Abstrak


Asuhan Kebidanan Gangguan Reproduksi Wanita pada Ny. S Umur 44 Tahun P3a0 dengan Perdarahan Uterus Disfungsional di Rsud Sukoharjo


Oleh :
Caya Nuaryalstonia - R0312065 - Fak. Kedokteran

ABSTRACT
Background. The number of dysfunctional uterine bleeding incidences at
Sukoharjo Hospital from January to December 2014 was 37 (35 %). The objective
is to study and understand the midwifery care on the dysfunctional uterine
bleeding case at Sukoharjo Hospital.
Method. This research used the observational descriptive method with the case
study approach. Subject of research was Mrs.S P3A0 with dysfunctional uterine
bleeding at Sukoharjo Hospital. The data of research were collected through indepth
interview, direct observation, and medical record. Data of research were
descriptively analyzed by using Varney’s Seven Steps.
Result. Mrs.S P3A0 was admitted to the hospital with bleeding for 14 days.
Internal examination showed there was spotting with little amount of stolsel. USG
examination showed that gynecological disorders weren’t present. Client was
exposed to curettage on the third day visit, and given pre-curettage therapies
(antifibrinolytic, antibiotic, anesthetic therapies) and postcurettage (antibiotic,
analgesic, roborantia therapies). Pathological anatomic examinations were done,
and malignancy wasn’t present.
Conclusion. Mrs.S P3A0 aged 44 years old suffered from functional uterine
bleeding. The treatment lasted for four days. Following the treatment, the general
conditions were good, and no gap between theory and practice was observed.
Keywords. Midwifery care, reproductive disorder, dysfunctional uterine bleeding
ABSTRAK
Latar Belakang. Angka kejadian perdarahan uterus disfungsional di RSUD
Sukoharjo yakni 35 % atau 37 kasus dari Januari hingga Desember 2014. Tujuan
untuk mempelajari dan memahami asuhan kebidanan pada kasus perdarahan
uterus disfungsional di RSUD Sukoharjo.
Metode. Observasional deskriptif dengan pendekatan studi kasus. Subjek
penelitian Ny.S P3A0 dengan perdarahan uterus disfungsional, tempat: RSUD
Sukoharjo. Pengambilan data melalui wawancara, observasi dan studi dokumen
rekam medik. Analisis data secara deskriptif berdasar 7 langkah varney.
Hasil. Ny.S P3A0 datang dengan keluhan perdarahan selama 14 hari. Pemeriksaan
dalam didapatkan pengeluaran darah dengan sedikit stolsel. USG menunjukkan
tidak ada kelainan ginekologis. Dilakukan kuretase pada hari ke-3 pasien datang.
Diberikan terapi prekuretase (Antifibrinolitik, antibiotik, dan anestesi) dan
postkuretase (antibiotik, analgesik dan roborantia). Postkuretase dilakukan
patologi anatomi, hasil tidak tampak tanda keganasan. Perdarahan berupa
spotting.
Kesimpulan. Ny.S P3A0 umur 44 tahun dengan perdarahan uterus disfungsional.
Perawatan selama 4 hari. Akhir perawatan keadaan membaik. Tidak terdapat
kesenjangan antar teori dengan praktik.
Kata kunci. asuhan kebidanan, gangguan reproduksi, perdarahan uterus
disfungsional