Seminar Nasional Dunia Kesehatan (SENADA)

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY, “F” DENGAN ATONIA UTERI PADA PRIMIGRAVIDA DI PMB PERMATA KABUPATEN PAMEKASAN

2024-08-09T07:07:53+00:00

Every birth is associated with bleeding, because all births, whether vaginal or abdominal (Section Caesarea), are always accompanied by bleeding. In vaginal delivery, bleeding can occur before, during or after delivery. Bleeding is said to be physiological if the blood loss does not exceed five hundred ml in vaginal delivery and not more than one thousand ml in Sectio Caesarea, The limits of care that will be provided are continuous midwifery care Continuity Of Care (COC) starting from TM III pregnant women with a risk of HPP (multigravida), until the period of contraceptive/family planning use, Increasing knowledge and experience for mothers about the factors that play a role in the occurrence of HPP in pregnant women, so that it is hoped that it can reduce the incidence of HPP

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

2024-08-09T17:14:57+00:00

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.

ASUHAN KEBIDANAN KOMPREHENSHIF PADA NY.”A” IBU NIFAS DENGAN SUB INVOLUSI UTERI DI PMB KASIH BUNDA PAMEKASAN

2024-08-12T05:00:16+00:00

The postpartum period is the period after the mother gives birth and the reproductive organs will return to their original shape. However, there are cases where the reproductive organs are delayed in returning to their normal shape, which is called sub uterine involution. The final project report is case based with continuity of care starting from pregnancy to contraseptive selection and documented in ditail. Using SOAP management where this care was carried out on Mrs.”A” GIIP1001A000 UK 39 weeks, alive, sigleton, head, intrauterine, general condition of mother and fetus is good. Based on the evaluation result, it can be concluded that mrs”A” did not experience uterine sub involution because the mother had received treatment to prevent uterine sub involution starting from the pregnancy period, the mother was advised to do pregnancy exercises, breast care, personal hygiene, during the birth process of Mrs”A” help using sterile tools during the postpartum period the mother made 2 visit and the mother was advised to do postpartum exercises, mobilization, lactation, maintaining nutritional status and vulva hygiene so that the uterine involution process in Mrs “A” runs more quickly. When taking birth control, the mother chooses to use 3 month injrctable birth control because the mother has her second child and has used injectable birth control 3 months previously.
Keyword : midwifery care, comprehensive, sub uterine involution

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “Y” DENGAN GRANDEMULTIPARA DI PMB SETIA KABUPATEN PAMEKASAN

2024-08-13T05:01:52+00:00

Pregnancy is a physiological process experienced by most women, but this can be a pathological problem if pregnancy is in high risk pregnancy. One of the high-risk pregnancies is grandemultipara. Based on the results of the study conducted by Sitti Aras Diana at RSUDWALI Mandar showed, from 100 retensio cases who had the most experienced placenta retensio placenta, namely mother with a grandemultipara trench (50%). Based on data in the RKIA Sitti Khadijah of high risk pregnancy experienced by pregnant women with grandemultipara there are 51.02%. Based on data in 2023 at PMB Setia Panglegur Pamekasan is known that from 100 pregnant women are obtained by grandemultipara, namely 46 people. The Final Task Report is based on cases with sustainable orphanages in Continuity Of Care and documented it using SOAP management. Diagnosis in the Final Project is the Comprehensive Midwifery Orphanage in Ny "Y" with Grandemultipara at the PMB Setia of Pamekasan Regency. Orphanages are done in Ny" Y 42 years old GIV P3003 A000 gestational 40 weeks at Third trimester gestational visit, comprehensive orphanages starting from data collection to evaluation and positioning use ragged management. On pregnancy visits Ny Y" complained often loudly and urinate. The orphanage given to Ny "Y" is to encourage mothers to get enough rest and avoid consuming caffeinated drinks. Mother's evaluation understands and is willing to follow the midwife's advice. At labor visit, monitoring from when I arrived at IV with APN 60 steps, Ny" Y" gave birth spontaneously on March 01, 2024 at 10: 00 WIB at Loyal Prime Minister. The orphanage that takes place ± 15 minutes there is no tear in the birth canal and a baby born physiological. Mother and Family evaluation follow midwife's recommendations. Newborn visits were made 2 times with the first visit on 3 days, the baby rarely suckle because the mother does not wake the baby during sleep. The orphanage given is to recommend mothers to meet their baby's nutritional needs by providing exclusive breastfeeding as soon as possible on the demand and in 7 days including daily baby care. Mother's evaluation is willing to breastfeed her baby as soon as possible on demand. Nifas period was carried out 2 times the visit with the first 3 days of the nifas period with complaints of breast swelling and 7 days of the nifas. The orphanage given to Ny "Y" is to encourage mothers not to wear strict bras and teach breast care. Mother's evaluation understands and is willing to apply the midwife's recommendation at home. Then continued On the KB Ny Y" visit where in this case focuss on counseling and informed contraband in the selection of contraceptive devices that digunakaan and mother chose to use KB 3 months. Maternal Evaluation is willing to follow the sunti of 3 months. Based on the orphanage given to Ny "Y", it can be concluded that orphanages in sustainability are comprehensively obtained by the results of the mother and fetus state of good but in pregnancy are high risks. After being done with snacks for grandemultipara pregnant women, mothers are expected to always check their pregnancy regularly so that they can be detected early and maintain circumstances during pregnancy with grandemultipara, delivery, nifasc, neonates until family services plan. In addition, mothers are expected to remain adequate rest, consume nutritious foods and take medication according to the recommendations provided by midwives.

Keywords : Orphanages, Comprehensive, Grandemultipara

ASUHAN KEBIDANAN KOMPREHENSIF PADA BAYI BARU LAHIR DENGAN SEPSIS NEONATUS DI PMB SETIA

2024-08-13T05:46:09+00:00

Neonates are babies who have just experienced the birth process, aged 0-28 days. Newborn babies require physiological adjustments in the form of maturation. Neonates have the highest risk of health problems, one of which is infection which can cause neonatal sepsis. Care was provided to Mrs. U GI P0000 A000 UK 40 weeks at the third trimester pregnancy visit at PMB SETIA on 25 02 2024, a head to toe examination was carried out, documentation was carried out using soap management, she complained of frequent urination. Mrs U PI00I A000 gave birth spontaneously vaginally on 01 03 2024 at PMB SETIA with APN 60 steps which proceeded normally and there was a 2nd degree tear in the birth canal, the baby was born physiologically. Monitoring was carried out 10 times during the postpartum and neonatal period, the results of the baby monitoring process were within normal limits, and the mother had pain from stitching wounds, fear of defecating, sore nipples. followed by family planning care, this care focuses on counseling and informed consent in selecting suitable contraceptives for breastfeeding mothers. Continuity of Care carried out continuous care. Evaluation of the care provided to Mrs. U was overall good. Care is provided based on existing theories in the field. From the care provided, it can be concluded that continuous COC (continuity of care) midwifery care was given to Mrs. U with results, the condition of the mother and baby being healthy. Mrs U can still monitor her condition from pregnancy, childbirth, the postpartum period to following contraception, as well as monitoring her baby's growth and development in health facilities.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “S” DENGAN RESIKO PUTTING LECET DI PMB MOGITA

2024-08-12T06:11:46+00:00

Breastfeeding is a new and challenging beginning for a mother. This matterThis is because mothers will experience various obstacles during breastfeeding An obstacle to breastfeeding that often occurs in mothers is sore nipples. Sore nipples is a condition of trauma to the mother's nipples in the form of wounds or cracks and

slit shaped. Blisters on the mother's nipples usually occur early in the first week of breastfeeding and when the child starts teething

The diagnosis in the final assignment report is comprehensive midwifery care for Mrs "S" with the risk of sore nipples in primigravida in PMB Mogita, Pamekasan district. Mrs "S" pregnancy visit on February 22 2024 with frequent complaints pee. The care given to Mrs "S" was to tell the mother to cut back drinks such as coffee or tea and recommend drinking more mineral water during the day and reduce at night because it triggers more urine production. The birth process for Mrs "S" on March 18 2024 was delivered by SC because the mother experienced complications with premature rupture of membranes. So a referral was made to Hospital. The baby's weight was normal but congenital abnormalities were found in the mouth The baby was labioskiziz and was given support and advised to undergo surgery cleft lip when he is old enough. During the postpartum period, two visits were made with the first visit on day 5 and the second visit on day 8 with complaints of breast milk dams. The care given is to express breast milk when you feel full and breastfeed your baby frequently. Family planning midwifery care provided to mothers through providing counseling and evaluating maternal care in choosing contraceptives injection 3 months.

