ABSTRAK
Latar Belakang: Presentase pemberian ASI eksklusif pada bayi usia 0-6 bulan di
Indonesia tahun 2012 sebesar 48,6 %. Gangguan proses menyusui dapat timbul
karena puting susu lecet, bendungan payudara, dan mastitis.
Tujuan: Untuk mempelajari dan memahami asuhan kebidanan pada ibu nifas post
sectio caesaria dengan bendungan ASI di RSUD Karanganyar secara tepat dan
efektif.
Metode: Observasional deskriptif dengan pendekatan studi kasus. Subjek
penelitian Ny. H dengan bendungan ASI. Tempat : RSUD Karanganyar. Cara
pengambilan data melalui wawancara, observasi langsung, dan studi dokumen
rekam medik. Analisis data dilakukan secara deskriptif berdasarkan 7 langkah
Varney dan SOAP.
Hasil: Ny. H post sectio caesaria mengalami payudara bengkak, keras, terasa
nyeri, dan ASI tidak keluar lancar. Diberikan asuhan penangan bendungan ASI
berupa pengurutan payudara, perbaikan cara menyusui, pemberian analgetik dan
antibiotik. Setelah pemberian asuhan selama 3 hari keadaan payudara Ny. H
lunak, ASI keluar lancar dan ibu mulai menyusui.
Kesimpulan: Keadaan ibu membaik, payudara lunak, tidak bengkak, dan ASI
keluar lancar, sehingga diagnosa potensial berupa mastitis tidak terjadi. Terdapat
kesenjangan antara teori dan praktek yaitu tidak diberikan kompres dingin di selasela
waktu menyusui.
Kata kunci : Asuhan kebidanan ibu nifas, bendungan ASI
ABSTRACT
Background: The percentage of the exclusive breastfeeding for 0 - 6 month baby
in Indonesia was 48.6 %. The disturbance in the breast feeding process can be
caused by chaffed nipple, banked milk, and mastitis.
Objective: To study and understand the midwifery care of the postpartum mother
post C-section with banked milk at the Local General Hospital of Karanganyar.
Method: This research used the observational descriptive research with the case
study approach. The subject of the research was Mrs. H with banked milk. The
research was conducted at Local General Hospital of Karanganyar. The data 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: Post C-section, Mrs. H, experienced swelled, hard, painful breast, and her
breast milk did not flow out freely. The patient was given information on breast
massage and the way to improve breastfeeding process. After the care provision,
Mrs. H's breast was no longer swelling and hard, and the breast milk flow
smoothly.
Conclusion: Following the breast treatment, the mother's condition was better, the
breasts were not hard nor swelling, and her breast milk flew out smoothly. Cold
compress was not applied in between breastfeeding times.
Keywords: Midwifery care of postpartum mother, banked milk.