ASUHAN KEBIDANAN PADA NY. D MASA HAMIL, BERSALIN, NIFAS, BAYI BARU LAHIR, DAN KELUARGA BERENCANA DI PRAKTEK MANDIRI BIDAN R.M KOTA PEMATANGSIANTAR

Abstract

Background :Maternal mortality is caused by direct obstetric causes, namely maternal mortality that related with complications of pregnancy, childbirth, and childbed (hypertension in pregnancy 32%, puerpurium complications 31%, post partum bleeding 20%, others 7%, abortion 4%, antepartum bleeding 3%, amnion abnormalities 2% and long delivery 1%). The indirect cause is maternal mortality that caused by illness and not because of pregnancy and childbirth. Tuberculosis, anemia, malaria, syphilis, HIV, AIDS and the others that can strengthen pregnancy and increase the risk of pain and death. Purpose :To provide midwifery upbringing/care for Mrs. D, 26 years old in continuity of care starting from pregnant mother, maternity, childbed, newborn baby and family planning according to standard of midwifery upbringing/care and midwifery management. Method : Continuous midwifery upbringing/care and documentation with SOAP management. Result: After give midwifery upbringing/care for Mrs. D. there are no complication or problem that interfere with mother’s pregnancy, the condition of the mother during pregnancy is normal condition with 12gr% Hb, TTV in normal limits. The process of childbirth baby born spontaneous with BB 3500 gram, PB 48 cm, apgar score 9/10, with female gender. In the implementation of upbringing/care for the second time Mrs. D has a second degree rupture, but the problem can be resolved by doing hecting degree II with node technique. Upbringing/Care for BBL is given as needed and there is no sign of danger or complications in the baby. On the last visit of the childbed period, information about the use of contraceptive was informed, the mother decided to become acceptor of injection KB who was injected 1 time 3 months. Conclusion: In this case, Mrs. D, 26 years old with perineum rupture there is no gap between theory and practice. Mothers are encouraged to consume nutritious food and become KB acceptors.