MANAJEMEN ASUHAN KEBIDANAN ANTENATAL CARE FISIOLOGIS MANAJEMEN ASUHAN KEBIDANAN ANTENATAL CARE FISIOLOGIS
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PADA NY “N” DA NY “N” GGIIPP00AA00DENGAN UMUR KEHAMILAN 28 MINGGUDENGAN UMUR KEHAMILAN 28 MINGGU DI BPM BIDAN YUNI ASNA
DI BPM BIDAN YUNI ASNA TANGGAL 06 SEPTEMBER 2016 TANGGAL 06 SEPTEMBER 2016
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B+ PEMERIKSAAN 1+ K#-a*a.an ' C("-(#n)&-2+ B#.a) a*an ' =0/ $ <+ T&n& a*an ' + LILA ' =+ Tan*a?)an*a &)a! T#$anan *a.a ' 120 30 ((H Na*& ' 100@3(#n&) S,, ' <6/=C P#.na"a-an ' 2@3(#n&) 6+ K#"a!a
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T&*a$ *&!a$,$an "#(#.&$-aan
II . DIAGNOSA/MASALAH AKTUAL
D&an-a ' GIP0A0/ ,(,. $#a(&!an / %an&n ),na!/ ",n,n $&.& / ".#-#n)a-& $#"a!a/ $#"a!a #!,( (a-,$ PAP/ $#a*aan &, a&$/ $#a*aan %an&n a&$+
1+ GIP0A0 Da)a *a-a. '
DS ' I, (#na)a$an &n& $#a(&!an 4an "#.)a(a+ DO ' ? )n,- )) )a("a$ )#an
? )a("a$ a*an4a !&n#a n&.a Ana!&-&- *an &n)#.".#-)a-&
2+ U(,. $#a(&!an 2 (&n, Da)a *a-a. '
DS ' I, (#na)a$an a.& "#.)a(a a&* )#.a$&. 21 ;>#.,a.& ?2016+ DO ' Tana! $,n%,nan 06 ? S#")#(#. ?2016
Ana!&-&- *an &n)#.".#-)a-&
Da)a *a-a. '
DS ' I, )&*a$ "#.na (#.a-a$an n4#.& #a) -#!a(a a(&! DO ' ? P#(#-a.an "#.,) -#-,a& *#nan ,(,. $#a(&!an+
? T&*a$ a*a n4#.& )#$an "a*a *a#.a a*(#n a&an aa -aa) "a!"a-&+
Ana!&-&- *an &n)#.".#-)a-&
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+ Jan&n ),na! Da)a *a-a. '
DS ' I, (#na)a$an )&*a$ a*a .&a4a) $#(a. DO '
Pa!"a-& a*(#n
•L#"&* I 132 "@ "a*a ",-a) / )#.aa $n
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=+ Jan&n &*," Da)a *a-a. '
DO '
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6+ P,n,n $anan Da)a *a-a. '
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DO '
•L#"!* II "a*a a&an $anan &, 9"#.,)n4a: )#.aa $#.a- / -#"#.)& a*a )aanan+
Ana!&-&- *an &n)#.".#-)a-&
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+ P.#-#n)a-& $#"a!a Da)a *a-a. '
DS ' ? DO '
•L#"!* I 42 %a.& "@ *an ",-a) / "a*a >,n*,- )#.aa ,!a) / !,na$ / )&*a$ (#!#n)&n 9$n:+
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Saa) !#"!* I "a*a >,n*,- )#.aa !,na$ / ,n*a. *an )&*a$ (#!#n)&n (#n,n%,$$an aa &), $n *an a"a&!a !#"!* III )#.aa $#.a-/ ,n*a. *an (#!#n)&n -aa) L#"!* III (#n,n%,$$an aa &), $#"a!a *an (#n%a*& &n*&$a). *&an-a ".#-#n)a-&9 a-)#).& *an &n#$!& / 2011:+
8+ Ba&an )#.#n*a %an&n #!,( (a-,$ PAP Da)a *a-a. '
DS ' ? DO '
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Ana!&-&- *an &n)#.".#-)a-&
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5+ K#a*aan &, a&$ Da)a *a-a. '
DS ' I, (#na)a$an )&*a$ "#.na (#n*#.&)a "#n4a$&) (#n,!a. *an "#n4a$&) $#),.,nan -#!a(a a(&!+
DO '
Tan*a? )an*a &)a!
