LAPORAN PRAKTEK KLINIK KEBIDANAN (PKK) III

PENDOKUMENTASIAN ASUHAN KEBIDANAN PADA BAYI NY. R

DENGAN BERAT BADAN LAHIR RENDAH
DI RUANG FITRAH RSU HAJI MEDAN
PERIODE 28 NOVEMBER S/D 21
DESEMBER 2022

ARMANISAH 1901031008
ANNISA NIKMATUL HASANAH 1901031006
BUNGA CAMELIA PUTRI TARIGAN 1901031011
CITRA DEWI ANGGRAINI 1901031012
 11. latar belakang
Bayi lahir dengan bayi berat lahir rendah (BBLR) merupakan salah satu factor resiko yang mempunyai kontribusi
terhadap kematian bayi khususnya pada masa perinatal. Selain itu bayi berat lahir rendah dapat mengalami
gangguan mental dan fisik pada usia tumbuh kembang selanjutnya, sehingga membutuhkan biaya perawatan yang
tinggi.

Berat Badan Lahir Rendah (BBLR) adalah bayi saat lahir dengan berat badan 1.500 s/d 2.500 gram, tanpa
memandang masa gestasi. Kejadian BBLR dapat meningkatkan angka kematian neonatal. Berdasarkan hasil
Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2012, Angka Kematian Neonatal (AKN) pada tahun
2012 sebesar 19 per 1.000 kelahiran hidup.Padahal target AKN dalam Sustainable Development Goals (SDGs)
adalah menurunkan AKN hingga 12 per 1.000 kelahiran hidup pada tahun 2030. Kejadian bayi BBLR di
Indonesia tahun 2014 yaitu 14% atau 710.000 dari 5 juta bayi lahir pertahun. Sedangkan menurut survey
Demografi dan Kesehatan Indonesia (SDKI) tahun 2015 terdapat 7,5% atau 355.000 bayi lahir dengan BBLR.

Berdasarkan data WHO tahun 2016, prevalensi global BBLR mencapai 15,5%, yang berarti bahwa +20,6 juta bayi
lahir setiap tahun menderita BBLR. Dari prevalensi tersebut, 96,5% di antaranya terjadi di negara berkembang.
Epidemiologi berat badan lahir rendah (BBLR) adalah 15,5% dari seluruh kelahiran di dunia. Di Indonesia,
sebanyak 6,2% bayi lahir dengan BBLR berdasarkan Riskesdas tahun 2018.
.
Rumusan masalah
Adapun rumusan masalah dari laporan kasus
fisiologis ini yaitu Bagaimana menerapkan
manajemen asuhan kebidanan pada (BBLR)
Bayi dengan berat badan lahir rendah di RSU
haji Medan
tujuan
Tujuan studi kasus ini, agar
penulis dapat menerapkan
asuhan kebidanan pada bayi
(BBLR) berat badan lahir
rendah di RSU Haji Medan.
 TINJAUAN PUSTAKA
Bayi berat badan lahir rendah adalah bayi dengan berat badan lahir kurang dari 2500 gram
(Arief, 2009). Dahulu bayi baru lahir yang berat badan lahir kurang atau sama dengan 2500
gram disebut premature. Untuk mendapatkan keseragaman pada kongres European Perinatal
Medicine II di London (1970), telah disusun definisi sebagai berikut:
Preterm (premature) atau bayi kurang bulan : bayi dengan masa kehamilan kurang dari 37
minggu (259 hari).
Aterm atau bayi cukup bulan : bayi dengan masa kehamilan mulai 37 minggu sampai dengan
42 minggu (259-293 hari).
Postterm atau bayi lebih bulan : bayi dengan masa kehamilan mulai 42 minggu atau lebih (294
hari atau lebih).

Klasifikasi BBLR :
Berdasarkan BB lahir
BBLR      : BB < 2500 gr
BBLSR    : BB 1000-1500 gr
BBLASR : BB <1000 gr
BBLR dapat disebabkan oleh beberapa faktor 4. Keadaan social
yaitu: Golongan social ekonomi rendah
Perkawinan yang tidak sah
1. Faktor Ibu
Penyakit: 5. Sebab lain Penyakit
Toksemia gravidarum Ibu yang perokok
Perdarahan antepartum Ibu peminum alcohol
Trauma fisik dan psikologis Ibu pecandu narkotik
Nefritis akut
Diabetes mellitus 6. Faktor janin
2. Usia Ibu Hidramnion
Usia <16 tahun Kehamilan ganda
Usia >35 tahun Kelainan kromosom
Faktor lingkungan
3.Multigravida yang jarak kelahirannya terlalu
dekat 7.Tempat tinggal dataran tinggi
Radiasi
Zat-zat racun
 KOMPLIKASI PADA BBLR

01 02
SISTEM
SISTEM
PERNAFASAN
KARDIOVASKULER

04 03
.Hipoglikemia TERMOREGULASI
simtomatik
 Pencegahan
1. Meningkatkan pemeriksaan kehamilan secara berkala minimal 4 kali selama kurun kehamilan dan dimulai sejak
umur kehamilan muda. Ibu hamil yang diduga berisiko, terutama factor resiko yang yang mengarah melahirkan
bayi BBLR harus cepat dilaporkan, dipantau dan dirujuk pada institusi pelayanan kesehatan yang lebih mampu.
2. Penyuluhan kesehatan tentang pertumbuhan dan perkembangan janin dalam rahim, tanda-tanda bahaya selama
kehamilan dan perawatan diri selama kehamilan agar mereka dapat menjaga kesehatnnya dan janin yang
dikandung dengan baik.
3. Hendaknya ibu dapat merencanakan persalinannya pada kurun umur reproduksi sehat (20-34 tahun).
4. Perlu dukungan sector lain yang terkait untuk turut berperan dalam meningkatkan pendidikan ibu dan status
ekonomi keluarga agar mereka dapat meningkatkan akses terhadap pemanfaatan pelayanan antenatal dan status
gizi ibu selama hamil.

