DAFTAR SINGKATAN

AKI : Angka Kematian Ibu.AKB : Angka Kematian Bayi.AKABA : Angka Kematian Balita.RESTI : Resiko TinggiAMP : Audit Maternal Perinatal.ASI : Air Susu Ibu.APN : Asuhan Persalinan Normal.ANC : Antenatal Care.BAB : Buang Air Besar.BAK : Buang Air Kecil.BB : Berat Badan.BBL : Bayi Baru Lahir.oC : Derajat Celcius.CoC : Continuity of Care.CVAT : Costa Vertebra Angle Tenderness.Cm : Centimeter.DJJ : Denyut Jantung Janin.DM : Diabetes Mellitus.DTT : Disinfektan Tingkat Tinggi.GPA : Gravida Para Abortus.Hb : Hemoglobin.HIV : Human Immunodeficiency Virus.HPHT : Hari Pertama Haid Terakhir.HPL : Hari Perkiraan Lahir.IMD : Inisiasi Menyusu Dini.IM : Intramuskular.IU : Internasional Unit.IV : Intravena.Jateng : Jawa Tengah.KB : Keluarga Berencana.Kemenkes : Kementerian Kesehatan.KIA : Kesehatan Ibu dan Anak.KIE : Komunikasi Informasi Edukasi.LiLA : Lingkar Lengan Atas.LTA : Laporan Tugas Akhir.MAL : Metode Amenore laktasi.MmHg : Milimeter Merkuri (Hydrargyrum).5NG : Jateng Gayeng Nginceng Wong Meteng.O2 : Oksigen.OSOC : One Client One Student.P4K : Program Perencanaan Persalinan dan Pencegahan Komplikasi.PMS : Penyakit Menular Seksual.PONED : Pelayanan Obstetri dan Neonatal Esensial Dasar. PONEK : Pelayanan Obstetri dan Neonatal Esensial Kegawatdaruratan.

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Preskep : Presentasi Kepala.Puki : Punggung Kiri.Px : Prosesus Xipoideus.RS : Rumah SakitRR : Respiration Rate.S : Suhu.SOAP : Subjektif Objektif Asessment Planning.TBC : Tuberculosis.TBJ : Taksiran Berat Badan Janin.TD : Tekanan Darah.TFU : Tinggi Fundus Uteri.TIBC : Transferin Iron Binding Capacity.TM : Trimester.TT : Tetanus Toxoid.TTV : Tanda-tanda Vital.UK : Usia Kehamilan.USG : Ultrasonography.WHO : World Health Organization.

DAFTAR ISI

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HALAMAN JUDUL.................................................................................................i

HALAMAN PERSETUJUAN.................................................................................ii

HALAMAN PENGESAHAN.................................................................................iii

HALAMAN RIWAYAT HIDUP..............................................................................v

KATA PENGANTAR..............................................................................................vi

DAFTAR SINGKATAN.......................................................................................viii

DAFTAR LAMPIRAN..........................................................................................xv

BAB I PENDAHULUAN........................................................................................1

A. Latar Belakang................................................................................1

B. Tujuan Studi Kasus.........................................................................6

C. Manfaat Studi Kasus.......................................................................6

D. Sistematika Penulisan.....................................................................7

BAB II TINJAUAN PUSTAKA.............................................................................9

1. Kehamilan Trimester III..................................................................9

a. Pengertian...............................................................................9

b. Perubahan Fisik dan Psikologis...............................................9

c. Ketidaknyamanan dan penanganannya..................................42

d. Kebutuhan Ibu Hamil Trimester III.......................................46

e. Tanda bahaya dalam kehamilan.............................................50

f. Tujuan Asuhan Antenatal Care..............................................53

g. Kunjungan Antenatal Care....................................................54

h. Asuhan/Penatalaksanaan Kehamilan.....................................55

2. Persalinan....................................................................................62

a. Pengertian.............................................................................62

b. Perubahan Fisiologis dan Psikologis.....................................69

c. Tanda-tanda persalinan..........................................................73

d. Kebutuhan Dasar Ibu Bersalin...............................................75

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e. Asuhan Persalinan.................................................................81

f. Partograf................................................................................94

3. Nifas...........................................................................................100

a. Pengertian............................................................................100

b. Perubahan fisik dan psikologi..............................................101

c. Masalah Pada Ibu Nifas.......................................................108

d. Kebutuhan Dasar Ibu Nifas termasuk KB............................112

e. Kebijakan Asuhan Ibu Nifas................................................133

f. Asuhan Masa Nifas.............................................................134

