ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. F DI KLINIK UTAMA NILAM SARI TEMBILAHAN

Abstrak

Asuhan kebidanan komprehensif adalah serangkaian kegiatan pelayanan yang berkelanjutan dan menyeluruh mulai dari Kehamilan, Persalinan, Nifas, Pelayanan Bayi Baru Lahir serta Pelayanan Keluarga Berencana. Berdasarkan buku register Klinik Utama Nilam Sari tahun 2021 Januari sampai Desember, jumlah hamil 438 orang, bersalin normal 229 orang, bayi baru lahir normal 226 orang, nifas 229 orang dan KB 2.432 orang. Tujuan dari asuhan iniu adalah Mampu memberikan asuhan komprehensif pada pasien. Pada asuhan ANC terjadi kesenjangan yaitu hasil pengukuran TFU, INC berjalan dengan baik, kala I fase aktif 6 jam 30 menit, kala II berlangsung selama 1 jam 12 menit,  kala III berlangsung selama 38 menit terjadi kesenjangan berupa pemberian metiagin serta terjadinya retensio plasenta, dan kala IV berlangsung selama 2 jam terjadi kesenjangan berupa pemasangan kateter. Bayi lahir spontan, berat badan 3500 gram, panjang badan 53 cm, dan dilakukan kunjungan neonatus sebanyak 3 kali. Masa nifas berjalan normal tanpa ada masalah potensial, dilakukan kunjungan sebanyak 4 kali dan asuhan keluarga berencana Ny.F memilih KB suntik 3 bulan sebagai metode kontrasepsinya. Diharapan untuk semua tenaga kesehatan untuk dapat mengupdate ilmu serta mempertahankan mutu pelayanan dengan cara mengikuti  seminar yang berhubungan dengan kebidanan.

Comprehensive midwifery care is a series of continuous and comprehensive service activities ranging from Pregnancy, Childbirth, Postpartum, Newborn Services and Family Planning Services. Based on the register book of the Nilam Sari Main Clinic from January to December 2021, the number of pregnancies was 438 people, normal childbirth was 229 people, normal newborns were 226 people, postpartum was 229 people and birth control was 2,432 people. The purpose of this care is to be able to provide comprehensive care to patients. In antenatal care, there was a gap, namely the results of TFU measurement, Intranatal care went well, phase I active phase 6 hours 30 minutes, phase II lasted for 1 hour 12 minutes, phase III lasted for 38 minutes there was a gap in the form of administration of metiagin and placental retention, and phase IV lasted for 2 hours there was a gap in the form of catheter installation. The baby was born spontaneously, weighed 3500 grams, was 53 cm long, and was visited by neonates 3 times. The postpartum period ran normally without any potential problems, 4 visits were made and Mrs. F's family planning chose 3-month injectable contraceptives as her contraceptive method. It is hoped that all health workers will be able to update their knowledge and maintain the quality of service by participating in seminars related to midwifery.