From midwifery care, the mother's pregnancy is a physiological pregnancy often occurs in primigravida mothers. Labor process with premature rupture of membranes At the hospital, the baby's examination revealed a congenital abnormality, namely labioschizosis. On postpartum period, breast milk dams occur. It is hoped that care can increase mothers' knowledge and experience regarding factors that play a role in the occurrence of sore nipples in postpartum mothers, so It is hoped that it can reduce the occurrence of sore nipples

ASUHAN KEBIDANAN KOMPREHENSIF PADA Ny “N” DENGAN ANEMIA DI PMB SITI ZAINAB

2024-08-10T04:13:20+00:00

_{Pregnancy is an exciting and tiring conditionbecause during the pregnancy process the nutrients needed by the fetus are 100% obtained through mother's body. During pregnancy, physiological changes occur that pregnant women will experience because during pregnancy blood volume increases while blood cells The amount of red is less so it needs more additional iron forms hemoglobin. Hemoglobin functions to distribute oxygen throughout the body, if hemoglobin decreases then there is a risk of experiencing anemia in pregnancy. Based on WHO, the prevalence of anemia in pregnant women in the world around 14% on average, in industrial countries 56% and in developing countries between 35%-75%. Globally, 52% of women are pregnant in developing countries suffer from anemia. This figure is greater than the anemia rate in pregnant women in industrialized countries are only 20%. Based on data2023 at PMB Siti Zainab Pamekasan Regency that out of 100 pregnant women will get 10% of pregnant women experience anemia.This final project report is case-based with ongoing care continuity of care is a preliminary survey carried out at PMB Siti Zainab Pamekasan district in 2024 there will be 10% of 100 pregnant women with
The incidence of anemia in Pamekasan Regency starts from pregnancy until the election contraception and documented using SOAP management where This care was carried out on Mrs. "N" GVP3002A100, UK 38 weeks, alive, single, head, intrauterine, normal birth canal, general condition of mother and fetus is good.Based on the care given to Mrs "N" it can be concluded that Comprehensive ongoing midwifery care resulted in the mother experiencing mild anemia during pregnancy so the mother was advised to consume food nutrition, adequate rest, reducing heavy activity and consumption Fe tablets 1x1. During delivery the mother did not experience any complications. during the postpartum period Mothers are advised to make repeat visits on the third and 7th day. During family planning Mothers are advised to use birth control that does not inhibit breast milk production. so that mothers can minimize the occurrence of complications both in pregnancy and family planning.
Keywords: Midwifery Care, Comprehensive, Anemia}

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “T” DENGAN IKTERUS FISIOLOGIS DI PMB SITI ZAINAB, Amd.Keb KABUPATEN PAMEKASAN

2024-08-14T02:11:01+00:00

Pregnancy and birth are normal events in life, although they are normal, but the potential for pathology remains. Some of the complications that may occur during a newborn are jaundice. Based on data from the East Java Provincial Health Office in 2021, the number of births was recorded at 51.47% of babies suffering from physiological jaundice out of 420 babies in Indonesia.

The purpose of this final project report is to apply obstetric care to pregnant women in the third trimester, maternity mothers, postpartum mothers, neonates with physiological jaundice and birth control acceptors.

This final project report is case-based with continuous care of care and documented using SOAP management where this care is applied to Mrs. "T" pregnant with her 2nd child aged 24 years who lives in Panglemah Proppo village, Pamekasan Regency.

Mrs. "T's" pregnancy visit was carried out on March 26, 2024 at 07:00 WIB, the mother came to PMB Siti Zainab wanted to check her 2nd pregnancy aged 9 months, not accompanied by complaints. After observation of TTV TD: 120/80 mmhg, Pulse: 82x/min, Temperature: 36.5°C, Respiration: 20x/min, LILA: 23 cm, BMI: 24.5 kg/m², and currently the mother is experiencing chronic energy. In the delivery visit, monitoring was carried out starting from the first period starting on March 27, 2024 at 05:30 WIB with the results of CHPB observation (DJJ: 139x/minute, His: 4x in 10 minutes, duration 45 seconds, PD: 4 cm, Temperature: 36.5°C, TD: 120/80 mmhg). Phase II lasted for 20 minutes, the results of the examination at 09:30 there was an opening of 10 cm, 100% thinning, clear negative amniotic membrane, presentation of the head, denominator of the UUK, Ka, H IV. Phase III lasts for 5 minutes, placenta is born completely at 09:55 WIB, TFU is as high as the center, hard contractions, no lacerations, bleeding ±100 cc, Phase IV lasts for 5 minutes, with an APN of 60 steps, so that Mrs. "T" gave birth spontaneously on March 27, 2024 at 09:45 WIB at PMB Siti Zainab. Childbirth care lasts ± 15 minutes, there is no tear in the birth canal and the baby is born physiologically and there are 3 loose cord twists around the neck, JK: Female, BB: 2800 gr, PB: 48 cm, A/S: 9/10, The care given to newborns at the age of 1 hour includes the administration of eye ointment, vit k 0.5 mg at 10:45, and HB0 0.5 mg at 11:45, as well as daily baby care and breastfeeding. At the first visit, the newborn was found to have physiological jaundice and hypothermy, and at the second visit, the newborn was found to still have physiological jaundice and the umbilical cord was detached. The care provided is to encourage mothers to breastfeed their babies as often as possible on demand and dry their babies in the morning at 07:00-08:00 for approximately 10-15 minutes, try to get indirect sunlight on the baby's skin, therefore the baby should use clothes. The postpartum period was carried out 2 visits with the first visit on 3 days of the postpartum period, and 7 days of the postpartum period Then continued at the visit of Mrs. "T" KB where in this case focused on counseling and inform consent in the selection of contraceptives to be used and the mother chose to use 3-month birth control injections.

Based on the care provided to Mrs. "T", it can be concluded that comprehensive continuous obstetric care is obtained as a result of the mother's chronic lack of energy and good fetus, but in pregnancy it is a physiological pregnancy for TM 3 pregnancy, at the time of delivery the mother does not experience a tear of the birth canal. During the postpartum period, mothers are advised to make routine visits at least once a week and during family planning it is recommended to use birth control that does not inhibit milk production, so that mothers can minimize the occurrence of complications both in pregnancy and family planning.

Keywords: Midwifery Care, Comprehensive, Physiological Jaundice

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY "I" DENGAN RESIKO TINGGI KEHAMILAN USIA ≥35 TAHUN TRIMESTER III DI PMB MOGITA DESA TLANAKAN KABUPATEN PAMEKASAN

2024-08-13T02:08:56+00:00

Pregnancy is a physiological process that a woman experiences throughout the life cycle, however, the level of risk of pregnancy varies based on the risk factors of the mother and fetus. High risk pregnancies are pregnancies that can cause complications for the mother and fetus compared to normal pregnancies. High risk pregnancy based on KSPR is with a pregnancy score of 6-10. The total score is obtained due to the presence of one or more factors experienced by the mother during pregnancy. One of the factors for high risk pregnancy is age ≥35 years and a history of pregnancy interval of 210 years. Pregnant women in the age group ≥35 years are at high risk of complications during pregnancy. Based on the results of a study conducted at PMB Mogita, Tlanakan District, Pamekasan Regency, it was found that there were 35 pregnant women aged 235 years in the register of pregnant women for the 2023-2024 period. ±16 of them had a history of abortion and CS. This Final Project report is case-based with continuous care using Continuity of Care and documented using SOAP management.

