Dosen Pembimbing: Yetti L. Irawan, M.Sc
A. PELAYANAN ANTE NATAL CARE DAN INTRA NATAL CARE DI BERBAGAI NEGARA
DI LUAR NEGERI
Disusun untuk memenuhi tugas mata kuliah Konsep Kebidanan
PROGRAM STUDI PASCASARJANA KEBIDANAN
FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS PADANG
2014
Oleh :
1. Penelitian di Ghana, Kenya dan Malawi
Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi
Christopher Pell mail, Arantza Meñaca, Florence Were dkk
Published: January 15, 2013 DOI: 10.1371/journal.pone.0053747
Abstract
Antenatal care (ANC) is a key strategy to improve maternal and infant health. However, survey data from sub-Saharan Africa indicate that women often only initiate ANC after the first trimester and do not achieve the recommended number of ANC visits. Drawing on qualitative data, this article comparatively explores the factors that influence ANC attendance across four sub-Saharan African sites in three countries (Ghana, Kenya and Malawi) with varying levels of ANC attendance. Data were collected as part of a programme of qualitative research investigating the social and cultural context of malaria in pregnancy. A range of methods was employed interviews, focus groups with diverse respondents and observations in local communities and health facilities.
Across the sites, women attended ANC at least once. However, their descriptions of ANC were often vague. General ideas about pregnancy care – checking the foetus’ position or monitoring its progress – motivated women to attend ANC; as did, especially in Kenya, obtaining the ANC card to avoid reprimands from health workers. Women’s timing of ANC initiation was influenced by reproductive concerns and pregnancy uncertainties, particularly during the first trimester, and how ANC services responded to this uncertainty; age, parity and the associated implications for pregnancy disclosure; interactions with healthcare workers, particularly messages about timing of ANC; and the cost of ANC, including charges levied for ANC procedures – in spite of policies of free ANC – combined with ideas about the compulsory nature of follow-up appointments. In these socially and culturally diverse sites, the findings suggest that ‘supply’ side factors have an important influence on ANC attendance: the design of ANC and particularly how ANC deals with the needs and concerns of women during the first trimester has implications for timing of initiation
Kesimpulan :
permasalahan ataupun penyakit yang dapat memperberat kondisi ibu dan janin sehingga ibu dapat melahirkan anak yang sehat dan ibu yang sehat juga.
2. Nepal
Healthy Newborn Network
Nepal Midwife Wins Jhpiego's International Award for Outstanding Contribution to Midwifery
Geeta Sharma June 24, 2011
Partners: Jhpiego, Type: Newborn News,Topics: Childbirth Care, Human Resources for Health, Countries: Nepal
Jhpiego presents the International Award for Outstanding Contribution to Midwifery to Nepal's Maiya Manandhar, a role model for providing services to women. "Maiya’s efforts to save women’s lives are significant. And her work to demonstrate and share her life-saving skills is outstanding," said one colleague. By Geeta Sharma
As a young girl in Kathmandu, Maiya Manandhar helped care for her mother during the birth of the family’s ninth child. It wasn’t an easy birth, and Maiya’s mother began to bleed heavily once the baby was born. The attention and care the nurses at the local hospital gave her mother impressed young Maiya so much that she decided to follow in their footsteps.
She began her career at the Paropakar Maternity and Women’s Hospital, and today, 53-year-old Maiya is the hospital’s nursing supervisor and senior hospital nursing administrator. In this role, Maiya became actively involved in developing a birthing center at the hospital. Run by nurses in a busy maternity ward, this birthing center provides focused, comprehensive care to pregnant women so that when birth-related complications and conditions arise they can be managed more effectively. The birthing center provides care 24/7, 365 days a year, and serves more than 600 to 700 women a month.
With the support of colleagues and doctors, the birthing center has: improved case load management in the labor and delivery room; enabled women to have a spouse or partner present during the birthing process—a departure from routine labor ward practice in Nepal; given pre-service education and in-service training participants more opportunities to participate in normal deliveries; and increased nurses’ involvement in labor and delivery decision-making.
Through her leadership, Maiya is a role model for nurse-midwives, says Dr. Rajendra Bhadra, Jhpiego’s Nepal Country Director, who nominated Maiya for the award. “Having the birthing center run by nurses within the facility provides more concentrated and specialized services for complicated cases. Normal cases are fully managed by nurses.”
