PART I

PRELIMINARY
A. Background
Bartolinitis is Infections of the Bartholin gland or bartolinitis can also
cause swelling of the external female genitalia. Bartolinitis caused by a
bacterial infection in the Bartholin gland that is located inside the vagina rather
out. Female genital infections bottom is usually caused by:
Virus: genital wart and herpes simplex.
Fungi

: Candida albicans.

Protozoa : amobiasis and trichomoniasis.

Bacteria : neiseria gonorrhea.
Virus

: genital wart and herpes simplex.

Fungi

: Candida albicans.

Protozoa : amobiasis and trichomoniasis.

Bacteria : neiseria gonorrhea.
Pathophysiology
Vulva: skin discoloration, swelling, pus pile in the gland, tenderness.
Bartholin gland swollen, painful once when Penderia walking or sitting, can
also be accompanied by fever, were mostly women with these patients come to
a health center with complaints of vaginal discharge and itching, pain during
intercourse with her husband, pain when urinating, or a lump at around
genitals. There is an abscess on the genital area .On physical examination
found mucoid fluid and mixes with the smell of blood.
B. Problem Formulation
1. What is the Bartolinitis?
2. What form Midwifery care in Bartolinitis?
C. Objectives
The preparation of this paper aims to compiler can figure out how
bartolinitis infection that occurs in women of reproductive age and create
documentation of the midwifery care in the form of SOAP.

CHAPTER II
BASIC THEORY
A. Definition
Bartolinitis is Infections of the Bartholin gland or bartolinitis can also
cause swelling of the external female genitalia. Typically, the swelling is
accompanied by severe pain and even he could not walk. Also can be
accompanied by fever, swelling of the genitals as reddened.
B. Cause Bartolinitis
Bartolinitis caused by a bacterial infection in the Bartholin gland that
is located inside the vagina rather out. Start of chlamydia, gonorrhea, and so
on. The infection then gagged gland produced a vaginal lubricant fluid.
a. Female genital infections bottom is usually caused by:
Virus

: Condiloma acuminata and herpes simplexs

Mushroom

: Candidia albicans

Protozoa

: Amobiacis and tricomoniacis

Bacteria

: Neiseriagonore.

b. Infection of the upper female genitalia:

Virus

: Chlamydia trachomatis and parotitis epidemic.

Mushroom

: asinomises.

Bacteria

: neiseria gonorrhea, staphylococci and E.coli

C. Diagnosis
Eventually the fluid meets the so-called pockets gland cysts (fluidfilled pockets). "Germs in the vagina could infect one Bartholin gland until
clogged and swollen. If there is no infection, will not cause complaints
D. Signs and Symptoms
a. Vulva: skin discoloration, swelling, pus pile in the gland, tenderness.
b. Bartholin gland swollen, painful once when Penderia walking or sitting, can
also be accompanied by fever

c. The patients were mostly women to come to a health center with complaints
of vaginal discharge and itching, pain during intercourse with her husband,
pain when urinating, or a lump around the genitals.
d. There is an abscess on the genital area
e. On physical examination found mucoid fluid smells and mixed with blood
E. Treatment
The most effective treatment at this time is to: antibiotic group
cefadroxyl 500 mg, taken 3 1 after meals, for at least 5-7 days, and
mefenamic acid 500 mg (for example: ponstelax, molasic, etc.), taken 3 1 for
ease pain and swelling, to deflate the gland.
CHAPTER III
CASE & ASKEB
A. Case
On March 30, 2010 a mother uur 25-year-old S comes at a midwife,
with complaints of vaginal discharge and itching, pain during intercourse with
her husband, pain when urinating, or a lump around the genitals., HPHT
February 11, 2010 . He came up with feelings of anxiety and fear.

