PERAWAT MATERNITAS PADA

MASA PANDEMI COVID 19

Prof, Dra ,Setyowati, SKp,MAppSc,PhD

2020
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 Prinsip-prinsip manajemen COVID-19
di fasilitas kesehatan

universal precaution:cuci
tangan,alat pelindung isolasi awal, prosedur pemeriksaan SARS-CoV-2 dan
diri,olah raga, istirahat, gizi pencegahan infeksi sesuai pemeriksaan infeksi pemantauan janin
yang seimbang,etika batuk- standar, terapi oksigen, dan kontraksi uterus, ventilasi mekanis
bersin hindari kelebihan cairan, lebih dini penyerta, yang lain,
pemberian antibiotik empiris

pendekatan berbasis tim

dengan multidisipin.
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 Bagi Ibu Hamil:

Pengisian stiker Program Perencanaan Persalinan

dan Pencegahan Komplikasi (P4K) dipandu
bidan/perawat/dokter melalui media komunikasi.
menjaga kesehatan dengan
mengonsumsi makanan
bergizi seimbang, menjaga
Pelajari buku KIA kebersihan diri dan tetap
mempraktikan aktivitas fisik
berupa senam ibu hamil

Ibu hamil harus

Ibu hamil tetap Kelas Ibu Hamil ditunda
memeriksa kondisi dirinya
pelaksanaannya sampai
sendiri dan gerakan minum tablet tambah kondisi bebas dari
janinnya(minimal 10 darah pandemik COVID-19.
gerakan per 2 jam).
• Kelas Ibu Hamil ditunda pelaksanaannya sampai kondisi bebas
dari pandemik COVID-19.

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Tenaga Kesehatan Yang Menangani Pasien COVID-
19 Khususnya Ibu Hamil, Bersalin Dan Nifas:

melakukan pencegahan Covid +à>memberi

penularan COVID 19, jaga tahu tenaga
jarak minimal 1 meter jika penanggung jawab
tidak diperlukan tindakan infeksi di tempatnya
bekerja (Komite PPI)

Bayi yang lahir

dr ibu yang
PDPà ruangan COVID-
khusus 19àditempatk
an di ruangan
isolasi
 Nutrisi
• KEBUTUHAN AKAN ZAT PROTEIN BERBEDA
ANTARA PASIEN COVID -19 DENGAN ORANG
YANG SEHAT. PROTEIN DAPAT
MENGOPTOMALKAN IMUNITAS TUBUH,
MEMPERBAIKI JARINGAN YANG RUSAK
SERTA MENCEGAH MALNUTRISI OTOT
• ( TRIYANI KRESNAWAN, 2020 PERSAGI)

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Tenaga Kesehatan Terkait Pertolongan
Persalinan:

penambahan saturasi oksigen >

94%

pemantauan janin secara

kontinyu selama persalinan

ibu dengan masalah gagguan

respirasi yang memerlukan
persalinan segera berupa SC
maupun tindakan operatif
pervaginam

Ibu dalam persalinan

terjadi
perburukanà SC

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 INTRA PARTUM

Perimortem cesarian
section dilakukan
dipertimbangkan
IBU KELELAHAN : sesuai standar apabila
tindakan operatif
mempercepat kala II ibu dengan kegagalan
pervaginam
resusitasi tetapi janin
masih viable

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Tenaga Kesehatan terkait Pelayanan Pasca Persalinan
untuk Ibu dan Bayi Baru Lahir
• Semua bayi baru lahir dilayani sesuai dengan protokol
perawatan bayi baru lahir. Alat perlindungan diri diterapkan
sesuai protokol. Kunjungan neonatal dapat dilakukan
melalui kunjungan rumah sesuai prosedur.
• Perawatan bayi baru lahir termasuk Skrining Hipotiroid
Kongenital (SHK) dan imunisasi tetap dilakukan. Berikan
informasi kepada ibu dan keluarga mengenai perawatan bayi
baru lahir dan tanda bahaya. Lakukan komunikasi dan
pemantauan kesehatan ibu dan bayi baru lahir secara
online/digital

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 Tenaga Kesehatan terkait Pelayanan Pasca
Persalinan untuk Ibu dan Bayi Baru Lahir
• Sampai saat ini data terbatas untuk memandu
manajemen postnatal bayi dari ibu yang dites positif
COVID-19 pada trimester ke tiga kehamilan. Sampai saat
ini tidak ada bukti transmisi vertikal (antenatal).
• Semua bayi yang lahir dari ibu dengan PDP atau
dikonfirmasi COVID-19 juga perlu diperiksa untuk
COVID-19.
• Bila ibu memutuskan untuk merawat bayi sendiri,
baik ibu dan bayi harus diisolasi dalam satu kamar
dengan fasilitas en-suite selama dirawat di rumah
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PENKES IBU NIFAS

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PENKES IBU NIFAS

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PENKES IBU NIFAS

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PENKES IBU NIFAS

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 Pelayanan kesehatan reproduksi
perempuan : (AMS,2020)
Emergency surgeries (no delay):Ectopic pregnancy,
COVID 19: Spontaneous abortion,Adnexal torsion, Rupture tubal-ovarian
Elective Case abscess, Tubal-ovarian abscess not responding to conservative
therapy. Acute and severe vaginal bleeding , Cesarean section
Triage Guidelines Emergency cerclage of the cervix based on pelvic
for Surgical Care- exam/ultrasound findings
Gynecology
Surgeries that if significantly delayed could cause
significant harm :Cancer or Suspected cancer,
Pregnancy termination (for medical indication or
patient request)

