ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY.K MASA HAMIL SAMPAI DENGAN KELUARGA BERENCANA DI KLINIK PANGESTU POLOREJO 2

AbstractOne effort to reduce maternal mortality (MMR) and infant mortality (IMR) is by placing one midwife in each village with the responsibility of 1000 people in the region. Another way to deal with MMR and IMR problems is to provide comprehensive (comprehensive) midwifery care or care on a continuity of care basis starting from pregnancy, childbirth, childbirth, newborns and family planning.The care provided to Ny.K G3P20002 at 38 years of age has been conducted for pregnancy examinations 2 times at 39 4/7 weeks. From the results of the study, the mother complained of having fake her, constipation, hypertension and anxiety. Mother underwent delivery process at 41 41/7 weeks through surgery (SC) with indications postdate. PNC visits were carried out 3 times with normal examination results (including ttv, lokhea, involution, and lactation) on a 6-week visit, the mother complained of constipation. Babies are born through the SC process on March 1, 2018 weighing 3000 grams and on the last visit BB infants became 3900 grams. Babies experience physiological jaundice during the 6th day visit. Mother has participated in MOW after the SC action and home visits were made on the 20th day of March 20, 2018.Overall, mothers are included in the high risk group (HRG) with a score of 10 KSPR. In the postpartum period, in newborns and family planning there are no problems that can endanger both and are still classified as physiological.Keywords: Care provided, continuity of care, pregnancy periode, family planning Abstrak Salah satu upaya dalam menekan angka kematian ibu (AKI) dan angka kematian bayi (AKI) adalah dengan cara penempatan 1 bidan di setiap desa dengan tanggung jawab 1000 masyarakat di wilayah tersebut. Cara lain dalam menangani masalah AKI dan AKB adalah dengan cara memberikan asuhan kebidanan yang menyeluruh (komprehensif) atau asuhan secara continuity of care dimulai dari masa hamil, bersalin, nifas, bayi baru lahir serta KB.Asuhan yang diberikan pada Ny.K G3P20002 usia 38 tahun telah dilakukan pemeriksaan kehamilan sebanyak 2 kali saat uk 39 4/7 minggu. Dari hasil pengkajian ibu mengeluh mengalami his palsu, konstipasi, hipertensi serta cemas. Ibu menjalani proses persalinan saat uk 41 4/7 minggu melalui tindakan operasi (SC) dengan indikasi postdate. Kunjungan PNC dilakukan 3x dengan hasil pemeriksaan normal (meliputi ttv, lokhea, involusi, dan laktasi) pada kunjungan 6 minggu ibu mengeluh konstipasi. Bayi lahir melalui proses SC pada tanggal 1 Maret 2018 dengan berat 3000 gram dan pada kunjungan terakhir BB bayi menjadi 3900 gram. Bayi mengalami ikterusfisiologis pada saat kunjungan hari ke-6. Ibu telah berpartisipasi dalam KB MOW pasca tindakan SC dan dilakukan kunjungan rumah pada hari ke-20 tanggal 20 Maret 2018.Secara menyeluruh ibu termasuk dalam kelompok resiko tinggi (KRT) dengan skor KSPR 10. Dalam masa nifas, pada bayi baru lahir serta KB tidak ada masalah yang dapat membahayakan keduanya dan masih tergolong dalam fisiologis.Kata kunci: Asuhan kebidanan, continuity of care, masa hamil, keluarga berencana

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ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY. S MASA HAMIL SAMPAI KELUARGA BERENCANA DI PMB LILIS SULISTIYOWATI S.ST.

Health Sciences Journal ◽

10.24269/hsj.v2i2.162 ◽

2018 ◽

Vol 2 (2) ◽

pp. 93

Author(s):

Tri Wahyu Meilinda ◽

Sriningsih Sriningsih ◽

Nurhidayati Nurhidayati

Keyword(s):

