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Asuhan Kebidanan Komprehensif Pada Ny. M Umur 35 Tahun Dengan Kekurangan Energi Kronis Di Wilayah Kerja Puskesmas Bantarkawung Kabupaten Brebes Tahun 2023 Yuni Santika; Hafsah Hafsah; Mupliha Mupliha
Jurnal Medika Nusantara Vol. 2 No. 1 (2024): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i1.907

According to WHO (2021) MMR is about 395,000 cases of deaths worldwide due to pregnancy and childbirth. According to ASEAN (2021) MMR is 235,000. Per 100,000 live births, In Indonesia the number of MMR is 7,389, cases, Central Java Province contributes to MMR 199 per 100,000 live deaths Brebes Regency 105 cases of MMR, Data from Bantarkawun Health Center in 2021 MMR 5 cases and IMR 4 cases. To find out how Comprehensive Midwifery Care on Mrs. M Age 35 Years With Chronic Energy Deficiency at the Puskesmas Bantarkawung Research Methods In this study, researchers used a qualitative descriptive method. From the care given to Mrs.M, no significant gaps were found. From the care that has been given to Mrs. M comprehensively from pregnancy, childbirth, postpartum, LBW, and family planning in the Bantarkawung Puskesmas work area and at Mrs.M's home, using the Varnay approach flow, and SOAP documentation.

Asuhan Kebidanan Komprehensif Pada Ny. N G1P0A0 Dengan Faktor Resiko Umur Aryanti Musyarfah; Endang Susilowati; Mupliha Mupliha
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.377

Background: World Health Organization (WHO) in 2020 the maternal mortality rate (MMR) in the world is 152 deaths per 100,000 live births. In ASEAN, the highest MMR in 2020 is in Myanmar, which is 235 per 100,000 live births. The maternal mortality rate in Brebes Regency in 2020 was 62 cases. In the Bantarkawung Health Center working area in 2020 there was 1 case, in 2021 there were 5 cases. Objective: To provide comprehensive midwifery care services to Mrs. N Age 19 Years G1P0A0 with Risk Factors Age <20 Years at the Bantarkawung Health Center, Brebes Regency with a midwifery management approach according to Varney's seven steps and SOAP. Research method: This study uses descriptive qualitative research with a case study design. The Scientific Writing assignment report is written based on a case report of comprehensive midwifery care in pregnant women, childbirth, newborns, and postpartum using the type of case review study research method. Results: The results of comprehensive midwifery care are the absence of gaps between theory and practice where according to the theory pregnant women with a young age <20 years will experience several risks such as in any.N who experienced a short TFU of 28 cm. Conclusion: After conducting an assessment and collecting data on comprehensive midwifery care on Mrs. N with risk factors for age <20 years at the puskesmas from third trimester pregnancy.

Asuhan Kebidanan Komprehensif pada Ny. R Umur 26 Tahun G2P1A0 Dengan Preeklamsia di Wilayah Kerja Puskesmas Bantarkawung Kabupaten Brebes Tahun 2023 Rina Amelliana; Himatul Khoeroh; Mupliha Mupliha
Protein : Jurnal Ilmu Keperawatan dan Kebidanan. Vol. 2 No. 2 (2024): April : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i2.296

According to the World Health Organization (WHO), in 2021 around 329,000 women died due to complications related to pregnancy or childbirth throughout the world, MMR in Indonesia until 2022 was 305/100,000 live births, WHO data for 2021 states the Infant Mortality Rate (IMR) in the world amounted to 235 deaths per 100,000 live births. Brebes Health Office (2022) MMR 50 cases, IMR 259 cases. Data from Bantarkawung Community Health Center (2022) MMR 1 case, IMR 5 cases. This researcher is able to carry out comprehensive midwifery care for Mrs. R aged 26 years with Preeclampsia using Varney's seven-step obstetric management and SOAP. Based on the background above, the problem formulation is how Comprehensive Midwifery Care for Mrs. R aged 26 years in the working area of the Bantarkawung Community Health Center, Brebes Regency in 2023. The research design used by the author is qualitative descriptive research. Comprehensive Care for Mrs.R found problems early in pregnancy with preeclampsia. Labor was induced, and the newborn was normal. During the postpartum period, the uterine involution process goes well. Conclusion: Through this scientific paper, it is hoped that health center health workers can maintain and improve the quality of health services in accordance with service standards and the application of theory.

