Window of Midwifery Journal is a publication of scientific work in the field of midwifery in a broad sense such as child and maternal health, reproduction health, biomedical midwifery, etc. In addition, the Journal was first established since 2020 by the Institute of dausbet slot qris Study and Management Center Journal of the Faculty of idnslot Public Health University Muslim Indonesia located in Makassar, situs toto South Sulawesi. Window of Midwifery Journal published slot on June and December with https://lapak303resmi.us.com/ situs toto sembahtoto nokephub slot gacor bola77 login judi bola sbobet88 link gacor initogel tvtogel E-ISSN 2721-4001. toto slot tvtogel slot raja slot online slot online s t88 slot gacor gampang maxwin HONGTOGEL madamtoto slot slot gacor slot situs slot gacor slot qris Mahjong Slot dan Alasan Popularitasnya Terus Meningkat https://www.os-gablenz.de/ prediksi macau slot gampang jp slot link slot Toto slot slot https://178.128.210.23/ slot 200 DEPO SLOT
Pusat Kajian dan Pengelola Jurnal FKM UMI
Faktor-Faktor yang Berhubungan dengan Infertilitas Primer pada Pasangan Usia Subur di Puskesmas Molibagu
Primary infertility is the inability of a fertile couple to conceive after one year of regular sexual intercourse without contraception. Various factors are suspected to be associated with primary infertility, including nutritional status, menstrual cycle regularity, and cigarette smoke exposure. This study aimed to analyze the relationship between Body Mass Index (BMI),menstrual cycle, and cigarette smoke exposure with primary infertility in fertile couples at the Molibagu Community Health Center. This study used an observational analytical design with a cross-sectional approach. Sampling was conducted using purposive sampling, with 92 respondents. The research instruments were structured using questionnaires and anthropometric measurements, with data analysis using the chi-square test and logistic regression. Based on the results, it was found that the majority of respondents (52 respondents) had an overweight BMI (56,5%) 48 respondents (52,5%) had irregular menstrual cycles, 52 respondent (56,5 %) were exposed to cigarette smoke, and 55 respondents (59,8 %) experienced primary infertility.The statistical test result showed a P-Value of 0.000 < 0.05, indicating a significant relationship between body mass index (BMI), menstrual cycle, and cigarette smoke exposure and the incidence of primary infertility in couples of childbearing age.
Copyright (c) 2025 Window of Midwifery Journal
Penyuluhan Kesehatan Reproduksi dalam Peningkatan Pengetahuan dan Sikap Remaja Mengenai Seksual Pranikah: Quasi Experimental
Premarital sexuality among adolescents is a significant issue that significantly impacts the reproductive health, psychology, and social well-being of young girls. The research aimed to assess the effect of reproductive health education on improving knowledge and changing attitudes among female students at SMK Negeri 1 Limboto. The study utilized a quasi-experimental design with a pre-post test control group design, a population of 84 people, and involved a sample of 32 students divided into 16 intervention and 16 control groups. The results of the Mann-Whitney test showed a p-value of 0,000 for knowledge, which was less than p < 0,05, indicating a significant difference in the average scores of the intervention group regarding the increase in knowledge. Similarly, for attitudes, there was a significant difference (p = 0,000), also less than p < 0,05, in both the knowledge and attitude groups. In conclusion, the study found that reproductive health education had a significant impact on the knowledge and attitudes of adolescent girls about premarital sexuality at SMK Negeri 1 Limboto
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Efektivitas Aromaterapi Citrus Limon dalam Mengurangi Mual, Muntah, dan Kecemasan pada Ibu Hamil Trimester 1
Nausea occurs due to increased estrogen and human chorionic gonadotropin (HCG) levels in the blood, which trigger vomiting. The psychological effects of estrogen may originate from the central nervous system, resulting in gastric emptying. One way to manage nausea and vomiting and reduce anxiety levels is through non-pharmacological therapy, namely lemon aromatherapy. The purpose of this study was to determine the effect of lemon aromatherapy (lemon citrus) in reducing nausea and vomiting and reducing anxiety levels in pregnant women using a diffuser or vaporizing essential oils through an electric steam tube. The research method used is Quasi Experiment through One Group Pre Test and Post Test approach with a sample of 30 pregnant women in the first trimester. The results of the study using the Wilcoxon Signed Rank Test showed changes in the intensity of nausea and vomiting using the PUQE score experienced a decrease in the Pre Test Mean value of 7.27 to the Post Test Mean value of 6.30 with a p value of 0.01, at the level of anxiety using the DASS21 score the Pre Test Mean value of 9.63 decreased to the Post Test Mean value of 7.67 with a p value of 0.001. Based on the statistical test, it can be concluded that lemon aromatherapy has an effect on reducing the intensity of nausea and vomiting and anxiety levels in pregnant women.
Pengaruh Senam Kegel terhadap Frekuensi Buang Air Kecil pada Ibu Hamil Trimester III
Complaints of frequent urination during the third trimester can cause discomfort for pregnant women. Physically, this condition can disrupt the mother's activity patterns, as the increased frequency of urination can hinder daily activities and disturb rest patterns. Kegel exercises, aimed at strengthening the bladder sphincter and pelvic floor muscles, were one method that could help reduce the frequency of urination in pregnant women. The purpose of this study was to determine the effect of Kegel exercises on urination frequency in pregnant women during their third trimester. This research was conducted as a quasi-experimental study with a nonequivalent group design, using the Wilcoxon statistical test. Sampling was performed through purposive sampling, with 15 participants in the intervention group and 15 in the control group. The results showed that, in the intervention group, the pre-test frequency of urination categorized as frequent was recorded for nine pregnant women. After the post-test, there was a change in urination frequency, with 12 pregnant women now categorized as infrequent. Meanwhile, in the control group, the pre-test frequency of urination categorized as frequent was recorded for four pregnant women. After the post-test, there was an increase, with 12 pregnant women still categorized as frequent. There was a significant effect of Kegel exercises on urination frequency in pregnant women during their third trimester, with a p-value of 0.001 < 0.05. In conclusion, Kegel exercises affected the frequency of urination in pregnant women during their third trimester at the Bongomeme Health Center.
