ASUHAN KEBIDANAN PADA NY.EMASAHAMIL, BERSALIN,NIFAS,BAYIBARULAHIRDAN KELUARGABERENCANADIPRAKTIK MANDIRIBIDANMKOTAPEMATANGSIANTAR

Abstract

Background:MaternalMortalityRate(MMR)isoneindicatortoseethe successofmaternalhealthefforts.Maternalmortalityworldwidefellby around 44%,the targetin 2016 – 2030 as one ofthe sustainable developmentgoalsisthattheglobalmaternalmortalityrateisexpectedto be70per100.000livebirths.Referstotheresultsofthe2017Indonesian HealthDemographySurvey,dataobtainedthattheinfantmortalityratein Indonesiais32per100.000livebirths. Objective:ToprovidemidwiferycaretoMrs.E,aged28years,with continuityofcarestartingfrom pregnantwomen,maternity,postpartum, newbornsandfamilyplanningacceptorsinaccordancewithmidwifery carestandardsandmidwiferymanagement. Methods :Continuous midwifery care with Varney documentation followedbySOAPinaccordancewithmidwiferycarestandards. Result:continuousmidwiferycareforMrs.E28yearsold,GIPOAO.The birthprocessofthebabywasbornspontaneouslywithaweightof3000 grams,bodylength50cm,headcircumference33cm,chestsize34cm, A/S:9/10withfemalegender.Intheimplementationofthesecondstage ofcare,Mrs.EexperiencedagradeIIrupture,buttheproblem couldbe resolvedbydoingagradeIIhectingwiththebastingtechnique.Thecare forBBL was given as needed and there were no dangersigns or complicationsinthebaby.Duringthepostpartum visit,themotherwas informedabouttheuseofcontraceptionandthemotherchosetobecome acandidateforthe3monthinjectionKBacceptor. Conclusion:Inthiscase,Mrs.E28yearsoldwithaseconddegreeperineal rupture,thereisnogapbetweentheoryandpractice.Theserviceandcare providedisinaccordancewiththestandardsofVarneyandauthorityifthe midwife