Midwifery Care with Frequent Urination on Pregnant Women at BPM Nuril Masrukah Candi Sidoarjo

Academia Open ◽  
2021 ◽  
Vol 5 ◽  
Author(s):  
Okky Elvira Novianti ◽  
Evi Rinata ◽  
Rafhani Rosyidah

Pregnancy is the fertilization or fusion of spermatozoa and ovum which is followed by bullying. Normal pregnancy lasts in 9 to 10 months. Complaints and discomfort can arise from the beginning of pregnancy to the end of pregnancy which can affect the physical and psychological condition of the mother. Pregnant women often complain in the third trimester and 96.7% experience complaints of frequent urination. The case study method used is observational (COC) Continuity of Care. From data collection and inspection there were no gaps and problem found, so no further special handling was needed.

Academia Open ◽  
2021 ◽  
Vol 5 ◽  
Author(s):  
Anggraeni Kriswidya Putri ◽  
Hanik Machfudloh

Pregnancy is a process that begins with the unification of spermatozoa with ovum called fertilization and then continued with implantation. Normal pregnancies generally last for 9 months, and are divided into the first 3 trimesters 1-12 weeks, the second trimester 13-27 weeks, the third trimester 28-40 weeks. Various complaints felt by pregnant women, one of which is back pain that causes pregnant women discomfort. This aerikel was written taken from the place of Maternity Clinic Karunia Sidoarjo on January 05, 2020. The way of data collection is by means of anamnesa, examination of analysis, data then documenting by comparing between the data that has been obtained with existing theories. Mrs. .m 40 weeks gestational age, with complaints of physiological back pain with good maternal and fetal conditions.


2018 ◽  
Vol 2 (2) ◽  
pp. 104
Author(s):  
Ludmila Ifsilanti Alwan ◽  
Ririn Ratnasari ◽  
Suharti Suharti

