ABSTRAK
Latar Belakang. Angka Kematian Ibu di Indonesia disebabkan infeksi sebesar 5%. Di RSUD Sukoharjo ibu bersalin yang mengalami ketuban pecah dini sebesar 18,7%. Tujuan untuk mempelajari dan memahami Asuhan Kebidanan Ibu Bersalin dengan Induksi atas indikasi Ketuban Pecah Dini di RSUD Sukoharjo secara komprehensif.
Metode. Observasional deskriptif dengan pendekatan studi kasus. Subjek penelitian ibu bersalin G2P1A0 dengan ketuban pecah dini. Tempat : RSUD Sukoharjo. Teknik pengambilan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang dan studi dokumentasi.
Hasil. Ny. S hamil 40 minggu datang dengan keluhan kenceng-kenceng dan keluar cairan dari vagina. Pemeriksaan inspekulo keluar cairan dari OUE, nitrazin test (+), pemeriksaan dalam : kantong ketuban (-). Pertolongan persalinan dengan induksi oksitosin 5 IU dalam 500 ml Ringer Laktat dan pemberian antibiotik 1 gr/ 8 jam. Kesenjangan tidak dilakukan anastesi pada episiotomi mediolateralis.
Kesimpulan. Ny. S G2P1A0 hamil 40 minggu dengan ketuban pecah dini bersalin spontan. Bayi dan plasenta lahir pervaginam. tidak dilakukan anastesi pada episiotomi mediolateralis.
Kata Kunci : asuhan kebidanan ibu bersalin, induksi, ketuban pecah dini
ABSTRACT
Background. The percentage of maternal mortality rate in Indonesia due to infection was 5%. At the Local General Hospital of Sukoharjo, the percentage of mothers with premature rupture of membranes was 18.7%. Objective the objective of this research is to study and understand the midwifery care of a mother giving birth with induction due to the indication of premature rupture of membranes at the Local General Hospital of Sukoharjo comprehensively.
Method. This research used the observational descriptive research method with the case study approach. The subject of research a mother giving birth G2P1A0 premature rupture of membranes. The research was done at the Local General Hospital of Sukoharjo. The data of research were collected through in-depth interview, observation, physical examination, supporting examination, and content analysis of documents.
Result. Mrs. S with the gestation age of 40 weeks was admitted to the hospital with contractions and fluid discharge through vagina. Speculum examination indicated the fluid discharge from urethral orifice eksternum (OUE), the nitrazine-based test was positive, the internal examination showed that amniotic sac was negative (-). The labor was assisted with induction through the administration of oxytocin of 5 IU through 500 ml of Ringers Lactate solution and antibiotic medicine of 1 gr/ 8 hours. The gap was found that anesthesia on medio-lateral episiotomy was not done.
Conclusion. Mrs. S G2P1A0 with the gestational of 40 weeks and with the indication of premature rupture of membranes had a spontaneous delivery. The baby and placenta were born through birth canal, and anesthesia on medio-lateral episiotomy was not done.
Keywords: Midwifery care of a mother giving birth, induction, premature rupture of membranes