Asuhan Kebidanan Komprehensif Pada Ny.M.Umur 20 Tahun dengan Resiko Tinggi Kekurangan Energi Kronik (KEK), Letak Sungsang dan Tinggi Badan < 150 cm di Wilayah Puskesmas Bantarkawung Tahun 2023 Ana Aryanti; Endang Susilowati; Mupliha Mupliha
Protein : Jurnal Ilmu Keperawatan dan Kebidanan. Vol. 3 No. 1 (2025): Januari: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i1.938

According to the Indonesian Ministry of Health in 2020, the number of maternal mortality rates (MMR) in Indonesia is still quite high, totaling 4,627 cases of maternal death. This number shows an increase compared to 2019 of 4,221 cases of maternal death (Indonesian Health Profile, 2021). Objective: To apply the theory that has been obtained at the academy with comprehensive midwifery care for pregnant women, laboring women, postpartum women, newborns, and family planning in practice using Varney and SOAP documentation, is there a gap between theory and practice. Research method: In this study the authors used a qualitative research method with a case study approach which was carried out by examining a problem through a case consisting of a single unit. Results: At the first pregnancy obstetric care visit, there was a problem of Chronic Energy Deficiency (CHD) where LiLA was 22.5 cm and also breech location. After being given counseling about high calorie balanced nutrition there was an increase in the size of LiLA by 2, 5 cm so that the mother did not experience SEZ. In the process of childbirth was done by Sectio Caesarea. In the postpartum period there was no complication in the postpartum period. Newborn was normal, no problems. In family planning, Mrs. M chose to use a 3-year family planning implant. Conclusion: During the assistance to Mrs. M, the health problems experienced by Mrs. M, especially the incidence of SEZ in pregnant women can be resolved, and there is a gap between theory and practice related to the size of LiLA and the height of the mother.

Asuhan Kebidanan Komprehensif pada Ny. F, 25 Tahun, G2P1A0 dengan KEK di Puskesmas Bantarkawung, Brebes, 2024 Nurlela Purnamasari; Endang Susilowati; Mupliha Mupliha
Jurnal Medika Nusantara Vol. 3 No. 2 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i2.1789

Background: The maternal mortality rate in Brebes district in 2023 will again be the highest in Central Java after experiencing a decline in 2022. Objective: The aim of this research is to be able to implement Comprehensive Midwifery Care for Mrs F aged 25 years G2P1A0 with Chronic Energy Deficiency (KEK) at the Bantarkawung Community Health Center, Brebes Regency using Varney's seven-step midwifery management and SOAP documents. Research Method: The research method used is qualitative descriptive research with a case study approach. The case study carried out was in the form of comprehensive midwifery care that examined women during pregnancy, childbirth, newborns and neonates, the postpartum period and family planning using Varney's seven-step midwifery management and SOAP documents. Research Results: The results of comprehensive midwifery care for Mrs. F were that during pregnancy, KEK was found which was not resolved. Delivery by Sectio caesarea and newborn to normal neonate period. During the postpartum period, a problem was discovered in the form of hemorrhoids in the mother, then care was given in the form of advice to consume foods high in fiber and the problem was resolved. The mother uses contraception in the form of an implant. Conclusion: Based on this care, it was concluded that the care had been carried out in accordance with midwifery service standards and the problems found had been resolved.

Asuhan Kebidanan Komprehensif Pada Ny.R Umur 23 Tahun G1P0A0 Dengan Kekurangan Energi Kronik (KEK) Kisty Syakilatih Fauzah; Endang Susilowati; Mupliha Mupliha
Protein : Jurnal Ilmu Keperawatan dan Kebidanan. Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1796

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.

Asuhan Kebidanan Komprehensif pada Ny. L Umur 24 Tahun dengan Anemia Sedang di Puskesmas Bantarkawung Kabupaten Brebes Tahun 2025 Tri Mulyani; Hafsah Hafsah; Mupliha Mupliha
Jurnal Siti Rufaidah Vol. 3 No. 4 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i4.269

Background: Maternal mortality according to WHO (2024) is 287,000, in Indonesia (2024) 183/100,000 live births, in Central Java (2024) 3,149 live births, in Brebes (2024) there were 54 cases of maternal mortality. At Bantarkawung Community Health Center (2024), there were no maternal deaths. One of the causes of maternal mortality is postpartum hemorrhage. Postpartum hemorrhage can be caused by anemia in mothers during pregnancy. Objective: It is hoped that the researcher can provide comprehensive midwifery care for Mrs. L in accordance with midwifery service standards, covering pregnancy, childbirth, newborns, neonates, postpartum, and family planning, using the midwifery management approach according to Varney and SOAP. Research method: The method used is qualitative descriptive with a comprehensive case study approach. Findings: During the researcher's assistance with anemia cases, the researcher did not find issues that required further in-depth investigation, but there were some occurrences resulting from anemia, one of which was the mother experiencing retained placenta. From the assistance process conducted by the researcher, the midwifery findings have been applied comprehensively, from pregnancy stages to family planning, in accordance with midwifery service standards.

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