ASUHAN KEBIDANAN KOMPREHENSIF PADA BY NY “S” DENGAN ASFIKSIA PADA BAYI BARU LAHIR DI PMB PERMATA KABUPATEN PAMEKASAN

Abstract

Asphyxia is a condition where a newborn baby experiences failure to breathe spontaneously and regularly immediately after birth, so that the baby cannot take in oxygen and cannot remove carbonic acid from the body, which can reduce O2 (oxygen) and possibly increase CO2 (carbon dioxide). ) which has negative consequences in later life. The causes of asphyxia in newborn babies during the birth process are entanglement of the umbilical cord, short umbilical cord, umbilical cord knot, umbilical cord prolapse and prolonged labor. Other factors include maternal anemia, hypertension, preeclampsia and eclampsia, fever during labor, severe infections, premature babies, amniotic fluid mixed with meconium. The main impact of asphyxia that is too long in newborns can cause death, brain hemorrhage, brain damage and delayed growth and development and can also cause lifelong disabilities such as blindness, deafness, brain defects. Mrs "S" came to PMB PERMATA on 07 March 2024 at 05:30 WIB. The examination results for Mrs "S" were TTV BP: 110/70mmHg, N: 80 x/minute, S: 36.5˚C, P: 20 x/minute, dilation Ø 5 cm, eff 50%, amniotic fluid (+) , preskep, UUK, Hodge II. Contractions 3x in 10 minutes and 25 seconds long, TFU: mid-central px, DJJ: 146x/minute, UK: 39 weeks Mother says she has heartburn and mucus mixed with blood comes out of the birth canal. Signs of labor are: mucus mixed with blood coming out of the birth canal or amniotic fluid coming out of the birth canal. Stomach ulcers - regular stomach ulcers that appear more frequently and last longer. UK 39 weeks is the gestational age at which fluid discharge is a sign that you are about to enter the labor stage. The baby was born spontaneously at 07:50 WIB on 07 March 2024. The results of the examination were that the baby was moaning, had inactive movements, had a bluish color, irregular breathing, Management with mild asphyxia carried out HAIKAP: H: warm the baby's body, A: adjust the position of the baby's head looking up, I : sucking mucus from the baby's mouth and nose, K : drying the baby's body, A : adjusting the baby's position again, P : assessing the baby's breathing. Asphyxia is a condition where a newborn baby experiences failure to breathe spontaneously and regularly immediately after birth, so that the baby cannot take in oxygen and cannot remove carbonic acid from the body, so that it can reduce O2 and possibly increase CO2 which has bad consequences in life. further life. Mrs "S"'s baby experienced asphyxia because the mother was anemic during the birth process.