Care was provided to Mrs. "I" Age 36 years GIIP1001A000 UK 36 weeks 4 days complaints of frequent urination at night more than 4x, the midwifery care given was to encourage the mother to reduce drinking close to bedtime and reduce the consumption of tea. Pregnancy factors and a history of previous pregnancies make this pregnancy a high-risk pregnancy aged ≥35 years, resulting in greater complications with a KSPR score of 10. Therefore, we recommend that mothers fulfill their needs during pregnancy properly and correctly. At the delivery visit, monitoring is carried out from stage II to stage IV according to the 60-step APN. So Mrs "T" gave birth spontaneously in a healthy condition, with no abnormalities on March 13 2024 at 19:30 WIB at PMB Mogita, Pamekasan Regency, care in the second stage of labor lasted ± 9 minutes, the third stage lasted 5 minutes, the fourth stage lasted 6 O'clock. At the first visit, the two newborns had no complications or signs of infection. At the first and second postpartum visits, breast milk dam complications were discovered on the third day. At the family planning visit, the mother chose the 3-month injectable contraceptive, explained about the 3-month injectable contraceptive, the benefits, side effects, advantages and disadvantages.

From the results of the examination, it was found that the mother's pregnancy did not experience any problems, during the birth process it took place physiologically, during the postpartum period, problems were found with the breast milk dam. After being given complementary therapy, oxytocin massage, there were no problems or complications that occurred for the mother and baby, there was also nothing to worry about. after providing continuous care using Continuity Of Care and Documentation is carried out using SOAP management.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY"U" DENGAN TINGGI BADAN KURANG DARI 145 CM DI PMB ASPA BISAPA KEBUPATEN PAMEKASAN

2024-08-10T05:19:52+00:00

Pregnancy starts from conception until the birth of the fetus. Pregnancy usually lasts up to 40 weeks or 9 months starting from the first day of the last menstruation. Even in normal pregnancies there can be high risks, including height ≤145 cm, pregnant women who have a height ≤145 cm usually find it difficult to give birth normally due to the narrow size of the pelvis, resulting in the fetus' head not entering the pelvic outlet (PAP). The mother's height during pregnancy is the simplest measurement but has an influence on the birthing process.[2] Based on research at the Maluku Bodoa Community Health Center, Makassar City in 2018 group with height > 145 cm (69.0%) and control group with height > 145 cm (75.9%) while the smallest were in the case group with height < 145 cm (31.0%) and the control group at a height <145 cm (24.1%) [1] Based on research at Dewi Sertika General Hospital in 2022, it shows that mothers with a body height <145 cm who experienced cephalopelvic disproportion numbered 26 people (42.6%) out of 61 mother giving birth. There were 35 mothers with a height >145cm who had cephalopervic and 61 people (100%) who did not have cephalopelvic. Based on research at PMB ASPA BISAPA, S.ST Bdn, there was one pregnant woman with a height of ≤145cm from January-March 2024 [3]. Factors causing height ≤145cm are genetic and environmental factors. For example, nutrition and cell health during pregnancy and development can influence the size of the pelvis in adulthood [3] and the impact that occurs on pregnant women with a height of ≤145 cm is that it can cause a narrow pelvis because the size of the pelvis is related to the size of the body and spine. Those who are taller tend to have wider and larger hips, while those who are shorter tend to have narrower and smaller hips. This is because the pelvis is part of the spine, so the size of the spine can affect the size of the pelvis. The most influential height factor in the pregnancy process is the birth process with a mother's height ≤145cm, because she has the potential to have a narrow pelvis, so there is a risk of having a caesarean section (SC) delivery. And pregnant women with a height of ≤145cm have the potential to experience a narrow pelvis, and 1 low birth weight (LBW). As well as shorter mothers also have a higher risk of obstructed labor, so assisted birth, especially Caesarean delivery, obstructed labor is related to the woman's pelvis. shorter and narrower ones, where the baby's head or shoulders are obstructed [3].
The solution to prevent complications in pregnant women with a height ≤145 cm is by encouraging the mother to check with a SPOG doctor so that they can detect if there are complications in pregnancy, then provide counseling and direction so that the mother carries out pregnancy checks on time and encourage the mother to carry out integrated ANC regularly, carry out fetal weight examination (TBJ) and encourage the mother to eat nutritious foods to maintain her pregnancy.
Kegel exercises are a complementary therapy that can be done to prevent narrow pelvis or cephalopelvic disproportion CPD during childbirth. Kegel exercises are to strengthen the pelvic floor muscles before childbirth, the aim is to help prevent urinary incontinence problems, and can flex the perennial tissue as a birth canal. baby. So all mothers must be motivated to move their pelvic floor muscles as little as possible and as often as possible, slowly and quickly as labor approaches. The Kegel exercise procedure can be remembered and carried out along with activities related to the mother's daily activities. There are several benefits of Kegel exercises, namely strengthening the pelvic muscles, helping to control urine output during intercourse, increasing satisfaction during intercourse because it increases the grip of the vagina, increasing sensitivity to sexual stimulation, preventing "small peeing" when coughing or laughing, and smoothing the birthing process. without tearing the birth canal and speeding up post-natal healing. And Kegel exercises can be done at least 2 times a week starting from the trimester [4].

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “K” GIIIP2A0 34 MINGGU DENGAN KEHAMILAN NORMAL

2024-08-23T05:16:08+00:00

Changes that occur in pregnant women in the third trimester are normal. During pregnancy, pregnant women often have physiological complaints, one of which is back pain. Based on a study conducted at PMB "L" Jombang Regency. which looked at data on visits by pregnant women in September 2023 - January 2024, there were pregnant women with complaints including back pain (35%), vaginal discharge (20%), frequent urination (10%), and (35%) did not experience symptoms of discomfort. The purpose of this study is to carry out comprehensive midwifery care and apply complementary care to mothers from pregnancy to postpartum. The method of care for this final assignment report is continuation of care. Carried out by interviews, observations, and management of care. The results of comprehensive midwifery care and complementary care for Mrs. "K" during the third trimester of pregnancy with complaints of back pain have been resolved, normal delivery without any accompanying complications, the postpartum period is normal, with normal BBL and Neonates. The conclusion of this comprehensive midwifery care was obtained by carrying out midwifery care independently and collaboratively and with early handling, no complications were found in pregnancy, childbirth, postpartum, BBL, Neonates. With the implementation of complementary care during pregnancy, mothers feel more relaxed.

ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU NIFAS DENGAN BENDUNGAN ASI DI PMB KASIH BUNDA KABUPATEN PAMEKASAN

2024-08-09T11:14:09+00:00

During the puerperium, changes and adaptations occur in the reproductive system, breasts, and others. This change aims to restore organs as before pregnancy. In the breast associated with the process of lactation and breastfeeding. In the course of the puerperium, complications or complications may occur during breastfeeding. One of the problems or complications of breastfeeding that can occur is cracked nipples and breast engorgement.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY ”H” DENGAN JARAK KEHAMILAN TERLALU DEKAT DI PMB KASIH BUNDA KABUPATEN PAMEKASAN

2024-08-09T07:15:51+00:00

A high risk pregnancy is a pregnancy that has a greater risk than pregnancy in general (both for the mother and the baby) where this high risk pregnancy can cause danger and complications during pregnancy, childbirth or the postpartum period when compared with normal pregnancies and postpartums. High risk pregnancies include pregnancies that are too close apart years (24 months).

The diagnosis in the final assignment report is Comprehensive Midwifery Care for Mrs "H" with pregnancies too close together in multigravida at PMB Kasih Bunda, Pamekasan Regency. At the third trimester pregnancy visit for Mrs "H" on February 21 2024, a thorough head to toe examination was carried out starting from data collection to documentation using SOAP management. as well as asking about complaints experienced by the mother, the mother complained of lower abdominal pain, lower abdominal pain including physiological ones that occur in the third trimester of pregnancy.

