ABSTRACT Efforts to reduce MMR by midwives are by ensuring that every mother is able to access quality health services, such as health services for pregnant women, birth assistance by trained health workers in health service facilities, post-natal care for mothers and babies, special care and referrals if complications occur, Family Planning (KB) services, including post-natal family planning. The aim of this research is to provide midwifery care to Mrs. . The place was held at TPMB Sulistyo Rahayu, S.Tr.Keb. Central Lampung Regency, Lampung Province in 2024. The time for carrying out this case study is in August 2024. The subjects used in this research are pregnant women whose gestational age is 36 weeks 5 days. The sampling technique or research subject that will be used is Purposive Sampling. Midwifery Care for Mrs. N aged 25 years G1P0A0 gestational age 36+5 weeks with complaints of constipation has been done well. The diagnosis in this case is Mrs. N, 25 years old G1P0A0, gestational age 36 weeks 5 days, single live fetus in uterine head presentation with complaints of constipation. Planning, implementation and evaluation Mrs. N, 25 years old G1P0A0, gestational age 36 weeks 5 days, single live fetus intrauterine head presentation with complaints of constipation was carried out by providing counseling according to complaints and no discrepancies were found in the case with existing theory. Keywords: Antenatal care, Pregnancy, Constipation
ABSTRACT The infant mortality rate according to the definition of the World Health Organization (WHO) is the probability that a child born in a certain year or period dies before reaching the age of one year (age: 0-27 days, age: 28 days-<1 year). The majority of all newborn deaths (75%) occur during the first week of life and approximately 1 million newborns die within the first 24 hours. Premature birth, intrapartum-related complications and birth defects cause most of the BBL deaths. Method: This type of research is descriptive with a purposive sampling technique using the SOAP instrument. Data collection techniques include observation, interviews, physical examination and documentation studies. Clients receive information about care for newborns, although there are several gaps in the provision of Vit. K and the Early Breastfeeding Initiation (IMD) process. Thus, the midwifery care provided there is a gap between theory and practice in the field. Keywords: Care, Obstetrics, Neonates
ABSTRACT The first trimester is often considered an adjustment period. The adjustment that the mother made was to the fact that she was pregnant. In early pregnancy, women sometimes feel happy and sad. It is usually also affected by fatigue, nausea and frequent urination. For this reason, women who previously had a view of themselves or if there were some problems that arose at the beginning of pregnancy, then this period is a worrying period. The second trimester is often known as the period of good health, which is when women feel comfortable and free from all the discomfort experienced during pregnancy. The third trimester is often called a period of vigilance. There is a feeling of anxiety considering that babies can be born at any time. Women will again feel stronger physical discomfort towards the end of pregnancy. He will feel awkward, ugly and messy. Anxiety and fear of the delivery process increase, which is a concern is pain, wounds during childbirth, the health of the baby, the ability to be a responsible mother and how the relationship with the husband, there is a sleep disorder, it must be explained about the delivery and birth process so that the mother is confident that she can go through the delivery process well. Methods: This type of research uses SOAP with techniques that include observation, interviews, physical examinations, documentation and literature studies. Clients get information about discomfort in pregnant women and how to overcome it. The Comprehensive Care provided does not have a gap between theory and practice in the field. Keywords: Pregnant, Discomfort, Pregnancy Gymnastics
ABSTRACT Maternal Mortality Rate (MMR) is an indicator of all deaths during pregnancy, childbirth and postpartum periods that are caused by management but not due to other causes such as accidents or incidents. MMR is all deaths within this scope in every 100,000 live births. Apart from assessing maternal health programs, this indicator is also able to assess the level of public health, because of its sensitivity to improving health services. The aim of this research is to provide midwifery care to Mrs T aged 23 years G1P0A0 gestational age 38 weeks 4 days with complaints of low back pain at TPMB Eka Santi Prabekti S.Tr.Keb, Central Lampung Regency, Lampung Province.. The method used in this research is descriptive with a Case Study. The place was held at TPMB Eka Santi Prabekti S.Tr.Keb, Central Lampung Regency, Lampung Province. The time for carrying out this case study is February - March 2023. The subjects used in this research were pregnant women whose gestational age was 38 weeks 4 days. The sampling technique or research subject that will be used is Purposive Sampling. Midwifery Care for Mrs. T, 23 years old G1P0A0 gestational age 38 weeks 4 days with complaints of low back pain, this has been done by providing counseling according to the complaint. The condition of back pain experienced by mothers is discomfort in the third trimester of pregnancy, a common problem. This condition usually improves on its own, but most mothers still feel disturbed by this complaint. In this case, there were no discrepancies between the case and the existing theory Keywords: Antenatal care, Pregnancy, Back Pain
