Complete Midwifery Care In Very High-Risk Pregnancy

##plugins.themes.academic_pro.article.main##

Dintya Ivantarina
Dwi Yuliawati
Fitri Yuniarti
Wulan Anggraini

Abstract

A very high-risk pregnancy is a risk group for pregnant women with the highest number of maternal and neonatal deaths. One way that can be carried out to prevent maternal and infant complications is to provide complete midwifery care. The purpose of this case study is to provide complete midwifery care to Mrs. "W" from pregnancy to family planning. The research design used is a case study with the research subject of Mrs. ”W”. Methods of collecting data through interviews, observation, and documentation studies. The results of midwifery care for Mrs. ”W” found data during pregnancy classified as very high-risk pregnancy with a Poedji Rochjati score of 14 (anemia, height < 145 cm, and a history of childbirth with infusion). Problems during pregnancy are the lack of adequate nutrition and optimal rest as well as the discomfort of swollen legs and back pain. During labour, the diagnosis of premature rupture of membranes was obtained. In the puerperium, the problem of suture wound pain was found. During the newborn period, jaundice was diagnosed. During family planning, the mother chose 3 months of injectable contraception. Management was given according to the diagnosis and problems found from the time of pregnancy to family planning. Complete midwifery care can increase the effectiveness of health care for the mother as a whole so that it does not endanger the mother and baby and increase patient satisfaction in getting midwifery services.

##plugins.themes.academic_pro.article.details##

How to Cite
Ivantarina, D., Dwi Yuliawati, Fitri Yuniarti and Wulan Anggraini (2021) “Complete Midwifery Care In Very High-Risk Pregnancy”, Science Midwifery, 10(1, October), pp. 186-197. Available at: https://midwifery.iocspublisher.org/index.php/midwifery/article/view/182 (Accessed: 15October2021).

References

[1] J. Koss, M. Bidzan, J. Smutek, and L. Bidzan, “Influence of Perinatal Depression on Labor-Associated Fear and Emotional Attachment to the Child in High-Risk Pregnancies and the First Days After Delivery,” Med. Sci. Monit., vol. 22, pp. 1028–1037, 2016.
[2] WHO, “Maternal Mortality,” Geneva, 2019.
[3] BPS, “Angka Kematian Ibu Menurut Pulau (per 100.000 kelahiran hidup), 2015,” Jakarta, 2015.
[4] Dinkes Jawa Timur, “Profil Kesehatan Provinsi Jawa Timur,” Surabaya, 2019.
[5] Dinkes Kabupaten Kediri, “Profil Kesehatan Kabupaten Kediri,” Kediri, 2019.
[6] S. Syahda, “Hubungan Pengetahuan dan Sikap Ibu Hamil Tentang Risiko Tinggi dalam Kehamilan Dengan Kejadian Risiko Tinggi Dalam Kehamilan di Wilayah Kerja Puskesmas Kampar,” J. Doppler Univ. Pahlawan Tuanku Tambusai, vol. 2, no. 2, pp. 57-58 (1–6), 2018.
[7] K. D. L. Da Silva, F. E. M. Fernandes, T. De Lima Pessoa, S. I. V. C. Lima, A. G. Oliveira, and R. R. Martins, “Prevalence and Profile of Adverse Drug Reactions in High-Risk Pregnancy: A Cohort Study,” BMC Pregnancy Childbirth, vol. 19, no. 199, pp. 1–6, 2019.
[8] G. D. Widarta, M. A. C. Laksana, A. Sulistyono, and W. Purnomo, “Deteksi Dini Risiko Ibu Hamil dengan Kartu Skor Poedji Rochjati dan Pencegahan Faktor Empat Terlambat,” Maj. Obstet. Ginekol., vol. 23, no. 1, pp. 28–32, 2015.
[9] P. Hastuti, Suparmi, Sumiyati, A. Widiastuti, and D. R. Yuliani, “Kartu Skor Poedji Rochjati Untuk Skrining Antenatal,” Link, vol. 14, no. 2, pp. 110–113, 2018.
[10] R. Alijahan and M. Kordi, “Risk Factors of Dystocia in Nulliparous Women,” Iran. J. Med. Sci., vol. 39, no. 3, pp. 254–260, 2014.
[11] J. Paat, E. Suparman, and H. Tendean, “Persalinan Distosia Pada Remaja Di Bagian Obstetri-Ginekologi BLU RSUP Prof. Dr. R. D. Kandou Manado,” J. e-CliniC, vol. 3, no. 2, pp. 612–616, 2015.
