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ASUHAN KEBIDANAN PADA IBU “KD”UMUR 20 TAHUN

PRIMIGRAVIDA DARI KEHAMILAN TRIMESTER III SAMPAI


42 HARI MASA NIFAS

ABSTRAK

Selama proses kehamilan dan persalinan sering terjadi komplikasi yang


berbahaya bagi ibu maupun janin sehingga diperlukan upaya untuk memantau
kesehatan ibu dan janin secara berkesinambungan. Tujuan penulisan ini, yaitu
untuk menjelaskan penerapan asuhan kebidanan pada ibu beserta janinnya selama
masa kehamilan/prenatal, menjelaskan penerapan asuhan kebidanan pada ibu
beserta bayi baru lahir selama masa persalinan/kelahiran, dan menjelaskan
penerapan asuhan kebidanan pada ibu beserta bayi sampai 42 hari masa
nifas/pascanatal. Metode yang digunakan untuk mengumpulkan daya, yaitu
dengan pendekatan studi kasus dengan metode wawancara dan studi dokumentasi.
Objek penelitian ini adalah ibu “KD” umur 20 tahun yang beralamat di banjar
Sangging, Desa Akah, Kecamatan Klungkung, Kabupaten Klungkung. Hasil
asuhan yang diberikan menunjukan ibu “KD” dalam keadaan fisiologis. Keluhan
yang dialami ibu pada trimester III yaitu sering kencing dan nyeri pinggang
namun tidak menggangu aktivitas ibu dan dapat diatasi. Pemantauan DJJ dalam
batas normal dan gerakan janin aktif. Persalinan terjadi pada usia kehamilan 40
minggu 3 hari yang berlangsung secara normal dan tidak terjadi masalah. Kala I
terjadi selama 6 jam, Kala II 31 menit, Kala III 4 menit dan dilakukan pemantauan
Kala IV sampai 2 jam postpartum. Bayi lahir spontan belakang kepala segera
menangis, gerak aktif dengan berat badan 3400 gram. Peningkatan berat badan
bayi sesuai dengan grafik peningkatan berat badan pada buku KIA. Berat badan
bayi sampai umur 42 hari yaitu 4500 gram. Bayi sudah diberi ASI on demand dan
telah mendapatkan imunisasi HB0, BCG, Polio I. Pada masa nifas ibu tidak
mengalami masalah, keadaan involusi uterus, pengeluaran lochea, proses laktasi
berjalan normal.

Kata kunci: asuhan kebidanan, ibu, trimester


THE MIDWIFERY CARE TO A MOTHER “KD” AGED 20 YEARS OLD OF
PRIMIGRAVIDA FROM TRIMESTER III OF PREGNANCY UNTIL 42
DAYS OF PUERPERIUM

ABSTRACT

During the process of pregnancy and childbirth there are often dangerous
complications happened for the mother and fetus so that efforts are needed to
monitor the health of mother and fetus continuously. The purposes of this paper
are to explain the application of mother's midwifery care along with her fetus
during pregnancy/prenatal, to explain the implementation of mother's midwifery
care along with newborn baby during childbirth, and to explain midwifery
application for mother and baby up to 42 days of puerperium/pascaatal. The
method used to collect data is by approach of case study with method of interview
and study of documentation. The object of this study is the mother of "KD" age 20
years from Banjar Sangging, Akah Village, Klungkung District, Klungkung
Regency. The results show the mother "KD" was in a physiological condition.
Complaints experienced by the mother in the third trimester were frequent
urination and low back pain but it did not interfere with her activities and it could
be overcome. DJJ monitoring within normal limits and active fetal movement. The
childbirth occurred in 40 weeks 3 days of the gestational age and no problems
occurred. Kala I occurred for 6 hours, Kala II 31 minutes, Kala III 4 minutes and
Kala IV monitoring until 2 hours postpartum. The baby was born spontaneously
with the head behind, immediately crying, active motion with a weight of 3400
grams. Increased infant weight in accordance with weight was in accordance
with the chart on KIA book. Baby's weight until the age of 42 days was 4500
grams. The baby has been breastfed on demand and has been immunized HB0,
BCG, Polio I. In the postpartum period the mother did not have problems; the
uterine involution, lochea expenditure, lactation process were also normal.

Keywords: midwifery care, mother, trimester