Puskesmas Sungai Kapih Lidia Lushinta; Rezki Puspitaningsih; Heni Suryani; Evy Nurachma; Jasmawati Jasmawati
Jurnal SAGO Gizi dan Kesehatan Vol 5, No 3B (2024): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v5i3B.2069

Abstract

Background: Currently the incidence of short toddlers or called stunting is one of the nutritional problems experienced by toddlers in the world. One of the causes of the stunting problem is the delay in Early Breastfeeding Initiation (IMD) and non-exclusive breastfeeding. The World Health Organization (WHO) recommends breastfeeding for at least 6 months. Breast milk is a nutritional intake that fits the needs that help the growth and development of children. Children who do not get enough breast milk mean they have poor nutritional intake which can cause malnutrition, one of which can cause the risk of stunting.Objectives: The study aimed to determine the relationship between the history of exclusive breastfeeding and the incidence of stunting in toddlers aged 24-60 months in the Sungai Kapih Health Center work area.Methods: The method of this study is observational analytic with a retrospective approach. The number of samples in this study was 72 toddlers. The instrument used to obtain secondary data in this study was the MCH handbook, and the instrument used to obtain primary data in this study was research observation sheets. The data were analyzed using the Fisher Exact test.Results: The results of the study showed that out of 72 toddlers, 36 toddlers experienced stunting, 37 toddlers were not given exclusive breastfeeding and 35 toddlers were given exclusive breastfeeding. Bivariate analysis showed that there was a relationship between the history of exclusive breastfeeding and the incidence of stunting.Conclusion: There is a relationship between the history of exclusive breastfeeding and the incidence of stunting in toddlers aged 24-60 months in the Sungai Kapih Health Center work area.