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Jurnal Kesehatan Husada Gemilang
Published by Sekolah Tinggi Ilmu Kesehatan Husada Gemilang
ISSN : 26153068     EISSN : 28278534     DOI : https://doi.org/10.61129/jkhg
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
JURNAL KESEHATAN HUSADA GEMILANG, Merupakan jurnal penelitian dan kajian ilmiah yang diterbitkan Unit Penelitian dan Pengabdian Masyarakat Akademi Kebidanan Husada Gemilang Tembilahan. Penyunting menerima kiriman naskah hasil kajian dan penelitian untuk bidang kesehatan dipublikasikan dijurnal ini. Jurnal dapat digunakan oleh dosen di perguruan tinggi kesehatan, praktisi kesehatan, perawat kesehatan, guru, mahasiswa kesehatan, dan orang-orang yang tertarik dengan masalah kesehatan. Naskah yang masuk akan di evaluasi dan disunting untuk keseragaman format tanpa mengubah maksud
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 97 Documents
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PERSPEKTIF REMAJA TERHADAP PERNIKAHAN DINI DI SMA NEGERI 1 TANAH MERAH TAHUN 2021 Ana Verena Puspa Rini
Jurnal Kesehatan Husada Gemilang Vol 4 No 2 (2021): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v4i2.59

Abstract

Marriage is a sacred procession in human life. In Indonesia, the phenomenon of marriage at an early age is not a new thing in society. In fact, marriage in early age can avoid negative things and form an independent person. Adolescence is the most important period in physical and psychological development. The purpose of this study is to find out the perspective of adolescents on early marriage at SMA Negeri 1 Tanah Merah in 2021. This research is a qualitative research with a descriptive approach. This research was obtained from the results of in-depth interviews using a questionnaire. The time of the research was carried out from December 2020 to January 2021. The respondens were 7 people, namely 5 main informants (students/students), 1 key informant (BK teacher) and 1 supporting informant (Principal). The knowledge results of interviews show that early marriage is under the age of 18 for women and under 20 years for men, the low economic factors, reduce the burden on the family and women have the right to continue their education. The results of the attitude obtained that teenagers may be dating but there are limitations. It is hoped that adolescents will be given health education about the reproductive system so that they understand the impact of early marriage.
ASUHAN KEBIDANAN PADA IBU NIFAS NY”E” P2A0H2 DI RUMAH BERSALIN BUNDA PUJATEMBILAHAN TAHUN 2019 Yolanda Novitri; Madinah
Jurnal Kesehatan Husada Gemilang Vol 4 No 2 (2021): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v4i2.60

Abstract

Approximately 60% of maternal deaths occur after childbirth and nearly 50% of it happened in the first 24 hours after childbirth. The total of post-partum mothers at the Bunda Puja Maternity Hospital Tembilahan were 271 people which from January to December 2019 was 195, and January to July 2020 was 76. The aim of this care is to provide midwifery care for Mrs. "E" P2A0H2 at Bunda Puja Maternity Hospital Tembilahan that was documented in SOAP form and analyzed their gaps in theory and practice. This care was carried out at the Bunda Puja Maternity Hospital Tembilahan on July 7th to August 4th, 2019. The data collection method used midwifery management by using varney mindset and documented in SOAP form. The results show there were gaps in theory and practice in the management of the third postpartum visit, where the mother did not do postpartum exercise due to the absence of the trainer / instructor, postpartum gymnastics facilities and infrastructure while on the third visit one of the care provided is postpartum exercise. It is hoped that it can maintain and improve midwifery care in the normal postpartum period, can facilitate postpartum gymnastics and for midwifery care centers can make overall visits to postpartum mothers.
PENGETAHUAN DAN SIKAP SUAMI TENTANG PERAWATAN BAYI Sitorus, Agnes
Jurnal Kesehatan Husada Gemilang Vol 5 No 1 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i1.62

