Goals :
1. Provide appropriate health education to prepare for a healthy pregnancy and planned to be a
responsible parent
2. Midwife provide counseling and advice to individuals , families and communities on all matters
relating to pregnancy , including public health education , nutrition , family planning and
preparedness in dealing with pregnancy and becoming a parent candidate , avoiding bad habits
and good habits to support
3. Communities and individuals to participate in efforts to achieve a healthy pregnancy, mothers,
families and communities to increase knowledge about the function of reproductive organs and
the dangers of pregnancy at a young age
4. Midwife work with cadres of health and related sectors as needed .
1. Goals :
Find anemia in early pregnancy , and do adequate follow-up to address anemia before delivery takes
place
1. Standard statement :
There are guidelines for the management of anemia in pregnancy
Examine the levels of HB all pregnant women at the first visit and at week 28 . HB below 11 g% in
pregnancy include anemia , 8 % are under severe anemia . And if severe anemia occurs , for example,
face pale , tired , pale bluish fingernails , eyelids very pale , immediately refer pregnant women for
further examination and treatment . Pregnant women with anemia suggest to keep taking iron tablets
until 4-6 months after birth .
STANDARD 7 : MANAGEMENT OF HYPERTENSION IN EARLY PREGNANCY
1. Goals :
Recognize and locate early hypertension in pregnancy and take the necessary action
1. Standard statement :
Midwife found early every increase in blood pressure in pregnancy and recognize signs and symptoms
of pre - eclampsia other , and to take appropriate action and refer
1. The result :
Pregnant women with pre-eclampsia signs and getting adequate treatment on time , decrease morbidity
and mortality due to eclampsia
1. Requirements :
Midwife perform regular pregnancy checks , blood pressure measurement
1. Standard statement :
Midwife provide appropriate advice to pregnant women , the husband and his family in the third
trimester , to ensure that the preparation of a clean and safe delivery and pleasant atmosphere will be
well planned .
1. Prerequisites :
1. All mothers should do 2 antenatal visits in last trimester of pregnancy
2. The existence of national policies and protocols / local delivery of indications that should be
referred and be in hospitals
3. Midwives trained and skilled delivery assistance in conducting a safe and clean
4. Essential equipment for antenatal checks available
5. Critical equipment that need to help clean and safe deliveries are available in the state of
DTT / sterile
6. Any transportation arrangements for referring pregnant mothers quickly in case of
emergencies mother and fetus
7. Using KMS pregnant women / mothers cards and books KIA phatograf
8. Effective referral system for pregnant women who experience complications during
pregnancy .
1. The result :
1. Maternal emergency treatment is adequate and timely when needed
2. Increase the coverage of labor and other complications that helped skilled health personnel
3. Reduced mortality / morbidity due to maternal or infant prolonged labor .
1. Standard statement :
use reduces the incidence of post- persalinan1 bleeding. Destination Ensure a clean and safe delivery
for mother and baby
1. requirements
1. Midwife called if the mother has begun to heartburn / rupture
2. Midwives are skilled in helping terlalih and delivery in a clean and safe
3. Available tools to aid delivery including sterile gloves
4. Supplies adequate tools
1. standard statement
Midwives perform properly handling the umbilical cord to help expulsion of the placenta and
membranes are complete
1. goals :
Expedite delivery with episiotomy done if there are signs of fetal distress during the fetal head
perineum .
1. standard statement
Midwife precisely recognize the signs of distress in the second stage jani old , and immediately
perform an episiotomy to induce labor safely , followed by suturing the perineum
1. destination
Assess the condition of the newborn and help start breathing and prevent hypothermia , and infection
hipoglikemia
1. standard statement
Midwifes examine and assess the newborn to ensure breathing prevent spontaneous secondary hypoxia
, find abnormalities , and take action or refer as needed . Midwife also have to prevent and deal with
hypothermia
1. destination
Promote maternal and infant care is clean and safe for when the baby is 4 to restore health , improve
care dear mother and darling baby , began administering IMD
1. Standard statement :
Midwife to monitor the mother and baby to the occurrence of complications within two hours after
delivery , and perform actions that need
1. goals :
Providing services to mothers and infants up to 42 days after birth and exclusive breastfeeding
counseling
1. Standard statement :
Midwives provide care during childbirth through home visits on the third day , and a week to two to
six weeks after childbirth , to assist in the recovery of the mother and baby through the umbilical cord
right treatment , early detection of treatment or referral of complications that may occur during
childbirth , as well as provide an explanation of the general health , personal hygiene , nutritious food ,
newborn care , breastfeeding , immunization and family planning
1. Standard statement :
Midwife precisely recognize the signs and symptoms of bleeding in pregnancy , as well as first aid and
refer
1. goals :
Understand early signs and symptoms of severe preeclampsia and provide proper and immediate care
in the handling of emergency occurs when eclampsia
1. standard statement
Midwife precisely recognize the signs and symptoms of threatening eclampsia , as well as referring
and or providing first aid .
1. Objective:
to know the immediate and proper handling of the state of emergency in prolonged labor / jammed
1. Standard statement :
Midwife precisely recognize the signs and symptoms of prolonged labor and perform an adequate and
appropriate treatment or refer to future
1. Purpose :
to accelerate delivery in certain circumstances by using the vacuum extractor
1. Standard statement :
Midwife recognize when in need of vacuum extraction , do it right in giving aid delivery to ensure
safety for both mother and fetus / baby .
1. Purpose:
to recognize and take appropriate action in the event of retained placenta total / partial
1. Standard statement :
Midwife are able to recognize retained placenta , and provide first aid and manual handling including
placental bleeding , according to the needs
1. Purpose:
to recognize and take appropriate action in emergency aid to mothers with primary PPH / uterine Atoni
1. Standard statement :
Midwife to recognize excessive bleeding in the first 24 hours after childbirth ( postpartum hemorrhage
primer ) and immediate first aid to control bleeding
1. Purpose:
to recognize the symptoms and signs of secondary postpartum hemorrhage and perform proper
treatment to save the mother's life
1. Standard statement :
Midwife are able to recognize the early signs and appropriate and symptoms of secondary postpartum
hemorrhage , and perform life-saving first aid to the mother , or refer
1. Aim to recognize the signs of puerperal sepsis and take appropriate action
1. Standard statement :
Midwife were able to observe precisely puerperal sepsis signs and symptoms , as well as first aid or
refer
1. Objective:
to know the exact newborns with neonatal asphyxia , take appropriate action and conduct emergency
relief newborns who suffered asphyxia neonatorum
1. Standard statement :
Midwife are able to recognize the right of newborns with asphyxia , and resuscitation immediately ,
seek medical assistance as needed and provide follow-up care .