MIDWIFERY CARE IN TEENAGERS WITH INFECTION BARTOLINITIS

BPS HOPE IN MOTHER
Date: March 30, 2010
Time: 09:00-Finish
By: Midwives Dinda A.Md Keb
Register Number: 003
Subjective Data
Biodata Children Parents
1. Name

: Ms. S Ny. S

2. Age

: 18 years 45 years

3. Religion

:Islam

4. tribe / nation

: Java / Indonesia Java / Indonesia

5. High School Education

: S2

6. Job Student / athlete

: Manager PT.Swasta

7. Address

: Jln. Munir 15 Yogyakarta Jl. Munir 15

Yogyakarta
8. Telp

: 0867853427889 085 643 951 349

1. The reason for the visit:

Want to check on changes in skin color in the vagina reddish.
2. Kelihan today:
Nn. S complained of vaginal discharge and itching, pain during defecation
and urination, or any swelling around the genitals
3. History of Marriage:
Nn.S said she had never married.
4. History of Menstruation
Menarche

: 12 years.

Cycle

: 30 days.

Duration

: 6-7 days.

Quantity

: 30 cc.

5. History of Obstetrics
Nn. S does not have children
6. History KB:
Nn. S said she had never mengguankan contraceptives KB
7. Health History
Nn. S say never or are suffering from any disease or systemic diseases such
as; DM, hypertension, asthma, hepatitis B, cancer, tumors, etc. as well as Ms. S
does not suffer from infectious diseases and sexually transmitted diseases.
8. Family Health History
Nn. S said that her family does not have or are suffering from any
disease or systemic diseases such as; DM, hypertension, asthma, hepatitis B,
cancer, tumor etc. As well as infectious diseases and sexually transmitted
diseases.
9. Pattern Everyday Life
a. Nutrition

:Eating and drinking

Of fruit and vegetables, rice (morning: vegetables and fruit, lunch:

rice, vegetables, dinner: vegetables and fruits) of water, milk and juice
Number 1 being 1 cup portions being
Frequency 3x a day 10 glasses per day
Complaints No complaints were no complaints
b. Elimination
CHAPTER BAK
Frequency 1-2 times a day 3-4 times a day
Amount - Typical Typical odor
Tawny yellow color clear
Liquid soft consistency
Complaints no complaints no complaints
Break: 5-6 hours at night
a. Activity: running exercises, school, sports.
b. Personal hygiene: shower 2x a day
Change underwear 3x daily
Cleaning genitals in the bath, after BAB and BAK
c. Sexual've never associated sexual
a) Portfolio Psychosocial / Spiritual
1. Ms. S said lately feel depressed and stressed because it would face the
championship and school exams next week
2. Ms. S say less refresing
3. Ms. S says about socializing with friends or family,
4. Ms. S said that praying five times
Data Objective:
1. Physical Examination
a. General condition: good Consciousness: compos mentis
b. Emotional status: stable
c. Vital signs
Blood pressure: 120/90 mmHg

Nadi: 88 x / min
Breathing: 24 x / min
Temperature: 37 C
d. W / H: 55 kg / 165 cm
e.Head and neck
Eyes: symmetrical, conjunctiva: pink, sclera: white
Neck lymph nodes: no enlargement
Tiroit glands: no enlargement
Jugular vein: no swelling
f. Chest: Symmetrical
g. Breast
Shape: symmetrical, no lumps
Nipple: stand
h. Abdomen
Abdominal palpation examination no tenderness in the lower
abdomen.
No lumps in the belly bottom
i. Hands and feet
Edema: no edema
Varices: no varicose veins
j. External genitalia
Scars

: no scars

Bartholin's glands: swelling

Expenditure

: odorless vaginal discharge and itching

Anus: no haemorrhoids
k. Genitalia inside: not performed because the patient is still Miss and
unmarried.
2. Supporting Data
Lab
Vullva
In speculo
Urine, dated February 27, 2011
Results: PP test negative (-)