ABSTRACT Pregnancy yoga is one of the actions to facilitate and help anticipate the inevitable changes that arise along with the arrival of a new life to prevent discomfort and anxiety. The prevalence of discomfort during pregnancy is around 3-17%, in developed countries 10% and in developing countries 25%, in Indonesia the incidence of discomfort in pregnancy is around 28.7%. The purpose of the study is to find out the average difference before and after doing Pregnancy Yoga to Discomfort in pregnant women in the third trimester. Type of quantitative research with a pre-experimental approach pre-test post-test with one group. The sample used was 38 pregnant women in the third trimester who were given pregnancy yoga 4 times. The sample technique uses Purposive Sampling. Data analysis by Univariate and Bivariate t test dependent. Conclusion There is a difference in the average difference in yoga gymnastics to discomfort in pregnant women in the third trimester. Advice for pregnant women: pregnancy yoga can be used as one of the good and safe exercise options in overcoming discomfort Keywords : Yoga Pregnancy, Discomfort
ABSTRACT During pregnancy, there are various changes, namely physiological changes and psychological changes. These changes occur due to changes in levels of the hormones estrogen and progesterone during pregnancy. One of the effects of physiological changes is lower abdominal pain and cramps in the legs, this condition causes discomfort and if left unchecked will have further impacts such as disruption of the mother's activities due to pain in the lower abdomen and disruption of the mother's resting pattern due to leg cramps that are felt every time the mother sleeps. The purpose of this care is to carry out midwifery care in an appropriate manner so that the discomfort felt by the mother can be reduced.The method used is a case study with an approach based on midwifery management in the form ofsubjective, objective, analysis, and management documentation (SOAP) with the results obtained after monitoring, namely the mother complains of lower abdominal pain and often feels leg cramps, so the analysis that Mrs. X29 years old G2P1A0 gestational age 35 weeks single fetus alive intrauterine head presentation with physiological discomfort of lower abdominal pain and leg cramps. The care provided is education onhow to reduce or overcome physiological discomfort, pregnancy exercise, and calcium administration. The conclusion of the care provided is in accordance with the needs of the mother and the authority of the midwife. As well as physiological discomfort can be overcome. Suggestions to the place of service are expected to provide counseling or education to overcome physiological discomfort. Keywords: Pregnancy, Discomfort, Abdominal Pain
ABSTRACT Maternal Mortality Rate (MMR) is the number of maternal deaths during pregnancy, childbirth, and postpartum caused by its management but not other causes such as accidents or falls in every 100,000 live births. Efforts to reduce the Maternal Mortality Rate (MMR) by the Government are with a target of 194 per 100,000 live births in 2023 through improving reproductive health services that include distribution services in health facilities that meet standards. The purpose of this study was to provide Comprehensive Midwifery Care to Mrs. K at the Independent Midwife Practice Place (TPMB) E, the method used was (Case Study), the place and case study were carried out at TPMB E. Implementation Time on March 15, 2024 to April 02, 2024. The research subjects in this case were pregnant women whose gestational age was 37 weeks 5 days. With research subjects using Purposive Sampling, Interviews and Documentation in the form of SOAP format. Research results: Pregnancy Care provided to Mrs. K with Antenatal Care (ANC) 10 T approach. Childbirth care was carried out with 60 APN steps. The duration of Mrs. K's first stage was 7 hours, second stage was 30 minutes, third stage was 10 minutes and fourth stage was 2 hours. Newborn care for Mrs. K at 37 weeks and 5 days of gestation with essential care management. Postpartum care was carried out at postpartum visits for 7 hours and 4 days. Conclusion Comprehensive Midwifery Care using SOAP for Mrs. K from Pregnancy, Childbirth, Postpartum and Newborns took place physiologically without any complications and accompanying complications. Keywords : Care, Comprehensive, Midwifery.
ABSTRACT The success of maternal health programs can be assessed through the main indicator Maternal Mortality Rate (MMR). In 2022, the MMR in Indonesia will be 3,572 per 100,000 live births. According to the Lampung Provincial Health Service, the MMR in Lampung in 2022 will be 96 per 100,000 live births. AKI in Central Lampung in 2022 will be 22 cases (115.45 per 100,000 live births). The method used is a case study, namely by examining a problem related to the case itself, the factors which influences, special events that arise in connection with the case as well as the case's actions and reactions to a treatment. The subjects used in this study were pregnant women who were 32 weeks pregnant, then followed until the postpartum period was over. The sampling technique or research subject that will be used is Purposive Sampling. The results of this research were normal third trimester pregnancy care, normal and smooth delivery care, normal newborn babies, normal and smooth postpartum care and the contraceptive method chosen was three monthly birth control injections. There is a gap between theory and practice that can be resolved with counseling. After providing midwifery care to Mrs. The results of this comprehensive midwifery care are expected to provide optimal and quality services according to patient needs. Keywords: Care, Midwifery, Comprehensive