Abstract

The period after birth is the beginning of a baby's life, but it is difficult for babies because of changes in the environment from intrauterine to extrauterine which is very different. For this reason, babies need optimal care during this period. Wives or mothers are not always able to do their own care for their babies. This study aims to identify husbands' knowledge and attitudes towards baby care in the Working Area of Gajah Mada Health Center. The research design is descriptive with a sample of 34 husbands who have babies, the sampling method is total sampling. The results obtained based on the husband's knowledge category showed that the majority of husbands who had babies had sufficient knowledge about baby care, namely 18 husbands (52.9%). Based on the husband's attitude category, all husbands who have babies have a positive attitude about baby care, namely 34 husbands (100%). Thus the delivery of health information and counseling by health workers is still needed to provide good knowledge and attitudes about infant care. Periode setelah kelahiran merupakan awal kehidupan bayi, namun hal yang sulit bagi bayi karena perubahan lingkungan kehidupan dari lingkungan kehidupan intrauterin menjadi ekstrauterin yang sangat berbeda. Untuk itu bayi memerlukan perawatan yang optimal selama masa ini. Istri atau ibu tidak selalu dapat melakukan perawatan sendiri untuk bayinya. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan dan sikap suami terhadap perawatan bayi di Wilayah Kerja Puskesmas Gajah Mada. Desain penelitian ini adalah deskriptif dengan sampel sebanyak 34 suami yang memiliki bayi, metode pengambilan sampel total sampling. Hasil penelitian diperoleh Berdasarkan kategori pengetahuan suami menunjukkan mayoritas suami yang memiliki bayi mempunyai pengetahuan cukup tentang perawatan bayi yaitu 18 orang suami (52,9%). Berdasarkan kategori sikap suami menunjukkan seluruh suami yang memiliki bayi mempunyai sikap positif tentang perawatan bayi yaitu 34 orang suami (100%). Dengan demikian penyampaian informasi dan penyuluhan kesehatan oleh tenaga kesehatan masih diperlukan untuk memberikan pengetahuan dan sikap yang baik tentang perawatan bayi.
BLADDER TRAINING PADA IBU POST SECTIO CAESAREA Afni, Darma; Indah Sari, Nurul
Jurnal Kesehatan Husada Gemilang Vol 5 No 1 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i1.63

Abstract

Bladder training is a prominent factor in accelerating post-surgical recovery and can prevent post-surgical complications. The aim of the study was to determine Bladder training in post-cesarean section mothers in the Midwifery Room of Puri Husada Tembilahan Hospital. The study used a descriptive research design with a cross sectional approach. The sample in the research was 32 post-cesarean mothers using a total sampling technique carried out from February to April 2019. The data collection tool was a questionnaire that contained demographic data and was filled in by the researchers themselves. The results of the research on the frequency distribution of respondents based on bladder training showed that all respondents did bladder training after cesarean section. It can be concluded that all respondents want to do bladder training and it is very beneficial for mothers after cesarean section. Bladder training merupakan faktor yang menonjol dalam mempercepat pemulihan pasca bedah dan dapat mencegah komplikasi pasca bedah. Tujuan penelitian adalah mengetahui Bladder training pada ibu pasca seksio sesarea Ruang Kebidanan RSUD Puri Husada Tembilahan. Penelitian menggunakan desain penelitian deskriptif dengan pendekatan cross sectional. Sampel dalam penelitan adalah ibu pasca seksio sesarea sebanyak 32 orang dengan menggunakan teknik pengambilan sampel secara total sampling dilakukan pada bulan Februari sampai April 2019. Alat pengumpulan data adalah kuisioner yang berisi data tentang data demografi dan diisi sendiri oleh peneliti langsung. Hasil penelitian distribusi frekuensi responden berdasarkan bladder training didapatkan hasil seluruh responden melakukan bladder training pasca seksio sesarea. Dapat disimpulkan seluruh responden mau melakukan bladder training dan sangat bermanfaat bagi ibu-ibu pasca seksio sesarea.
ASUHAN KEBIDANAN PADA NEONATUS NY. “S” DI RUMAH BERSALIN BUNDA PUJA TEMBILAHAN TAHUN 2019 Ariska, Wika; Astuti, Haryati; Madinah, Madinah
Jurnal Kesehatan Husada Gemilang Vol 5 No 1 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i1.64

