ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. F DENGAN ANEMIA RINGAN DI WILAYAH PUSKESMAS CILAKU KABUPATEN CIANJUR COMPREHENSIVE MIDWIFERY CARE ON MRS. F WITH ANAEMIA DURING PREGNANCY IN CIANJUR, 2020

Anisa, Nurahmyanti and Djudju, Sriwenda and Desi, Hidayanti and Titi, Legiati (2020) ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. F DENGAN ANEMIA RINGAN DI WILAYAH PUSKESMAS CILAKU KABUPATEN CIANJUR COMPREHENSIVE MIDWIFERY CARE ON MRS. F WITH ANAEMIA DURING PREGNANCY IN CIANJUR, 2020. Diploma thesis, Politeknik Kesehatan Kemenkes Bandung.

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Abstract

ABSTRACT Pregnancy is a physiological process experienced by women. Pregnancy is the process of having to join the sperm cell with an egg that will grow and develop for 9 months. In the implementation, there is not a little pregnant women with anemia by midwives when giving service. 40.1% incidence rate of anemia in pregnant women in the world in 2016. A total of 10-10.9% of pregnant women in the world undergo mild anemia. Incidence rate of anemia in pregnancy in Indonesia as much as 37.1%. Therefore, as midwives serve to accompany the process of pregnancy, childbirth, postnatal, and BBL remains physiological, early detection of complications, performed a comprehensive care (continuity of treatment). The purpose of this case study report is to provide comprehensive care in Ny F with mild anemia using Varney's management approach. This final assignment report is conducted from February to April 2020. The report of this final task uses a case study method involving a respondent, a Mrs. Ny. F pregnant with the gestational age of 36-37 weeks suffering from anemia in pregnancy is given comprehensive care. The result of comprehensive obstetrics is in the age of pregnancy 36-37 weeks found that the mother had anemia, found the discomfort of the III trimester. In childbirth with physiological childbirth, physiological postnatal, newborns physiological. Results of supporting examination on childbirth can be concluded the mother is not experiencing anemia. During pregnancy, childbirth, posnatal and newborn mothers experience concern before the copy, restless and uncomfortable during childbirth, need to adapt overcoming sleep deprivation because the baby is breastfeeding at night. It is hoped that authors can develop scientific mindset and implement comprehensive obstetrics through education and management and experience in the field. And for the service providers are expected to provide counseling with maximum of the dangers of anemia in pregnancy. There is a gap between the theory with the care given that the orphanage is not done in accordance with the recommendation of WHO has occurred a global pandemic Covid-19 which is not possible to take care of the home visit or face in front. Keywords : comprehensive midwifery care, anemia during pregnancy ABSTRAK Kehamilan adalah proses fisiologis yang dialami oleh wanita. Kehamilan merupakan proses bertemunya sel sperma dengan sel telur yang akan tumbuh dan berkembang selama 9 bulan. Pada pelaksanaannya tidak sedikit dijumpai ibu hamil dengan anemia oleh bidan saat memberikan pelayanan. Menurut WHO, angka kejadian anemia pada ibu hamil tahun 2016 sebesar 40,1%. Angka kejadian anemia pada kehamilan di Indonesia sebanyak 37,1%.. Untuk itu sebagai bidan berperan untuk mendampingi agar proses kehamilan, persalinan, nifas, dan BBL tetap fisiologis, mendeteksi dini adanya komplikasi, dilakukan asuhan komprehensif (continuity of care). Tujuan laporan studi kasus ini adalah mampu memberikan asuhan komprehensif pada Ny F dengan anemia ringan dengan menggunakan pendekatan manajaemen Varney. Laporan tugas akhir ini dilakukan sejak bulan Februari hingga April 2020. Laporan tugas akhir ini menggunakan metode studi kasus yang melibatkan seorang responden yaitu seorang ibu Ny. F usia kehamilan 36-37 minggu yang mengalami anemia yang diberikan asuhan secara komprehensif. Hasil asuhan kebidanan komprehensif adalah pada usia kehamilan 36-37 minggu ditemukan ibu mengalami anemia, ditemukan ketidaknyamanan trimester III. Pada persalinan dengan persalinan fisiologis, nifas fisiologis, bayi baru lahir fisiologis. Hasil pemeriksaan penunjang pada persalinan dapat disimpulkan ibu sudah tidak mengalami anemia. Selama masa kehamilan, persalinan, nifas dan bayi baru lahir ibu mengalami kekhawatiran menjelang persalinannya, gelisah dan tidak nyaman saat persalinan, butuh beradaptasi mengatasi kurang tidur karena bayi yang menyusu pada malam hari. Diharapkan penulis dapat mengembangkan pola pikir ilmiah dan melaksanakan asuhan kebidanan komprehensif melalui pendidikan dan penatalaksanaan serta mendapat pengalaman secara nyata di lapangan. Terdapat kesenjangan antara teori dengan asuhan yang diberikan yaitu asuhan tidak dilakukan sesuai dengan rekomendasi WHO alasannya terjadi pandemi global Covid-19 yang tidak memungkinkan melakukan asuhan home visit atau tatap muka. Kata Kunci : asuhan kebidanan komprehesnif, anemia dalam kehamilan

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