The birth of Mrs "H" aged 22 years GIIP0000A100 with a gestation age of 39 weeks was monitored from stage I to stage IV using 60 APN steps, so that Mrs "H" gave birth spontaneously vaginally on February 24 2024 at 09;30 WIB at PMBKASIHBUNDA Pamekasan Regency. Birth care lasted ± 15 minutes and there was no vaginal rupture. Um, the baby was born physiologically normal. The baby was born with a body weight of 3100 grams and there were no abnormalities. The mother experienced breast swelling on the 3rd day because the intensity of breastfeeding is less because the baby rarely breastfeeds because the baby sleeps and is not woken. During the family planning visit, the focus was on counseling by looking at several screenings in using the type of birth control according to Mrs "H's informed choice and informed consent conditions in choosing the contraceptive device to be used and the mother chose to use a 3-month injectable contraceptive which did not affect breast milk.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY ”L” DENGAN NYERI PINGGANG DI PMB PERMATA KABUPATEN PAMEKASAN

2024-08-10T15:13:56+00:00

Childbirth is the end of pregnancy and the start of life outside the womb for the baby newborn, this is a physiological thing. But not all labor processes runs normally without complications, and the result of these complications is maternal death even babies. Based on the results of research in Indonesia, it also shows the prevalence of pain Waist in pregnancy is quite high. At KH Hospital. Abdurrahman Samsuri, East Java in 2022, the prevalence of low back pain in pregnant women is reported to be 54.5%. These complaints are usually caused by stretching of the muscles in the waist area, because the fetus is getting bigger, this final project report is case-based with care sustainable in a COC (Continuity Of Care) manner and documented using SOAP where this care is applied to Mrs "L” GI P0000 A000 38 weeks gestation, alive, single, head position, intrauterine, normal birth canal impression, good general condition
Kata Kunci: Asuhan Kebidanan Komprehensif, Nyeri pinggang

ASUHAN KEBIDANAN DENGAN KOMPREHENSIF PADA NY “S” DENGAN KEHAMILAN RESIKO KETUBAN PECAH DINI DI PMB ASPA BISAPA KABUPATEN PAMEKASAN

2024-08-09T11:26:35+00:00

During pregnancy, it is possible for pregnant women to experience several problems one of which is an infection that originally occurred due to premature or premature rupture of the membranes rupture of membrane (PROM) that takes a long time to be treated by health workers, The longer the interval between rupture of membranes and delivery, the higher the rate risk of maternal and fetal morbidity and mortality. Meanwhile, women who have given birth some times have a higher risk of premature rupture of membranes due to connective tissue The amniotic membrane is easily fragile because the vascularization of the uterus experiences several disorders which ultimately results in spontaneous rupture of the amniotic membrane. According to World Health Organization (WHO 2020) the incidence of premature rupture of membranes in the world is 50-60%, and The incidence of premature rupture of membranes in Indonesia ranges from 4.5% to 7.6%. Premature rupture of membranes occurs in 6-19% of pregnancies. The incidence of premature rupture of membranes ranges from 8-10% in term or term pregnancy, while preterm pregnancy occurs in 1% pregnancy.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “H” DENGAN ROBEKAN JALAN LAHIR DAN VARISES DI VAGINA PADA PRIMIGRAVIDA DI PMB KASIH BUNDA

2024-08-09T08:20:20+00:00

The birth process often results in perineal rupture, this rupture occurs in almost all first births and not infrequently also in second and subsequent births where perineal rupture can occur spontaneously or through a surgical incision. Based on data from the Ministry of Health of the Republic of Indonesia in 2024, the incidence of rupture perineum in women who gave birth vaginally was 83% with a classification of 63% caused by episiotomy and 83% due to spontaneous tearing. The incidence of perineal rupture in the world has reached 2.7 million cases, where this figure is expected to reach 6.3 million in 2020. The birth process often results in perineal rupture, these ruptures occur in almost all first births and it is not uncommon for second and subsequent births where the perineum ruptures. can occur spontaneously or through surgical incision. Based on data from the Ministry of Health of the Republic of Indonesia in 2024, the incidence of perineal rupture in women giving birth vaginally is 83% with a classification of 63% due to episiotomy and 83% due to spontaneous tearing. The incidence of perineal rupture in the world has reached 2.7 million cases, where this figure is expected to reach 6.3 million in 2020.

The diagnosis in the final assignment report is comprehensive midwifery care for Mrs "H" with a torn birth canal in a primigravida at PMB Kasih Bunda, Pamekasan Regency

Mrs "H" pregnancy visit on February 21 2024 with complaints of lower abdominal pain. The assistance given to Mrs "H" was doing yoga movements, correcting sleeping positions that might be wrong, and teaching relaxation techniques, especially when you feel tight, by inhaling and exhaling slowly through your mouth.

The labor process for Mrs "H" was classified as a short labor in the first stage starting on March 5 2024 at 09.00 WIB with CHPB observation results (djh: 142x/minute, his: 2x/10 minutes/25 seconds, VT: 2 cm, temperature : 36.5 C, BP : 110/70 mmHg) as well as a 2nd degree perineal tear and varicose veins in the vagina. The care given to newborns aged 1 hour, 3 days old and 8 days old includes daily baby care, breastfeeding and education about formula milk. The postpartum period is carried out in 2 visits with the first visit at 3 days postpartum and 7 days postpartum. with complaints of stitching pain in the genital area. The care given to Mrs "H" is early mobilization from the bed to the bathroom and compressing with warm water on the pain area. Birth control midwifery care is given to the mother through counseling and evaluation. Mother's care in choosing a 3-month injectable birth control contraceptive.

ASUHAN KEBIDANAN DENGAN KOMPREHENSIF PADA NY “A” DENGAN SEPSIS PUERPURALIS DI PMB ASPA BISAPA KABUPATEN PAMEKASAN

2024-08-09T12:28:10+00:00

The postpartum period starts from the birth of the placenta until the condition of the reproductive organs returns to what it was before pregnancy. Based on the scope of midwifery care, this final project report covers pregnant women (multiparity) in the third trimester, women giving birth, postpartum women with puerperal sepsis puerpuralis, newborns and family planning with continuity of care. Pregnant women are advised to attend counseling about pregnancy, childbirth and postpartum, as well as reading books about preventing postpartum sepsis puerperalis the postpartum period.

ASUHAN KEBIDANAN KOMPREHENSHIF PADA BAYI BARU LAHIR DENGAN BBLR DI PMB SETIA

2024-08-09T07:50:31+00:00

Low birth weight (LBW) babies are one of the main factors contributing to perinatal and neonatal deaths. The assessment of babies with LBW is seen from a body weight of less than 2500 grams regardless of the gestational period. The birth weight measurement is carried out 1 hour after the baby is born. The diagnosis in the Final Assignment Report is Comprehensive Midwifery Care for Newborn Babies at risk of LBW at PMB Setia, Pamekasan Regency. Mrs I's pregnancy visit on February 24 2024 with complaints of frequent urination. The care given to Mrs I to reduce these complaints was that the mother was advised to drink less at night. From the results of the Upper Arm Circumference (LILA) examination, it was 20.5 cm, so it was said that Mrs. I had Chronic Energy Deficiency (KEK), because the nutrition that Mrs. I consumed before and during pregnancy was constant. The care given to Mrs I was consuming one of the medical herbal therapies in the form of yellow pumpkin, green beans and peanut formula drink. Mrs. I's labor process was classified as a fast labor, Mrs. I have entered the second stage of labor. After the birth process is complete, there is a tear in the birth canal or a 2nd degree laceration so stitches are carried out to prevent bleeding. The care provided to babies aged 1 hour, 3 days and 7 days includes daily baby care and breastfeeding. Mrs. I's baby did not experience Low Birth Weight (LBW) because the medical herbal nutrition consumed by the mother during pregnancy also affected the fetus's weight, so the baby's weight was normal. The postpartum period was carried out in 2 visits, first on day 3 and on day 7. Postpartum on the 3rd day with complaints of pain in the laceration wound. The care given to Mrs I was to tell the mother to clean the genitalia area using boiled betel leaf water. On the 7th day of postpartum examination, the suture wound was still wet and the mother said she did not take medication regularly because she was worried that the uterus would dry out. The care given is to tell the mother that taking medication regularly does not make the uterus dry, and telling the mother to take the medication given regularly so that the stitches dry quickly. Midwifery care regarding family planning is provided to mothers and husbands through counseling, informed choice and informed consent, so that mothers choose birth control pills.From midwifery care, the mother's pregnancy is a physiological pregnancy. Mothers with Chronic Energy Deficiency (CED) can give birth to normal weight babies because the nutrients consumed by the mother are absorbed more quickly by the baby. Childbirth with a torn birth canal can be resolved immediately without any other complications. On examination of the baby, it was found that the baby's weight had increased. During the postpartum examination, the mother stated that the pain in the stitching wound had resolved, so the condition of the mother and baby was normal. It is hoped that care can increase mothers' knowledge and experience regarding risk factors for LBW, so that they can reduce the incidence of LBW by consuming medical herbal therapy in the form of pumpkin, green beans and peanut formula drink

