ABSTRAK
Latar Belakang dan Tujuan: Kejadian abortus imminens di RSUD Karanganyar sebesar 3.47%. Studi kasus ini bertujuan untuk mempelajari dan memahami asuhan kebidanan pada kasus abortus imminens di RSUD Karanganyar secara komprehensif.
Metode: Observasional deskriptif dengan pendekatan studi kasus. Cara pengambilan data melalui wawancara, observasi langsung dan studi dokumen rekam medik. Analisis data dilakukan secara deskriptif berdasar 7 langkah Varney dan SOAP.
Hasil: Ny.R hamil 1,5 bulan dengan G1P0A0 datang dengan keluhan mengeluarkan darah merah kecoklatan encer, perutnya mules dan mual muntah. Pada pemeriksaan dalam diperoleh hasil porsio mencucu, tidak ada pembukaan dan terdapat pengeluaran pervaginam berupa flek darah. USG: hasil konsepsi masih utuh. Pasien diberi terapi Ondansetron 4 mg/2 ml drip infus RL 500 cc, obat oral Amoxicilin 3x500 mg, Asam mefenamat 3x500 mg dan Premaston 2x5 mg. Terdapat kesenjangan antara teori dan praktek.
Kesimpulan: Asuhan kebidanan ibu hamil pada Ny.R G1P0A0 dengan abortus imminens telah dilaksanakan secara efektif, efisien dan kehamilan dapat dipertahankan. Meskipun terdapat kesenjangan pada cara observasi perdarahan.
Kata kunci : Asuhan Kebidanan, Ibu Hamil, Abortus Imminens
ABSTRACT
Background and Objektive: The percentage of imminent abortion at the Local General Hospital of Karanganyar was 3.47%. This research is to study and understand the midwifery care on the imminent abortion case at Local General Hospital of Karanganyar comprehensively.
Method: This research used the observational descriptive research method with the case study approach. The data of research were collected through in-depth interview, direct observation, and content analysis of medical record. The data of research were descriptively analyzed by using Varney’s seven Steps and SOAP.
Result: Mrs.R G1P0A0 with gestational age of 1.5 months was admitted to the hospital. She had watery brownish red blood discharge and complained of abdominal pains, nausea, and vomit. The examination indicated that the portio pouted, dilation was absent, and blood spot discharge happened. USG: the conception was still complete. The client was then exposed to therapy with Ondansetron 4mg/2ml, drip infusion RL 500cc, oral drug of Amoxicillin 3x500mg, mefenamic acid 3x500mg and Premaston 2x5mg. There is a gap between theory and practice.
Conclusion: The midwifery care of a pregnant mother on Mrs.R G1P0A0 with imminent abortion was done effectively, efficiently and pregnancy could still be maintained. although in execution a gap was found on the bleeding observation.
Keywords: Midwifery care, pregnant mother, imminent abortion