Continuity Of Care ◽

Postpartum Period ◽

Risk Group ◽

High Risk Group ◽

Male Gender ◽

Sectio Caesarea ◽

Postpartum Visit ◽

Midwifery Care ◽

Active Motion ◽

Very High

Abstract The purpose of the authors in the preparation of the Final Task Report to provide midwifery care in a Continuity of Care manner and to carry out SOAP documentation for Ny S from the period of pregnancy, childbirth, postpartum, neonatal, and family planning. Midwifery care for Mrs. S G3P10011 37 years old was done on February 28, 2018 - April 17, 2018. It was found that Mrs. S is a very high risk group with a score of 22. Mrs. S gave birth at 39 weeks more than 3 days with a breech position on March 9, 2018 at 24:10 WIB Sectio caesarea at Hardjono Hospital Ponorogo. Babies cry strong, active motion, male gender. The placenta was born completely, there was a vertical SC suture. The postpartum period is normal and the postpartum visit is 3 times. At the first visit to the postpartum period, the mother complained of pain in the former scar, on the second and third visits of the mother there were no complaints. At the KB visit, it was conducted at 40 postpartum days, namely on April 17, 2018 and after giving an explanation about contraception and the mother Mother chose to use 3-month injection birth control.Key word : Midwifery Care, Continuity Of Care Abstrak Tujuan dari penulis dalam penyusunan Laporan Tugas Akhir untuk memberikan asuhan kebidanan secara Continuity Of Care serta melakukan dokumentasi SOAP pada Ny S mulai dari masa kehamilan, persalinan, nifas, neonatus, serta KB. Asuhan kebidanan pada Ny S G3P10011 usia 37 tahun di lakukan dilakukan pada tanggal 28 Februari 2018 – 17 April 2018. Ditemukan bahwa Ny. S termasuk kelompok risiko sangat tinggi dengan skor 22.Ny S melahirkan pada usia kehamilan 39 minggu lebih 3 hari dengan letak sungsang pada tanggal 09 Maret 2018 jam 24:10 WIB secara Sectio caesareadi RSUD Hardjono Ponorogo. Bayi menangis kuat, gerak aktif, jenis kelamin laki-laki. Plasenta lahir lengkap, terdapat luka jahitan SC secara vertikal. Masa nifas berlangsung normal dilakukan kunjungan masa nifas sebanyak 3 kali kunjungan. Pada kunjungan pertama masa nifas ibu mengeluh nyeri pada luka bekas operasi, pada kunjungan ke dua dan ke tiga ibu sudah tidak ada keluhan. Pada kunjungan KB dilakukan pada 40 hari postpartum yaitu pada tanggal 17 April 2018 dan setelah di berikan penjelasan tentang alat kontrasepsi dan ibu telah memutuskan untuk menggunakan alat kontrasepsi suntuk 3 bulan.Kata kunci : Asuhan Kebidanan, Continuity Of Care

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A Prospective study of genital infections in a family planning clinic: 2. Chlamydia infection - the identification of a high-risk group

Epidemiology and Infection ◽

10.1017/s0950268800054522 ◽

1990 ◽

Vol 104 (1) ◽

pp. 55-61 ◽

Cited By ~ 15

Author(s):

M. E. Macaulay ◽

T. Riordan ◽

J. M. James ◽

P. A. Leventhall ◽

E. M. Morris ◽

...

Keyword(s):

Family Planning ◽

High Risk ◽

Risk Group ◽

Hormonal Contraception ◽

Ethnic Origin ◽

High Risk Group ◽

Chlamydia Infection ◽

High Risk Population ◽

Significant Difference ◽

A Prospective Study

SUMMARYDuring a study of genital infection in inner-city family-planning patients we examined 452 women for Chlamydia trachomatis. The prevalence of infection was 7·3%. There was no significant difference between patients attending because of genital symptoms and those who were attending for routine family-planning advice. Infection was found to be correlated with five main demographic parameters; age less than 25, no stable partnership, hormonal contraception, nulliparity and West Indian Ethnic origin. Using these parameters a simple scoring system was devised which allowed a high-risk population to be defined in whom screening would be economically justified.

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A study to evaluate pregnancy with maternal heart disease: a prospective observational study at a tertiary care centre in India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211150 ◽

2021 ◽

Vol 10 (4) ◽

pp. 1637

Author(s):

Khushboo Goel ◽

Sanjaykumar G. Tambe

Keyword(s):

Heart Disease ◽

High Risk ◽

Observational Study ◽

Maternal Mortality ◽

Prospective Observational Study ◽

Neonatal Outcome ◽

Risk Group ◽

High Risk Group ◽

Heart Disease In Pregnancy ◽

In Pregnancy

Background: Prevalence of heart disease in pregnancy vary from 0.3-3.5%. Normal pregnancy is associated with physiological cardiovascular changes. These changes may unmask underlying cardiac disease in normal women and increase morbidity and mortality in women with heart disease. Heart disease in pregnancy is an important cause of maternal mortality in India. The aim of this study was to evaluate the maternal and neonatal outcome of pregnancy with heart disease.Methods: A prospective observational study was conducted at Sassoon General Hospital, Pune, India. 75 patients who fulfilled the inclusion criteria were studied. Maternal and neonatal outcome were analyzed.Results: Maternal heart disease was classified into congenital (36%) and acquired (64%). In acquired variety, rheumatic heart disease was most commonly seen. In congenital, ASD was most common. We divided the cases into two groups based on their NYHA status, low risk group had 74.67% patients and high risk group had 25.33% patients. The most common antenatal complication was PROM (41.3%). There was statistically significant association between ICU admission and high-risk group. The most common neonatal complications were IUGR and prematurity. Maternal mortality rate in the study group was 6.6%.Conclusions: The perinatal outcome of heart disease in pregnancy is more dependent on the severity of symptoms rather than the duration and type of heart disease. Multidisciplinary evaluation is necessary. Suboptimal optimization of the heart condition in the antenatal period and delayed referral were the major risk factor for maternal mortality.

