POLITEKNIK KESEHATAN KEMENKES RI MEDAN

JURUSAN D-III KEBIDANAN MEDAN

LAPORAN TUGAS AKHIR
MEI 2019

LILIYA RISKI HARAHAP

ASUHAN KEBIDANAN NY. M G2P1A0 PADA MASA HAMIL SAMPAI

DENGAN MASA NIFAS DAN PELAYANAN KELUARGA BERENCANA
DI PRAKTEK MANDIRI BIDAN HJ RUKNI LUBIS
KECAMATAN MEDAN JOHOR
TAHUN 2019

X + 114 HALAMAN + 5 TABEL + 10 LAMPIRAN

RINGKASAN

Di Indonesia menurut SUPAS pada tahun 2015, AKI mencapai

305/100.000 KH dari 359/100.000 KH pada tahun 2012 dan AKB mencapai
23/1.000 KH. Penyebab AKI di Indonesia disebabkan eklampsi (30,3%),
perdarahan (27,1%), infeksi (7,3%), partus lama (1,8%), abortus (1,6%) dan
lainnya (40,8%). Adapun penyebabnya AKB yaitu BBLR (29%), asfiksia (27%),
dan lainnya (44%).Salah satu upaya untuk meningkatkan KIA adalah
melaksanakan program Safe Motherhood Initiative sejak tahun 1990 dan
Continuity of Care tahun 2018.
Metode asuhan adalah memberikan asuhan secara continuity of care
dengan sasaran Ny. M G2P1A0 di PMB Hj.Rukni Lubis dari masa hamil,
bersalin, nifas, bayi baru lahir dan keluarga berencana.
Ny. M hamil ke 2 26 tahun, ANC 3 kali dan pemeriksaan Hb 12,0 gr%. INC
di usia kehamilan 38-40 minggu, Kala I + 5 jam, Kala II + 1 jam, Kala III 30
menit, Kala IV 2 jam dan laserasi derajat I . Bayi lahir spontan dengan BB: 3.200
gram dan PB: 50 cm, IMD 1 jam, salep mata, disuntikkan Vit.K dan HB0.
Kunjungan nifas 3 kali, 6 jam lochea rubra, 6 hari lochea sanguilenta dan proses
involusi berjalan normal, 2 minggu lochea serosa . Kunjungan neonatus sebanyak
3 kali dan bayi diberi ASI eksklusif. Melalui konseling KB ibu memutuskan
memakai KB suntik 3 bulan.
Disarankan kepada petugas kesehatan khususnya bidan untuk dapat
menerapkan asuhan continuity of care ini di lapangan dan di masyarakat dalam
membantu menurunkan AKI di Indonesia. Klien diharapkan dapat menjadikan
seluruh asuhan yang diberikan sebagai pengalaman dan pembelajaran untuk
kehamilan selanjutnya.

Kata Kunci : Asuhan Kebidananan Continuity of Care

Daftar Pustaka : 16 (2015-2019).

iii
MEDAN HEALTH POLYTECHNIC OF MINISTRY OF HEALTH
MIDWIFERY ASSOCIATE DEGREE PROGRAM
FINAL PROJECT REPORT, MAY 2019

LILIYA RISKI HARAHAP

MIDWIFERY CARE TO MRS. M G2P1A0 FROM PREGNANCY TO

POSPARTUM AND FAMILY PLANNING SERVICES IN HJ RUKNI
LUBIS MIDWIFERY PRACTICE OF MEDAN JOHOR
SUB DISTRICT IN 2019

X + 114 PAGES + 5 TABLES + 10 ATTACHMENTS

SUMMARY OF MIDWFERY CARE

In Indonesia according to SUPAS in 2015, MMR reached 305 / 100,000

live birth from 359 / 100,000 live birth in 2012 and IMR reached 23 / 1,000 live
birth. The cause of MMR in Indonesia is caused by eclampsia (30.3%), bleeding
(27.1%), infection (7.3%), prolonged labor (1.8%), abortion (1.6%) and others
(40, 8%). The causes of IMR were BBLR (29%), asphyxia (27%), and others
(44%) .One effort to improve MCH is implementing the Safe Motherhood
Initiative program since 1990 and Continuity of Care in 2018.
The care method was to provide care in continuity of care with the target
Mrs. M G2P1A0 at Hj. Rukni Lubis midwifery practice from pregnancy,
childbirth, postpartum, newborns and family planning.
Mrs. M was 26 years pregnant, ANC for 3 times and Hb examination was
12.0 gr%. INC at 38-40 weeks gestation, Stage I + 5 hours, Stage II + 1 hour,
Stage III 30 minutes, Stage IV 2 hours and first-degree laceration. Infants born
spontaneously with body weight: 3,200 grams and body height: 50 cm, early
breastfeeding initiation for 1 hour, eye ointment, Vit.K injection and HB0.
Postpartum visits 3 times, 6 hours lochea rubra, 6 days lochea sanguilenta and the
process of involution proceeded normally, 2 weeks lochea serosa. Neonates
visited for 3 times and baby was given exclusive breastfeeding. Through family
planning counseling the mother decides to use 3-month injection contraception
It is recommended that health workers, especially midwives, be able to
implement continuity of care in the field and in the community to reduce MMR in
Indonesia. The client was expected to make all the care provided as experience
and learning for next pregnancy.

Keywords : Midwifery Care, Continuity of Care

References : 16 (2015-2019).