Hubungan Faktor Maternal dan Postnatal dengan Kejadian Stunting pada Balita
Stunting remains an important public health concern in Indonesia. In North Bengkulu, the prevalence increased from 20.7% in 2021 to 22.8% in 2022. Maternal conditions during pregnancy and postnatal characteristics are assumed to contribute to stunting among toddlers. This study examined the association between maternal and postnatal factors and stunting among toddlers in the working area of Lubuk Durian Community Health Center, North Bengkulu. A quantitative cross-sectional design was applied. The sample included 209 children aged 3-5 years, selected using purposive sampling. Data were obtained through interviews, anthropometric measurements, and a review of maternal and child health books. The data were analyzed using chi-square tests and multiple logistic regression. The prevalence of stunting was 37.8%. Bivariate analysis demonstrated significant associations between a history of chronic energy deficiency (p=0,000), maternal anemia (p=0,000), low birth weight (p=0,000), and short birth length (p=0,000) and stunting. Multivariate analysis identified a history of chronic energy deficiency as the strongest factor (OR=11,81; 95%CI=4,61-30,22). Maternal factors, namely chronic energy deficiency and anemia, as well as postnatal factors, including low birth weight and short birth length, were associated with stunting, with chronic energy deficiency being the most dominant determinant. Strengthening nutritional programs for pregnant women, early nutritional screening, and continuous nutrition education are required to prevent stunting
Asuhan Kebidanan Komprehensif pada Ny. S di Rumah Sakit Ibu dan Anak Masyita
Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain major health issues in Indonesia. Pregnancy, childbirth, postpartum, newborn care, and family planning services are physiological periods with high risks for maternal and infant morbidity and mortality. One strategic effort to reduce MMR and IMR is to provide comprehensive and continuous midwifery care through the Continuity of Care (CoC) approach. This final project aims to implement comprehensive midwifery care for Mrs. S at RSIA Masyita Makassar, covering antenatal care, intranatal care, newborn care, postpartum care, and the selection of contraceptive methods. The care was provided using the 7-step Varney midwifery management framework and documented using the SOAP format. Data were collected through interviews, observations, physical examinations, supporting examinations, and document reviews. The results showed that Mrs. S (G3P1A1), at 36–38 weeks of gestation, attended four antenatal visits without any pregnancy danger signs. Labor progressed spontaneously, and the baby, a female, cried immediately after birth, weighed 3,160 grams, measured 50 cm in length, with a head circumference of 30 cm and chest circumference of 31 cm. The postpartum period was normal, with three follow-up visits and no complications. The patient chose progestin-only pills as her postpartum contraceptive method. Through this care, it is expected that the patient will improve her knowledge and awareness of possible complications, and this experience will also serve as a valuable opportunity for the author to enhance her skills in delivering comprehensive midwifery care
Asuhan Kebidanan Komprehensif pada Ny. L di RSIA Masyita Makassar
Comprehensive midwifery care is a continuous approach that includes support for mothers from the time of pregnancy, labor, postpartum period, newborn care, to family planning services. Midwives play a role in providing comprehensive care from pregnancy to family planning to detect early problems, complications, and challenges. This study aims to implement comprehensive midwifery care. The method used refers to the seven-step management of care according to Varney, which is documented through the SOAP format, starting from identifying basic data, identifying actual diagnosis/problems, identifying potential diagnosis/problems, immediate actions/collaboration, midwifery care management, and evaluation, The SOAP documentation consists of subjective and objective data, clinical analysis, and the care interventions provided.. The results of the study were obtained from a patient reviewed Mrs. L, age 36, G5P4A0 at Masyita Hospital in Makassar. pregnancy progressed normally, with four antenatal visits recorded. Labor occurred spontaneously without complications, resulting in the birth of a healthy infant weighing 3700 grams and measuring 50 cm in length, with an upper arm circumference of 11 cm and an APGAR 8/10. The postpartum period was uneventful, and complaints remained within physiological limits. In the family planning phase, the patient received counseling and opted for an implant contraceptive method.
Asuhan Kebidanan Komprehensif pada Ny. H di Rumah Sakit Ibu dan Anak Masyita
Maternal Globally and nationally, maternal mortality rate and infant mortality rate remain major public health concerns. The Sustainable Development Goals (SDGs) 2030 target is to reduce MMR to below 70 per 100,000 live births and IMR to below 12 per 1,000 live births. The periods of pregnancy, childbirth, postpartum, newborn care, and family planning services are critical stages with high risk for morbidity and mortality. Therefore, comprehensive and continuous midwifery care is essential. This study aimed to implement comprehensive midwifery care for Mrs. “H” at RSIA Masyita Makassar, covering pregnancy, labor, postpartum, newborn care, and family planning services. The care was provided using Varney’s 7-step midwifery management process and documented using the SOAP format. Data were collected through interviews, physical examinations, observation, supporting examinations, and documentation studies. The results showed that Mrs. “H”, G5P4A0 with a gestational age of 38 weeks and 6 days, attended seven antenatal visits without any complaints or danger signs. The delivery occurred normally, and the baby was born spontaneously in good condition. The postpartum period was physiological, with three postnatal visits. At the end of the care, family planning counseling was provided, and the mother chose the implant contraceptive method. This care is expected to enhance maternal understanding of early complication detection and assist students in developing clinical skills in providing comprehensive midwifery services.
