ABSTRAK
Latar Belakang: Penyebab kematian ibu di Indonesia tahun 2012 adalah perdarahan (32%), hipertensi dalam kehamilan (25%), infeksi (5%), partus lama (5%), abortus (1%), dan non obstetrik (32%). Di RSUD Sukoharjo pada tahun 2014 kejadian plasenta previa sebesar 1,18% dan preeklamsia sebesar 6,54%. Tujuan: Untuk mempelajari dan memahami asuhan kebidanan pada kasus plasenta previa totalis disertai preeklamsia ringan di RSUD Sukoharjo secara komprehensif.
Metode: Observasional deskriptif dengan pendekatan studi kasus. Subjek penelitian Ny.S G3P1A1 dengan plasenta previa totalis disertai preeklamsia ringan. Tempat: RSUD Sukoharjo. Cara pengambilan data melalui wawancara, observasi, dan studi dokumen rekam medik. Analisis data dilakukan secara deskriptif berdasar 7 langkah Varney.
Hasil: Ny.S tidak ada keluhan, tekanan darah 150/90 mmHg, protein urine +1, hasil USG tampak plasenta insersi di segmen bawah rahim meluas menutupi OUI, diberikan terapi infus RL 16 tpm, cefotaxime, dexamethasone, dan asam traneksamat masing-masing 1 gram/IV/12jam. Kesenjangan tidak dilakukan pemeriksaan protein urine setiap hari.
Kesimpulan: Ny.S G3P1A1 dengan plasenta previa totalis disertai preeklamsia ringan mengalami perbaikan yaitu tekanan darah menjadi normal dan stabil, perdarahan pervaginam tidak terjadi, serta direncanakan terminasi kehamilan secara SC. Kesenjangan tidak dilakukan pemeriksaan protein urine secara rutin yaitu setiap hari.
Kata kunci: Asuhan kebidanan ibu hamil, Plasenta previa totalis, Preeklamsia ringan
ABSTRACT
Background: The causes of maternal mortality in Indonesia in 2012 were bleeding (32%), gestational hypertension (25%), infection (5%), prolonged labor (5%), abortion (1%), and non-obstetric (32%). In 2014, placenta previa  and pre-eclampsia incidences at the local general hospital of Sukoharjo was 1.18% and 6.54% respectively. Objective: To study and understand the midwifery care of complete placenta previa accompanied with mild preeclampsia comprehensively.
Method: This research used the observational descriptive research method with the case study approach. Its subject was Mrs.S G3P1A1 with complete placenta previa accompanied with mild preeclampsia. The data of research were collected through in-depth interview, direct observation, and content analysis and descriptively analyzed by using Varney’s Seven.
Result: Mrs.S did not have complaints. Her blood pressure was 150/90 mmHg. The protein urine was +1. Placental insertion was detected at the lower uterine segment extensively covering the internal uterine ostium. The client was given infusion therapy of RL 16 tpm, cefotaxime, dexamethasone, and tranexamic acid, each 1 gram/IV/12 hours.
Conclusion: Mrs.S G3P1A1 with complete placenta previa accompanied with mild preeclampsia had improvement. Her blood pressure was normal and stable, vaginal bleeding did not happen, and the pregnancy would be terminated with C-section. A gap was found that the urine protein examination was not routinely done on daily basis.
Keywords:     Midwifery care of a pregnant mother, Complete placenta previa, Mild preeclampsia