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ASUHAN KEBIDANAN KOMPREHENSIF PADA NY.N USIA 29 TAHUN G2P1A0 DIWILAYAH KERJA PUSKESMAS MAOS Rini Rochayati; Ellyzabeth Sukmawati; Yuli Sya’baniah K; Norif Didik Nur Imanah; Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

One indicator of the state’s health status is the decrease in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Central Java Province in 2020 the MMR is 98,60 per 100.000 live births and the IMR is 8,2 per 1000 live births. Cilacap Regency MMR and IMR in recent years are still quite high. AKI in 2019 reached 15 cases. With continuous midwifery care from pregnancy to the selection of contraceptives, it is hoped that it will be an effort to reduce MMR and IMR in Indonesia and achieve optimal maternal and child health. The writing of this final project is in the form of a case study using a midwifery process approach using 7 steps of Varney and SOAP. The results of this study were obtained by Mrs. N during her pregnancy, she was in good health, the delivery process was normal, the puerperium involution was running normally, the baby was not jaundiced and was walking normally, and on family planning counseling the mother chose a 3-month injectable contraceptive. The conclusion of this study the author has applied continuous midwifery care to Mrs. N which is marked by the mother having followed all the recommendations, the mother’s complaints during pregnancy are resolved, the mother gives birth at a health facility, the postpartum period is running normally, the baby’s condition is normal, and the mother chooses a shhort-term contraceptive method.

STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.D MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA Diana Sriyani; Septi Tri Aksari; Dahlia Arief Rantauni; Ellyzabeth Sukmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Midwives have an important role in strategies to reduce maternal mortality and infant mortality. Midwives are responsible for providing continuous and plenary services through health education, counseling, health promotion, and normal delivery assistance as well as early detection of referral cases by conducting comprehensive supervision, care and management of pregnant women, maternity, postpartum, BBL, neonates, and family planning. The author of this final project in the form of a case study using midwifery management approach using 7 steps varney and documented in the form of SOAP. The subjects of this case study were pregnant women in the third trimester, namely Mrs. D age 24 years gestational age 35+4 weeks followed by physiological pregnancy, maternity, puerperium, BBL, and family planning. The results of this case study obtained Ny. D diagnosis G2P0A1 gestational age 35+4 weeks with good circumstances, and physiological delivery. Physiological puerperium, physiological newborns, neonates upbringing and physiologically provided family planning. Comprehensive midwifery care in Ny. D found gaps in pregnancy that is less than 6x ANC examination, Tetanus Toxoid immunization is not complete. No gaps were found in the puerperium, BBL, and neonates. The conclusion from the results of this case study is that comprehensive midwifery care has been given to Mrs. D of pregnant, maternity, puerperal, BBL, neonate and family planning with the result that all care is carried out and the mother and baby are in good condition.

STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.E MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA Risa Intan Fitriyani; Ellyzabeth Sukmawati; Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates. This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation. Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.

ASUHAN KEBIDANAN PADA Ny.D MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA DI PUSKESMAS SAMPANG Ana Riandari; Septi Tri Aksari; Dahlia Arief Rantauni; Norif Didik Nur Imanah; Yuli Sya’baniah Khomsah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Kehamilan, persalinan, Bayi Baru Lahir, Nifas dan Keluarga Berencana bertujuan untuk memberikan pelayanan secara continuity of care untuk mencegah terjadinya komplikasi. Asuhan kebidanan diberikan kepada Ny.D mulai Januari sampai Maret. Metode asuhan kebidanan pada laporan tugas akhir ini menggunakan manajemen kebidanan berdasarkan 7 langkah varney dan SOAP pada Ny.D dari usia kehamilan 39+1 minggu sampai memutuskan untuk menggunakan KB Implant pada Nifas hari kedua. Asuhan kehamilan dilakukan kunjungan antenatal sebanyak 1 kali selama kehamilan. Pada trimester III dengan keluhan sering kenceng-kenceng yang merupakan kontraksi palsu dan ibu sudah tahu bahwa itu merupakan kontraksi palsu, sehingga selama kehamilan Ny.D dalam keadaan baik dan normal. Asuhan persalinan tanggal 24 Januari 2022 Ny.D bersalin secara normal, ditolong oleh bidan dan sesuai dengan APN, bayi lahir spontan belakang kepala, jenis kelamin Perempuan, BBL: 3100 gram, PB: 48 cm. Asuhan masa nifas pada Ny.D berjalan lancar dan tidak ada komplikasi pada ibu dan bayinya juga. Pada ibu dan bayi sudah diberikan KIE selama proses asuhan dan pada masa nifas ibu sudah memutuskan untuk menggunakan KB Implant pada hari kedua masa nifas. Berdasarkan hasil asuhan kebidanan komprehensif yang telah dilakukan pada Ny.D diharapkan Ny.D dapat menerapkan KIE yang telah diberikan selama diberikannya asuhan sehingga kondisi ibu dan bayi tidak mengalami komplikasi.