Abstract

Neonatal are the first period of life outside the womb until the age of 28 days. The infant mortality rate (Kemenkes, 2018) in Indonesia is 185/day, AKN 15 per 1000 live births. Based on the Dinkes Profile (2019), the number of neonatal deaths in Indragiri Hilir Regency is 21 neonatal deaths and a complete KN of 79.9% means that it has not reached the SPM target. This obstetric care is to provide care for Mrs. "S" neonates at the Mother's Maternity Home Puja Tembilahan in 2019 using Varney's thinking flow method and documented in the form of SOAP. From the results of visits made on July 16, 2019 to August 03, 2019 as many as 3 times, KN1 (11 hours) was carried out at RB, KN2 (5 days) and KN3 (20 days) were carried out at home. From the results of the implementation of the upbringing, there are theoretical and practical gaps, namely the non-examination of SHK and the discrepancy in the timing of the provision of HB0 immunization on KN1 and no BB weighing on KN2 and KN3. It is hoped that the caregiver will be able to pay attention to and carry out every type of service to neonates and the Bunda Puja Maternity Home is expected to improve the quality of services for neonates by facilitating SHK examination equipment or collaborating with more adequate facilities. Neonatus adalah masa kehidupan pertama diluar rahim sampai dengan usia 28 hari. Angka kematian bayi (Kemenkes, 2018) di Indonesia 185/hari, AKN 15 per 1000 kelahiran hidup. Berdasarkan Profil Dinkes (2019) jumlah kematian neonatus di Kabupaten Indragiri Hilir sebanyak 21 kematian neonatus dan KN lengkap 79,9% artinya belum mencapai target SPM. Asuhan kebidanan ini untuk memberikan asuhan pada neonatus Ny. “S” di Rumah Bersalin Bunda Puja Tembilahan tahun 2019 dengan menggunakan metode alur fikir Varney dan didokumentasikan dalam bentuk SOAP. Dari hasil kunjungan yang dilakukan pada 16 Juli 2019 sampai dengan 03 Agustus 2019 sebanyak 3 kali, KN1 (11 jam) dilakukan di RB, KN2 (5 hari) dan KN3 (20 hari) dilakukan dirumah. Dari hasil pelaksanaan asuhan terdapat kesenjangan teori dan praktik yaitu tidak dilakukannya pemeriksaan SHK dan ketidaksesuaian waktu pemberian imunisasi HB0 pada KN1 dan tidak dilakukan penimbangan BB pada KN2 dan KN3. Diharapkan pemberi asuhan untuk dapat memperhatikan dan melaksanakan setiap jenis pelayanan pada neonatus dan Rumah Bersalin Bunda Puja diharapkan dapat meningkatkan mutu pelayanan pada neonatus dengan memfasilitasi peralatan pemeriksaan SHK atau melakukan kerja sama ke fasilitas yang lebih memadai.
ASUHAN KEBIDANAN PADA IBU NIFAS NY “D”P3A0H3 DIRUMAH BERSALIN BUNDA PUJA Zuleha, Zuleha; Harianis, Sandra
Jurnal Kesehatan Husada Gemilang Vol 5 No 1 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i1.65

Abstract

The postpartum begins after the birth of the placenta and ends when the uterus organs return to their pre-pregnancy state. The postpartum lasts about 6 weeks. It is estimated that 60% of maternal deaths due to pregnancy occur after childbirth and 50% of postpartum deaths occur within the first 24 hours, one of the causes is puerperal bleeding because it requires proper treatment. The purpose of this midwifery care is to be able to provide comprehensive midwifery care services to the post-partum Mrs. "D" P3A0H3 at the Bunda Puja Maternity Hospital Tembilahan in 2019. This method of care uses documented varnemidset midwifery management in the form of SOAP. From the results of midwifery care that has been carried out at Mrs. "D" P3A0H3 with normal postpartum from August 4 to September 12 2019, in this case it was found that there was a gap, that isBunda Puja Maternity Hospital did not perform postpartum exercises. The conclusions of this study are assessment, data interpretation, identification of diagnoses and potential problems, identification of needs that require immediate treatment, comprehensive care planning, efficient planning, comprehensive evaluation of care measures, efficient planning, evaluation of midwifery care measures. Maintaining the performance of the health workers who work at the Bunda Puja Maternity Hospital so that clients remain satisfied with the care provided. Masa nifas dimulai setelah kelahiran plasenta dan berakhir ketika alat-alat kandungan kembali seperti keadaan sebelum hamil. Masa nifas berlangsung selama kira-kira 6 minggu. Diperkirakan 60% kematian ibu akibat kehamilan terjadi setelah persalinan dan 50% kematian masa nifas terjadi dalam 24 jam pertama, salah satu penyebabnya adalah perdarahan masa nifas karena itu diperlukan penanganan yang tepat. Tujuan dari asuhan kebidanan ini adalahmampu memberikan pelayanan asuhan kebidanan secara komprehensif Pada Ibu Nifas Ny “D” P3A0H3 Di Rumah Bersalin Bunda Puja Tembilahan Tahun 2019. Metode asuhan ini menggunakan manajemen kebidanan alur fikir varney yang didokumentasikan dalam bentuk SOAP.Dari hasil asuhan kebidananyang telah dilakukan pada Ny “D” P3A0H3 dengan nifas normal dari tanggal 04 Agustus s/d 12 September 2019 dalam hal ini didapatkan adanya kesenjangan yaitu Rumah Bersalin Bunda Puja tidak melakukan senam nifas. Kesimpulan dari penelitian ini adalah pengkajian, interprestasi data, identifikasi diagnosa dan masalah potensial, identifikasi kebutuhan yang memerlukan penanganan segera, perencanaan asuhan yang menyeluruh, perencanaan efisien, evaluasi tindakan asuhan yang menyeluruh, perencanaan secara efisien, evaluasi tindakan asuhan kebidanan. Mempertahankan kinerja pada tenaga kesehatan yang bekerja di Rumah Bersalin Bunda Puja yang baik agar klien tetap merasa puas dengan asuhan yang diberikan.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “R” DI KLINIK UTAMA LESTARI TEMBILAHAN TAHUN 2021 Yundra Liana, Elva
Jurnal Kesehatan Husada Gemilang Vol 5 No 1 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i1.66