TINGKAT PENGETAHUAN MASYARAKAT TAPAAN BANYUATES SAMPANG TENTANG OBAT GENERIK DAN OBAT PATEN

2024-08-14T15:51:37+00:00

Patent medicines are finished medicines with a trade name registered in the name of the manufacturer and sold in the original packaging from the factory that produces them. while generic drugs are drugs or the official International Non-proprietary Names (INN) specified in the Indonesian pharmacopoeia or other standard books or the efficacious substances in their contents. There are people who think that the quality of patented medicines with more expensive prices has good quality compared to generic medicines. So this research aims to determine public knowledge about patent medicines and generic medicines in Tapaan Banyuates Village, Sampang Regency. The type of research used is non-experimental research using a survey method with a quantitative analysis design and data collection methods in the form of questionnaires Each question item has a p-value <0.05. This means that the statements in the questionnaire can be used as a measuring tool for what will be measured, and a Cronbach alpha value of 0.8 means the questionnaire is reliable. Non-probability sampling data collection techniques, namely sampling based on certain considerations or criteria. The respondents used in this research were the Tapaan Banyuates Sampang village community aged > 18 years, both male and female, totaling 96 respondents. Data is presented in the form of tables, bar charts, and accompanied by discussion. Most of the respondents' level of knowledge about generic medicines was in the poor category with a percentage of 48%, while most of the respondents' evel of knowledge about patented medicines was in the good category, namely with a percentage of 44%.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “S” BAYI BARU LAHIR DENGAN IKTERUS FISIOLOGIS DI PMB MOGITA KABUPATEN PAMEKASAN

2025-01-16T07:06:22+00:00

Newborns really need nutritional intake of breast milk (ASI) for newborns. If the baby's nutrition is not met, it will cause metabolic disorders in the baby, one of which is an increase in bilirubin, if the bilirubin level increases it will cause jaundice (yellowing). Physiological jaundice will appear 24-72 hours after birth and will disappear within 2 weeks. This Final Assignment Report is case-based with continuous care in a Continuity of Care manner and documented using SOAP management where this care is applied to "newborn babies." with physiological jaundice AT PMB MOGITA Pamekasan Regency "At the third trimester pregnancy visit, comprehensive care is provided starting from data collection to evaluation and documentation using SOAP management. At the pregnancy visit, Mrs "S" found a problem with frequent urination. Her care advised the mother to drink more mineral water during the day and limit drinking at night so that it would not disturb the quality of the mother's sleep. At the delivery visit, a referral was made because her amniotic fluid had run out. And Mrs "S" gave birth via Sectio Caesarea (SC) on March 26 2024 at 12:05 WIB at RSU Moh Noer. At the first visit the baby lost weight and experienced physiological jaundice. wake the baby if it has been asleep for more than 2 hours, tell the mother to breastfeed until the breast feels empty. At the second visit the baby no longer had jaundice. During the postpartum period, it was found that Mrs "S" was afraid when defecating because the surgical scar was afraid of coming off. Her care gave support to the mother not to worry that the stitches would not come off and did not feel pain when defecating and encouraged the mother to Defecating in a sitting position and still not bathing because she is afraid of getting scars from the operation. Her parents told the mother to maintain personal hygiene, namely by wiping her body with water and using the correct toilet method, and changing the sanitary napkin every time it was full. And the second postpartum visit was not found. a problem and a danger sign that leads to complications. Then it was continued with a family planning visit for Mrs "S" which focused on counseling and informed consent in choosing the contraceptive to be used and the mother chose to use 3-month injectable birth control.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY "D" DENGAN KETIDAKNYAMANAN SERING BUANG AIR KECIL PADA KEHAMILAN TRIMESTER III DI PMB ASPA BISAPA, S.ST., Bdn KABUPATEN PAMEKASAN

2024-08-09T07:59:05+00:00

During the pregnancy process, pregnant women will experience discomfort due to changes that occur during pregnancy, such as the mother urinating frequently. Frequent urination is a common thing for pregnant women, especially when the pregnancy enters the third trimester. This complaint is usually caused by pressure on the bladder, because the fetus is getting bigger.From the results of the examination, it was found that in the third trimester of pregnancy Mrs "D" experienced frequent urination, during the birth process Mrs "D" had a loose umbilical cord coil and the 3 day old baby experienced physiological jaundice, physiological weight was determined, during the postpartum Mrs "D" experienced irregular milk production and was afraid when defecating. And during family planning visits there were no complications or problems occurring in the mother's health that needed to be worried about, after continuous care was carried out in continuity of care and documentation was carried out using SOAP management. where this care was applied to Mrs "D" GI P0000 A000 gestational age 40 weeks 5 days, alive, single, head position, intrauterine, normal birth canal impression, good general condition.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “R” IBU BERSALIN DENGAN PERPANJANGAN KALA 1 DI PMB SETIA KABUPATEN PAMEKASAN

2024-08-09T08:21:50+00:00

The maternal mortality rate is mostly caused by prolonged labor as much as 8%, one of which is caused by the extension of the first stage of the active phase. 16.7% maternity mothers experienced an extension of the first stage of the active phase caused by parity factors. The purpose of this study was to determine the relationship between maternal parity and the incidence of prolongation of the active phase. This research design is correlation analytic, based on cross sectional time. The population and sample of this study were all mothers who gave birth in January-May 2022 as many as 35 respondents using saturated sampling technique. The independent variable is maternal parity, while the dependent variable is the incidence of prolongation of the first stage of the active phase. Data obtained using partograph with contingency coefficient statistical test. The results of statistical tests obtained X2count (7.047) > X2table (5.991) with a contingency coefficient of 0.409 so it can be concluded that there is a moderate relationship between maternal parity and the extension of stage 1 of the active phase. For mothers with primiparas, it is expected to routinely carry out antenatal checks so that high risks are detected early during delivery, multiparous mothers minimize the occurrence of extension of the active phase 1 by following the advice of midwives during labor and grandemultipara mothers are advised not to have more children so that there is no risk high rates of pregnancy and childbirth with participation in family planning programs

TINGKAT KEPUASAN NKONSUMEN TERHADAP PELAYANAN KEFARMASIAN DI APOTEK ZIDAN KECAMATAN WARU KABUPATEN PAMEKASANSUHAN

2024-08-14T09:10:16+00:00

A pharmacy is a means of carrying out pharmaceutical work and a means of distributing pharmaceutical supplies to the public. Pharmacies are the health service facilities that are most visited by patients or many people, because pharmacies are the first referral place for people for treatment. Service quality has five dimensions, (the five dimensions are tangibility (physical evidence), reliability, responsiveness, guarantee and empathy. Measuring service quality is carried out using Servqual (service quality) . ) method The research objective is the level of consumer satisfaction with pharmaceutical services at the Zidan Pharmacy, Waru District, Pamekasan Regency. The method used in this research is to provide or distribute questionnaires to respondents with the aim of seeing the level of patient satisfaction at the Zidan Pamekasan Pharmacy. All questionnaires have been collected. Based on gender, the majority are women, namely 51 people, while there are 49 men. Characteristics of respondents based on education level, the majority at SMA/SMK level, namely 35 respondents, namely 44 respondents, were coming to Zidan Pharmacy for the first time. The results of research on patient satisfaction with pharmaceutical services carried out at the Zidan Pharmacy showed that the majority were satisfied, namely 68 patients out of 100 patients. who came to Zidan Pharmacy or around (68%) from different patient values and perceptions from the results of research on five dimensions of satisfaction. including reliability (reliability) namely 89%, responsiveness (responsiveness) namely 88, guarantee (guarantee) namely 89%, empathy (empathy) 91%, direct evidence (tangible) namely 88%.