Assasment
Nn. S age of 25 years with the infection bartolinis
Planning
1. Inform the speculum examination results: os eksternum may appear
normal, reddish or erosive. Looks vaginal discharge with mucoid nature
cloudy, mucopurulent or purulent. May be obtained complications such
as: bartolinitis
Nn.S know the results of the examination.
2. Inform that Nn.S know the cause bartolinitis is by bacterial infection,
viruses, fungus, bacteria, Protozoa
Nn.S understand the cause of the infection bartoliniti.
3. Explaining the causes Bartolinitis Nn.S know and understand
Penyebanya
Ms. S understand that in jelsakan by midwives.
4. Midwives notify therapy for the treatment of his patient's complaints
are: The most effective treatment at this time is to: antibiotic group
cefadroxyl 500 mg, taken 3 1 after meals, for at least 5-7 days, and
mefenamic acid 500 mg (for example: ponstelax, molasic, etc.), taken 3
1 for ease pain and swelling, to deflate the gland.
Nn. S know of therapy given
5. Explain to meet their nutritional pattern, ie while maintaining a healthy
diet with 4 perfect 5
Nn.S understand and want to fulfill
6. Encourage order to reduce its activity
Nn.S understand and want to reduce it
7. Advocate for sufficient rest ie 8 hours a day
Nn.S understand and want to fulfill
8. Encourage order not to stress or a lot of thought, because if Ms. S
experience strees can affect the hormone in the body that can slow
down the process of therapy
Nn.S know and understand
9. Make a habit of cleaning the genitals after bowel and bladder
10. Tool reproduction has a self-cleaning system to fight germs that are
detrimental to health. Cleaning products and fragrances that are heavily

traded vagina is actually not necessary. Conversely, if used in excess

can be harmful.
11. Midwives recommends Nn.S to re-visit the first 1 months use of
hormonal therapy to determine the effects of treatment, or if there are
excessive complaints during the use of hormonal therapy
Nn.s want to make repeat visits
12. The midwife doing documentation
Midwives do documentation is complete and correct according to the
procedure
Yogyakarta, March 30, 2011
Signed
Midwives Wanti, A.Md Keb
CHAPTER IV
Cover
A. Conclusion
Bartolinitis is Infections of the Bartholin gland or bartolinitis can also
cause swelling of the external female genitalia. Typically, the swelling is
accompanied by severe pain and even he could not walk. Also can be
accompanied by fever, swelling of the genitals as reddened.
caused by a bacterial infection in the Bartholin gland that is located inside the
vagina rather out. Start of chlamydia, gonorrhea, and so on. The infection then
gagged gland produced a vaginal lubricant fluid.
B. Suggestions
As a woman who had an infection of the genitals to pay more
attention Make a habit of cleaning the genitals after sexual intercourse.
Reproduction has a self-cleaning system to fight germs that are detrimental to
health. Cleaning products and fragrances that are heavily traded vagina is
actually not necessary. Conversely, if used in excess can be harmful.
If not needed, do not use pantyliner. Women are often misguided. They feel
comfortable if the underwear clean. Whereas the use of pantyliner can increase
the humidity of skin around the vagina.

Avoid sexual intercourse multiple partners. Remember, bacteria can

also come from your partner. If you have multiple sexual partners, not easily
detect the source of bacterial infection. Inflammation is closely related to
sexually transmitted diseases and sexual patterns are free.

Bibliography

Sinclair, Constance.2003. Buku Saku Kebidanan. Jakarta : Buku Kedokteran

EGC
Benson, Ralph C dan Pernoll, Martin L.2008. Buku Obstetri dan Ginekologi.
Jakarta: Buku
Kedokteran EGC edisi 9 (hal 625)
Prawiroharjo, Sarwono.2007. Ilmu Kandungan. Jakarta: Yayasan Bina Pustaka
Sarwono
Prawirohardjo (hal 205)
http://www.healthochildren.com/N-O/Menorragia .html
http://www.answer.com/topic/Menorragia -causes-and-symptoms