Asuhan Kebidanan Persalinan Pada Ny.T Usia 18 Tahun G2P1A0 Dengan Inersia Uteri Di RSUD Sekarwangi

Intan, Ayu Safitri and Titi, Nurhayati (2025) Asuhan Kebidanan Persalinan Pada Ny.T Usia 18 Tahun G2P1A0 Dengan Inersia Uteri Di RSUD Sekarwangi. Diploma thesis, Politeknik Kesehatan Kemenkes Bandung.

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Abstract

Inersia uteri merupakan salah satu penyebab partus lama dan kala dua memanjang, inersia uteri dapat menyebabkan kelelahan, perdarahan pada persalinan kala 3 dan 4, serta pada janin distress janin. Tujuan penulisan laporan ini untuk memahami dan memberikan asuhan persalinan pada Ny. T usia 18 tahun G2P1A0 inpartu kala 1 fase aktif dengan inersia uteri.
Laporan tugas akahir ini menggunakan metode laporan kasus dengan pendekatan managemen kebidanan dalam bentuk SOAP. Teknik pengumpulan data yang digunakan yaitu wawancara, pemeriksaan fisik dan penunjang, observasi, studi dokumentasi dan studi literatur.
Hasil dari data subjektif yaitu Ny. T usia 18 tahun kehamilan kedua belum pernah keguguran HPHT 03-07-2024 dengan keluhan mulas dari pukul 21.00 WIB, sudah keluar lendir darah dan belum keluar air-air, ibu merasa lelah dan cemas karena pembukaan tidak maju-maju. Hasil data objektif, TD 110/80 mmhg, TFU 28 cm, DJJ 132x/menit, His 2x10’20”, terdapat pengeluaran lendir darah, portio tebal lunak, pembukaan 5 cm, ketuban utuh, presentasi kepala, UUK kiri depan, H II, molase 0. Analisa yang di dapatkan yaitu Ny.T usia 18 tahun G2P1A0 hamil 40 minggu inpartu kala 1 fase aktif dengan inersia uteri. Penatalaksanaan yang diberikan yaitu kolaborasi dengan dokter obgyn dan mendapat advice pemberian induksi oksitosin 5 IU dalam larutan RL 20 tetes per menit dan dilakukan observasi kemajuan persalinan, kesejahteraan ibu dan janin, serta pertolongan persalinan normal sesuai dengan SOP RSUD Sekarwangi.
Kesimpulan, setelah di berikan induksi oksitosin selama 3 jam 45 menit his menjadi adekuat, pembukaan lengkap dan dilakukan pertolongan persalinan, terdapat luka laserasi dan dilakukan penjahitan tidak terjadi perdarahan. Saran untuk pasien dapat menjaga kesehatan secara optimal selama nifas, melakukan perawatan luka perineum dan perawatan bayi baru lahir.

Kata kunci : Asuhan Kebidanan,Persalinan, Inersia Uteri
Pustaka : 33 (2019-2024)
MINISTRY OF HEALTH OF THE REPUBLIC OF INDONESIA HEALTH POLYTECHNIC OF THE MINISTRY OF HEALTH BANDUNG BOGOR MIDWIFERY STUDY PROGRAM DIPLOMA III PROGRAM FINAL REPORT, JUNE 2025
INTAN AYU SAFITRI
NIM: P17324221056

Midwifery Care for Labor in Mrs. T with Moderate Uterine Inertia at Sekarwangi Regional General Hospital.
VI BAB, 66 Pages, 10 Appendices, 2 Picture, 1 Tables.

ABSTRACT
Uterine inertia is one of the causes of prolonged labor and extended second stage of labor. Uterine inertia can lead to maternal fatigue, bleeding during the third and fourth stages of labor, and fetal distress. The purpose of this report is to understand and provide midwifery care for Mrs. T, an 18-year-old woman, G2P1A0, in the first stage of active labor with uterine inertia.
This final report uses a case study method with a midwifery management approach in the SOAP format. Data collection techniques used include interviews, physical and supporting examinations, observation, documentation studies, and literature review.
The subjective data showed that Mrs. T, 18 years old, in her second pregnancy with no history of miscarriage, had a last menstrual period (LMP) on July 3, 2024. She complained of abdominal cramps since 9:00 PM, experienced bloody show, but had no rupture of membranes. The mother felt tired and anxious because cervical dilation was not progressing. Objective data showed: blood pressure 110/80 mmHg, fundal height 28 cm, fetal heart rate 132 bpm, uterine contractions 2 times every 10 minutes lasting 20 seconds, presence of bloody show, thick and soft cervix, cervical dilation 5 cm, intact membranes, cephalic presentation, left occiput anterior position, head station II, and no molding.
The analysis concluded that Mrs. T, 18 years old, G2P1A0, 40 weeks pregnant, was in the first stage of active labor with uterine inertia. The management provided included collaboration with an obstetrician who advised administration of oxytocin induction (5 IU in RL solution) at a rate of 20 drops per minute, with continuous observation of labor progress, maternal and fetal well-being, and normal delivery according to the standard procedures of Sekarwangi General Hospital.
In conclusion, after oxytocin induction for 3 hours and 45 minutes, uterine contractions became adequate, cervical dilation was complete, and delivery was successfully assisted. There was a perineal laceration which was sutured, and no postpartum hemorrhage occurred. The recommendation for the patient is to maintain optimal health during the postpartum period, perform proper perineal wound care, and provide appropriate newborn care.

Keywords : Midwifery Care in Labor, Uterina Inertia
InertiaReference : 33 (2019-2024)

Item Type:	Thesis (Diploma)
Subjects:	600 Teknologi dan Ilmu-ilmu Terapan > 610 - 619 Ilmu Kedokteran dan Ilmu Pengobatan
Divisions:	Jurusan Kebidanan Bogor > D III
Depositing User:	Intan Ayu Safitri
Date Deposited:	27 Aug 2025 03:14
Last Modified:	27 Aug 2025 03:14
URI:	http://repo.poltekkesbandung.ac.id/id/eprint/15654

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