[12] J. A. Patterson, T. Nippita, D. A. Randall, D. O. Irving, and J. B. Ford, “Outcomes of Subsequent Pregnancy Following Obstetric Transfusion in a First Birth,” PLoS One, vol. 13, no. 9, pp. 1–15, 2018.
[13] R. Kerr et al., “Postpartum Haemorrhage: Case Definition and Guidelines for Data Collection, Analysis, and Presentation of Immunization Safety Data,” Vaccine, vol. 34, no. 49, pp. 6102–6109, 2016.
[14] A. Patel, A. A. Prakash, P. K. Das, S. Gupta, Y. V. Pusdekar, and P. L. Hibberd, “Maternal Anemia and Underweight as Determinants of Pregnancy Outcomes: Cohort Study in Eastern Rural Maharashtra, India,” BMJ Open, vol. 8, no. 8, pp. 1–15, 2018.
[15] G. Stephen, M. Mgongo, T. Hussein Hashim, J. Katanga, B. Stray-Pedersen, and S. E. Msuya, “Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania,” Anemia, vol. 2018, pp. 1–9, 2018.
[16] L. Lin et al., “Prevalence, Risk Factors and Associated Adverse Pregnancy Outcome of Anaemia in Chinese Pregnant Women: A Multicentre Retrospective Study,” BMC Pregnancy Childbirth, vol. 18, no. 111, pp. 1–8, 2018.
[17] J. Bowers, H. Cheyne, G. Mould, and M. Page, “Continuity of Care in Community Midwifery,” Health Care Manag. Sci., vol. 18, no. 2, pp. 195–204, 2015.
[18] H. Perdok et al., “Continuity of Care is An Important and Distinct Aspect of Childbirth Experience: Findings of a Survey Evaluating Experienced Continuity of Care, Experienced Quality of Care and Women’s Perception of Labor,” BMC Pregnancy Childbirth, vol. 18, no. 13, pp. 1–9, 2018.
[19] F. M. Sitorus and J. M. Siahaan, “Pelayanan Keluarga Berencana Pasca Persalinan Dalam Upaya Mendukung Percepatan Penurunan Angka Kematian Ibu,” Midwifery J., vol. 3, no. 2, pp. 114–119, 2018.
[20] S. Rulihari, M. I. Kartasurya, and A. Sriatmi, “Faktor-Faktor yang Berhubungan dengan Kinerja Bidan dalam Penggunaan Skor ‘ Poedji Rochjati ’ pada Deteksi Risiko Ibu Hamil (Studi pada Bidan Praktek Swasta di Kabupaten Gresik),” J. Manaj. Kesehat. Indones., vol. 02, no. 01, pp. 71–81, 2014.
[21] N. F. Nilakesuma, D. Susilawati, W. Zalmawita, and N. Salsabila, “Upaya Peningkatan Penjaringan Ibu Hamil Resiko Tinggi di Pulau Batam Kurao,” J. Pengabdi. Barelang, vol. 2, no. 2, pp. 1–4, 2020.
[22] S. Abedin and D. Arunachalam, “Maternal Autonomy and High-Risk Pregnancy in Bangladesh: The Mediating Influences of Childbearing Practices and Antenatal Care,” BMC Pregnancy Childbirth, vol. 20, no. 555, pp. 1–8, 2020.
[23] R. Tandon, A. Jain, and P. Malhotra, “Management of Iron Deficiency Anemia in Pregnancy in India,” Indian J. Hematol. Blood Transfus., vol. 34, no. 2, pp. 204–215, 2018.
[24] S. Garzon, P. M. Cacciato, C. Certelli, C. Salvaggio, M. Magliarditi, and G. Rizzo, “Iron Deficiency Anemia in Pregnancy: Novel Approaches for an Old Problem,” Oman Med. J., vol. 35, no. 5, pp. 1–9, 2020.
[25] M. Melku, Z. Addis, M. Alem, and B. Enawgaw, “Prevalence and Predictors of Maternal Anemia during Pregnancy in Gondar , Northwest Ethiopia : An Institutional Based Cross-Sectional Study,” Anemia, vol. 2014, pp. 1–9, 2014.
[26] T. A. Zerfu, M. Umeta, and K. Baye, “Dietary Diversity During Pregnancy is Associated with Reduced Risk of Maternal Anemia, Preterm Delivery, and Low Birth Weight in a Prospective Cohort Study in Rural Ethiopia,” Am. J. Clin. Nutr., vol. 103, no. 6, pp. 1482–1488, 2016.