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Effect of Prepregnancy Alcohol Consumption on Postpartum Relationship Satisfaction and Divorce among Norwegian Mothers

Substance Abuse Research and Treatment ◽

10.4137/sart.s23543 ◽

2015 ◽

Vol 9s2 ◽

pp. SART.S23543

Author(s):

Sonja Mellingen ◽

Torbjørn Torsheim ◽

Frode Thuen

Keyword(s):

Cohort Study ◽

High Risk ◽

Alcohol Consumption ◽

Alcohol Use ◽

Relationship Satisfaction ◽

Conceptual Model ◽

Postpartum Period ◽

Risk Group ◽

High Risk Group ◽

Mother And Child

This study assessed the effect of prepregnancy level of alcohol use among mothers on relationship breakups with young children at 36 months after birth and the extent to which relationship satisfaction (RS) throughout the postpartum period could mediate any association between alcohol use and divorce. The data were part of the Norwegian Mother and Child Cohort Study, and analyses of the present article were based on a total of 69,117 mothers divided into low-, medium-, and high-risk consumption groups. All the three groups experienced a decrease in RS, but the largest effect was observed for the high-risk group. Mothers in this group had 55% higher odds for divorce as compared to the low-risk group. The findings supported a conceptual model whereby the effects of alcohol use on divorce were mediated through lowered RS.

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Acromegaly and Obstructive Sleep Apnea: Identifying the High-Risk Group

10.1055/s-0039-1679596 ◽

2019 ◽

Author(s):

Xiaojun Zhan ◽

Chandala Chitguppi ◽

Ethan Berman ◽

Gurston Nyquist ◽

Tomas Garzon-Muvdi ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

High Risk ◽

Risk Group ◽

High Risk Group ◽

Obstructive Sleep

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Recommendations from male students help shape mental health support for this high-risk group

10.3310/alert_42077 ◽

2020 ◽

Keyword(s):

Mental Health ◽

High Risk ◽

Risk Group ◽

High Risk Group ◽

Male Students ◽

Mental Health Support ◽

Health Support

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Anamnestic factors that shape reproductive health of women with repeated unsuccessful popygamy in vitro fertilization

HEALTH OF WOMAN ◽

10.15574/hw.2016.114.140 ◽

2016 ◽

pp. 140-143

Author(s):

N.V. Cotsabin ◽

◽

O.M. Makarchuk ◽

Keyword(s):

High Risk ◽

Risk Group ◽

Polycystic Ovary ◽

High Risk Group ◽

Stress Factors ◽

Control Group ◽

Fertilization In Vitro ◽

Infertile Women ◽

Group I

The proportion of patients with multiple unsuccessful attempts of assisted reproductive technology (ART) is about 30% of all patients treated with the use of ART. Women with history of unsuccessful ART attempts - a special category of patients who require emergency attention and a thorough examination at the stage of preparation for superovulation stimulation,the selection of embryos and endometrium preparation for embryo transfer. The objective: to distinguish high-risk group of unsuccessful attempts based on a detailed analysis of anamnestic and clinical data of infertile women with repeated unsuccessful ART attempts that requires more in-depth study of hormonal features, ovarian reserve and condition of the endometrium. Materials and methods. For better understanding of the problem of repeated unsuccessful ART attempts and сreation of efficient infertility treatment algorithms for these couples we conducted a thorough analysis of anamnestic data of three groups of infertile women (105 patients), which were distributed by age: group I – younger than 35, the II group – from 35 to 40, the III group - over 40 years. These groups of patients were compared with each other and with the control group of healthy women (30 persons). Results. Leading stress factors in the percentage three times prevailed in the group of infertile women and had a direct connection with the fact of procedure «fertilization in vitro» and chronic stressors caused by prolonged infertility. Primary infertility was observed significantly more frequent in patients younger than 35 years (p <0.05), secondary infertility - mostly in the second and third experimental groups (p <0.05). Noteworthy significant percentage of wellknown causes of infertility and idiopathic factor in all groups, and the prevalence of tubal-peritoneal factor in the second and third experimental groups, and endocrine dysfunction in the I experimental group. The most common disorder among this category of woman was polycystic ovary syndrome. Frequency of usual miscarriage among patients of I ana II groups was two times higher than in the third group (p <0.05). Among the experimental groups the leading place belongs urinary tract infection, respiratory tract diseases, pathologies of the cardiovascular system. Data of the stratified analysis show an increase likelihood of repeated unsuccessful ART attempts under the influence of constant chronic stress (odds ratio OR=2.06; 95% CI: 0.95–3.17; p<0.05). Conclusions. Among infertile patients with repeated unsuccessful ART attempts must be separated a high risk group of failures. The identity depends on the duration of infertility, female age and leading combination of factors. Key words: repeated unsuccessful ART attempts, anamnesis, infertility, high risk.

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