AbstractPregnancy is a period where there is a change in a woman's biological condition accompanied by psychological changes. During the period of pregnancy, childbirth, childbirth, newborns to use contraception, women will experience various health problems. So that a comprehensive midwifery care is needed including five continuous examination activities including pregnancy antenatal care (Antenatal Care), childbirth (Intranatal Care), postnatal care, neonatal care and family planning. The care provided is midwifery care in Continuity Of Care given to TM III pregnant women (34-36 weeks), childbirth, postpartum, newborns and family planning. Care provided includes reviewing, preparing midwifery diagnoses, planning midwifery care, implementing midwifery care, evaluating midwifery care, documenting midwifery care through Continuity Of Care. Antenatal Care midwifery care in Mrs. M aged 41 years G4P20012 was done once at 37 weeks 5 days of gestation which was carried out on February 24, 2018. The results of the examination found that the mother complained of low back pain. This is a reasonable complaint because it is one of the inconveniences of pregnant women in the third trimester. On February 26, 2018 at 00:45 WIB, the mother came to the Muryati SST BPM. Keb because you feel tight and remove mucus and blood. Babies are born normal on February 26, 2018 at 02.05 WIB with a weight of 3500 grams, body length of 50 cm, male gender and no congenital abnormalities. On the visit of the second neonate found the baby had grade 1 jaundice, after the assessment turned out to be a breastfed baby because the position of breastfeeding the mother is not right so it is recommended to the mother to breastfeed her baby as often as possible and teach the mother the correct breastfeeding position. Then on the next visit the yellow color of the baby is gone. Good baby growth and development. Mothers breastfeed their babies exclusively. ASI production was smooth and no problems were found. Mother's condition is also very good. Mother said she had menstruated on March 26, 2018. In Family Planning (KB)services, at first my mother chose to use KB condoms, but after counseling again about family planning, she decided to use IUD KB at post partum on day 72.After the Continuity of Care service for Mrs. M started from the third trimester of pregnancy at 37 weeks 5 days of gestation, labor, BBL, postpartum and family planning were found to be some physiological problems not pathological problems. The hope is that the midwife will maintain the quality of midwifery services according to the midwifery profession standard which is carried out in a Continuity Of Care manner so that early detection of emergencies can be identified and handled properly.Keywords: Continuity Of Care, pregnancy, labor, family planning AbstrakKehamilan merupakan periode dimana terjadi perubahan pada kondisi biologis wanita disertai dengan perubahan psikologis. Selama periode kehamilan, persalinan, masa nifas, bayi baru lahir hingga penggunaan kontrasepsi, wanita akan mengalami berbagai masalah kesehatan. Sehingga diperlukan asuhan kebidanan yang komperhensif mencakup lima kegiatan pemeriksaan yang berkesinambungan diantaranya adalah asuhan kebidanan kehamilan (Antenatal Care), persalinan (Intranatal Care), masa nifas (Postnatal Care), bayi baru lahir (Neonatal Care) dan Keluarga Berencana. Asuhan yang diberikan adalah asuhan kebidanan secara Continuity Of Care diberikan pada ibu hamil TM III (34-36 minggu), bersalin, nifas, bayi baru lahir dan KB. Asuhan yang diberikan meliputi pengkajian, menyusun diagnosa kebidanan, merencanakan asuhan kebidanan, pelaksanaaan asuhan kebidanan, melakukan evaluasi asuhan kebidanan, pendokumentasian asuhan kebidanan secara Continuity Of Care. Asuhan kebidanan Antenatal Care pada Ny M usia 41 tahun G4P20012 dilakukan satu kali pada usia kehamilan 37 minggu 5 hari yang dilakukan pada tanggal 24 Februari 2018. Hasil pemeriksaan ditemukan bahwa ibu mengeluh nyeri pinggang. Hal tersebut merupakan keluhan yang wajar karena itu merupakan salah salah satu ketidaknyamanan ibu hamil pada trimester ketiga.  Pada tanggal 26 Februari 2018 pukul 00.45 WIB, ibu datang ke BPM Muryati SST. Keb karena merasakan kenceng-kenceng dan mengeluarkan lendir dan darah. Bayi lahir normal pada tanggal 26 Februari 2018 pukul 02.05 WIB dengan berat 3500 gram, panjang badan 50 cm, jenis kelamin laki laki dan tidak ada kelainan congenital. Pada kunjungan neonatus kedua ditemukan bayi mengalami ikterus derajat 1, setelah dilakukan pengkajian ternyata bayi kurang ASI karena posisi menyusui ibu kurang tepat sehingga dianjurkan kepada ibu untuk menyusui bayinya sesering mungkin serta mengajari ibu posisi menyusui yang benar. Kemudian pada kunjungan selanjutnya warna kuning pada bayi sudah hilang. Pertumbuhan dan perkembangan bayi baik. Ibu menyusui bayinya secara eksklusif. Produksi ASI sudah lancar dan tidak ditemukan masalah.  Kondisi ibu juga sangat baik. Ibu mengatakan sudah menstruasi pada tanggal 26 Maret 2018. Pada pelayanan Keluarga Berencana (KB), pada awalnya ibu memilih menggunakan KB kondom, tetapi setelah dilakukan konseling kembali tentang KB, ibu memutuskan untuk menggunakan KB IUD pada post partum hari ke 72.Setelah dilakukan pelayanan Continuity Of Care pada Ny M yang dimulai dari kehamilan trimester III pada usia kehamilan 37 minggu 5 hari, persalinan, BBL, nifas dan KB ditemukan beberapa masalah yang fisiologis bukan masalah patologis. Harapannya agar bidan tetap menjaga mutu pelayanan kebidanan sesuai standar profesi kebidanan yang dilakukan secara Continuity Of Care sehingga deteksi dini adanya kegawatdaruratan bisa segera teridentifikasi dan tertangani dengan baik.Keywords: Continuity Of Care, kehamilan, persalinan, keluarga berencana


2004 ◽  
Vol 108 (1) ◽  
pp. 81-84 ◽  
Author(s):  
Danqing CHEN ◽  
Minyue DONG ◽  
Qin FANG ◽  
Jing HE ◽  
Zhengping WANG ◽  
...  