[27] F. Agbozo, A. Abubakari, J. Der, and A. Jahn, “Maternal Dietary Intakes, Red Blood Cell Indices and Risk for Anemia in the First, Second and Third Trimesters of Pregnancy and at Predelivery,” Nutrients, vol. 12, no. 777, pp. 1–16, 2020.
[28] C. Garno, S. I. Putri, and Suhartik, “Hubungan Kualitas Tidur dan Konsumsi Tablet Fe Dengan Kejadian Anemia Ibu Hamil,” J. Inf. Kesehat. Indones., vol. 6, no. 1, pp. 19–25, 2020.
[29] M. Syari, J. Serudji, and U. Mariati, “Peran Asupan Zat Gizi Makronutrien Ibu Hamil terhadap Berat Badan Lahir Bayi di Kota Padang,” J. Kesehat. Andalas, vol. 4, no. 3, pp. 729–736, 2015.
[30] C. Cotoraci, A. Ciceu, A. Sasu, and A. Hermenean, “Natural Antioxidants in Anemia Treatment,” Int. J. Mol. Sci., vol. 22, no. 1883, pp. 1–35, 2021.
[31] Y. N. Ndode, V. M. Ardiyani, and D. D. F. Yasin, “Pengaruh Terapi Musik Klasik Mozart Terhadap Kualitas Tidur Pada Pasien Post Operasi Di Rumah Sakit Baptis Batu,” J. Nurs. News, vol. 3, no. 1, pp. 54–62, 2018.
[32] D. A. Wibowo and L. Purnamasari, “Pengaruh Rendam Kaki Air Hangat Terhadap Kualitas Tidur Pada Lansia Di Wilayah Kerja Puskesmas Handapherang Kabupaten Ciamis Tahun 2019,” J. Keperawatan Galuh, vol. 1, no. 2, pp. 104–123, 2019.
[33] J. Haryanto, D. S. Widodo, and A. Bakar, “Studi Komparasi Minum Susu Hangat Dan Teh Chamomile Hangat Terhadap Pemenuhan Kebutuhan Tidur Lansia,” J. Keperawatan, vol. IX, no. 1, pp. 1–6, 2016.
[34] D. A. M. Yanti, A. Sulistianingsih, and Keisnawati, “Faktor-Faktor Terjadinya Anemia pada Ibu Primigravida di Wilayah Kerja Puskesmas Pringsewu Lampung,” J. Keperawatan, vol. 6, no. 2, pp. 79–87, 2015.
[35] J. Ayensu, R. Annan, H. Lutterodt, A. Edusei, and L. S. Peng, “Prevalence of Anaemia and Low Intake of Dietary Nutrients in Pregnant Women Living in Rural and Urban Areas in the Ashanti Region of Ghana,” PLoS One, pp. 1–15, 2020.
[36] L. M. Winarni, D. P. Lestari, and A. Y. G. Wibisono, “Pengaruh Pemberian Jus Jambu Biji Merah Dan Jeruk Terhadap Peningkatan Kadar Hemoglobin Pada Ibu Hamil Anemia: A Literature Review,” J. Menara Med., vol. 2, no. 2, pp. 101–105, 2020.
[37] R. Rahmayanti, D. Hamdayani, Y. R. Saputra, R. U. Yuliani, and D. Efrad, “Penyuluhan Tentang Penanganan Udem Pada Kaki Dan Kecemasan Pada Ibu Hamil Trimester III Di Puskesmas Air Dingin Padang,” J. Abdimas Madani dan Lestari, vol. 2, no. 2, pp. 84–89, 2020.
[38] M. D. Yanti, T. J. Purba, P. A. Y. Ariescha, A. B. Manalu, N. A. Siagian, and Mardiah, “Pengaruh Penerapan Pijat Dan Rendam Kaki Dengan Air Hangat Campuran Kencur Terhadap Edema Kaki Pada Ibu Hamil,” J. Kebidanan Kestra, vol. 2, no. 2, pp. 164–171, 2020.
[39] V. L. Bilano, E. Ota, T. Ganchimeg, R. Mori, and J. P. Souza, “Risk Factors of Pre-eclampsia/Eclampsia and Its Adverse Outcomes in Low- and Middle-Income Countries: A WHO Secondary Analysis,” PLoS One, vol. 9, no. 3, pp. 1–9, 2014.
[40] P. Suryani and I. Handayani, “Senam Hamil dan Ketidaknyamanan Ibu Hamil Trimester Ketiga,” Midwife J., vol. 5, no. 01, pp. 33–39, 2018.