Abstract

Background: Comprehensive care in midwifery care is a series of continuous and comprehensive activities, starting from pregnancy, childbirth, postpartum, family planning services. Purpose: Able to carry out comprehensive midwifery care based on the Varney management approach and documented in the SOAP method at the Lestari main clinic in 2021. Result: This comprehensive midwifery care was carried out on Mrs. R. Age 35 years G3P2A0H2 In ANC care that met the 10 T standard, the INC went well, the stage I lasted 2 hours 10 minutes, the stage II lasted 9 minutes, the stage III lasted 10 minutes, and the IV stage lasted for 2 hours, there was no laceration of the birth canal. The baby was born spontaneously, weight 3600 g, body length was 49 cm and neonates visits were carried out 3 times. The postpartum period went normally without any complications, 4 visits were made and family planning care Mrs. R chose 1 month injection KB as her contraceptive method. From these results it can be concluded that the comprehensive care provided to Mrs. R has met the standards. Suggestion: It is hoped that all health workers will be able to update their knowledge by attending training and seminars related to midwifery. Asuhan komprehensif dalam asuhan kebidanan merupakan serangkaian kegiatan yang berkelanjutan dan menyeluruh, dimulai dari kehamilan, persalinan, nifas, pelayanan KB. Tujuan Penelitian Mampu melaksanaan Asuhan kebidanan komprehensif dasar pendekatan manajemen varney dan didokumentasikan dalam metode SOAP diklinik utama Lestari tahun 2021. Hasil Penelitian Asuhan kebidanan komprehensif ini dilakukan pada Ny.R Umur 35 Tahun G3P2A0H2 Pada asuhan ANC telah memenuhi standart 10 T, INC berjalan dengan baik, kala I berlangsung selama 2 jam 10 menit, kala II berlangsung selama 9 menit, kala III berlangsung selama 10 menit, dan kala IV berlangsung selama 2 jam, tidak terdapat laserasi jalan lahir. Bayi lahir spontan, berat badan 3600 gr, panjang badan 49 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.R memilih KB suntik 1 bulan sebagai metode kontrasepsinya. Dari hasil tersebut dapat disimpulkan bahwa asuhan komprehensif yang diberikan pada Ny.R sudah memenuhi standart. Saran Diharapkan untuk semua tenaga kesehatan untuk dapat mengupdate ilmu dengan mengikuti pelatihan serta seminar yang berhubungan dengan kebidanan.
ASUHAN KEBIDANAN KOMPREHENSIF NY.L DI KLINIK UTAMA LESTARI TEMBILAHAN Safitri, Ayu
Jurnal Kesehatan Husada Gemilang Vol 5 No 2 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i2.67

