“ KELOMPOK 7 PERINIAL CARE “

1. Poppy Karisma 314119027

2. Maya Anjani 314119028
3. Shelza Novelya A 314119029
4. Nursyifa Sofianti 314119030

Three days ago Mrs. A gave birth at the Midwife's Independent Practice. Today Mrs. A
returned to the midwife's independent practice with her husband to get perineal care.
Mrs. A and Husband: 'Good morning Mrs Midwife'
Midwife 1: 'Good morning, have a seat. Please fill in the registration form first '
Husband: 'OK, Mrs Midwife'
Midwife: 'Thank you, this is the registration number I will call later, sir'
Husband: 'Thank you, midwife'
* Mrs. A and her husband entered the midwife's practice room *
Midwife 2: 'Good morning, sir. How are you?'
Mrs. A: 'I'm fine ma'am. I came here because I wanted to get perineal care, I also want to
know how to do it myself at home '
Midwife 2: 'Fine. Have there been any complaints during these three days? Like bleeding
from the vagina? '
Mrs. A: 'No midwife'
Midwife 2: 'Well, I will check the TTV first. The goal is to find out the condition of the
mother or to prevent infection in the area around the mother's vagina.
About 10 minutes are you willing?
Mrs. A Wife: oh yes , my midwife is willing
* Midwives perform TTV checks *
Midwife 2: 'Blood pressure, body temperature, pulse and respiration as well as strength and
height Mrs. A normal. Furthermore, the condition of vital organs (heart and lungs) is normal.
please lie on the bed '
* Mrs. A lie on the mattress in a supine position and covered. Then Midwife 2 performed
abdominal examination, pelvic examination, and Inspekulo * examination
Midwife 2: "My mother has already done a Abdomen examination, including inspection and
palpation, and the mother's abdominal or abdominal condition, whether there is no tenderness
or an enlarged abdominal mass."
Mrs. A: 'Alhamdulillah Mrs Midwife.'
Midwife 2: 'Miss next time I will do a Pelvic examination and it will consist of an inspection,
an inspecular examination and a bimanual examination. And before doing the examination,
you are expected to remove your panties, take it easy, my mother will protect your privacy
and safety. Do you want me or my mother to take off her pants? '
Mrs. A: 'By myself, midwife'
Midwife 2: 'All right, please
* The midwife put a blanket on Mrs. A and prepare the equipment and position it in a
lithotomy position or both legs are pulled up or according to the prepared chair *
Mrs. A: 'Oh yes Mrs Midwife what position do I have?'
Midwife 2: 'Mother is quite supine in the lithotomy position or both legs are lifted and pulled
up to the stomach. But this examination chair is suitable for the lithotomy position, so you
only need to lift your legs. '
Mrs. A: 'Yes, Miss Midwife.'
Midwife 2: 'Now I will perform an inspection on the external genital organs of the mother,
especially the vulva, starting with paying attention to the hygienes. The condition of the vulva
and clitoral skin is good, the condition of the external urethral orifice is also good, the
condition of the labia majora and minora is also good, the condition of the perineum and
posterior commissure is good, the state of vaginal introitus and hymen is not there any
swelling or mass. As well as normal volume, color and smell. Then I will do a Bimanual
examination or examination in the mother's vagina. is mother willing? '
Mrs. A: 'Yes, my midwife is ready.'
Midwife 2: ‘Fine, I will open the left and right labia majora. Then I will insert the middle and
index fingers into your vagina. Maybe this is an uncomfortable action but mom hold on for a
while. I will check the vaginal wall for signs of vigor or any sign of pregnancy and no signs
of vigor. And the bimanual examination is over. Please mom, do you want me to help put on
the pants or do you want to be with you? '
Mrs. A: 'I'll be with myself, midwife.'
* Midwife Cleaning tools and cleaning the place of action *
Midwife 2: 'How was it, mother, was there any pain after the action I did earlier?'
Mrs. A: 'A little bit, Miss Midwife, but at home, how do you do it for the midwife to do
Perineal care?'
Midwife 2: 'If after using warm water, dry with a tissue or clean cloth in the vaginal area,
then change the sanitary napkin every 4-6 hours, and let the vagina or perinium heal by itself.
NY .A: "Well, my midwife understands and will do it as suggested earlier"
Midwife 2: Okay, mother, if you understand, there is something you want to ask again? or is
there anything you don't understand?
Ny: A: "Nothing, it's clear and I understand, thank you, midwife"
Husband: "ok ma'am midwife, then my wife and I say goodbye. Thank you very much,
midwife"
Midwife 1 midwife 2: "You're welcome, thank you also for your cooperation. If there are
complaints that you feel you can come back here.