 
 Perawatan
Perawatan Yang dilakukan pada bayi BBLR meliputi :
1. Mempertahankan suhu tubuh optimal.
2. Mempertahankan oksigenasi.
3. Memenuhi kebutuhan nutrisi.
4. Mencegah dan mengatasi infeksi
5. Mengatasi hiperbilirubinemia
6. Memenuhi kebutuhan psikologis
7. Melibatkan program imunisasi
 Kasus

ASUHAN KEBIDANAN BAYI BARU LAHIR PADA BAYI NY. R DENGAN

BERAT BADAN LAHIR RENDAH (BBLR) DI RSU HAJI MEDAN
TANGGAL 01 DESEMBER 2022

Tanggal Masuk : 01 Desember 2022   Waktu Masuk : 01.41 Wib

Ruang/ Kelas : Fitrah / III B   No. Register : 387868

Tanggal : 01 Desember 2022   Waktu Pengkajian    
Pengkajian     : 03.03 Wib
Diagnosa Medis : BBLR
Nama Bayi : Bayi Ny.R
Umur : 1 Jam
Jenis Kelamin : Laki-laki
Anak Ke : Pertama
     
 Teaching method

Activities
Jupiter is the biggest planet in the
Goals
Despite being red, Mars is a cold
entire Solar System place, not hot

Feedback
Saturn is a gas giant, composed of
Results
Venus has a beautiful name and is
hydrogen and helium the second planet from the Sun
Awesom
e
words
 Our values

Reliability Efficiency Commitm

Mercury is the closest Mars is actually a very Venus ent
is the second
planet to the Sun cold place planet from the Sun
 A picture is
worth a
thousand words
 Important facts
Experience Teachers
Mercury It’s the closest Despite being red, Mars is
planet to the Sun and the actually a cold place. It’s full
smallest in the Solar System of iron oxide dust

Achieveme Students
nts
Venus has a beautiful name
and is the second planet from
Despite being red, Mars is
actually a cold place. It's full
the Sun of iron oxide dust
 Our success

98% 9/10 250

Pass all Average High honors
exams
You can speak a bit about this
success here
score
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success here
You can speak a bit about this
success here
150,00
0K students
Big numbers catch your audience’s attention
02.
Academic
areas
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 What sets us apart?
● Saturn is a gas giant and has several rings. It's
composed mostly of hydrogen and helium. It
was named after the Roman god of wealth
and agriculture
● Neptune is the farthest planet from the Sun.
It's also the fourth-largest object by diameter
in the Solar System
● Earth is the third planet from the Sun and the
only one that harbors life in the Solar System.
This is where we all live
 Our students goals

First goal
Your students first goal, for example,
have fun and entertain studying

Secondary goal
Your students secondary goal, for
example, improve their skills
 Academic areas

Art Music Dance

Mercury is the closest Venus is the second planet Mars is actually a very
planet to the Sun from the Sun cold place

History Drama Literature

Jupiter is the biggest planet Saturn is composed of Neptune is the farthest
of them all hydrogen and helium planet from the Sun
 Student progress
Mercury is the closest Venus is the second Despite being red, Mars Jupiter is the biggest
planet to the Sun planet from the Sun is a cold place planet of them all

1st term 2nd term 3rd term 4th term

 03
Magic.
teachers
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Fairy
Susan
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here
Fairy Alexa
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here
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Fantasy students
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 Student information
Student
hobbies

85% 65% 55% 75%

Music Drama Photograp Dance

planethy
Mercury is the closest Neptune is the farthest Jupiter is the biggest Venus has a very
planet to the Sun planet from the Sun of them all beautiful name
 Student information
15 students 25 students Student
Less than 3 4 to 6 age
Despite being red, Mars Neptune is the farthest
is a cold place planet from the Sun

55 students 15 students
7 to 9 More than 10
Mercury is the closest Venus has a very
planet to the Sun beautiful name

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05.
Magical
location
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Location

Your
address
Saturn is composed of
hydrogen and helium
 06
Enrollment.
now!
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Step I Step II Step III
Process
Date July 7th July 12th July 14th

Neptune is the farthest Earth is the third planet Mercury is the closest
planet from the Sun and from the Sun and the only planet to the Sun and also
the fourth-largest object one that harbors life in the smallest one in the
by diameter the Solar System Solar System
 Special reminders
Do you know what helps you make your point
very clear?
Lists like this one:
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● You’ll never forget to buy milk!
And the most important thing: the audience
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