Abstract

Comprehensive care is a series of continuous and comprehensive care so as to be able to suppress or reduce MMR and IMR in Indragiri Hilir district. The aim of the research is to be able to provide comprehensive care and to be able to differentiate between theory and practice. The method used is the midwifery management approach with the Varney step mindset which is outlined in the form of SOAP. The results of this study were that in the care given to Mrs.L starting in the third trimester of pregnancy up to the KB Mrs.L only carried out 2 ANC examinations. INC went pretty well, stage 1 lasted 9 hours 45 minutes there was no gap in the theory of normal delivery, stage II lasted 30 minutes, stage III lasted 6 minutes. The baby was born normal, weight 3700gr, body length 50cm, had 3 neonatal visits and no SHK examination was carried out. The postpartum period proceeded normally without complications, 4 postpartum visits were made and Mrs. L chose the 3-month injection as a contraceptive method. From these results the comprehensive care provided to Mrs. L did not meet the standards. The suggestion is that all health workers are expected to be able to provide services in accordance with Standard Operations (SOP) in order to achieve optimal health service standards. Asuhaan komprehensif merupakan serangkaian asuhan yang berkelanjutan dan menyeluruh sehingga mampu untuk menekan atau mengurangi AKI dan AKB Di kabupaten Indragiri Hilir. Tujuan penelitian mampu memberikan asuhan komprehensif dan mampu membedakan teori dan praktik. Metode digunakan yaitu pendekatan manajemen kebidanan dengan pola fikir langkah varney yang dituangkan dalam bentuk SOAP. Adapun hasil pada penelitian ini yaitu Pada asuhan yang diberikan kepada Ny.L mulai hamil trimester III sampai dengan KB Ny.L hanya melakukan pemeriksaan ANC sebanyak 2 kali. INC berjalan cukup baik, kala 1 berlangsung selama 9 jam 45 menit tidak terjadi kesenjangan teori persalinan normal, pada kala II berlangsung selama 30 menit, kala III berlangsung selama 6 menit. Bayi lahir normal, berat badan 3700gr, panjang badan 50cm, dilakukan kunjungan neonatus 3 kali dan tidak dilakukan pemeriksaan SHK. Masa nifas berjalan normal tanpa penyulit, dilakukan kunjungan nifas sebanyak 4 kali dan asuhan keluarga berencana Ny. L memilih KB Suntik 3 Bulan sebagai metode kontrasepsinya. Dari hasil tersebut asuhan komprehensif yang diberikan pada Ny, L belum memenuhi standar. Adapun saran diharapkan semua tenaga kesehatan untuk dapat memberikan pelayanan yang sesuai dengan Standard Oprasional (SOP) agar dapat mencapai standard pelayanan kesehatan yang optimal.
ASUHAN KEBIDANAN KOMPREHENSIF NY. R DI KLINIK UTAMA NILAM SARI TEMBILAHAN 2021 Lestari, Evi
Jurnal Kesehatan Husada Gemilang Vol 5 No 2 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i2.68

Abstract

Comprehensive care is a series of continuous and comprehensive activities starting from pregnancy to family planning. Based on the register book of the Nilam Sari Clinic for the last year from January to December 2020, the number of pregnant women was 331 people, maternity mothers 214 people, newborn baby 206 people, postpartum mothers 216 people, and family planning 2 196 people. Purpose Able to provide comprehensive care. Methode The midwifery management approach method with the Varney mindset as outlined in the SOAP was carried out from 12 February to 04 April 2021 at the Nilam Sari Clinic Tembilahan and Midwifery care with Mrs. R as asubject. Result The ANC care has met the standard 10 T requirements, but there are gaps in screening for TT immunization status and pregnancy tests. INC went well, but in the stage III there was a gap in the form of giving methergin, and the stage IV in the form of catheter insertion. The baby was born spontaneously, weight 2800 grams, body length was 47 cm, and 3 times neonate visits. The postpartum period went normally without any complications, 4 visits were made and the mother's family planning care chose mini-pill contraception as the method of contraception. It is expected that mothers in their next pregnancy carry out regular ANC checks to health workers during pregnancy and carry out TT immunizations. Asuhan komprehensif merupakan serangkaian kegiatan yang berkelanjutan dan menyeluruh mulai dari hamil s/d KB. Berdasarkan buku register Klinik Nilam Sari satu tahun terakhir Januari hingga Desember 2020, jumlah ibu hamil 331 orang, ibu bersalin 214 orang, BBL 206 orang, ibu nifas 216 orang, dan KB 2. 196 orang. Adapun tujuan Mampu memberikan asuhan komprehensif. Metode pendekatan manajemen kebidanan dengan pola fikir varney yang dituangkan dalam bentuk SOAP dilaksanakan dari 12 Februari s/d 04 April 2021 di Klinik Nilam Sari Tembilahan. Asuhan kebidanan dengan subjek asuhan Ny. R. Adapun hasil penelitian Pada asuhan ANC telah memenuhi syarat standar 10 T, tetapi ada kesenjangan pada skrining status imunisasi TT dan pemeriksaan kehamilan. INC berjalan dengan baik, tetapi kala III ada kesenjangan berupa pemberian methergin, dan kala IV berupa pemasangan kateter. Bayi lahir spontan, berat badan 2800 gram, panjang badan 47 cm, dan dilakukan kunjungan neonatus sebanyak 3 kali. Masa nifas berjalan normal tanpa ada penyulit, dilakukan kunjungan sebanyak 4 kali dan asuhan keluarga berencana ibu memilih KB mini pil sebagai metode kontrasepsinya. Diharapkan untuk ibu pada kehamilan berikutnya melaksanakan pemeriksaan ANC secara teratur ke tenaga kesehatan selama kehamilan dan melakukan imumnisasi TT.
ASUHAN KEBIDANAN KOMPREHENSIF NY ”L” DI KLINIK UTAMA BUNDA PUJA TAHUN 2021 Karmila, Karmila
Jurnal Kesehatan Husada Gemilang Vol 5 No 2 (2022): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v5i2.69

