This document summarizes a case study on comprehensive midwifery care for a woman named T.S. with retained placenta at a community health center. T.S.'s pregnancy and labor were normal until the third stage, when the placenta did not deliver within 30 minutes of birth due to weak contractions, a condition called retained placenta. A manual removal of the placenta was performed successfully. In the postpartum period, T.S. experienced breast swelling but was treated. The conclusion was that there were no gaps between the theory and practice of treating retained placenta. The health center was advised to maintain quality of services according to applicable standards.
This document summarizes a case study on comprehensive midwifery care for a woman named T.S. with retained placenta at a community health center. T.S.'s pregnancy and labor were normal until the third stage, when the placenta did not deliver within 30 minutes of birth due to weak contractions, a condition called retained placenta. A manual removal of the placenta was performed successfully. In the postpartum period, T.S. experienced breast swelling but was treated. The conclusion was that there were no gaps between the theory and practice of treating retained placenta. The health center was advised to maintain quality of services according to applicable standards.
This document summarizes a case study on comprehensive midwifery care for a woman named T.S. with retained placenta at a community health center. T.S.'s pregnancy and labor were normal until the third stage, when the placenta did not deliver within 30 minutes of birth due to weak contractions, a condition called retained placenta. A manual removal of the placenta was performed successfully. In the postpartum period, T.S. experienced breast swelling but was treated. The conclusion was that there were no gaps between the theory and practice of treating retained placenta. The health center was advised to maintain quality of services according to applicable standards.
Maternal Mortality Rate (MMR) in Indonesia is still very high which in
2010 in the range of 226 per 100,000 live births, and occupied the highest number in Southeast Asia. One of the high number of maternal deaths are postpartum hemorrhage. One cause of postpartum hemorrhage diantaranya is retained placenta. This research to implement comprehensive midwifery care for Mrs. T.S with retained placenta as for the method used is a case study. Based on the discussion of the case of Mrs. T.S during pregnancy had gone smoothly and there are no complications. In the process I and II stage of labor is in conformity with the APN but on the third stage there are problems with the placenta has not been born after 30 minutes the baby is born is called retained placenta is a contributing factor because of the contraction is less strong. The conclusion that is obtained during pregnancy Mrs T.S did not experience complications during delivery but the third stage of the problem experiencing retained placenta, then performed manual placenta to deliver the placenta,there are no gaps in the treatment of retained placenta between theory and practice. At the time of nifas, Mrs T.Shaving problems breast swelling, but can be resolved with the treatment of breast. As for the advice given in the BPS E.N is to relain and improve the quality of services in accordance with applicable standards.
Key words : Retained Placenta
References : 10 Literatur (2007-2011) Program Studi D III Kebidanan STIKes Dharma Husada Bandung 2013
ABSTRAK
Chandra Widayanti
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “T.S” DENGAN
RETENSIO PLASENTA DI BPS BIDAN “E.N” KOTA CIMAHI 2013
V bab, 76 halaman, 3 Gambar, 4 tabel, 12 lampiran
Di Indonesia Angka Kematian Ibu (AKI) masih sangat tinggi, dimana
pada tahun 2010 berada pada kisaran 226 per 100.000 kelahiran hidup, dan menempati angka tertinggi di asia tenggara. Angka kematian ibu diantaranya disebabkan oleh perdarahan post partum. Salah satu penyebab perdarahan postpartum diantaranya adalah retensio plasenta. Penelitian ini untuk menerapkan asuhan kebidanan komprehensif pada Ny. T.S dengan retensio plasenta. Adapun metode yang digunakan adalah studi kasus. Berdasarkan pembahasan kasus Ny. T.S pada masa kehamilan berlangsung lancar dan tidak ada komplikasi. Pada proses persalinan kala I dan II sudah sesuai dengan APN tetapi pada kala III terjadi masalah yaitu plasenta belum lahir setelah penanganan 30 menit bayi lahir yang disebut dengan retensio plasenta faktor penyebabnya adalah karena adanya kontraksi yang kurang kuat. Kesimpulan yang diperoleh yaitu selama masa kehamilan Ny. T.S tidak mengalami komplikasi tetapi pada saat persalinan kala III mengalami masalah yaitu retensio plasenta, maka dilakukan manual plasenta untuk melahirkan plasenta, tidak ada kesenjangan dalam penanganan retensio plasenta antara teori dengan praktik. Pada saat masa nifas, Ny. T.S mempunyai masalah yaitu terjadi pembengkakan payudara, namun dapat teratasi dengan perawatan payudara. Adapun saran yang diberikan pada BPS E.N yaitu agar tetap mempertahankan dan meningkatkan mutu pelayanan sesuai dengan standar yang berlaku.