Resistin is expressed in human placenta and has been postulated to play a role in regulating energy metabolism in pregnancy. However, changes in serum resistin levels in normal pregnancy and in the setting of pre-eclampsia are far from understood. The purpose of the present study was to clarify the alterations in serum resistin level in normal pregnancy and pre-eclampsia. Blood samples were taken from 28 healthy non-pregnant women, 27 women in the first, 26 in the second and 26 in the third trimesters of normal pregnancy and 25 women with pre-eclampsia. Serum resistin concentrations were determined by using an ELISA, and mean serum resistin levels were compared with one-way ANOVA. Serum resistin levels were not significantly different among non-pregnant women and women in the first and second trimesters of pregnancy (P>0.05 for all). Serum resistin was significantly elevated in the third trimester of normal pregnancy compared with non-pregnant women (P<0.01) and women in the first (P<0.001) and second (P<0.001) trimesters of pregnancy. Serum resistin level was significantly lower in women with pre-eclampsia than women in the third trimester of normal pregnancy (P<0.001), but was comparable with those of non-pregnant women and women in the first and second trimesters of pregnancy (P>0.05 for all). In conclusion, we found an increase in serum resistin in the third trimester of normal pregnancy, but this increase was not present in pre-eclampsia. We postulate that these associations may offer insight into the mechanisms of maternal adaptation to pregnancy and the pathogenesis of pre-eclampsia.


2017 ◽  
Vol 35 (08) ◽  
pp. 737-740 ◽  
Author(s):  
Sandra Herrera ◽  
Maggie Kuhlmann-Capek ◽  
Sarah Rogan ◽  
Antonio Saad ◽  
George Saade ◽  
...  

Objective It is unknown whether the heart operates in the ascending or flat portion of the Starling curve during normal pregnancy. Pregnant women do not respond to the passive leg-raising maneuver secondary to mechanical obstruction of the inferior vena cava by the gravid uterus. Our objective was to evaluate if administration of a fluid bolus increases baseline stroke volume (SV) among healthy pregnant patients during the third trimester. Study Design Healthy pregnant women who underwent elective term cesarean sections were included. A noninvasive cardiac output monitor was used to measure hemodynamic variables at baseline and after administration of a 500-mL crystalloid bolus. Results Forty-five women were included in the study. Fluid administration was associated with a statistically significant increase in SV from a baseline value of 71 ± 11 to 90 ± 19 mL (95% confidence interval [CI]: 13.67–21.49; p < 0.01) and a significant decrease in maternal heart rate from a baseline of 87 ± 9 beats per minute to 83 ± 8 after the fluid bolus (95% CI: −6.81 to −2.78; p = 0.03). No changes in peripheral vascular resistances or any other measured hemodynamic parameters were noted with volume expansion. Conclusion In healthy term pregnancy, the heart operates in the ascending portion of the Starling's curve, rendering it fluid responsive.


Author(s):  
Evi Wahyuntari ◽  
Ika Puspitasari

Maternal Fetal Attachment and fetal growth are strongly influenced by the emotional state or anxiety of the mother, this can be seen from the psychological condition of the mother before giving birth.  The psychological condition of the mother will have an impact on the health and development of the fetus. In Indonesia, there are about 28.7% of pregnant women who experience anxiety in the third trimester. The research objective was to determine the relationship between anxiety and maternal fetal attachment. Cross sectional study. With a population of pregnant women in the third trimester aged 20-35 years as many as 42 respondents. The sampling technique used non probability sampling with a total sampling of 42 pregnant women in the third trimester. The anxiety measurement tool uses the Zung self-rating anxiety scale (ZSAS) questionnaire and the MFA uses the Prenatal attachment inventory (PAI) questionnaire. Pearson analysis (product moment). The p value is 0.023 with a correlation coefficient of -0.350. The conclusion is that there is a relationship between anxiety and maternal fetal attachment at Gamping II Public Health Center with weak relationship closeness, it means that the lower the anxiety score received, the higher the maternal fetal attachment score. Suggestions for pregnant women in the third trimester to be more active in seeking information, both electronic print media, health workers and others about maternal-fetal attachment since pregnancy.