TINGKAT PENGETAHUAN MASYARAKAT TERHADAP ANTIBIOTIK DI DESA TANJUNG KECAMATAN PEGANTENAN KABUPATEN PAMEKASAN

2024-08-14T23:49:55+00:00

are a class of strong drugs which are widely used but often occur irrationally, with multidrug resistance Indonesia is ranked 8th compared to other countries. This case occurred in Tanjung Pegantenan because of minimal knowledge about antibiotics. This research aims to determine the level of community knowledge about antibiotics in Tanjung Village, Pegantenan District, Pamekasan Regency. This type of research is descriptive with sample data collection using a questionnaire. The results of this research found that the majority of respondents were aged 18-40 with a percentage of 60% with the most education being high school graduates with the most jobs as farmers. Most respondents were male. Based Antibiotics on the results of data processing, the community in Tanjung Pagentenan Village has a level of knowledge based on indicators of general knowledge about antibiotics which is classified as poor, based on indicators How to use, time and length of use of antibiotics is classified as sufficient, based on indicators How to obtain antibiotics is classified as sufficient. The level of knowledge of the people of Tanjung Village, Pengantenan District, based on indicators of side effects from drug use, is classified as poor. So it can be concluded that the level of knowledge of the community in Tanjung Pagentenan village regarding antibiotics is classified as poor with only 54.18% of respondents answering correctly in the questionnaire results.

Keywords: Knowledge, Antibiotics, Tanjung Pegantenan Village

TINGKAT PENGETAHUAN MASYARAKAT TERHADAP SWAMEDIKASI DEMAM DI KELURAHAN GUNUNG SEKAR KECAMATAN SAMPANG KABUPATEN SAMPANG

2024-08-14T08:50:57+00:00

Self-medication is a community effort to choose and use medicines to treat complaints of minor ailments suffered safely and rationally. Fever is a condition where the body temperature is higher than usual or above 37℃. This study aims to evaluate the level of public knowledge regarding self-medication for fever. The type of research used is purposive sampling, namely taking samples using total sampling. The research sample was 100 people from the Gunung Sekar Village, Sampang District. Data was collected through a questionnaire which aims to determine the level of community knowledge regarding self-medication in Gunung Sekar Village, Sampang. The validity test results obtained valid results because the value obtained was >0.361 which is the r table, and for the reliability test the results were reliable because the results obtained were >0.6, namely 0.753. The results of the study showed that the level of public knowledge obtained a score of 81.3%. This value indicates that the level of knowledge about fever self-medication is good. Education still needs to be provided to several communities in Gunung Sekar sub-district regarding correct self-medication so that people can be more optimal in knowing information about the drugs they use.

AKTIVITAS ANTIOKSIDAN DARI EKSTRAK KULIT BAWANG MERAH (Allium Cepa L.) YANG DIPEROLEH DARI KABUPATEN PAMEKASAN

2024-08-14T12:44:25+00:00

Red onion skin (Allium cepa L.) is a type of household waste that is rarely used by the public. Based on previous research, shallot skin contains flavonoid compounds which have the potential to act as antioxidants. This study aims to determine the concentration of shallot skin extract that is able to inhibit 50% of DPPH absorbance. This research uses an experimental type of research. The onion skin was extracted, photochemical screening was carried out, and the anti-free radical IC₅₀ was determined. The yield of onion skin extract obtained was 5.21%. Based on this research, it is known that red onion skin extract contains polyphenols, flavonoids, saponins. The results of the antioxidant activity test for onion skin extract can be seen from the IC₅₀ value, which is 29.9 ppm, while the IC₅₀ for asam askorbat is 14.9 ppm. The IC₅₀ value of the onion skin extract obtained is included in the group of very strong antioxidants

PENENTUAN MUTU SIMPLISIA DAUN KEMANGI DAN BATANG POHON PEPAYA

2024-08-15T06:51:30+00:00

Basil leaves, which are common and easily found by the public, have antibacterial, anticancer, anti-inflammatory, antidepressant and antipyretic properties. The active compounds in basil leaves include essential oils, alkaloids, saponins, flavonoids, steroids, tannins, phenols and eugenol. The papaya tree (Carica papaya Linn.) is well known as a nutritious plant or herbal that can cure several kinds of diseases. Every part of the papaya tree can be used, from the roots, stems, leaves, fruit and even the seeds. Papaya stems have potential as antioxidants containing flavonoids, saponins, alkaloids, triterpenoids and tannins which are strong antioxidants. which aims to determine the physical quality of basil leaf simplicia and papaya tree stems. The water content in simplicia powder reaches 4.35%, and in papaya tree stems 4%. Extraction using 70% ethanol solvent resulted in a basil leaf yield of 12.32%, while papaya tree stems were 12.2% which complies with the standards of the Indonesian Herbal Pharmacopoeia. The results show that the basil leaves and papaya tree trunks meet the established quality standards.

Profil Penggunaan Obat Gout Atritis Pada Pasien Rawat Jalan Di Puskesmas Proppo Pamekasan Jawa Timur

2024-08-15T08:07:53+00:00

Gouty arthritis is a substance in the form of purines or waste products in the body and is the result of the breakdown of purines with the help of the enzymes guanase and xanthine oxidase. The aim of this study was to observe the profile of use of gout atritis medication in outpatients at the Proppo Pamekasan Community Health Center, East Java. The method that will be used in data analysis is a quantitative analysis method with a descriptive approach (describing in the form of words to clarify the results obtained). Data collection was carried out retrospectively using medical record data of patients diagnosed with gouty arthritis at the Proppo Pamekasan Community Health Center in the period September – November 2023. The percentage of patients with gouty arthritis at the Proppo Pamekasan Community Health Center in Late Adulthood was 12 patients with a percentage of (30.769%), 10 patients were elderly. with a percentage of (25.641%), elderly age 17 patients with a percentage of (43.589%). From this data it can be seen that cases of gouty arthritis often occur at ages 56-100 (seniors) because elderly people are susceptible to the disease. results of observation of the profile of use of gout arthritis medication in outpatients at the Proppo Pamekasan Community Health Center, East Java in the period September – November 2024 for 39 gout arthritis sufferers. The largest number of patients suffering from gout atritis were patients aged 56-100, 17 patients with a percentage of 43.589%, the most common gender was male, namely 24 patients with a percentage of 61.538%. The use of gout atritis medication uses allopurinol 100mg with a drug frequency of 1x1

GAMBARAN PEMBERIAN INFORMASI OBAT ANTI DIABETES PADA PASIEN DIABETES MELITUS DI RSUD DR. H. SLAMET MARTODIRJO PAMEKASAN PERIODE JUNI TAHUN 2024

2024-08-15T11:24:12+00:00

Diabetes mellitus occurs when the body cannot produce or utilize enough insulin. Prankeas produces the hormone insulin, which allows glucose to enter the body's cells through blood circulation. There, glucose is converted into the energy needed by muscles and tissues. The aim of this research is to determine the description of the provision of drug information to diabetes mellitus patients, in April at RSUD Dr. H. Slamet Martodirdjo Pamekasan. The research was carried out by collecting data using the observation method, namely by directly observing patients as respondents and recording the results according to the research instrument, namely using a checklist. The sample used was 148 recipe data. Based on the results of research, the provision of drug information at Dr. %), drug storage information (67%), drug indication information (146%), stability information (0%), drug side effects information (0%), drug interaction information (0%).