Maiya also coordinates the training of SBAs. “There are many remote areas where there is no one to be with pregnant women (like my mother) to support them during delivery,” says Maiya, the mother of two grown daughters. “The SBA I am contributing to and supporting in training might be the one to be with women in remote areas who need SBA support—and she might be saving a mother’s life.”
Maiya says many women arrive at Paropakar Maternity and Women’s Hospital from their villages with complications of obstructed labor or postpartum hemorrhage, and often they are too far along to benefit from any help given at the hospital. She recalls a specific case in which a woman died because her uterus ruptured during obstructed labor.
The pregnant woman had been kept in the local primary care center for more than three days in this life-threatening condition.
She has taught her trainees to pay close attention to symptoms that appear to be out of the ordinary or abnormal and to act accordingly because, she says, quick action can save a life.
Honored to receive Jhpiego’s midwifery award, Maiya says she intends to use the prize money to support the recently formed Midwifery Society of Nepal (MIDSON) where she serves as treasurer; help train nurses and midwives working in birth centers in Nepal; pay for complementary feeding for babies of HIV-positive women who do not want to breastfeed; form a support group and provide counseling for mothers who have lost children; and open a daycare center for children of staff working at the hospital.
"Maiya’s efforts to save women’s lives are significant. And her work to demonstrate and share her life-saving skills is outstanding," says Dr. Bhadra.
© 2009 Save the Children. All rights Reserved.
Healthy Newborn Network is an initiative of Save the Children's Saving Newborn Lives Program.
Kesimpulan:
AKI dan AKB yang tinggi membuat Maiya seorang bidan senior memperjuangkan pelayanan ANC dan INC yang lebih baik untuk ibu hamil dan bersalin di Nepal. Maiya menemukan bahwa banyak ibu hamil yang tidak mendapatkan pelayanan ANC yang layak serta banyaknya kasus ibu bersalin dengan komplikasi yang terlambat datang ke rumah sakit untuk mendapatkan pertolongan. Uang yang diperolehnya dari penghargaan ini didedikasikan untuk membiayai beberapa kegiatan melalui Midwifery Society of Nepal (MIDSON) seperti pelatihan bidan dan perawat yang bekerja di pelayanan kesehatan, penyelamatan bayi dari ibu penderita HIV-positif melalui pemberian ASI pengganti, kegiatan konseling untukibu-ibu yang kehilangan bayi, dan penyediaan pelayanan baby daycare untuk pegawai rumah sakit.
3. Jepang
One hour after birth with Midwife Ryutaki and the Thai Curry I made frantically for everyone just one minute before the mom arrived. Baby came 10 minutes after arrival.
I was lucky enough to be part of this woman's life for a few moments, and to catch her quickly-emerging baby. She did not tear, she did not push, thanks to her hu-hu-hu breathing as she panted her baby out. The midwives encircled her, 4 or 6 of them, puffing, chanting, hu-hu-hu, gently reminding her to breathe her baby down and out. It was pure magic. To witness her efforts and the baby's spontaneous emergence. To feel the seemingly enormous roundness of the baby's head against my
palms, to protect the mom as the shoulders emerged, to "catch" the soft, wet bundle from her body and hand it to her- pure magic.
Japanese Birth Houses are different from American Birth Centers, in that Moms and Babies stay for 4-5 days after birth. This allows the moms (often having subsequent babies) a chance to rest, have the cooking done for them, have breastfeeding support, and supportive people to hold the baby when she needs sleep or a bath. It is a very cozy feeling. This mama was surprised as she was the only Mama in the house for her stay. Last time she birthed at Saito Birth House, there were many other mamas to keep her company. She enjoyed the comraderie. She said having me, kayti, around this time was special for her, and helped her feel she was not lonely at all. I felt really blessed to have this woman be my first mama to look after in Japan.
Posted by Kayti B at 5:32 PM Kesimpulan :
Bidan di jepang lebih menekankan pelayanan komunitas dan keluarga. Ketika seorang ibu melahirkan, bidan akan berada di tengah-tengah keluarga tersebut selama + 4-5 hari dan berinteraksi dengan anggota keluarga lainnya. Hal ini akan menyebabkan ibu merasa aman dan nyaman melalui masa nifasnya sampai ibu dan keluarga dapat mandiri dan beradaptasi dengan baik dengan anggota keluarga yang baru.
with mama and midwife Yoshimoto at Saito Birth House- my first catch here
