ABSTRAK
Latar Belakang: Angka kematian ibu di Indonesia yang disebaban hipertensi sebesar 32 %. Di RSUD Kota Surakarta ibu hamil yang mengalami pre-eklampsia berat sebesar 12,39 %.
Tujuan: Mempelajari dan memahami asuhan kebidanan pada kasus ibu hamil pada Ny.N GIP0A0 dengan pre-eklampsia berat secara komprehensif.
Metode: Observasional deskriptif dengan pendekatan studi kasus. Cara pengambilan data melalui wawancara, observasi dan studi dokumentasi. Analisis data dilakukan secara deskriptif berdasar 7 langkah Varney.
Hasil: Ny.N GIP0A0 datang dengan keluhan pusing dan lemas, ekstremitas atas dan bawah oedema, tekanan darah 165/115 mmHg, protein urine +4.  Klien diberikan terapi Infus RL drip 4 gram MgSO4 20 tpm / 24 jam , Nifedipin 10 mg, dan Diazepam 5 mg. Pasien rencana caesar atas indikasi PEB.
Kesimpulan: Ny.N GIP0A0 dengan preeklampsia berat  diberikan asuhan selama satu hari dan rencana terminasi karena sudah aterm (40+1 minggu). Terdapat kesenjangan dipengkajian data objektif, observasi tekanan darah, DJJ tidak dilakukan tiap 1 jam, tidak dilakukan pemeriksaan patella dan cara pemberian MgSO4 yang menggunakan teori lama.
Kata kunci : Asuhan Kebidanan, Ibu Hamil, Pre-eklampsia Berat
ABSTRACT
Background: The maternity mortality rate in Indonesia caused by severe hypertension was 32%. At the Local General Hospital Surakarta, the incidence rate of pregnant mother experiencing severe pre-eclamsia was 12.39 %.
Objective: The objective of this research is to study and understand the midwifery care of the pregnant mother on Mrs. N GIIPIA0 with severe pre-eclamsia comprehensively.
Method: This research used the observational descriptive research method with the case study approach. The subject of the research was the pregnant mother on Mrs. N GIP0A0 with severe pre-eclamsia. The data of the research were gathered through in-depth interview, direct observation, and content analysis on the medical record. The data were analyzed descriptively based on the seven measures claimed by Varney.
Result: Mrs. N GIP0A0 comes with the complain of dizziness and weakness, high and lower extremity edema, her blood pressure is 165/115 mmHg, and her urinal protein +4. The client is given RL  drip 4 grams of MgSO4 20 tpm / 24 hours infusion therapy, Nifedipine 10 mg and Diazepam 5 mg. Client get 1 day of the medical care, before operation because her gestasional age’s aterm (40+1 weeks)
Conclusion: Mrs. N GIIPIA0 with severe pre-eclamsia who gets treatment during one day, must get SC operation because the gestasional age’s aterm. There is a gap between the theory and practice in some part. First about how to get objective data,  the blood pressure observation, the fetal heart rate is not observed every hour, patellar examination is not done, and treatment of MgSO4 with old theory.
Keywords: Midwifery care, pregnant mother, and severe pre-eclamsia