Abstract

In the third trimester of pregnancy, the mother complains of nausea and frequent urination. The cause of nausea in mothers is the size of the uterus is getting bigger which can cause pressure on the stomach and back up into the esophagus, causing nausea during late pregnancy and increased production of the hormone progesterone which can trigger nausea in the mother. Frequent urination is caused by the fetal head starting to descend downward, causing pressure on the bladder and causing the mother to urinate frequently. Based on the theory, the complaints felt by the mother are physiological and can still be overcome. This Final Project Report is a comprehensive midwifery care carried out for Mrs. L G4P3A0H3 39-40 weeks of pregnancy which was carried out on 09 February 2021 to 28 March 2021 from the 3rd trimester of pregnancy, childbirth, postpartum, BBL, to family planning which was documented with implementation of varney management and SOAP documentation. The results of comprehensive midwifery care in the delivery process have gaps, namely internal examinations that are carried out irregularly and there are no indications when conducting internal examinations. Meanwhile, according to the theory, internal examination is carried out every 4 hours unless there is an indication. In spacing pregnancies and family planning counseling has been done, the mother chooses to use the pill. It is recommended that midwives can improve comprehensive midwifery care in providing quality and quality services. Pada kehamilan Trimester 3 ibu mengeluh mual-mual dan sering kencing. Penyebab rasa mual pada ibu yaitu ukuran rahim semakin besar yang dapat menyebabkan tekanan pada lambung dan naik kembali ke kerongkongan sehingga menyebabkan mual saat hamil tua serta meningkatnya produksi hormon progesterone yang bisa memicu rasa mual pada ibu. Sering kencing disebabkan kepala janin sudah mulai turun kebawah, sehingga terjadi penekanan pada kandung kemih dan menyebabkan ibu sering kencing. Berdasarkan teori keluhan yang dirasakan ibu merupakan fisiologis dan masih bisa diatasi. Laporan Tugas Akhir ini merupakan asuhan kebidanan komprehensif yang dilakukan pada Ny.L G4P3A0H3 usia kehamilan 39-40 minggu yang dilaksanakan pada tanggal 09 Februari 2021 sampai tanggal 28 Maret 2021 dari masa kehamilan trimester 3, bersalin, nifas, BBL, sampai KB yang didokumentasikan dengan penerapan manajemen varney dan pendokumentasian SOAP. Hasil dari asuhan kebidanan secara komprehensif pada proses persalinan terdapat kesenjangan yaitu pemeriksaan dalam yang dilakukan secara tidak teratur serta tidak ada indikasi saat melakukan pemeriksaan dalam. Sedangkan menurut teori pemeriksaan dalam dilakukan setiap 4 jam sekali kecuali adanya indikasi. Dalam menjarakkan kehamilan dan sudah dilakukan konseling KB, ibu memilih untuk menggunakan KB pil. Disarankan kepada bidan dapat meningkatkan asuhan kebidanan secara Komprehensif dalam melakukan pelayanan yang berkualitas dan bermutu.

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