Asuhan Kebidanan Komprehensif pada Ny. S di RSIA Masyita Makassar
Comprehensive care and Continuity of Care is a comprehensive approach in midwifery services that includes pregnancy, childbirth, postpartum period, newborn care, and family planning counseling. The goal is to provide integrated and adequate health services to reduce maternal mortality and improve the health of mothers and babies. This study aims to implement comprehensive midwifery care for Mrs. "S" at Masyita Makassar Maternity Hospital. The care provided covers all stages, namely pregnancy, childbirth, newborn care, postpartum period, and family planning counseling. The care process is carried out using the 7-step midwifery management approach according to Varney, and recorded using the SOAP format. Data were collected through interviews, observations, physical examinations, and document reviews. The results of the care showed that Mrs. S G1P0A0, 38 weeks and 5 days of gestation, underwent 6 antenatal visits with examination results within normal limits without any signs of pregnancy danger. During labor, the baby was born spontaneously and immediately cried. The baby is a girl with a weight of 3,240 grams, a body length of 49 cm, a head circumference of 34 cm, and a chest circumference of 34 cm. Two postpartum visits were conducted, and no complications were found. Family Planning Counseling for the mother had not planned to use contraception. From this care, it is hoped that the patient will increase her knowledge and awareness of possible complications, as well as become a meaningful experience for the author and improve her skills in providing comprehensive midwifery care.
Asuhan Kebidanan Komprehensif pada Ny. S di RSIA Masyita
Comprehensive midwifery care or Continuity of Care is a health service that is provided comprehensively and continuously starting from pregnancy, labor, postpartum, newborns, to family planning. The goal of this care is to improve the quality of midwifery services by focusing on helping mothers give birth in the most minimal way possible, as well as monitoring the physical, psychological, spiritual, and social health of the mother and her family. The pregnancy process begins with the meeting of the egg and sperm cells in the uterus, followed by the process of nidation and implantation of the embryo, and develops until the fetus is ready to be born, the pregnancy lasts for 40 weeks. Mrs. S G3P2A0 with a gestation of 38-40 weeks, with vital signs within normal limits and the general condition of the mother is normal. Labor is the process of releasing a full-term baby from the uterus, followed by the release of the placenta and amniotic membranes from the mother's body through the birth canal, Mrs. S gave birth on January 22, 2025 at 20.50 WITA with the condition of the mother and baby in good condition. A newborn is a child aged between 0 and 28 days, this period is the period where the baby has the highest risk of death, Mrs. S was born spontaneously and immediately cried without any abnormalities with a weight of 2690 grams, a body length of 45 cm. The postpartum period is a recovery period that occurs after giving birth and lasts for 40 days, Mrs. S made 2 postpartum visits at Masyita Hospital and 1 home visit at Jl. Angkasa IV Hall 2 with the condition of the mother and baby in good condition and vital signs within normal limits. Family planning aims to help married couples regulate the spacing between pregnancies and prevent unwanted pregnancies, but Mrs. S is willing to use a 1-month injection of contraception. This case study was conducted on Mrs. S aged 30 years at Masyita Hospital, Makassar in 2025. Based on the case study, there was a gap in the stages of Antenatal Care Midwifery Care, Intranatal Care Midwifery Care, and Family Planning Midwifery Care compared to the theory, even though the mother and baby were in normal condition.
Asuhan Kebidanan Kompehensif pada Ny. S di RSIA Masyita Makassar
Continuity of Care is a comprehensive and continuous approach to care for mothers and babies, from pregnancy, childbirth, postpartum, newborn care, and family planning services. Its primary goal is to optimally monitor the condition of the mother and baby, build a trusting relationship between the midwife and the mother, and improve the quality of midwifery care. The method used in providing midwifery care in this study is the midwifery management approach, which includes Varney's 7 steps and the SOAP method. Based on the results of research on Mrs. S's fourth pregnancy with an obstetric history without miscarriage, the pregnancy process was physiological, and no complications were found during the gestation period. During labor, Mrs. S gave birth spontaneously without experiencing complications. Mrs. S's baby was born spontaneously on February 3, 2025, at 22.20 WITA with a weight of 2,820 grams; the Apgar Score was recorded as 8/10. During Mrs. S's postpartum period, there were no danger signs at all that caused complications. Care for prospective family planning on February 7, 2025, the mother wanted to use the contraceptive implant before the postpartum period ended, namely March 4, 2025. All stages from pregnancy to family planning services took place normally without any complications. These findings are expected to be learning materials and input in improving the quality of midwifery services as a whole, from early pregnancy to family planning.
Asuhan Kebidanan Komprehensif pada Ny. M di RSIA Masyita Makassar
Comprehensive care is a continuous and comprehensive midwifery service approach, covering pregnancy, childbirth, postpartum, newborn care, and family planning. This service is designed to meet the individual health needs of women and improve the quality of midwifery services. The goal of comprehensive care is to provide comprehensive and integrated care through an effective midwifery management approach. Mrs.“M” G3P2A0 with a gestation of 38 weeks and 5 days, with vital signs within normal limits and the mother's physical condition normal. The mother delivered on January 24, 2025, at 16:15 WITA in good condition without complications. The baby was born spontaneously without abnormalities, weighing 2640 grams and measuring 48 cm in length. Postnatal visits were conducted twice at RSIA Masyita Makassar and once at home on Nipa Nipa Street, with the mother in good condition and vital signs within normal limits. Mrs. “M” plans to use an implant contraceptive device.
