ANALISIS INTERNATIONAL JOURNAL OF

MIDWIFERY

DISUSUN OLEH :

NAMA : ANANDA DWI RAHMAWATI

NIM : P1337424220035
KELAS : CHAMOMILE

PRODI DIII KEBIDANAN MAGELANG

NAMA MAHASISWA : ANANDA DWI RAHMAWATI
NIM : P1337424220035

Judul Penelitian I : OPTIMIZING POSTPARTUM CARE

Peneliti : Aber C , Weiss M , Fawcett J. , Burgio KL , Zyczynski H , Locher JL , Richter

HE , Redden DT , Wright KC , Declercq ER , Sakala C , Corry MP , Applebaum
S , Herrlich A . Major , Mosca L , Benjamin EJ , Berra K , Bezanson JL , Dolor
RJ , Lloyd-Jones DM

Nama Jurnal : ACOG the American college of obtrecticians and gynecologysts clinical

Tanggal Publish : Mei, 2018

ABSTRACT:
The weeks following birth are a critical period for a woman and her infant, setting the stage for
long-term health and well-being. To optimize the health of women and infants, postpartum care
should become an ongoing process, rather than a single encounter, with services and support
tailored to each woman’s individual needs. It is recommended that all women have contact with
their obstetrician–gynecologists or other obstetric care providers within the first 3 weeks
postpartum. This initial assessment should be followed up with ongoing care as needed,
concluding with a comprehensive postpartum visit no later than 12 weeks after birth. The
comprehensive postpartum visit should include a full assessment of physical, social, and
psychological well-being, including the following domains: mood and emotional well-being;
infant care and feeding; sexuality, contraception, and birth spacing; sleep and fatigue; physical
recovery from birth; chronic disease management; and health maintenance. Women with chronic
medical conditions such as hypertensive disorders, obesity, diabetes, thyroid disorders, renal
disease, and mood disorders should be counseled regarding the importance of timely follow-up
with their obstetrician–gynecologists or primary care providers for ongoing coordination of care.
During the postpartum period, the woman and her obstetrician–gynecologist or other obstetric
care provider should identify the health care provider who will assume primary responsibility for
her ongoing care in her primary medical home. Optimizing care and support for postpartum
families will require policy changes. Changes in the scope of postpartum care should be
facilitated by reimbursement policies that support postpartum care as an ongoing process, rather
than an isolated visit. Obstetrician–gynecologists and other obstetric care providers should be in
the forefront of policy efforts to enable all women to recover from birth and nurture their infants.
This Committee Opinion has been revised to reinforce the importance of the “fourth trimester”
and to propose a new paradigm for postpartum care.

Result
The American College of Obstetricians and Gynecologists makes the following
recommendations :
 To optimize the health of women and infants, postpartum care should become an ongoing
process, rather than a single encounter, with services and support tailored to each
woman’s individual needs.
 Prenatal discussions should include the woman’s reproductive life plans, including desire
for and timing of any future pregnancies.
 All women should ideally have contact with a maternal care provider within the first 3
weeks postpartum.
 The timing of the comprehensive postpartum visit should be individualized and woman
centered.
 Optimizing care and support for postpartum families will require policy changes.
Changes in the scope of postpartum care should be facilitated by reimbursement policies
that support postpartum care as an ongoing process, rather than an isolated visit.

Conclusions
To optimize the health of women and infants, postpartum care should become an ongoing
process, rather than a single encounter, with services and support tailored to each woman’s
individual needs. Optimal postpartum care provides an opportunity to promote the overall health and
well-being of women

REVIEW
Minggu minggu setelah melahirkan adalah masa kritis bagi ibu dan bayi. Perlu mengoptimalkan
Kesehatan ibu dan bayi pada masa ini dengan dianjurkan untuk berkosultasi dengan dokter
kandungan atau penyedia pelayanan kebidanan dalam tiga miggu pertama setelah persalinan
sampai selambat lambat nya 12 minggu setelah peralinan. Pada periode ini ibu beradaptasi
dengan berbagai perubahan fisik ,sosial, dan psikologis. Dalam penelitian ini disebutkan bahwa
American college of obtrectician and gynaecologists merekomendasikan waktu kunjungan
pospartum komperhensif wajib dilakukan secara individual dan berpusat pada ibu. Disini juga
disebutkan bahwa dalam perawatan pasca persalinan selain dokter kandungan juga dibutuhkan
psikiater yang akan menangani masalah psikisnya setelah periode postpartum.
Kunjungan pasca persalinan yang komperhensif menurut penelitian ini adalah mencakup
penilaian penuh kesejahteraan fisik, sosial dan psikologis, termasuk suasana hati, kesejahteraan
emosional, perawatan dan pemberian makan bayi, seksualitas, kontrasepsi, jarak kelahian,
pemulihan fisik sejak lahir, manajemen penyakit kronis, dan peeliharaan Kesehatan ibu juga
bayi.
DAFTAR PUSTAKA
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/05/optimizing-
postpartum-care
Judul Penelitian II : Use of Postpartum Care: Predictors and Barriers