GAMBARAN PEMBERIAN INFORMASI OBAT PADA PASIEN ANTI HIPERTENSI DI PUSKESMAS TEJA PAMEKASAN PERIODE MEI 2024

2024-08-14T16:48:58+00:00

Hypertension is the disease that is most easily encountered and occurs frequently. One of the causes of hypertension is an unhealthy lifestyle, such as not eating enough fruit and vegetables, being overweight, consuming too much salt, and fast food that is high in sodium. Hypertension can also be caused by hereditary factors. The aim of this research is to determine the description of providing drug information to hypertensive patients at the UPT Puskesmas Teja Pamekasan for the period May 2024. This research is non-experimental research with data collection using total sampling techniques. This data collection uses the observation method, namely by making direct observations of patients as respondents and recording the results according to the research instrument, namely using a checklist. The sample used was 45 recipes. Based on the results of the research, the description of providing drug information is information about drug names (71%), information on drug preparations (100%), information on drug doses (100%), information on how to use drugs (100%), information on drug indications (100%). Assessments of providing poor drug information include: Information on drug storage (60%), information on contraindications (0%), information on stability (0%), information on drug side effects (0%), information on drug interactions (0%).

ASUHAN KEBIDANAN ASUHAN KEBIDANAN KOMPREHENSIF PADA NY”K” GIIIP1001A100 DENGAN RETENSIO PLASENTA DI PMB PERMATA WILAYAH PAMEKASAN

2024-08-09T11:10:59+00:00

Childbirth is the end of pregnancy and the start of life outside the womb for newborns, which is a physiological thing. However, not all birth processes proceed normally without complications, and the result of these complications is the death of the mother and even the baby. Especially in deliveries that are at risk of placental retention, according to the World Health Organization (WHO) in 2019, it was explained that two-thirds of maternal deaths due to post-partum hemorrhage were caused by 15-20% retained placenta. Meanwhile, in Indonesia in 2020 the incidence of bleeding due to retained placenta reached 67%. Meanwhile, based on research at PMB Sari Surabaya for three periods in 2019-2020, it tends to increase, namely 2.83-4.19%. The data obtained from the incidence of placental retention at PMB Permata from February to April 2024 from 15 mothers gave birth, namely 1 mothers who experience retained placenta.After midwifery care was carried out on Mrs "K" GIII PI00I AI00 H/T head position, intrauterine, normal birth canal, mother and fetus were in good condition with chronic energy deficiency, third trimester pregnancy visit to Mrs "K" on March 1 2024 at 09:00: 00 WIB at PMB Permata with complaints of back pain. The care plan given to Mrs "K" is not to sit or sleep too much, do light massage, do leisurely walks and pregnancy exercises, nutrition. The birth process for Mrs "K" was classified as a fast delivery. In the first stage it started on March 20 2024 at 17:30 WIB with complaints of stomach ache from the lower part spreading to the waist. The care plan given to Mrs "K" was in recommend tilting to the left to speed up the labor process and lowering the head for infusion.In the second stage, Mrs "K" started on March 20 2024 at 19:00 WIB with complaints that the mother felt like she wanted to defecate and there was a desire to defecate. The care plan given to Mrs 'K' was to check that the membranes were 10 cm dilated and not yet ruptured and an amniotomy was carried out. In the third stage of Mrs 'K' starting from March 20 2024, the mother felt tired after giving birth, and said that her stomach still felt heartburn. The care plan given to Mrs 'K' included oxytocin injections, PTT, massage, in the fourth stage Starting from March 20 2024 there was a 2nd degree laceration, the care plan given to Mrs 'K' was heacting. By Mrs 'K' aged 1 hour experiencing asphyxia has resolved. The care plan given to By Mrs 'K' was carried out by HAIKAP. Neonatal visits were carried out on days 3 and 7. On day 3 the baby experienced physiological jaundice. The care given to Mrs 'K's baby was breastfeeding every 2 hours and drying in the sun. and on day 7 the jaundice has been resolved. The care plan given is daily baby care and breastfeeding. The postpartum visit was carried out twice with the first visit on day 3 and the second visit on day 7. The postpartum period with complaints of perennial suture pain. in the genitals. The care given to Mrs "K" was carrying out mobilization by tilting right, left, getting out of bed and walking a lot and maintaining personal hygiene. Birth control midwifery care is provided to the mother through counseling and care evaluation, so that the mother chooses the 3-month injectable birth control contraceptive.During pregnancy, the mother complained of back pain and underwent a light massage. In the second stage of labor, an IV was installed because the mother experienced a chronic lack of energy and normal delivery was carried out with 60 steps of APN, there was no placental retention, then heacting was carried out in the fourth stage because the birth canal was torn, asphyxia occurred in the newborn baby and HAIKAP was carried out in Neonatal visits were carried out on the 3rd day, physiologic jaundice occurred, dried in the sun and breastfed every 2 hours. On the 7th day, the jaundice resolved, then postpartum visits were carried out twice on the 3rd day. It is recommended to maintain personal hygiene and early mobilization on the 7th day, breast milk is flowing smoothly and perennial pain has been resolved, family planning visits are carried out on the 36th postpartum period and 3 monthly birth control injections are carried out It can be concluded that Mrs "K"'s midwifery care was a physiological pregnancy. The birth process did not occur with placental retention because active management of the 3rd stage was carried out appropriately and quickly after the baby was born and the birth canal was torn but it could be resolved quickly without any other complications. On examination of the baby at 1 hour of age, asphyxia occurred but it resolved. At the neonatal visit, it was found that body weight increased on the 3rd and 7th day visits. and During the postpartum period the mother complained of stitching pain in the genitals. The results of the mother's examination were normal, the perennial pain resolved. At the family planning visit, the mother wanted to use a contraceptive that would not interfere with breast milk production, and the mother chose a 3-month injectable contraceptive It is hoped that care can increase mothers' knowledge and experience regarding the factors that play a role in the occurrence of retained placenta in mothers giving birth, so that it is hoped that it can reduce the incidence of retained placenta.
Keywords: Comprehensive Midwifery Care, Retained Placenta.

ASUHAN KEBIDANAN KOMPREHENSIF PADA NY “E” DENGAN KONSTIPASI PADA IBU NIFAS DI PMB MOGITA KABUPATEN PAMEKASAN

2024-08-09T06:42:46+00:00

Constipation is a decrease in the frequency of defecation, which is followed by the release of stool that is long or hard and dry, resulting in decreased intestinal muscle tone during labor and early postpartum, diarrhea before delivery, lack of food with fiber, dehydration, hemorrhoids, or laceration of the birth canal. Apart from that, difficulty defecating (constipation) may be a problem in the early postpartum period due to a lack of fiber consumption before delivery. This Final Project report is case-based with continuous care in Continuity Of Care and documented using SOAP management where this care is applied to Mrs "E" GI P0000 A000, UK 38 weeks, alive, single, head position, intrauterine, general condition of the mother and fetus is good.

SKRINING FITOKIMIA EKSTRAK ETANOL DAUN JAMBU BIJI (Psidium guajava L) SEBAGAI ZAT AKTIF SEDIAAN GEL

2024-08-14T05:08:50+00:00

Jambu biji (Psidium guajava L) merupakan jenis tanaman yang memiliki banyak khasiat terutama pada bagian daunnya. Daun jambu biji dikenal memiliki kandungan senyawa yang dapat digunakan sebagai antibakteri. Penelitian ini bertujuan untuk mngetahui apakah ekstrak daun jambu biji mengandung senyawa antibakteri seperti saponin, tanin, dan flavonoid. Ekstraksi yang dilakukan dengan metode maserasi dalam pelarut etanol 95% selama 5 hari dan evaporasi menggunakan rotary evaporator untuk mendapatkan ekstrak pekat. Hasil pengujian fitokimia menunjukkan bahwa ekstrak daun jambu biji memiliki kandungan senyawa antibakteri saponin, tanin, dan flavonoid.

