ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. “M” DAN NY.”E”

Abstrak

Asuhan Kebidanan Komprehensif adalah asuhan yang diberikan secara berkesinambungan kepada ibu selama kehamilan, persalinan, nifas, bayi baru lahir dan KB. Tujuan dilakukan studi kasus ini untuk memberikan asuhan komprehensif pada ibu mulai dari masa kehamilan, bersalin, nifas dan bayi baru lahir dengan menggunakan pendokumentasian Tujuh Langkah Varney dan SOAP. Pengkjian ini dilakukan sejak bulan Januari sampai bulan April 2024 dengan metode pengumpulan data, wawancara dan observasi. Asuhan kehamilan dilakukan kunjungan sebanyak 3 kali dengan HPHT 04 Juni 2023 dan TP 11 Maret 2024. Pada Kunjungan pertama keadaan umum ibu baik, kunjungan kedua ibu mengatakan kurang jalan kaki dan kunjungan ketiga didapatkan ibu sering buang air kecil, keadaan umum ibu baik. Asuhan persalinan dilakukan pada tanggal 19 Maret 2024 jam 09.00 WIB ibu datang ke Praktek Mandiri Bidan diantar suami dengan keluhan perut mules sejak pukul 07.00 WIB dan keluar lendir bercampur darah, dilakukan pemeriksaan dalam VT 6 cm. Pada pukul 11.00 WIB dilakukan pimpinan persalinan. Proses persalinan ibu bersalin secara normal dengan 60 Langkah APN , bayi lahir normal, jenis kelamin laki laki , BB 3100 gram, PB 48 cm dan segera dilakukan perawatan bayi baru lahir. Asuhan masa nifas dan bayi baru lahir berjalan dengan lancar dan tidak ada komplikasi pada ibu maupun bayi.

Comprehensive Midwifery Care is care provided on an ongoing basis to mothers during pregnancy, childbirth, postpartum, newborns and family planning. The aim of this case study is to provide comprehensive care to mothers starting from pregnancy, childbirth, postpartum and newborns using Varney's Seven Steps and SOAP documentation. This assessment was carried out from January to April 2024 using data collection, interviews and observation methods. Pregnancy care was visited 3 times with HPHT 04 June 2023 and TP 11 March 2024. At the first visit the mother's general condition was good, at the second visit the mother said she didn't walk enough and at the third visit it was found that the mother urinated frequently, the mother's general condition was good. Maternity care was carried out on March 19 2024 at 09.00 WIB. The mother came to the Independent Midwife Practice accompanied by her husband with complaints of stomach ache since 07.00 WIB and mucus mixed with blood coming out, an examination was carried out in a 6 cm VT. At 11.00 WIB the birth leader took place. The birth process of the mother gave birth normally using 60 APN steps, the baby was born normally, gender male, BB 3100 grams, PB 48 cm and immediate care for the newborn was carried out. Postpartum and newborn care went smoothly and there were no complications for the mother or baby.