Kehamilan; Persalinan; Bayi Baru Lahir; Nifas; Keluarga Berencana
Hubungan Pengetahuan, Gangguan Menstruasi, dan Indeks Massa Tubuhdengan Kejadian Anemia Remaja Putri
Anemia is a condition characterized by a lower-than-usual hemoglobin level in the blood. The purpose of this study was to analyze the relationship between the level of knowledge, menstrual disorders, and body mass index and the incidence of anemia in female adolescents in high schools within the working area of the Marina Permai Palangka Raya Health Center, using an analytical observational method with a cross-sectional approach. The research sample consisted of 108 female adolescents from high schools within the working area of the Marina Permai Palangka Raya Health Center. Sampling was done using proportional random sampling. Data analysis employed descriptive statistics, chi-square tests, and multiple logistic regression. The results of the chi-square analysis showed a p-value for the variable level of knowledge (p = 0.375), menstrual disorders (p = 0.001), and body mass index (p = 0.000). The results of the multiple logistic regression analysis showed a p-value and Exp(B) for the variable menstrual disorders (p = 0.000, Exp(B) = 20.300) and body mass index (p = 0.000, Exp(B) = 25.477). There is a relationship between menstrual disorders and body mass index with the incidence of anemia in female adolescents. There is no relationship between knowledge level and the incidence of anemia in adolescent girls. The most dominant variable associated with the incidence of anemia in adolescent girls is body mass index
Hubungan Peran Bidan dan Dukungan Suami terhadap Pemilihan Kontrasepsi Implan
Implant contraception is one of the long-term contraceptive methods (Long-Term Contraceptive Method/MKJP) that is effective in preventing pregnancy. This study aims to analyze the relationship between the role of midwives and husbands' support for the choice of implant contraception in the Kotabaru Regency area. This study is a quantitative study with a cross-sectional research design. The population in this study were 1,718 fertile age couples who used contraception at Pantai Health Center. In this study, the sampling technique used was a purposive sampling technique to select individuals who met the research criteria with a sample size of 315 people who met the criteria as samples. Based on the results obtained, there is a relationship between husbands' support and the choice of implants in the Kotabaru Regency area. The results of the chi-square test yielded a p-value of 0.001 (p < 0.05), indicating a significant relationship between the role of midwives and the choice of implants in the Kotabaru Regency area. The statistically significant relationship underscores the importance of integrating midwives' roles and family support into reproductive health strategies, which can influence contraceptive choices effectively
Pengaruh Akupresur pada Titik Zhongwan (CV12) untuk Meningkatkan Nafsu Makan Balita
Decreased appetite in toddlers is a significant risk factor for malnutrition and stunting. Acupressure at the Zhongwan (CV12) point, a component of Traditional Chinese Medicine, is known to enhance digestive function and stimulate appetite. This study aims to determine the effect of acupressure at the CV12 point on improving toddlers’ appetite. A pre-experimental one-group pre-post test design was used, involving 32 toddlers aged 1–5 years with decreased appetite who underwent six sessions of acupressure therapy. The results of the McNemar test showed a significant improvement in appetite following the intervention (p = 0.000). Before the intervention, 68.8% of the children had poor appetite, which improved to 90.6% having good appetite post-intervention. These findings indicate that acupressure at the Zhongwan (CV12) point is an effective non-pharmacological method to improve toddlers’ appetite, potentially contributing to stunting prevention.
Asuhan Kebidanan Komprehensif pada Ny. N di RSUD Labuang Baji Makassar
Maternal mortality rate and infant mortality rate in Indonesia are one of the indicators to see the government's efforts to improve health success. Pregnancy, childbirth, postpartum, and newborns are conditions that occur physiologically but these conditions can also threaten the lives of mothers and babies and result in death for both mothers and babies. Midwives have an important role in providing comprehensive midwifery care, starting from antenatal, intranatal, newborns, postnatal to family planning. The purpose of this study is to be able to provide comprehensive midwifery care. This study uses data collection methods with Varney's 7-step midwifery care management and SOAP. The patient who was assessed was Mrs. N at Labuang Baji Hospital, Makassar in 2024 with a normal pregnancy, normal delivery without complications, the baby was born spontaneously with a birth weight of 3200 grams, birth length 49 cm, head circumference 34 cm, and chest circumference 32 cm, the postpartum period was normal and counseling was given regarding various types of contraception. From the results of the study, it can be concluded that during pregnancy, childbirth, newborns, postpartum to family planning in Mrs. N at Labuang Baji Hospital, Makassar in 2024, everything went normally without any complications.
Asuhan Kebidanan Komprehensif pada Ny. H di RSUD Kota Makassar
Continuity of care midwifery care is the provision of continuous midwifery care from pregnancy, childbirth, newborns, the postpartum period, and family planning to reduce maternal and infant mortality. Continuity of care is a comprehensive service that supports women throughout pregnancy, childbirth, postpartum care, and family planning. The philosophy of comprehensive midwifery care holds that pregnancy and birth are physiological and that the welfare of the mother and fetus must be considered through ongoing care. This relates to the role of midwives as professional healthcare workers, which often involves assisting women throughout the reproductive health cycle. The research aimed to gain real-world experience in implementing comprehensive midwifery care using Verney and Soap's seven-step care management model. The results of the assessment were obtained on Mrs "H" aged 32 years GVIPVAI, at the Makassar City Regional Hospital, the pregnancy was normal, the antenatal care examination was carried out six times, the birth was spontaneous without complications, the baby was born spontaneously with a newborn: 2,900 grams, birth body length 51 cm, head circumference: 33cm chest circumference: 31cm, abdominal circumference: 30cm, Apgar/score: 8/10, gender female. Postpartum progressed normally; complaints were still in the normal category, and family planning care was provided regarding contraceptive counseling. The author concludes that, from pregnancy and childbirth through the newborn period and postpartum period, to family planning, everything is normal without any complications.