KORELASI STATUS GIZI DENGAN PERKEMBANGAN MOTORIK KASAR PADA ANAK BALITA Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 2 (2022): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Perkembangan motorik harus diperhatikan karena merupakan awal dari kecerdasan dan emosional anak. Perkembangan motorik kasar membutuhkan nutrisi atau makanan agar bisa menghasilkan gerakan yang terkoordinasi. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi dengan perkembangan motorik kasar anak. Metode yang digunakan adalah survey analitik dengan pendekatan cross sectional. Populasi sebanyak 44 anak yang berusia 1-24 bulan yang dibawa oleh ibu atau pengasuh keposyandu dengan keadaan sehat fisik maupun mental. Teknik pengambilan sampelnya adalah total sampling dengan jumlah 44 anak. Dengan analisa uji statistik Kendall’s tau. Hasil penelitian diperoleh 84,2% dengan perkembangan motorik kasar normal dan 43,2% dengan status gizi baik. Hasil uji statistik korelasi kendall’s tau sebesar 0,427 dengan nilai signifikansi sebesar 0,002. Nilai kendall’s tau kemudian dilanjutkan dengan uji Z secara manual dengan hasil Z hitung > dari Z tabel (4,08 > 1,960) maka dapat dinyatakan terdapat hubungan yang signifikan antara status gizi dengan perkembangan motorik kasar anak usia 1-24 bulan di Posyandu Dwi Rahayu 3. Oleh karena itu disarankan kepada ibu-ibu yang mempunyai balita terutama usia 1-24 bulan untuk meningkatkan perawatan dan pemberian makanan yang bergizi pada anaknya supaya setatus gizi anak baik sehingga perkembangan motorik anak juga baik.

Penerapan Teknik Komplementer Pengunaan Gymball untuk Mempercepat Penurunan Kepala Nurhasanah Nurhasanah; Septi Tri Aksari; Dahlia Arief Rantauni; Norif Didik Nurimanah; Ellyzabeth sukmawati
Jurnal Mahasiswa Ilmu Kesehatan Vol. 1 No. 4 (2023): Oktober: Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v1i4.304

Background: Changes due to pregnancy are experienced by all women, starting from the digestive system, cardiovascular and musculoskeletal systems. Gradual bodily changes from a pregnant woman's increased weight cause the woman's posture and gait to change. Increased abdominal distension which makes the pelvis tilt forward, decreased abdominal muscle tone and the center of gravity shifts forward so that there is a tendency for the waist muscles to shorten if the abdominal muscles are stretched, causing an imbalance in the pelvic muscles which can cause discomfort in the lower back and also have an impact on lowering the baby's head. Objective: This study was to determine the relationship between using a gymball and lowering the fetal head in third trimester pregnant women.Method: This research uses primary and secondary data with a case study approach, namely providing complementary care in the form of using a gym ball to help lower the fetal head.Results: Pregnant women in the third trimester experienced head loss when using a gym ball.Conclusion: Based on the results of data analysis, using a gymball can help the decline process.Suggestion: It is hoped that PMB in Pesanggrahan village will become a forum and facilitator for pregnant women and women giving birth whose first stage is abnormal by using a gym ball to help lower the head and speed up the labor process.