2019 ◽  
Vol 13 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Aruna Nigam ◽  
Neha Varun ◽  
Sumedha Sharma ◽  
YP Munjal ◽  
Anupam Prakash

Aim To assess the glycaemic profile and glycaemic variation in the second and third trimesters of normal pregnancies. Methodology Healthy pregnant women aged 19–35 years between 24 and 36 weeks of gestation were recruited for ambulatory glucose profile monitoring. A total of 18 women in the second trimester, 15 women in the third trimester and 9 healthy non-pregnant women were recruited providing, respectively, 205 days (19,680 data points), 147 days (14,112 data points) and 100 days (9,600 data points) for analysis. Results Mean blood glucose level was 20.2% lower in the second trimester and 10.6% lower in the third trimester than non-pregnant women (p < 0.001). In pregnancy, it took 15 to 20 minutes more to reach peak postprandial blood glucose levels compared to non-pregnant women (p = 0.003). Glycaemic variability was more in the third trimester (p < 0.001). Conclusion There is tight blood sugar control along with lower mean blood glucose in healthy pregnant women compared to non-pregnant women. Despite this tight glycaemic control, glycaemic variability is higher during pregnancy.


1993 ◽  
Vol 129 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Norihito Sudo ◽  
Kyuzi Kamoi ◽  
Miyuki Ishibashi ◽  
Tohru Yamaji

To examine a possible role for endothelin-1 (ET-1) and conversion of big ET-1 to ET-1 in the pathophysiology of pre-eclampsia, we measured plasma levels of ET-1 and big ET-1 in 16 women with pre-eclampsia in the third trimester and compared them with those in 11 age-matched normotensive pregnant women and in 10 age-matched pregnant women with chronic hypertension in the third trimester. The plasma concentrations of ET-1 and big ET-1 in the normotensive pregnant women were significantly lower than those in 16 non-pregnant women with a higher molar ratio of big ET-1 to ET-1 in the former group. The plasma concentrations of ET-1 and big ET-1 in the women with pre-eclampsia, on the other hand, were significantly higher than those in the normotensive pregnant women and the molar ratio of big ET-1 to ET-1 in the former group was less than that in the latter group. In sharp contrast, plasma ET-1 and big ET-1 levels in the pregnant women with chronic hypertension were not significantly different from those in the normotensive pregnant women. When examined after delivery, elevated plasma ET-1 and big ET-1 in the women with pre-eclampsia declined, with restoration of normal blood pressure, to the levels in the normotensive women after parturition. There were no significant differences of the levels of ET-1 and big ET-1 in umbilical venous plasma and simultaneously drawn maternal plasma at cesarean section between normotensive pregnant women and women with pre-eclampsia, respectively. These results suggest that normal pregnancy is associated with decreased plasma concentrations of ET-1 with reduced conversion of big ET-1 to ET-1 in maternal vascular endothelial cells, and the derangement of this regulatory system plays an important role in the pathophysiology of pre-eclampsia.