Asuhan Kebidanan Komprehensif pada Ny. U di RSUD Kota Makassar
Health problems in Indonesia are mainly caused by maternal and infant mortality. Pregnancy, childbirth, newborn, and postpartum are physiological conditions that may threaten the life of the mother and baby and can even cause death. One effort that can be made is to implement a comprehensive midwifery care model. Comprehensive obstetric care is a holistic approach to obstetric services that covers all aspects of women's reproductive health. To improve the quality of health, the author contributes by providing comprehensive obstetric care ranging from pregnancy, childbirth, newborn, postpartum, and family planning. The author employs the 7-step Varney management method and documentation, utilizing SOAP format, of the provision of midwifery care. Data collection is carried out through interviews, observations, physical examinations, supporting examinations, and documentation. Comprehensive obstetric care for Mrs. U G1P0A0, gestational age 36 weeks 5 days, as well as pregnancy visits carried out 6 times, and no signs of danger symptoms were found in pregnancy. During childbirth, oxytocin induction is given. Newborn babies do not cry immediately, muscle tone is weak, have bluish skin color, are female gender, have a body length of 42 cm, a weight of 3600 grams, a head circumference of 32.5 cm, a chest circumference of 32 cm, and during postpartum visits are made 3 times, with the postpartum period taking place normally. Then, the method of contraception chosen is the contraceptive device in the womb. The author hopes that patients can increase their insight to detect possible complications and that the author maximizes skills in providing comprehensive care.
Faktor yang Memengaruhi Kejadian Hiperemesis Gravidarum pada Ibu Hamil Trimester I
Hyperemesis Gravidarum is a condition in pregnant women characterized by nausea and vomiting throughout the day during pregnancy, often occurring in the first trimester. Several factors can lead to hyperemesis gravidarum in pregnant women, including hormonal imbalances involving HCG, estrogen, progesterone, and cortisol. Hyperemesis can be caused by multifactorial issues, including primigravida, allergies, the relationship between psychological factors such as family support, anxiety about pregnancy, and the mother's nutritional status. This study aims to identify the factors influencing the incidence of hyperemesis gravidarum in first-trimester pregnant women. This cross-sectional study was conducted on 68 first-trimester pregnant women in the Working Area of the Ketapang Nusantara Health Center in Central Aceh Regency from October 2021 to March 2022. The sampling technique used was purposive sampling. Data analysis was performed using the Chi-Square test, and the results showed a relationship between knowledge and the incidence of hyperemesis gravidarum (p=0.005), education level (p=0.005), parity (p=0.002), and age during pregnancy (p=0.015). Therefore, pregnant women need to receive health information education about their pregnancy to manage and reduce the morbidity rates in mothers and babies and to address hyperemesis gravidarum during pregnancy.
Asuhan Kebidanan Komprehensif pada Ny. N di Klinik Pratama BKIA Rakyat
Comprehensive midwifery care is a series of health services midwives provide, starting from pregnancy, childbirth, postpartum, newborns, and family planning. The maternal mortality rate and infant mortality rate are highly dependent on the quality of health services; the higher the quality of midwives' services, the lower the maternal mortality rate and infant mortality rate. Comprehensive midwifery care can ensure that mothers and babies receive quality care throughout pregnancy until childbirth and family planning. The purpose of this study was to provide comprehensive care to Mrs. N G2P1A0, from pregnancy, childbirth, postpartum, and newborns to family planning at the Pratama BKIA Rakyat Clinic. This type of research is comprehensive, using the 7-step Varney method and documented in the form of SOAP. Based on the results obtained on Mrs. N, there were no problems and complications ranging from pregnancy, childbirth, newborn, postpartum, and family planning care provided by the authority of the midwife, and based on the client's consent.
Asuhan kebidanan komprehensif atau continuity of care yaitu asuhan yang diberikan secara berkesinambungan di mulai dari kehamilan, persalinan, bayi baru lahir, nifas, dan keluarga berencana dengan memberikan pelayanan yang berkualitas untuk mengurangi angka kematian ibu dan angka kematian bayi. Tujuan penelitian untuk melaksanakan asuhan kebidanan komprehensif pada saat hamil, persalinan, nifas, keluarga berencana serta kunjungan rumah. Metode yang digunakan dalam penelitian ini menggunakan kerangka asuhan kebidanan dimana terdiri dari 7 Langkah Varney dan SOAP, diamana dari pemeriksaan antenatal care pasien yang dikaji pada Ny. H umur 37 tahun G3P2A0 di RSUD Kota Makassar pemeriksaan antenatal care dilakukan sebanyak 3 kali pemeriksaan, persalinan berjalan dengan normal, bayi lahir normal menangis kuat dan bergerak aktif tampak kemerahan dengan berat badan lahir 3290 gram dan panjang badan lahir 50 cm, lingkar kepala 32 cm, lingkar dada 31 cm, lingkar perut 28 cm, lingkar lengan atas 11 cm, APGAR skor 8/10. Masa nifas berlangsung dengan normal dengan keluhan nyeri perut bagian bawah, pengeluaran darah dari jalan lahir yang dimana hal fisiologi yang terjadi pada masa nifas, asuhan yang diberikan keluarga berencana ibu calon aseptor KB implant dan kunjungan rumah pada hari ke10 berlangsung dengan normal tanpa adanya komplikasi. Jadi dapat disimpulkan dari masa kehamilan, persalinan, bayi baru lahir, nifas, keluarga berencana dan kunjungan rumah tidak terdapat adanya komplikasi atau penyulit bagi ibu dan bayi.