Peneliti : Jessica N. DiBari,1,2 Stella M. Yu,1 Shin M. Chao,2 and Michael C. Lu1

Nama Jurnal : HINDAWI (journal of pregnancy)

Tanggal Publish : 20 Februari 2014

ABSTRACT :

This study aimed to identify actual and perceived barriers to postpartum care among a
probability sample of women who gave birth in Los Angeles County, California in 2007. Survey
data from the 2007 Los Angeles Mommy and Baby (LAMB) study (N = 4,075) were used to
identify predictors and barriers to postpartum care use. The LAMB study was a cross-sectional,
population-based study that examined maternal and child health outcomes during the
preconception, prenatal, and postpartum periods. Multivariable analyses identified low income,
being separated/divorced and never married, trying hard to get pregnant or trying to prevent
pregnancy, Medi-Cal insurance holders, and lack of prenatal care to be risk factors of postpartum
care nonuse, while Hispanic ethnicity was protective. The most commonly reported barriers to
postpartum care use were feeling fine, being too busy with the baby, having other things going
on, and a lack of need. Findings from this study can inform the development of interventions
targeting subgroups at risk for not obtaining postpartum care. Community education and
improved access to care can further increase the acceptability of postpartum visits and contribute
to improvements in women’s health. Postpartum care can serve as a gateway to engage
underserved populations in the continuum of women’s health care.

RESULT

The method used in this research is using data from the Los Angeles Mommy and Babby study
to examine the extent of postpartum care utilization to identify factors that influence the
likelihood of postpartum care utilization for mothers in Los Angeles. Results from this study
indicate that targeted educational efforts are needed. The top 5 reasons for not seeking PPC
indicate that women who lacked PPC did not consider the PPC visit a high priority .
Interestingly, access to care was not perceived as a top reason for not obtaining PPC.
Interventions aimed at changing attitudes and perceptions about the importance of the PPC visit
must include individuals, families, and communities. The Hispanic community, where familial
support is of high value , had the highest adjusted rates for postpartum care use. A multitiered
approach, targeting individuals, families, and communities may be necessary to improve PPC
utilization rates.
Conclusions

Both financial resources and familial support appear to influence postpartum care utilization
rates. The prenatal care visit is one early opportunity to educate women about the importance of
PPC. Providers can influence perceptions about PPC, increase its acceptability, and contribute to
significant improvements in women’s health.

REVIEW

Kunjungan pasca persalinan adalah kesempatan penting untuk menilai kondisi fisik dan
kesehatan psikososial ibu . Perawatan pascapersalinan memiliki potensi untuk mencegah
Sebagian besar mortalitas dan morbiditas ibu dan perinatal. Hal ini menunjukkan perlunya
fasilitas dan penyedia layanan kesehatan untuk melakukan upaya Bersama untuk meningkatkan
pengetahuan tentang pentingnya kunjungan pascapersalinan , penigkatan penggunaan atau desai
pertemuan medis , mengidentifikasi sumber daya masyarakat , dan mengembangkan intervensi
yang ditargetkan. Dalam penelitian ini disebutkan adanya hambatan akses dan pemanfaatan
untuk perawatan yaitu masalah finansial masyarakat Los Angeles . Dalam analisis
multivariable , pemanfaatan perawatan postpartum paling rendah di antara Wanita
berpenghasilan rendah, berpisah/cerai , dan memiliki kehamilan tidak direncanakan. Dan juga
dalam penelitan ini menunjukkan bahwa diperlukan upaya Pendidikan yang terarah.

DAFTAR PUSTAKA
https://www.hindawi.com/journals/jp/2014/530769/