Surgeries that could be Surgeries that can be

delayed for a few weeks
:Chorionic villus
delayed several
sampling/amniocentesis,D months : Sterilization
&C pre- or procedures, Infertility
postmenopausal , procedures etc
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DISCHARGE PLANNING : PENCEGAHAN
PENULARAN, DLL

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 Contoh isi penkes untuk pencegahan covid 19
pada KNOW
bumil dan buteki- unicef
What is the novel coronavirus?
Coronaviruses are a large family of viruses that
cause illness ranging from the common cold to
more severe diseases. The novel coronavirus is a
new strain, not previously identified in humans.
COVID-19 is the infectious disease caused by the
latest discovered coronavirus (SARS-CoV-2).
How does the virus spread?
People can catch COVID-19 from others who have the
virus through inhaling small droplets from people with
COVID-19 who cough or sneeze or through touching
contaminated surfaces.
What are the symptoms?
Many people who become infected experience
mild illness and recover, but it can be more
severe for others.
The symptoms include a combination of:
Fever Cough
Difficulty breathing
Muscle pain Tiredness
Are pregnant women more at risk
than others? Can the virus be
transmitted to the baby?
Pregnant women are not more at risk of
catching COVID-19 or suffering from the more
severe disease than other adults of similar
age.
There is no evidence that the virus can be
transmitted to the unborn child during
pregnancy, or during childbirth.
Babies and young children are known
to only experience mild forms of
COVID-19.
What do you do if you fall ill?
If you become ill with symptoms of cough, fever
and difficulty breathing:
Stay home and call your local health care
services for advice.
Mention that you are pregnant.
If you are found ill with COVID-19:
Call your midwife or antenatal care provider and
inform them about your illness. KNOW, PREPARE,
Request instructions on how to proceed with
antenatal care appointments and delivery plans
PROTECT
during the course of your illness. Information on COVID-
19 for pregnant
Insert national link here
women
www.ecdc.europa.eu/en/novel-coronavirus-
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china

NATIONAL INFORMATION
ON COVID-19
[National information]
[National number +xx xxx
xxx xxx]
For further information:
[national website]
www.ecdc.europa.eu/en/novel-
coronavirus-china
PREPARE
What to do if are a pregnant
women?
How can you prepare yourself
How can you protect yourself and
others
Educate yourself on COVID-19 from trusted
sources. Keep physically active to ensure good
physical condition.
Discuss your concerns about COVID-19 with
your antenatal care provider.
Call your antenatal care provider to ask for specific
indications on how to proceed with antenatal
appointments and your delivery plan, including in
case you become ill with COVID-19.
Have over-the-counter medicines and medical
supplies (e.g. tissues, thermometer) to treat fever.
If taking any prescription medicines, refill them, or
consider using a mail order for your medications.
Have enough groceries and household items,
approximately 2-4 weeks. Prepare gradually and
avoid panic buying.
Activate your social network. Contact family,
friends, neighbours or community health care
workers in
advance and make joint plans on what to do when
COVID-19 is spreading in your community or if
you become ill.
Follow instructions from national authorities on how
to
prepare for emergencies.
Continue to practice general hygiene.
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PROTECT
Clean your hands often. Wash your hands
with soap and water or, if not available,
use an alcohol-based hand sanitizer:
Before eating, after using the toilet;
After blowing your nose, coughing or
sneezing;
After having been in public places;
After having touched surfaces in
public places; After having touched
other people.
Avoid contact with sick people, in
particular those with a cough.
Avoid touching your face, nose and
eyes.
Avoid meetings, events and other
social gatherings in areas with
ongoing community transmission.
Practice social distancing if COVID-19is
spreading in your community:
Avoid crowds, especially in confined and poorly
ventilated spaces.
Do your grocery shopping at off-peak hours.
Avoid using public transport during rush hours.
Exercise outdoors instead of indoor settings.
If you develop cough, once COVID-19 is
spreading in your community, use medical
facemasks. This will protect those around
you from getting infected.
 Peran perawat pada pelayanan
maternitas masa pandemik covid19

Manager Researcher

Health
advocate
educator
Care
provider

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Peran perawat pada pelayanan maternitas
masa pandemik covid19
Health educator:
IKUTI pencegahan
PEDOMAN penularan covid à
PENCEGA online EMPOWERED!!
HAN
PENULAR
AN

Manager: Care provider Researcher: EBP

mengelola sesuai pencegahan
SOP kemenkes penularan

Advocate: siap
memberikan
konsultasi (online
dan non online)
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 Peran perawat pada pelayanan
maternitas masa pandemik covid19
Pemenuhan SELALU
kebutuhan MENGIKUTI
adaptasi dan PETUNJUK DAN
psikososial PEDOMAN
PELAYANAN

PATIENT
SAFETY- CARE KOMUNIKASI
TINDAKAN TERAPETIK
SESUAI SOP PROVIDER

DISCHARGE
PLANNING
PASCA RAWAT
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WASSALAM. WRWB

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