Asuhan Kebidanan Ibu Nifas Pada Ny G P1a0 Umur 25 Tahun Dengan Perdarahan Postpartum Primer Akibat Robekan Portio, Perineum Derajat Ii, Dan Hematoma Vagina Di RSUD Karanganyar
2016
BRIAN SAHAR. R0313005. MIDWIFERY CARE OF POSTPARTUM MOTHERS ON Mrs. G P1A0 WITH PRIMARY POSTPARTUM BLEEDING DUE TO PORTIO LACERATION, LEVEL-II PERINEAL LACERATION, AND VAGINAL HEMATOMA AT LOCAL GENERAL HOSPITAL OF KARANGANYAR. THE STUDY PROGRAM OF DIPLOMA III IN MIDWIFERY SCIENCE THE FACULTY OF MEDICINE, SEBELAS MARET UNIVERSITY, 2016. Background: The maternal mortality rate caused by bleeding was 30.3%. At Local General Hospital of Karanganyar, the percentage of postpartum mothers with bleeding due to the birth canal laceration was 11%. The objective of this research is to study and comprehend the midwifery care on bleeding case due to the birth canal laceration at Local General Hospital of Karanganyar. Method: This research used the observational descriptive method with the case study approach. Its subject was Mrs. G P1A0 with primary postpartum bleeding due to portio laceration, perineal laceration, and vaginal hematoma. It was conducted at the aforementioned hospital. The data of research were collected through in-depth interview, direct observation, content analysis, and medical record. They were analyzed by using the descriptive model of analysis with Varney’s Seven Steps. Result: Mrs. G was postpartum for one hour due to due to the perineal laceration of Level II, portio laceration, and vaginal hematoma with the PPV: ±550cc. She was exposed to suture intervention and therapy, and the bleeding stopped completely. Then the client was transferred to postpartum ward. Conclusion: The midwifery care of postpartum mothers on Mrs. G with primary postpartum bleeding due to portio laceration, Level-II perineal laceration, and vaginal hematoma was done comprehensively. There was a discrepancy that the initial observation was not right due to the less accuracy in the objective examination and the absence of anesthesia in the secondary re-suture. Keywords: Midwifery care of postpartum mothers, primary postpartum bleeding.
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