[41] R. Safitri, “Gambaran Posisi Elevasi Pada Kejadian Edema Tungkai Bawah Pada Ibu Hamil Trimester III di Bidan Praktik Swasta ‘a’ Kecamatan Bantur Kabupaten Malang,” J. Kesehat. Hesti Wira Sakti, vol. 6, no. 1, pp. 487–492, 2018.
[42] B. E. P. Saudia and O. N. K. Sari, “Perbedaan Efektivitas Endorphin Massage Dengan Kompres Hangat Terhadap Penurunan Nyeri Punggung Ibu Hamil Trimester III Di Puskesmas Wilayah Kerja Sekota Mataram,” J. Kesehat. Prima, vol. 12, no. 1, pp. 23–29, 2018.
[43] Y. Suryanti, D. N. Lilis, and H. Harpikriati, “Pengaruh Kompres Hangat terhadap Nyeri Punggung Ibu Hamil Trimester III di Puskesmas Sekernan Ilir Tahun 2020,” J. Akad. Baiturrahim Jambi, vol. 10, no. 1, pp. 22–30, 2021.
[44] S. U. Rosdiani and F. Umamah, “Posisi Tidur Miring Efektif Menurunkan Nyeri Punggung Pada Ibu Hamil Trimester Iii Di Poli Kia Rs Rahman Rahim Desa Saimbang Sukodono Sidoarjo,” J. Ilm. Kesehat., vol. 7, no. 2, pp. 80–87, 2014.
[45] L. B. Fitriana and V. Vidayanti, “Pengaruh Massage Effleurage Dan Relaksasi Nafas Dalam Terhadap Nyeri Punggung Ibu Hamil Trimester Iii,” Bunda Edu-Midwifery J., pp. 1–6, 2019.
[46] Diflayzer, S. S.A, and E. Nofita, “Gambaran Faktor Risiko Kegawatdaruratan Obstetri pada Ibu Bersalin yang Masuk di Bagian Obstetri dan Ginekologi RSUD Dr. Rasidin Padang Tahun 2014,” J. Kesehat. Andalas, vol. 6, no. 3, pp. 634–640, 2017.
[47] Legawati and Riyanti, “Determinan Kejadian Ketuban Pecah Dini (KPD) di Ruang Cempaka RSUD Dr Doris Sylvanus Palangkaraya,” J. Surya Med., vol. 3, no. 2, pp. 95–105, 2018.
[48] F. Natsir, Rismayana, and E. Wahyuntari, “Hubungan Paritas dan Anemia dengan Kejadian Ketuban Pecah Dini (KPD) Pada Ibu Bersalin di RSUD Panembahan Senopati Bantul,” Media Publ. Promosi Kesehat. Indones., vol. 2, no. 2, pp. 88–92, 2019.
[49] Rokhamah, “Kajian Metode Persalinan Normal dengan Bantuan Cermin Pada Persalinan Kala II Ibu Primigravida,” J. Ilm. Ilmu Kesehat., vol. 7, no. 2, pp. 61–68, 2019.
[50] S. Diana, E. Mail, and Z. Rufaida, Buku Ajar Asuhan Kebidanan Persalinan dan Bayi Baru Lahir, 1st ed. Surakarta: CV Oase Group, 2019.
[51] B. Rahayu and A. N. Sari, “Studi Deskriptif Penyebab Kejadian Ketuban Pecah Dini (KPD) pada Ibu Bersalin,” J. Ners dan Kebidanan Indones., vol. 5, no. 2, pp. 134–138, 2017.
[52] Reni and Sunarsih, “Efektifitas Pemberian Misoprostol Pervaginam Dengan Oksitosin Intravena Terhadap Kemajuan Persalinan Pada Ibu Bersalin Indikasi Kpd Di Rs Islam Asy-Syifaa Bandar Jaya Tahun 2016,” J. Kebidanan, vol. 3, no. 3, pp. 121–126, 2017.
[53] J. W. Ramadhan, R. Rasyid, and D. Rusnita, “Profil Pasien Hemorrhagic Postpartum di RSUP Dr. M. Djamil Padang,” J. Kesehat. Andalas, vol. 8, no. Supplement 2, pp. 46–53, 2019.
[54] A. Melinawati, “Pengaruh Kombinasi Pijat Oksitosin dan Endhorpin Massage terhadap Involusi Uterus pada Ibu Post Partum di BPS Desy Andriani, S.Tr.Keb Bandar Lampung Tahun 2018,” J. Ilmu Kedokt. dan Kesehat., vol. 5, no. 3, pp. 201–208, 2018.