Copyright (c) 2024 Window of Midwifery Journal
Asuhan Kebidanan Komprehensif pada Ny. H di Klinik Pratama BKIA Rakyat
Asuhan kebidanan continuity of care adalah upaya untuk mengurangi angka kematian ibu dan angka kematian bayi melalui asuhan berkesinambungan. Tujuan dari continuity of care adalah untuk meningkatkan pemahaman dan pelaksanaan asuhan kebidanan untuk ibu hamil, bersalin, nifas, bayi baru lahir, dan pelaksanaan keluarga berencana. Bidan diharuskan memberikan pelayanan kebidanan yang continuity of caremulai dari kehamilan, persalinan, asuhan bayi baru lahir, nifas, dan pelayanan keluarga berencana. Bidan betanggungjawab penuh untuk menjaga keselamatan ibu dan bayinya, mencegah masalah, memberikan dukungan, pendidikan, dan penyuluhan, serta mendukung kehamilan dan persalinan. Tujuan dalam penelitian ini mampu melakukan asuhan kebidanan secara komprehensif. Metode yang digunakan dalam penelitian ini menggunakan manajemen asuhan tujuh langkah varney dan pendokumentasian dengan SOAP mulai dari identifikasi data dasar, identifikasi diagnosa/masalah aktual, identifikasi diagnosa/masalah potensial, tindakan segera/kolaborasi, melakukan asuhan menyeluruh, pentalaksanaan asuhan kebidanan, dan evaluasi sedangkan pada SOAP berisi data subjektif, data objektif, analisis, dan penatalaksanaan asuhan yang diberikan. Hasil penelitian diperoleh pasien yang dikaji Ny. H umur 34 tahun G3P2A0 di Klinik Pratama BKIA Rakyat Kota Makassar kehamilan berlangsung normal, pemeriksaan antenal care dilakukan enam kali kunjungan, persalinan secara spontan tanpa komplikasi, bayi lahir secara spontan dengan berat badan lahir 2700 gram, panjang badan 49 cm, APGAR score 8/10, nifas berlangsung normal, keluhan masih dalam batas normal, asuhan keluarga berencana diberikan konseling terkait penggunaan alat kontrasepsi. Dapat disimpulkan bahwa kehamilan, persalinan, bayi baru lahir, nifas, dan KB berlangsung normal tanpa adanya komplikasi dan penyulit apapun dan ibu memutuskan untuk menggunakan alat kontrasepsi jenis pil.
Asuhan Kebidanan pada Inpartu Kala I Fase Aktif dengan Penerapan Gym Ball untuk Mengurangi Nyeri Persalinan
Persalinan kala I fase aktif multigravida umumnya berlangsung kurang lebih 7 jam dan terjadi ketidaknyamanan pada ibu akibat kontraksi berupa rasa nyeri. Gym ball merupakan salah satu upaya dalam mengatasi nyeri serta mempercepat proses kemajuan persalinan dengan cara kerja memperlebar area panggul. Tujuan penelitian ini untuk melakukan asuhan kebidanan kala I dengan nyeri persalinan pada ibu Y di Praktik Mandiri Bidan N Kabupaten Aceh Barat. Metode penelitian berupa studi kasus, dilaksanakan dengan manajemen asuhan kebidanan varney. Asuhan kebidanan didokumentasikan berdasarkan SOAP. Subyek penelitian ini ialah ibu Y G5P2A2 gravida 38 minggu 3 hari yang mengalami ketidaknyamanan berupa nyeri pada kala I fase aktif. Tempat penelitian di Praktik Mandiri Bidan N Kabupaten Aceh Barat. Hasil asuhan kebidanan persalinan kala I dengan nyeri yaitu dilakukan manajemen nyeri dengan menggunakan gym ball. Penggunaan gym ball efektif mengurangi nyeri persalinan kala I fase aktif yang dialami ibu. Rasa nyeri persalinan semakin berkurang dari skala 8 menjadi 4 pada penggunaan gym ball dengan teknik pelvic rocking. Persalinan kala I fase aktif berlangsung selama 60 menit. Kesimpulan gym ball efektif mengurangi nyeridan mempercepat kemajuan persalinan pada kala I ibu Y G5P2A2.
Asuhan Kebidanan Keluarga Berencana pada Ny. N Akseptor Depo Progestin
Jumlah penduduk Indonesia semakin meningkat setiap tahun sehingga Indonesia memiliki jumlah penduduk terbesar keempat di dunia, pada tahun 2020 penduduk Indonesia mencapai 271.066.366 jiwa yang terdiri dari 136.142.501 jiwa penduduk laki-laki dan 134.923.865 jiwa penduduk perempuan. Program Keluarga Berencana (KB) merupakan salah satu program pemerintah yang diselenggarakan untuk mengatur kelahiran anak, jarak, dan usia ideal melahirkan, mengatur kehamilan untuk mewujudkan keluarga yang berkualitas menurut World Health Organization, keluarga berencana adalah tindakan yang membantu individu atau pasangan suami istri untuk mengatur interval di antara kelahiran, menentukan jumlah anak dalam keluarga, serta mendapatkan kehamilan yang memang diinginkan. Hal ini dilakukan untuk mendapatkan keluarga yang sejahtera menurut profil kesehatan Indonesia tahun 2020, kontrasepsi yang sering digunakan adalah kontrasepsi suntikan yang sebesar 72,9%, diikuti oleh KB pil 19,4%, KB implant sebanyak 8,5% dan KB AKDR sebanyak 8,5%, sedangkan kontrasepsi yang paling sedikit digunakan adalah Metode Operasi Wanita (MOP) sebanyak 2,6%, Metpde Operasi Pria (MOP) kondom 1,1%. Tujuan dari penelitian ini yaitu melaksanakan asuhan kebidanan keluarga berencana terhadap akseptor KB Depo Progestin di Praktik Bidan Mandiri Hj. Sitti Hasniah tahun 2023. Berdasarkan hasil pengkajian, tidak ditemukan adanya kesenjangan dan ibu tetap menjadi akseptor KB Suntik Depo Progestin. Dengan menggunakan manajemen asuhan 7 langkah varney dan pendokumentasian dalam bentuk SOAP, kesimpulan hasil studi kasus Ny. N berjalan dengan normal, tidak ada kesenjangan dan komplikasi yang terjadi pada ibu dan ibu tetap menjadi aksepto KB Suntik Depo Progestin.
