ASUHAN KEBIDANAN PERSALINAN PATOLOGI PADA NY. S UMUR 18 TAHUN PIA0 DENGAN RETENSIO PLASENTA DI PUSKESMAS KELING I JEPARA

SITI AISAH, GOE517021 (2018) ASUHAN KEBIDANAN PERSALINAN PATOLOGI PADA NY. S UMUR 18 TAHUN PIA0 DENGAN RETENSIO PLASENTA DI PUSKESMAS KELING I JEPARA. Diploma III thesis, ["eprint_fieldopt_institution_Universitas Muhammadiyah Semarang" not defined].

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Abstract

Background : In Jepara District In 2015, there were 11 maternal deaths from 21,116 live births The causes of maternal death in 2015 were: 3 cases (27.27%) due to hypertension in pregnancy such as preeclampsia and eclampsia, 3 cases (27.27%) factors others, 2 cases (18.18%) due to bleeding and 2 cases (18.18%) due to infection and 1 case (9.09) due to heart. Keling I Health Center in October - December 2017, there are 8 cases of post partum hemorrhage, including 3 cases of placental retention, 2 cases due to retention of placental remnants, 2 cases due to birth lacerations and 1 case of uterine atony. Placental retention associated with grandemultipara with placental implantation in the form of placenta adhesiva, placenta accreta, placenta increta and percreta.The frequency of manual placental expenditure is also associated with preterm birth. Purpose : To implement midwifery care in pathological labor cases with Retensio Placenta using the Hellen Varney method. Methode : Descriptive with an observational approach. Subjects of the mother's maternity with Retensio Placenta at the Keling I Health Center.How to collect data through interviews, direct observation and study of medical record documents. Data analysis was carried out descriptively based on 7 steps of Varney and SOAP. Result : Mrs. S. P1A0 Age 18 years, with bleeding due to placental retention. Active management when III failed Collaboration action with Dr. SpOG for administration of 20 units of oxytocin and 500 cc of 40 tpm RL infusion, and 1 gram of Renxone antibiotics, then manual placental evaluation of uterine cavity. Conclusion: Mrs. 18 years old P1 A0 bleeding due to retention of the placenta after midwifery care was carried out resulting in complete placenta. Keywords: midwifery care, labor, placental retention

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