[55] H. Saleng and S. Ahmi, “Kompres Dingin Terhadap Pengurangan Nyeri Luka Perineum Ibu Post Partun di RSKDIA Pertiwi,” J. Kesehat. Madu, vol. 9, no. 1, pp. 1–7, 2020.
[56] D. Susilowati and T. S. Mulati, “Penggunaan Bebat Perineum (Kempitan) Untuk Mengurangi Nyeri Luka Perineum Pada Ibu Post Partum,” J. Terpadu Ilmu Kesehat., vol. 7, no. 1, pp. 41–47, 2018.
[57] D. Durahim, M. Awal, A. Anshar, and F. Islam, “Effect Difference of Kegel Exercise and Sough Relaxation Exercise to Decrease Perineum Pain of Post-Partum Mother,” Int. J. Sci. Basic Appl. Res., vol. 37, no. 3, pp. 107–115, 2018.
[58] A. Yuspina, N. Mulyani, and U. A. Silalahi, “Pengaruh Kompres Air Hangat Dan Air Dingin Terhadap Nyeri Tulang Belakang Ibu Hamil Trimester Iii Di Wilayah Kerja Puskesmas Rajapolah Tahun 2018,” J. Penellitian Kesehat. STIKes Dharma Bandung, vol. XII, no. 2, pp. 103–112, 2018.
[59] R. Choirunissa, Suprihatin, and I. Oktafia, “Efektifitas Kompres Hangat dan Dingin terhadap Nyeri Laserasi Perineum pada Ibu Postpartum Primipara di Depok 2019,” J. Heal. Care Media, vol. 3, no. 6, pp. 37–44, 2019.
[60] H. Febriyanti, W. S. Yohanna, and E. Nurida, “Kelancaran Produksi ASI pada Ibu Post Partum Ditinjau dari Inisiasi Menyusu Dini dan Isapan Bayi,” J. Aisyah J. Ilmu Kesehat., vol. 3, no. 1, pp. 39–46, 2018.
[61] N. Lestari, “Pijat Oksitosin pada Ibu Postpartum Primipara terhadap Produksi ASI dan Kadar Hormon Oksitosin,” J. Ners dan Kebidanan (Journal Ners Midwifery), vol. 4, no. 2, pp. 120–124, 2017.
[62] Juwariyah, Y. D. Fara, A. T. Mayasari, and Abdullah, “Pengaruh Pijat Oksitosin terhadap Peningkatan Produksi ASI Ibu Postpartum,” Wellness Heal. Mag., vol. 2, no. 2, pp. 269–276, 2020.
[63] D. H. Pan and Y. Rivas, “Jaundice: Newborn to Age 2 Months,” Pediatr. Rev., vol. 38, no. 11, pp. 499–510, 2017.
[64] L. F. Maulida, “Ikterus Neonatorum,” Profesi, vol. 10, pp. 39–43, 2014.
[65] A. Sinaga and N. Laowo, “Pengaruh Pijat Bayi Terhadap Kualitas Tidur Bayi Usia 0-6 Bulan Di Bpm Pera Kecamatan Medan Tuntungan Tahun 2019,” Excell. Midwifery J., vol. 3, no. 1, pp. 27–31, 2020.
[66] Prasetyono, Buku Pintar Pijat Bayi. Yogyakarta: Buku Biru, 2017.
[67] Yulizawati, D. Iryani, L. El Sinta, and A. A. Insani, Asuhan Kebidanan Keluarga Berencana. Sidoarjo: Indomedia Pustaka, 2019.
[68] D. A. Windawati and R. Ernawati, “Hubungan Antara Riwayat Pemakaian Kontrasepsi dan Lama Menyusui dengan Jenis Kanker di Ruang Kemoterapi RSUD Abdul Wahab Sjahranie Samarinda,” Borneo Student Res., pp. 166–173, 2019.
[69] P. A. E. Nissa, H. Widjajanegara, and W. Purbaningsih, “Kontrasepsi Hormonal sebagai Faktor Risiko Kanker Payudara di RSUD Al-Ihsan Bandung,” Bandung Meet. Glob. Med. Heal., vol. 1, no. 1, pp. 112–119, 2017.
[70] R. Septalia and N. Puspitasari, “Faktor yang Memengaruhi Pemilihan Metode Kontrasepsi,” J. Biometrika dan Kependud., vol. 5, no. 2, pp. 91–98, 2016.