Asuhan Kebidanan Postpartum pada Ny. R dengan Nyeri Luka Perineum
Masa nifas adalah masa setelah melahirkan dimulai lahirnya bayi, plasenta dan selaputnya yang membutuhkan waktu pemulihan selama kurang lebih 6 minggu. Terjadinya robekan perineum disebabkan oleh proses persalinan ketika bayi lahir secara spontan dengan alat atau tindakan. Menurut data World Health Organization terdapat 2,9 juta kasus robekan perineum pada ibu melahirkan dan diperkirakan akan meningkat menjadi 6,8 juta di tahun 2050. Di Indonesia 75 persen dari 100.000 wanita yang melahirkan yaitu 75.000 wanita mengalami robekan perineum. Berdasarkan data yang diperoleh dari RSIA Masyita Makassar pada bulan Januari sampai Desember 2022 jumlah keseluruhan ibu nifas yang melahirkan normal sebanyak 623 orang tidak disertai rupture 230 orang dan disertai rupture 393 orang. Tujuan dilakukan penelitian ini adalah memberikan asuhan kebidanan postpartum pada Ny. R dengan nyeri luka perineum menggunakan manajemen kebidanan sesuai wewenang bidan. Jenis penelitian ini bersifat deskriptif dan menggunakan metode kasus 7 langkah Varney yang didokumentasikan dalam bentuk SOAP. Adapun hasil dari penelitian ini tidak ditemukan kesenjangan antara teori dan studi kasus yang diperoleh dari lahan praktek dan studi kasus Ny. R dengan nyeri luka perineum di RSIA Masyita Makassar.
Asuhan Kebidanan Post Partum pada Ny. F dengan Nyeri Luka Perineum
Masa nifas merupakan masa yang paling rentan bagi ibu dikarenakan sebagai penyumbang kematian pada ibu yang cukup besar oleh karena itu, pada masa ini dibutuhkan pengawasan dan perawatan yang tepat agar perawatan masa nifas yang menjadi salah satu upaya untuk dapat membantu dan mempercepat proses kembali pulihnya alat-alat reproduksi, kebutuhan nutrisi, pencegahan infeksi serta dapat memulihkan kesehatan ibu. Pada masa nifas, ibu dapat mengalami berbagai masalah kesehatan, bahkan dapat berlanjut pada komplikasi masa nifas, sehingga masa ini menjadi cukup penting bagi tenaga kesehatan khususnya bidan melakukan pemantauan terhadap ibu nifas. Tujuan disusunnya studi kasus ini adalah untuk dapat melaksanakan asuhan kebidanan pada Ny. F dengan nyeri luka perineum. Jenis penelitian ini bersifat deskriptif dengan metode studi kasus manajemen asuhan kebidanan 7 langkah varney dan catatan perkembangan dalam bentuk SOAP. Hasil pada studi kasus Ny. F dengan nyeri luka perineum tidak ditemukan adanya kendala dalam mengenai hal tersebut. Kesimpulan hasil study Ny. F post partum hari pertama dengan nyeri luka perineum di Klinik Pratama BKIA Rakyat, yaitu asuhan yang telah diberikan berhasil dengan ditandai keadaan umum ibu baik, air susu ibu sudah mulai lancar, ibu sudah tidak merasakan nyeri pada perineumnya dan tidak ada tanda-tanda infeksi ditemukan.
Asuhan Kebidanan Persalinan pada Ny. A dengan Partus Normal
Tercatat dalam hasil penelitian data survey persalinan normal di Klinik Pratama BKIA Rakyat Makassar dari tahun 2019 sampai 2023 sebanyak kurang lebih 5.000 ibu yang bersalin normal. Dasar kesehatan Indonesia menunjukan angka kematian ibu di Indonesia masih tinggi yaitu 395 per 100.000 kelahiran hidup.Terdapat empat penyebab kematian ibu di dunia yakni partus lama, perdarahan, infeksi, dan kejang. Tujuan dilakukannya studi kasus ini ialah agar terlaksananya Asuhan Kebidanan Intranatal pada Ny. A dengan Partus Normal di Klinik Pratama BKIA Rakyat Makassar tahun 2023 dengan penerapan asuhan kebidanan didasari wewenang bidan. Persalinan merupakan proses membuka dan menipisnya serviks dan janin turun kedalam jalan lahir, kemudian dengan pengeluaran bayi yang cukup bulan atau dapat hidup di luar kandungan disusul dengan pengeluaran plasenta dan selaput janin dari tubuh ibu melalui jalan lahir dengan bantuan atau tanpa bantuan (kekuatan sendiri). Pasien yang dikaji dalam studi kasus ini adalah Ny. A, usia 24 tahun, nikah 1 kali, suku Makassar, agama Islam, pendidikan SMA, pekerjaan IRT, alamat Jln. Tarakan Lr. 182 c. Berdasarkan studi kasus pada Ny. A tidak ditemukan adanya kesenjangan antara teori dan kasus berdasarkan data G1P0AO, gestasi 38-40 minggu, punggung kanan, presentasi kepala, BDP, tunggal, keadaain ibu dan janin baik, dan inpartu kala I fase aktif. Setelah penulis mempelajari teori dan pengalaman langsung di lahan praktik melalui studi kasus tentang asuhan kebidanan pada Ny. A dengan partus normal di Klinik Pratama BKIA Rakyat Makassar.
