Garuda - Garba Rujukan Digital

DAMPAK PRENATAL BREAST CARE PADA KEHAMILAN TRIMESTER III TERHADAP PRODUKSI DAN KELANCARAN PENGELUARAN ASI IBU POST PARTUM Kotarumalos, Sitti Sarifah; Wetir, Erina; Mayano, Kesya A.
Jurnal Kebidanan Vol 4 No 1 (2024): Jurnal Kebidanan (JBd) Juni 2024
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v4i1.526

Prenatal breast care in the third trimester of pregnancy has a positive impact on the frequency of breast milk production in the postpartum period, supporting the success of exclusive breastfeeding programs. Midwives play a key role in providing prenatal breast care and education to pregnant women to enhance breastfeeding success. Further research on the benefits of prenatal breast care can provide a strong scientific basis for clinical practice and health policies that support exclusive breastfeeding programs. This study was an experimental type of research with a Pre-experimental design. The research method used a case study approach by providing comprehensive midwifery care to mothers starting in the third trimester of pregnancy and postpartum visits with the goal of prenatal breast care in the third trimester of pregnancy impacting production and smoothness of postpartum breast milk release. The research results showed that prenatal breast care applied during pregnancy, especially in the third trimester, had an impact on postpartum breast milk production and smoothness.

STUDI KASUS: FAKTOR PEMICU SERING BUANG AIR KECIL DAN DAMPAKNYA TERHADAP KUALITAS TIDUR IBU HAMIL TRIMESTER III Kotarumalos, Sitti Sarifah; Hermanses, Sitti Suharni
Jurnal Kebidanan Vol 4 No 2 (2024): Jurnal Kebidanan (JBd) Desember 2024
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v4i2.562

Pregnancy is a time of significant physiological, psychological, and emotional changes in a woman's body. As the fetus develops, the mother's body undergoes changes that affect various bodily functions, one of which is increased urinary frequency. This case study was conducted on 10 third-trimester pregnant women who experienced frequent urination and its impact on their sleep. The study aims to identify triggering factors and assess the impact on sleep quality in third-trimester pregnant women. Sleep disturbances caused by frequent waking to urinate can negatively affect the physical and mental well-being of pregnant women. The study involved several third-trimester pregnant women who reported frequent nighttime urination. The results show that the majority of the participants woke up 2-5 times each night to urinate, leading to fragmented sleep and reduced sleep duration and efficiency. These sleep disturbances are associated with excessive daytime sleepiness, fatigue, and a decline in the quality of life of the pregnant women. Additionally, the findings also indicate that physical factors such as the enlarged uterus pressing on the bladder and hormonal changes play a significant role in increasing urinary frequency. The obstetric care management in this case study recommends interventions such as education on fluid intake regulation, Kegel exercises, and relaxation techniques like yoga to reduce sleep disturbances. It is hoped that this case study can provide insights for healthcare professionals to offer more effective management to improve the sleep quality and overall well-being of pregnant women.

STUDI KASUS : PERILAKU SUPPORTIF SUAMI TERHADAP KEBERHASILAN MENYUSUI DI MASA NIFAS Fasiha, Fasiha; Kotarumalos, Sitti Sarifah; Kaisuku, Nurul Fitri Ramadani
Jurnal Kebidanan Vol 5 No 1 (2025): Jurnal Kebidanan (JBd) Juni 2025
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v5i1.626

Masa nifas adalah periode penting bagi ibu setelah melahirkan, dengan tantangan utama pada keberhasilan menyusui. Dukungan dari suami berperan signifikan dalam keberhasilan ini, karena dapat memengaruhi fisik dan psikologis ibu. Penelitian ini bertujuan untuk menggali pengaruh dukungan suami terhadap keberhasilan menyusui pada ibu nifas, melalui studi kasus terhadap Ny. A di wilayah kerja Puskesmas Air Besar Kota Ambon. Ny. A, seorang ibu berusia 26 tahun, mengalami kesulitan menyusui pada minggu pertama pasca melahirkan, dengan keluhan ASI yang belum lancar, nyeri pada puting, serta kelelahan emosional akibat kurangnya dukungan suami. Penelitian ini mengobservasi perkembangan menyusui ibu selama 7 hari pascapersalinan, dengan intervensi berupa edukasi menyusui, teknik pelekatan, serta pendekatan komunikasi dengan suami. Hasil observasi menunjukkan bahwa keterlibatan suami dalam pekerjaan rumah tangga dan dukungan emosional berperan penting dalam memperbaiki kondisi ibu. Pada hari pertama, ibu masih kesulitan menyusui, namun setelah pendekatan kepada suami, terjadi peningkatan signifikan pada produksi ASI, kenyamanan ibu, serta kualitas tidur ibu pada hari kelima dan ketujuh. Penelitian ini menegaskan pentingnya dukungan emosional dan praktis dari suami dalam mendukung keberhasilan menyusui, yang tidak hanya meningkatkan kesehatan ibu dan bayi, tetapi juga memperkuat hubungan emosional mereka. Dukungan suami yang optimal sangat berperan dalam mendukung kelancaran proses menyusui, mengurangi stres, dan meningkatkan kualitas kehidupan ibu pasca persalinan. Pendekatan keluarga dalam asuhan kebidanan komprehensif sangat diperlukan untuk meningkatkan kualitas layanan kesehatan ibu dan anak