2021 ◽  
Vol 1 ◽  
pp. 1669-1673
Author(s):  
Lutfiah Febriana ◽  
Nina Zuhana

AbstractAnemia is a condition where the level of hemoglobin in the blood is less than the normal limit (<12 g%) caused by a lack of iron in the body due to malnutrition. While anemia in pregnancy is a condition where the hemoglobin level in pregnant women is <11gr% or <10.5gr% in third trimester pregnant women which generally occurs due to the hemodilution process. The purpose of this case to find out the cause of anemia in late pregnancy and the treatment that can be done to prevent complications that occur with care to routinely consume blood-added tablets (Fe) and recommend foods high in iron. This care design used a comprehensive care method for pregnant women in the third trimester who experience mild anemia (haemoglobin <10,5gr%) in Kalimade Village, Kesesi District, Pekalongan Regency. The results of this care showed an increase in hemoglobin levels in the mother. The conclusion of this case study shows that regularly consuming Fe tablets can increase hemoglobin levels in the blood so that it can prevent and treat anemia. For this reason, pregnant women are expected to routinely consume Fe tablets during pregnancy and midwives are expected to provide education about the benefits of Fe tablets to pregnant women to prevent anemia.Keywords: Haemoglobin; Anemia; Pregnancy AbstrakAnemia merupakan suatu kondisi dimana kadar haemoglobin dalam darah kurang dari batas normal (<12 gr%) yang disebabkan karena kurangnya zat besi didalam tubuh akibat kurang gizi. Sedangkan anemia pada kehamilan adalah kondisi dimana kadar haemoglobin pada ibu hamil <11gr% atau <10,5gr% pada ibu hamil trimester III yang umumnya terjadi karena adanya proses hemodilusi. Tujuan dari kasus ini yaitu untuk mengetahui penyebab terjadinya anemia pada kehamilan lanjut serta penanganan yang dapat dilakukan guna mencegah terjadinya komplikasi yang mungki terjadi dengan asuhan untuk rutin mengkonsumsi tablet tambah darah (Fe) serta anjuran mengkonsumsi makanan tinggi zat besi. Rancangan Asuhan ini menggunakan metode asuhan komprehensif pada ibu hamil trimester III yang mengalami anemia ringan (Haemoglobin <10,5gr%) di Desa Kalimade Kecamatan Kesesi Kabupaten Pekalongan. Hasil asuhan ini menunjukan adanya peningkatan kadar haemoglobin pada ibu. Simpulan studi kasus ini menunjukan bahwa dengan rutin mengkonsumsi tablet Fe dapat meningkatkan kadar Haemoglobin dalam darah sehingga dapat mencegah serta mengobati anemia. Untuk itu ibu hamil diharapkan agar rutin mengkonsumsi tablet Fe selama kehamilan. Bidan diharapkan agar bisa memberikan edukasi tentang manfaat tablet Fe pada ibu hamil guna mencegah terjadinya anemia.Kata kunci: Haemoglobin; Anemia; Kehamilan


1979 ◽  
Author(s):  
I. Rákóczi ◽  
F. Tallián ◽  
I. Cseh ◽  
I. Gáti

Circulating platelet aggregates have been observed in various thromboembolic states. It is known that severe preeclamsia is associated with features of intravascular coagulation. To evaluate the role of platelets in this disorder we have determined circulating platelet aggregates in 10 patients with severe preeclampsia, in 30 patients in the third trimester of uncomplicated pregnancies and in 35 healthy nonpregnant volunteers. Platelet aggregate ratio /P.A.R./ was measured by a modification of a method described by Wu and Hoak, The mean P.A.R. of severe preeclamptic patients /0.732 ± 0,063 SEM/ was significantly lower than that of the uncomplicated pregnant women /0,860 ± 0,052 SEM/ and of the nonpregnant volunteers /0.880 ± 0,061 SEM/.The results indicate that severe preeclamptic patients have increased levels of circulating platelet aggregates and platelet activation is a feature of preeclampsia.


1986 ◽  
Vol 113 (3) ◽  
pp. 418-423 ◽  
Author(s):  
Yoshihito Hara ◽  
Toshinori Tanikawa ◽  
Yoshiki Sakatsume ◽  
Kentaro Sato ◽  
Hitoshi Ikeda ◽  
...  

Abstract. Serum thyroglobulin levels were serially measured in 25 normal pregnant women to evaluate thyroidal activity during normal pregnancy. Measurements included serum T3, T4, free T4, TBG, and TSH. Tg and FT4 levels were found to be decreased in the third trimester when compared with those of the first trimester and with those of normal non-pregnant individuals (P < 0.01). TSH levels were higher than normal in pregnant women at all stages of pregnancy, with a significant rise at the third trimester. These findings suggest the presence of a subclinical hypothyroid state in the late stage of normal pregnancy.


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