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ABSTRAK
Latar Belakang dan Tujuan : Angka kejadian anemia ibu nifas di RSUD Pandan Arang Boyolali dari Januari hingga Oktober 2014 adalah 92 kasus. Tujuan karya tulis ini untuk mempelajari dan memahami asuhan kebidanan pada kasus ibu nifas dengan anemia berat di RSUD Pandan Arang Boyolali.
Metode : Observasional deskriptif dengan pendekatan studi kasus. Subjek penelitian Ny. S P3A0 dengan anemia berat, bertempat di RSUD Pandan Arang Boyolali. Pengambilan data melalui wawancara, observasi dan studi dokumen rekam medik. Analisis data secara deskriptif berdasar 7 langkah varney.
Hasil : Ny. S P3A0 datang mengeluh lemas dan pusing setelah melahirkan secara SC. Pemeriksaan laboratorium didapatkan Hb 5,3g/dL. Diberikan cairan elektrolit, transfusi darah, dan terapi antibiotik, antiinflamasi, antiemetik, anti fibrinolitik, dan anti hipertensi.
Kesimpulan : Ny. S P3A0 dengan anemia berat mendapatkan perawatan selama 5 hari mendapat terapi cairan elektrolit, transfusi darah, dan terapi antibiotik, anti inflamasi, antiemetik, anti fibrinolitik, dan anti hipertensi. Pada akhir perawatan keadaan membaik dan Hb meningkat menjadi 11g/dL. Tidak ditemukan kesenjangan antara teori dengan praktik.
Kata kunci: Asuhan kebidanan, Ibu nifas, Anemia Berat
ABSTRACT
Background: The number of anemia cases on the postpartum mothers at Pandan Arang Local General Hospital of Boyolali from January to October 2014 was 92.
Objective: To study and understand the midwifery care on the postpartum mother with severe anemia comprehensively.
Method: This research used the observational descriptive research with the case study approach. Its subject was Mrs. S P3A0 with severe anemia at the aforementioned hospital. The data were gathered through interview, direct observation, and document study of medical record and analyzed descriptively based on the seven measures claimed by Varney.
Result: Mrs. S P3A0 was admitted to the hospital with the complaints of limp and dizziness after giving birth through C-section. The laboratory test shows that the hemoglobin level was 5.3g/dL. The client was exposed to electrolyte fluid, blood transfusion, antibiotic therapy, anti-inflammatory therapy, anti-emetic therapy, anti-fibrinolytic therapy, and anti-hypertensive therapy.
Conclusion: Mrs. S P3A0 with severe anemia received the treatment for five days. She was exposed to electrolyte fluid, blood transfusion, antibiotic therapy, anti-inflammatory therapy, anti-emetic therapy, anti-fibrinolytic therapy, and anti-hypertensive therapy. Following the treatment, her condition was good, and the hemoglobin level was 11g/dL. No gap between the theory and the practice was found.
Keywords: Midwifery care, postpartum mother, severe anemia