TINGKAT PENGETAHUAN PENGGUNAAN ANTIBIOTIK PADA MASYARAKAT DI DAERAH BATU MARMAR KABUPATEN PAMEKASAN

2024-08-15T00:09:55+00:00

Today's society, when dealing with allergies and other diseases, uses antibiotics excessively without using a doctor's recommendation and consumes them not in accordance with the doctor's recommendations. One of them is Batu Marmar Village, Pamekasan Regency, although they can afford treatment from a doctor, due to the influence of the surrounding environment they buy medicine without a prescription so they don't understand how to use and store it. The aim of the research was to determine the level of knowledge of antibiotic use behavior in the Batu Marmar community of Pamekasan Regency. The sample used in this research was the entire Batumarmar community, Pamekasan District, who used antibiotics. This research method is descriptive. Data collection using the data collection technique used in the research is by dividing questionnaires. The results of research on the knowledge of the people of Kapong Lesong Daya Hamlet based on indicators of general knowledge about antibiotics are classified as low at 5.85%, based on indicators How to use, time and length of use of antibiotics are classified as low at 26.24%, based on indicators How to obtain antibiotics are classified as poor at a value of 2.85%, based on indicators of side effects from drug use it is classified as less at a value of 9.45%. So it can be concluded that the level of knowledge of the marble stone community is lacking.
Keywords: Knowledge, Antibiotics, Marble

TINGKAT PENGETAHUAN ORANG TUA TENTANG SWAMEDIKASI DEMAM PADA ANAK 1-12 TAHUN MENGGUNAKAN OBAT PARASETAMOL DI DESA TAPAAN KECAMATAN BANYUATES KABUPATEN SAMPANG

2024-08-14T23:06:49+00:00

Fever is a sign that the body is fighting infection or bacteria in the body. Fever is also usually a sign that the child's immune system is functioning well. Treating fever in children at home is very important in looking after and caring for sick children. because the results of the child's recovery are very influential. Parents will do many things to help their children recover. The aim is to determine the level of knowledge of parents about the use of self-medicated paracetamol to treat fever in children in Tapaan District, Banyuates, Sampang Regency. Method: The research used in this research is a descriptive method by taking data from a questionnaire with a sample size of 100 respondents. Results: The results of the research showed that 36% in Tapaan Village, Banyuates District, Sampang Regency had a level of knowledge in self-medication for fever in children in the good category. 63% are in the sufficient category. And 2% of the level of knowledge in self-medication for fever in children in Tapaan Village, Banyuates District, Sampang Regency is in the poor category. Conclusion: So it can be interpreted that the level of parental knowledge regarding self-medication for fever in children 1-12 years using paracetamol in Tapaan Village, Banyuates District, Sampang Regency is in the sufficient category (63%).

POLA PERESEPAN PENGGUNAAN OBAT ANTIHIPERTENSI PADA PASIEN RAWAT JALAN DI PUSKESMAS PEGANTENAN PAMEKASAN JAWA TIMUR

2024-08-14T11:45:34+00:00

Hypertension is widely known as a cardiovascular disease, in developed countries and seventh in developing countries hypertension is also the fourth contributor to premature death. Hypertension therapy aims to prevent morbidity and mortality. Uncontrolled hypertension will trigger complications and worsen the patient's condition. One of the factors that causes uncontrolled hypertension is the patient's non-compliance with treatment, including: the patient only taking part of the medicine, taking the medicine not according to the dosage and instructions for use and the patient stopping using the medicine. The aim of this study was to determine the prescribing pattern for the use of antihypertensive drugs at the Pegantenan Pamekasan Community Health Center. Data analysis was carried out using descriptive methods by collecting data using all outpatient prescription sheets at the Pegantenan Community Health Center, Pamekasan Regency. Sampling used the purposive sampling method. The number of samples in this study was 100 recipes. The aim of this study was to determine the prescribing pattern for the use of antihypertensive drugs at the Pegantenan Pamekasan health center. Data analysis was carried out using descriptive methods by describing the data obtained to describe the pattern of hypertension drug use in outpatients at the Pegantenn health center. The results of this study show that the most common patient characteristics based on gender are women, while the most common patient characteristics based on age suffer from hypertension in the age range experienced by patients aged >50 and over. Meanwhile, 21 (21.0%) of the drugs used at the Pegantenan Community Health Center were amlodipine at a 5mg dose, 68 (68.0%) at a 10mg dose, then 8 (8.0%) 25mg captopril drugs, 8 (8.0%) 40mg furosemide drugs. patients (8.0%), nifedipine in 1 patient (1.0%), the combination of amlodipine with a dose of 5mg and furosemide 40mg in 1 patient (1.0%), the conclusion of this study is that the single most widely used antihypertensive drug is amlodipine and as a combination antihypertensive, namely amlodipine and furosemide.

UJI VALIDITAS DAN RELIABILITAS PADA KUESIONER TERKAIT SWAMEDIKASI OBAT DIARE

2024-08-14T05:24:34+00:00

Self-medication is self-medication with simple medicines purchased freely at pharmacies or drug stores

without the advice of a doctor or health expert. Diarrhea is a disease that occurs when defecating more

than three times with liquid stool in a 24 hour period. Validity test is a test used to measure the instrument

in the questionnaire and can be used to measure what should be measured. To create a measuring

instrument, theoretical studies are required. Reliability test is the extent to which measurement results using

the same object will produce the same data. This research method uses a purposive sampling method, which

is a method of collecting data based on considerations by taking 790 populations into 89 samples. Based

on validity testing in the questionnaire, the r table for 30 respondents is 0.3610. The results of this reliability

test obtained a value of 0.753, this value is higher than 0.6.

PENGARUH VARIASI PELARUT TERHADAP PROFIL FITOKIMIA EKSTRAK BUAH CABE JAWA(Piper retrofractum Vahl) DENGAN METODE ULTRASONIK

2024-08-14T14:09:21+00:00

Javanese chilies are known to contain secondary metabolite compounds in extracts using 96%

ethanol, ethyl acetate and n-hexane as solvents. The aim of the research was to determine the secondary

metabolite compounds contained in Javanese chili extract using 96% ethanol, ethyl acetate and n- hexane

as solvents. The research was conducted in the Pharmacy laboratory of the Islamic University of Madura.

The extraction method used is the ultrasonic method using 3 types of solvents, namely 96% ethanol, ethyl

acetate, n-hexane. Qualitative testing uses the Phytochemical screening method to determine the content of secondary metabolite compounds such as alkaloids, saponins, flavonoids, tannins and steroids. The

research results showed that qualitative testing using the phytochemical screening method with different

solvents showed that the extract using 96% ethanol solvent contained secondary metabolite compounds of

alkaloids, tannins, saponins and steroids. Extracts with ethyl acetate solvent contain secondary metabolite compounds of alkaloids, tannins and saponins. The extract with n-hexane solvent only contains secondary steroid metabolite compounds. The conclusion of this study shows that different polar properties of the solvent can influence the content of secondary metabolite compounds found in Javanese chili extracts using a phytochemical screening test.

Penggunaan Tablet Dexamethasone 0,75mg Di Apotek Mitra Mandiri Pamekasan

2024-08-14T08:55:33+00:00

Dexamethasone is an anti-inflammatory drug in the corticosteroid class which is widely used in the treatment of inflammation, chronic asthma, allergies, atopic dermatitis and autoimmune diseases. The sampling technique in this study used total sampling, which is the same sampling technique as the population. The sample in this study were consumers who bought or consumed the drug dexamethasone. The sample size for this study was 100 respondents. The results of initial observations made by researchers at the Mitra Mandiri Pharmacy showed that the purchase of dexamethasone 0.75 mg for 5 months was 12,300, after dividing the monthly average from July to November 2023 to 2,460 tablets (20%). The number of dexamethaosen tablets used in independent partner pharmacies every month for five months was 12,300. with a monthly average of 2,460 tablets.