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Asuhan Kebidanan Perawatan Tali Pusat pada Bayi Ny. N
Berdasarkan data dari World Health Organization di tahun 2017, tetanus serta infeksi tali pusat adalah penyebab morbilitas dan mortalitas berkelanjutan di berbagai negara. Pada tahun 2021 angka kematian bayi neonatal (usia 0-28 hari) secara global sebesar 17 dari 100 bayi lahir hidup. Salah satu ancaman bayi baru lahir adalah terjadinya infeksi tali pusat dikarenakan perawatan tali pusat yang tidak baik dan benar serta adanya ketidaksesuaian dengan standar operasional prosedur yang telah ditentukan. Dari pendataan yang diperoleh dari RSKDIA Siti Fatimah Makassar pada bulan Juni 2022 sampai Februari tahun 2023 jumlah keseluruhan bayi baru lahir mencapai 1.406 bayi. Penelitian ini dilakukan dengan tujuan agar dapat melaksanakan asuhan kebidanan perawatan tali pusat pada bayi Ny. N di RSKDIA Siti Fatimah dengan penerapan manajemen asuhan kebidanan sesuai wewenang bidan. Jenis penelitian ini berdasarkan teori ilmiah yang dipadukan dengan praktik dan pengalaman mengkaji kasus dan disusun dengan metode 7 langkah Varney dan catatan perkembangan dalam bentuk SOAP. Bedasarkan studi kasus asuhan kebidanan perawatan tali pusat pada bayi Ny. N tidak ditemukan adanya perbedaan antara teori dan kasus, yaitu bayi lahir dengan normal, keadaan umum baik, berat badan 2500 gram, cukup bulan (gestasi 39 minggu 2 hari), nilai APGAR 8 per 10, pada pemeriksaan fisik tidak ditemukan tanda bahaya pada bayi dan tidak terdapat tanda-tanda infeksi terutama pada tali pusat. Dengan adanya penelitian ini diharapkan agar orang tua maupun bidan mampu menerapkan asuhan bayi baru lahir terutama perawatan tali pusat.
Asuhan Kebidanan Antenatal pada Ny. R dengan Ketidaknyamanan Sering Buang Air Kecil
Kehamilan merupakan suatu proses bertemunya sel sperma dan ovum dalam ovarium yang disebut konsepsi yang kemudian dilanjutkan nidasi. Selama kehamilan terjadi perubahan-perubahan yang menimbulkan beberapa ketidaknyamanan pada ibu hamil. Ketidaknyamanan selama hamil trimester III yang sering terjadi adalah sering buang air kecil. Pada tahun 2022 Jurnal Kebidanan mencatat 50% ibu hamil mengalami sering buang air kecil dan lebih banyak dialami usia kehamilan 28-40 minggu sekitar 17,5%. Tujuan studi kasus ini agar dapat melaksanakan asuhan kebidanan antenatal pada Ny. R di RSIA Masyita Makassar 2023 dengan ketidaknyamanan sering buang air kecil. Pendekatan manajemen asuhan kebidanan 7 langkah Varney dan pendokumentasian bentuk SOAP. Pada studi kasus Ny. R gestasi 38 minggu dengan ketidaknyamanan sering buang air kecil tidak ditemukan kesenjangan antara teori dan kasus. Diharapkan bidan senantiasa berupaya untuk meningkatkan keterampilan dan kemampuan dalam memberikan asuhan yang sesuai standar.
Asuhan Kebidanan pada Bayi Ny. M dengan Lahir Normal
Berdasarkan data dari World Health Organization tahun 2020, terdapat 5 juta kematian neonatus setiap tahun dengan angka mortalitas neonatus 34 per 1000 kelahiran hidup dan 98% kematian tersebut terjadi di negara berkembang, khususnya di Asia Tenggara adalah 39 per 1.000 kelahiran hidup. Bayi baru lahir termaksuk kategori normal jika bayi yang lahir dengan presentasi belakang kepala melalui vagina tanpa memakai alat, pada usia kehamilan genap 37 minggu sampai dengan 42 minggu, dengan berat badan 2500-4000 gram, nilai APGAR lebih dari 7 dan tanpa cacat bawaan. Pengkajian ini bertujuan melaksanakan asuhan kebidanan pada bayi Ny. M lahir normal di RSIA Masyita Makassar dengan penerapan manajemen asuhan kebidanan sesuai wewenang bidan. Jenis penelitian bersifat deskriptif dengan metode studi kasus manajemen asuhan kebidanan 7 langkah Varney dan catatan perkembangan dalam bentuk SOAP. Pada studi kasus ini dilakukan wawancara, pemeriksaan fisik, dokumentasi, dan diskusi. Berdasarkan studi kasus tidak ditemukan adanya perbedaan antara teori dan kasus, yaitu bayi lahir dengan presentasi belakang kepala (ubun-ubun kecil), spontan, berat badan lahir 3.310 gram, nilai APGAR 8 per 10, keadaan fisik bayi secara head to toe baik dan sejalan dengan teori bayi baru lahir normal. Berdasarkan hasil tinjauan asuhan kebidanan terdapat umur kehamilan cukup bulan, sesuai masa kehamilan, presentasi belakang kepala, panjang badan normal, lingkar kepala dan lingkar dada normal, kulit kemerahan dan tampak verniks caseosa, dan bayi tampak aktif. Penelitian ini, bidan diharapkan senantiasa berupaya meningkatkan keterampilan dan kemampuan dalam melaksanakan pelayanan kesehatan yang lebih profesional.