TREND DAN ISSUE KEPERAWATN

MATERNITAS
Sulistyowati
 Maternity Matters
Why should we be concerned about the state of maternity care?
Because maternity care is different from other health services.
• First, babies cannot wait - there can be no waiting lists for maternity
care
• Second, women’s experiences during pregnancy and birth, good or
bad, can deeply affect how women feel about their babies, about
themselves as mothers, and their other relationships
• Providing pregnant and birthing women with good care therefore
improves the lives of women and their children both immediately and
in the long term.
 Issue Maternity

Research has shown that women

who give birth in an atmosphere
that is quiet, patient, and respectful
of women’s abilities to deliver
babies, usually fare better
 Tujuan Keperawatan Maternitas (Klegman ME:Annual
summary of vital statistick,1992)

1. Membantu wanita usia subur & keluarga dalam masalah

produksi & menghadapi kehamilan
2. Membantu PUS untuk memahami kehamilan, persalinan, &
nifas adalah normal.
3. Memberi dukungan agar ibu memandang kehamilan,
persalinan, & nifas adalah pengalaman positif &
menyenamgkan.
4. Membantu mendeteksi penyimpangan secara dini.
5. Member informasi tentang kebutuhan calon orang tua.
6. Memahami keadaan social & ekonomi ibu
 Trend Maternity

1. Easing te Pain of Chilbirth “twilight sleep”

2. Development of Newborn (Neonatal) Care
3. Biothical Issues
4. Demographic Trend
5. Proverty
6. Cost Containment Strategies
 Easing te Pain of Chilbirth

• Anastesi Epidural • Wather birth

• Operasi Sesar
• Lotus birth
• ..\Documents\Buku ajar
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CESAREAN
SECTION.mp4.part
 Development of Newborn (Neonatal) Care

• Screening and treatment for iron deficiency anemia can reduce the risks of preterm labor,
intrauterine growth retardation, and perinatal depression.
• Specific genetic testing should be based on the family histories of the patient and her
partner.
• Physicians should recommend that pregnant women receive a vaccination for influenza, be
screened for asymptomatic bacteriuria, and be tested for sexually transmitted infections.
• Testing for group B streptococcus should be performed between 35 and 37 weeks'
gestation.
• Intramuscular or vaginal progesterone should be considered in women with a history of
spontaneous preterm labor, preterm premature rupture of membranes, or shortened
cervical length (less than 2.5 cm).
• Screening for diabetes should be offered to all pregnant women between 24 and 28 weeks'
gestation. Women at risk of preeclampsia should be offered low-dose aspirin prophylaxis,
as well as calcium supplementation if dietary calcium intake is low.
• Induction of labor may be considered between 41 and 42 weeks' gestation.
 Biothical Issues

• Aborsi
• bayi tabung
 Demographic Trend

• Kegiatan seksual remaja

Kegiatan Seksual Laki-laki Perempuan

Intercourse 48% 45%

rerata usia pertama kali 17 tahun 16 tahun
pather >4 17% 11%

Kehamilan Remaja
Penggunaan Kontrasepsi
 Hasil Riset..
• Pengamat sosial dari Universitas Indonesia Devie Rahmawati mengungkapkan data
mengejutkan. Dalam program televisi Forum Indonesia di Metro TV (30 April 2015), ia
menyatakan bahwa 93% remaja di Indonesia sudah bersetubuh
• Menurut Bappenas Kehamilan pada remaja terjadi karena terbatasnya akses informasi
yang benar, lemahnya pendidikan seks (di sekolah dan keluarga), dan layanan
kesehatan reproduksi (2010).
• Berdasarkan data SDKI 2012: ASFR 15-19 tahun adalah 48 per 1000. Jadi 48 dari
1000 remaja sudah menikah (terendah di NAD & Sumbar 7/1000 dan tertinggi Kalbar
104/1000)
• remaja menyumbang 30% pada Kehamilan Tidak Diinginkan dan aborsi tidak aman.
• Selanjutnya berdasarkan penelitian Riskesdas pada tahun 2010, usia haid pertama
sudah ditemukan pada anak perempuan berusia 9 tahun. Padahal angka ASFR terletak
pada rentang 15-19 tahun, dibawah usia 15 tahun kita tidak mengatahuinya, padahal
mereka sudah terancam. Usia kawin di sini kita lihat bahwa laki-laki pada usia 10-14
tahun adalah 0,1% baik do kota maupun di desa. Namun bagi perempuan pada usia yang
sama, di kota 7,2% dan di desa 17,5%. Jadi risiko sudah menikah di desa lebih tinggi tiga
kali dibandingkan dengan di kota.
 Proverty

• Kurang Nutrisi
• Kurang perawatan
• Kurang Pendidikan
 Cost Containment Strategis

• Priority
• Stategies that have been implemented to help control
costs
• Managed care
• Alternative dielivery systems
Thank You For Your Attention