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GIZI DALAM PROSES PERSALINAN

HASTUTI PELITAWATI STIKES AISYIYAH YK

L/O/G/O

APA YANG DIHARAPKAN WANITA HAMIL ???


Kehamilan yang sehat tanpa masalah Proses persalinan yang aman & lancar Bayi lahir normal ( tanpa cacat) & sehat Keluarga sakinah mawaddah warahmah Keluarga sehat bahagia & sejahtera

Tujuan Pelayanan Kebidanan


TOWORD THE SAFE BIRT AND THE HEALTH OF THE NEWBORN Menuju keamanan persalinan dan kesehatan bayi baru lahir

Pelayanan Kebidanan di Indonesia


Tergolong tertinggal Angka kematian ibu 350 / 100.000 kelahiran hidup Angka kematian bayi 100 / 1000 kelahiran

Faktor yang mempengaruhi kematian ibu dan bayi


Ketidakmampuan, kemiskinan berefek gizi kurang Ketidaktahuan, pendidikan kurang berefek kebodohan Tenaga penolong tidak profesional ( kurang terlatih) Sarana prasarana kurang, biaya mahal Lingkungan geografi, jangkauan sulit ( pelosok)

Usaha mendapatkan anak sehat & cerdas


Mempersiapkan kehamilan yang sehat Perawatan kehamilan, ( Pemeriksaan kehamilan & Pemenuhan kebutuhan Gizi )

Mempersiapkan kehamilan yang sehat


Kenali kelainan penyakit keturunan/ genetik (Buta warna, DM, cacat mental, thalasemia dll) Kenali penyakit penyebab kelainan bawaan ( toksoplasma, rubella, herpes dll) Kenali faktor resiko ( riwayat kematian dlm rahim, keguguran berulang )

Pemenuhan Gizi wanita hamil


Makro Nutrisi ( Karbohidrat, Protein,Lemak, Energi ) Mikro Nutrisi (Vitamin,asam lemak,mineral ) Kekurangan gizi diawal kehamilan : gangguan organogenesis Kekurangan gizi diakhir kehamilan : gangguan maturasi organ, kualitas anak kurang (BBLR), gangguan pertumb & perkemb (Gangguan psikomotor)

HUBUNGAN NUTRISI DGN KEHAMILAN & PERSALINAN


Kebutuhan kalori wanita - Normal 2200 k cal - Hamil 2500 k cal - Laktasi 2800 k cal - Wanita hamil dgn penambahan BB < 8 kg cenderung anak BBLR /< 2,5 kg - Penambahan BB selama hamil 11,5 18 kg - Kurang 20 mgg 0,3 -0,5 kg/mgg, lebih 20 mgg 0,5 kg/mgg, gemuk penambahan BB < 7 kg

Akibat kurang gizi / nutrisi


Kurang zat besi, anemia ( gangguan syaraf sentral,pertumb otak tdk max,kecerdasan kurang) Kurang Asam Folat ( gangguan pembentukan sel neuron) Kurang Kalsium & Vit D ( gangguan pertumb tulang & gigi diambil dr ibu resiko osteoporosis)

Lanjutan akibat kurang gizi


Kurang DHA & ARA ( omega 3 & omega 6 ) terjadi gangguan maturasi otak & retina, gangguan kecerdasan & penglihatan, gangguan mental & intelektual DHA & ARA merupakan nutrisi yg penting perkembangan otak & ketajaman penglihatan janin / bayi Sumber utama DHA adalah minyak ikan tuna, macarel, sardin, salmon, rumput laut & sayuran hijau tua

DHA dimasa awal kelahiran


Pada masa awal kelahiran kebutuhan gizi bayi tergantung pada ASI Jumlah DHA ( Doksa Hexaenoic Acid ) dlm ASI tergantungdari jumlah DHA yg dikonsumsi ibu Bayi membutuhkan DHA sebanyak 100 mg / hari dimasa pertumbuhan

Kelainan Penyerta Kehamilan & Proses Persalinan


Anemia / kekurangan darah, karena makanan yg kurang zat besi & as folat. Mengakibatkan bayi lahir prematur / bayi anemik. Suplemen zat besi (60 mg) & as folat (200400 mg) perhari. Diabetes Mellitus, cenderung pre eklamsi & cairan ketuban berlebihan, bayi cenderung lahir mati / mati dlm kandungan.

Lanjutan... Kelainan..
Gestasional Diabetis, ketidaknormalan toleransi thd glukosa selama kehamilan. Hal ini sekitar hanya 4 % diantara ibu hamil, tetapi beresiko penyakit DM kelak. Pregnancy Induced Hypertension (PIH), hipertensi yg timbul diakhir kehamilan. Tanda PIH pusing, penglihatan kabur, BB meningkat tiba2, oedema pd muka, tangan,kaki & mata kaki.

Cont Menu Persalinan 2200 kalori


Pagi 07.00 WIB Kentang Rebus 200 gram Bistik Daging giling 50 gram Tempe Selimut 50 gram Stup Buncis Wortel 100 gram Juice Pepaya 100 gram Snack 09.00 WIB Pie Buah 50 gram

Lanjutan....
Siang 12.00 WIB Nasi Putih 200 gram Empal Gepuk 50 gram Tahu bakso tim 50 gram Sup Brokoli Wortel 100 gram Jeruk manis 100 gram Extra 16.00 WIB Sup aneka buah 100 gram

Lanjutan...
Malam 19.00 WIB Nasi Putih 200 gram Ayam bumbu rujak 50 gram Tempe bacem 50 gram Sayur Asem Jakarta 100 gram Apel Merah 80 gram Extra 21.00 WIB Susu Coklat 30 gram

Terima kasih.....
Semoga Bermanfaat.....

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