4. BBL (Bayi Baru Lahir).............................................................135

a. Pengertian............................................................................135

1) Ciri-ciri bayi normal:...........................................................135

c. Asuhan Dasar pada BBL.....................................................146

d. Kebijakan Program Asuhan BBL........................................149

B. Manajemen Kebidanan............................................................153

1. Manajemen Kebidanan Menurut Hellen Varney..................153

2. Pendokumentasian (SOAP).................................................156

C. Landasan Hukum (Aspek kewenangan dan aspek legal).......157

1. Kepmenkes 369/2007 tentang standar profesi bidan...........157

2. Permenkes No.28/2017 tentang ijin dan penyelenggaraan

praktik bidan.......................................................................159

BAB III METODE STUDI KASUS....................................................................164

A. Rancangan Penulisan................................................................164

B. Ruang Lingkup.........................................................................164

1. Sasaran................................................................................164

2. Tempat.................................................................................165

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3. Waktu, meliputi waktu pelaksanaan studi kasus dan waktu

pelaksanaan pemberian asuhan............................................165

C. Metode Perolehan Data............................................................165

1. Data primer.........................................................................165

2. Data sekunder......................................................................168

D. Alur Studi Kasus.......................................................................169

E. Etika Penulisan.........................................................................170

1. Informed consent.................................................................170

2. Anonimity............................................................................171

3. Confidentiality.....................................................................171

BAB IV HASIL DAN PEMBAHASAN............................................................176

A. Hasil...........................................................................................176

Pengkajian..................................................................................176

1. Data Subjektif......................................................................176

2. Data Obyektif......................................................................183

3. Assessment..........................................................................187

4. Planning..............................................................................189

B. Pembahasan................................................................................276

1. Asuhan Kehamilan..............................................................276

2. Asuhan pada Masa Persalinan.............................................289

3. Asuhan pada bayi baru lahir................................................306

4. Asuhan Masa Nifas.............................................................314

BAB V PENUTUP..............................................................................................325

DAFTAR PUSTAKA...........................................................................................328

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DAFTAR TABELTabel 1 Tinggi Fundus Uteri.........................................................................13Tabel 2 Tafsiran Berat Janin.........................................................................13Tabel 3 Volume plasma, Volume Sel Darah, Volume Darah Total, dan Konsentrasi hemoglobin..............................................................................................25Tabel 4 Kebutuhan Zat besi pada ibu hamil.......................................................47Tabel 5 Kebutuhan Makanan Sehari-Hari Wanita Tidak Hamil dan Ibu Hamil............48Tabel 6 Kunjungan Pemeriksaan Antenatal.......................................................55Tabel 7 Pemberian Vaksin TT Untuk Ibu Yang Belum Pernah Imunisasi (DPT/TT/Td) Atau Tidak Tahu Status Imunisasinya..............................................................58Tabel 8 Pemberian Vaksin Tetanus Untuk Ibu Yang Sudah Pernah Diimunisasi (DPT/TT/Td)............................................................................................59Tabel 9 Jadwal Pemberian Suntikan Tetanus dan Lama Atau Durasi Perlindungannya. .60Tabel 10 Asuhan Persalinan Normal (60 Langkah Terbaru)...................................81Tabel 11 Frekuensi Kunjungan Masa Nifas.....................................................133Tabel 12 Evaluasi Apgar pada Bayi Baru Lahir................................................140Tabel 13 Jadwal Imunisasi pada Anak...........................................................151Tabel 14 Pola Nutrisi................................................................................180Tabel 15 Pola Eliminasi.............................................................................180Tabel 16 Pola Personal Hygiene..................................................................181Tabel 17 Pola Istirahat..............................................................................181Tabel 18 Pemeriksaan Penunjang.................................................................187

DAFTAR GAMBAR

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Gambar 1 Ukuran Tinggi Fundus Uteri............................................................12

DAFTAR LAMPIRAN

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Lampiran 1. Inform Consent

Lampiran 2. Lembar Konsultasi

Lampiran 3. Berita Acara Ujian Proposal LTA

Lampiran 4. Surat Edaran Bupati Kendal

Lampiran 5. Buku KIA

Lampiran 6. Hasil Pemeriksaan Laboratorium

Lampiran 7 Lembar POA

Lampirn 8. Lembar Partograf

Lampiran 9. Dokumentasi ANC

Lampiran 10. Dokumentasi Persalinan

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