Pemberian Lilin Aromaterapi Melati Terhadap Penurunan Kecemasan Pada Ibu Nifas Pricillia Agustina Yudi; Norif Didik Nur Imanah; Dahlia Arief Rantauni; Septi Tri Aksari
Jurnal Mahasiswa Ilmu Kesehatan Vol. 2 No. 3 (2024): Juli: Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v2i3.1340

Changes that occur during the postpartum period, both physiologically and psychologically, are often experienced by mothers, namely fatigue, changes in roles, and anxiety. One of the factors that causes anxiety in postpartum mothers is trauma caused during childbirth which causes anxiety. Handling anxiety in postpartum mothers can be done non-pharmacologically, namely with jasmine aromatherapy candles. This research aims to determine how giving jasmine aromatherapy candles reduces anxiety in postpartum mothers using qualitative research with case studies and data sources and types of data using interviews, examinations and observations. The implementation technique was carried out by Mrs. L by giving jasmine aromatherapy candles for approximately 10-15 minutes a day and giving aromatherapy to Mrs. L 6 times. The use of aromatherapy candles recommended to Mrs. L is done at night by placing an aromatherapy candle next to the bed so that the postpartum mother can inhale it. Giving jasmine aromatherapy candles to Mrs. L for 6 days, the results showed that Mrs. L felt more relaxed than before he was given the jasmine aromatherapy candle, as indicated by the mother feeling less anxious about caring for her baby and being mildly anxious, so giving the jasmine aromatherapy candle had an impact on reducing Mrs. L's anxiety. L.

Pijat Laktasi untuk Memperlancar Produksi Asi pada Ibu Nifas Hari Ke Satu Sampai Hari ke Enam Jesica Permatasari; Septi Tri Aksari; Norif Didik Nur Imanah; Dahlia Arief Rantauni
An-Najat Vol. 3 No. 3 (2025): Agustus : An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i3.3265

The postpartum period is a transitional period characterized by physiological and psychological changes. A common problem is disruption of the breastfeeding process, particularly the production of breast milk. Non-pharmacological efforts such as lactation massage can help increase breast milk production. This study aims to determine the effectiveness of lactation massage on the smooth production of breast milk in postpartum mothers using a qualitative case study method, with data obtained through interviews, examinations, and observations. The intervention carried out on Mrs. A was a lactation massage for 15–20 minutes, twice by the researcher and 10 times by her husband with a recommended frequency of massage twice a day in the morning and evening focusing on the breast area. Providing lactation massage to Mrs. A resulted in a significant increase in breast milk production, from 1 ml on the first day to 70 ml on the sixth day. Therefore, lactation massage is effective in increasing breast milk production and can be a supporting method in overcoming breastfeeding obstacles in postpartum mothers.

PEMBERIAN AROMA THERAPY LAVENDER TERHADAP KUALITAS TIDUR IBU POST PARTUM DI PUSKESMAS KESUGIHAN Rohmatul Laila; Septi Tri Aksari; Dahlia Arief Rantauni; Norif Didik Nur Imanah
Jurnal Intelek Dan Cendikiawan Nusantara Vol. 1 No. 4 (2024): AGUSTUS - SEPTEMBER 2024
Publisher : PT. Intelek Cendikiawan Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Masa nifas atau post partum merupakan masa pemulihan setelah melahirkan, pada masa nifas ibu akan mengalami penyesuaian setelah hamil dan melahirkan. Penyesuaian ini menyebabkan perubahan yang dapat menimbulkan ketidaknyamanan, ketidaknyamanan yang dapat dialami adalah rasa cemas dan gangguan tidur. Gangguan tidur pasca melahirkan dapat meningkatkan stres ibu dan meningkatkan kepekaan terhadap perubahan suasana hati. Ritme tidur ibu terganggu dan ibu lebih sering terbangun hal ini dapat meningkatkan depresi pasca melahirkan, suasana hati ibu, juga mempengaruhi kualitas tidur bagi ibu post partum. Untuk mengatasi masalah gangguan tidur dapat menggunakan terapi non farmakologi dan terapi farmakologi, salah satunya dengan menggunakan lilin aroma therapy lavender, aromaterapi adalah terapi yang didasarkan pada penggunaan sistematis minyak tumbuhan esensial (terkonsentrasi) yang disuling. Bunga, akar, tumbuh-tumbuhan, buah-buahan, damar atau kulit kayu dan senyawa aromatik tanaman lainnya untuk memelihara dan meningkatkan kesejahteraan fisik, fisiologis dan mental. Aromaterapi lavender terbukti efektif karena lavender sendiri memiliki aroma dan zat yang menenangkan sehingga membuat ibu merasa lebih rileks. Aromaterapi lavender juga terbukti meningkatkan kualitas tidur karena kandungan lalool lavender yang mampu memberikan efek menenangkan yang dapat mempengaruhi inti raphe otak.

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