STUDI KASUS : EARLY WARNING SIGNS PADA KEHAMILAN TRIMESTER AKHIR MELALUI ASUHAN KEBIDANAN 10T Kotarumalos, Sitti Sarifah; Fasiha, Fasiha
Jurnal Kebidanan Vol 5 No 2 (2025): Jurnal Kebidanan (JBd) Desember 2025
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v5i2.734

Late pregnancy is a critical phase because the risk of complications such as preeclampsia, bleeding, infection, and premature rupture of membranes increases, making early detection of Early Warning Signs (EWS) highly important. This case study aims to describe the implementation of the 10T-based midwifery care approach and its role in early detection in a pregnant woman, Mrs. D, G2P1A0, at 32 weeks of gestation who visited Rijali Health Center for routine antenatal care. Data were collected through interviews, observation, physical examination, and supporting examinations. The assessment showed that the mother and fetus were in good condition without any pregnancy danger signs; complaints of frequent urination and sleep disturbances were physiological discomforts of the third trimester. Blood pressure of 110/70 mmHg, fetal heart rate of 148 bpm, fundal height of 25 cm, and hemoglobin level of 11.8 g/dL indicated a low-risk physiological pregnancy. The application of the 10T components—including physical measurements, laboratory evaluation, management of complaints, iron supplementation, tetanus immunization, counseling on danger signs, and documentation in the maternal health book—proved helpful for midwives in conducting early detection and preventing complications. Education regarding rest patterns, nutrition, and warning signs increased the mother’s preparedness for childbirth. In conclusion, 10T-based midwifery care is effective in maintaining maternal well-being and supporting early detection of obstetric risks in late pregnancy. Pregnant women are advised to attend ANC regularly, consume iron supplements, and understand danger signs, while midwives should continue implementing the 10T components thoroughly and providing comprehensive counseling.

STUDI KASUS : PENERAPAN EVIDENCE BASED PRACTICE PADA PERSALINAN DENGAN KETUBAN PECAH DINI Hermanses, Sitti Suharni; Kotarumalos, Sitti Sarifah
Jurnal Kebidanan Vol 5 No 2 (2025): Jurnal Kebidanan (JBd) Desember 2025
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v5i2.735

Premature Rupture of Membranes (PROM) is one of the obstetric complications that often causes morbidity and mortality in both mothers and infants. This condition occurs when the amniotic membranes rupture before the onset of labor contractions or before the gestational age reaches 37 weeks. PROM increases the risk of intrauterine infection, preterm labor, neonatal sepsis, and asphyxia if not properly managed. This case study aims to describe the application of Evidence Based Practice (EBP) in midwifery care for a woman in labor with PROM at Al-Fatah General Hospital Ambon. The case involved Mrs. D, a 22-year-old woman, G2P1A0, at 34 weeks of gestation, who was admitted to the hospital with complaints of watery discharge from the birth canal accompanied by lower abdominal pain and blood-stained mucus. Examination revealed cervical dilation of 7 cm, absence of membranes, fetal head at Hodge III, and a fetal heart rate of 145 beats per minute. The diagnosis was established as intrapartum stage I active phase with preterm premature rupture of membranes (PPROM). Midwifery management included close observation of labor progress, administration of Ringer’s Lactate infusion, and prophylactic intravenous Cefotaxime according to WHO guidelines. After four hours without progress, collaboration was carried out with an obstetrician, and a cesarean section (SC) was performed due to inadequate labor progression and risk of intrauterine infection. The implementation of EBP in this case proved to enhance maternal and neonatal safety through rapid, rational, and collaborative clinical decision-making. This evidence-based approach reflects Al-Fatah General Hospital Ambon’s commitment to providing safe, effective, and high-quality midwifery care.

Title

Found 5 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 5 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 5 Documents
Search