LP Post Partum 2
LP Post Partum 2
B. ETIOLOGI
Dalam masa nifas, alat-alat genitalia internal maupun eksterna akan
berangsur-angsur pulih kembali seperti keadaan sebelum hamil. Perubahan-
perubahan alat genital ini dalam keseluruhannya disebut involusi
(winknjosastro,2006:237).
Setelah bayi lahir, uterus yang selama persalinan mengalami kontraksi dan
retraksi akan menjadi keras, sehingga dapat menutup pembuluh darah besar yang
bermuara pada bekas implantasi plasenta. Otot rahim terdiri dari tiga
lapis otot membentuk anyaman sehingga pembuluh darah dapat tertutup
sempurna, dengan demikian terhindari dari perdarahan post partum
(Manuaba, 1998 : 190).
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C. FISIOLOGI
a) Involusi
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• Refleks prolaktin
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kepala bayi
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terjadi bradikardi, bila takikardi dan badan tidak panas dicurigai ada
perdarahan berlebih/ada vitrum korelis pada perdarahan. Pada beberapa
kasus ditemukan hipertensi dan akan menghilang dengan sendirinya apabila
tidak ada penyakit-penyakit lain dalam kira-kira 2 bulan tanpa pengobatan.
8. Perubahan s ystem k ardiovaskuler
Sistem kardiovaskuler pulih kembali ke keadaan tidak hamil dalam tempo 2
minngu pertama masa nifas. Dalam 10 hari pertama setelah melahirkan
peningkatan factor pembekuan yang terjadi selama kehamilan masih
menetap namun diimbangi oleh peningkatan aktifitas fibrinolitik.
9. Perubahan S istem H ematologik
Leukocytosis yang diangkat sel-sel darah putih berjumlah 15.000 selama
persalinan, selanjutnya meningkat sampai 15.000 – 30.000 tanpa menjadi
patologis jika wanita tidak mengalami persalinan yang lama/panjang.
Hb, HCT, dan eritrosit jumlahmya berubah-ubah pada awal masa nifas.
10. Perubahan P sikologis P ostpartum
Banyak wanita dalam minggu pertama setelah melahirkan menunjukkan
gejala-gejala depresi ringan sampai berat.
• Pembengkakan di wajah/tangan
• Demam, muntah, rasa sakit waktu BAK, merasa tidak enak badan
• Payudara yang berubah menjadi merah, panas, dan atau terasa sakit
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G. Pathways
PATHWAYS post partum Letting go phase
Kurang
Defisit Pengetahuan
perawatan diri
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H. PENGKAJIAN
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atau tidak. Pada nifas normal perineum dapat utuh atau ada
robekan, pada nifas normal pun bisa juga dilakukan
episotomi.
• Perdarahan :
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• Muka
• Mulut dan gigi : Lidah bersih, gigi : ada karies atau tidak ada.
• Leher
• Dada
• Payudara
• Abdomen
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F. Diagnosa Keperawatan
1. Nyeri akut b/d trauma perineum, proses kelahiran, payudara bengkak,
dan involusi uterus
2. Kurang pengetahuan tentang manejemen laktasi dan perawatan bayi b/d
kurangnya informasi
3. Kurangnya pengetahuan tentang perawatan post partum b/d kurangnya
informasi
G. Intervensi
Beberapa diagnosa keperawatan yang mungkin ditemukan pada klien
perdarahan post partum menurut prioritas dan rencana keperawatannya adalah :
a. Gangguan rasa nyaman, nyeri akut berhubungan dengan trauma
perineum, proses kelahiran, payudara bengkak, dan involusi uterus
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DAFTAR PUSTAKA