• T#$anan *a.a ' 12030((H • Na*& '100@ "#.(#n&) • S,, '<6/=C
• P#.na"a-an ' 20@ "#.(#n&) Ana!&-&- *an &n)#.".#-)a-&
Tan*a?)an*a &)a! a.,- *a!a( a)a- n.(a! (#.,"a$an &n*&$a). aa $#a*aan &, a&$9A-,an "#.-a!&nan n.(a! / 200:+
10+ K#a*aan %an&n a&$ Da)a *a-a. '
DS ' I, (#na)a$an %an&nn4a a$)&> #.#.a$ + DO '
•DJJ "-&)&> 9: •F.#$,#n-& 12 @ "#.(#n&) •I.a(a T#.a),.
Ana!&-&- *an &n)#.".#-)a-&
A*an4a "#.#.a$an %an&n 4an $,a) (#nan*a$an %an&n *a!a( $#a*aan a&$9I!(, $#&*anan /2012:+
III. DIAGNOSA/MASALAH POTENSIAL
T&*a$ a*a *a)a 4an (#n*,$,n,n),$ *&!a$,$an )&n*a$an -##.a a)a, $!a.a-&+
IV. TINDAKAN SEGERA
T&*a$ a*a *a)a 4an (#n*,$,n ,n),$ *&!a$,$an )&n*a$an -##.a+
V. RENCANA TINDAKAN
A+ T,%,an
1+ K#a(&!an #.!an-,n n.(a! 2+ K#a*aan ,(,( &, a&$
<+ K#a*aan %an&n a&$
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1+ T&n& >,n*,- ,)#.& -#-,a& *#nan ,(,. $#a(&!an 2+ Tan*a ; )an*a &)a! *a!a( a)a- n.(a!
TD 12030((H N 100@ "#.(#n&)
+ I, (#n#.)& *an (#n#)a,& )#n)an $n*&-& $#-#a)ann4a -#$a.an *an %an&nn4a+
C+ R#nana a-,an
1+ Ja!an& $(,n&$a-& 4an a&$ *#nan &, 2+ O-#.a-, )an*a ; )an*a &)a! *an DJJ
<+ M#n%#!a-$an "a*a &, aa (a-a!a -#.&n BAK a*a!a a! 4an
>&-&!&-A!a-an ' -#.&n BAK *&-#a$an $a.#na a*an4a "#(#.-a.an ,)#.,--#&na (#n#$an $an*,n
+ An%,.$an "a*a &, ,n),$ (#("#.an4a$ (&n,( *&-&an a.& *an (#n,.an& (&n,( *&(a!a( a.&
A!a-an ' *#nan (#("#.an4a$ (&n,( *&-&an a.& *an (#n,.an& (&n,( *&(a!a( a.& *a"a) (#("#.$#&! >.#$,#n-& BAK -#&na (a-!aa -,-a )&*,. -#*&$&) )#.a)a-&
=+ J#!a-$an $#(a!& $#"a*a &, )#n)an 10 )an*a aa4a $#a(&!an 6+ D&-$,-&$an "a*a &, ,n),$ (#n$n-,(-& (a$anan #.&& + D&-$,-&$an "a*a &, ,n),$ -#.&n %a!an ; %a!an "a&
8+ M#n*&-$,-&$an $#"a*a &, )#n)an )an*a ; )an*a "#.-a!&nan 5+ An%,.$an "a*a &, ,n),$ #.?KB -#)#!a (a-a
n&>a-10+ D&-$,-&$an "a*a &, ,n),$ (#n,.an& a$)&&)a-n4a *&!,a. .,(a -#&na (#(&!&$& a$), 4an ,$," ,n),$ &-).aa)+
11+ An%,.$an "a*a &, ,n),$ (#!a$,$an $,n,%,nan ,!an 2 (&n, #.&$,)n4a
12+ La$,$an "#n*$,(#n)a-&an
VII. IMPLEMENTASI
Tana! 06 -#")#(#. 2016 ",$,! 7ITA
1+ P,$,! 7ITA (#n%a!an& $(,n&$a-& 4an a&$ *#nan &,+ Ha-&! ' &, )#.!&a) a$.a *#nan (aa-&-& a)a, &*an+ 2+ M#n-#.a-& )an*a ; )an*a &)a! *an DJJ
• TD 12030 ((HG • N 100@ "#.(#n&) • DJJ 10@ "#.(#n&)
3. M#n%#!a-$an "a*a &, aa (a-a!a -#.&n BAK a*a!a a! 4an >&-&!&-+
Ha-&! ' &, (#n#.)& *#nan "#n%#!a-an 4an *&#.&$an
+ M#nan%,.$an &, ,n),$ an4a$ (&n,( *&-&an a.& *an (#n,.an& (&n,( *&(a!a( a.&+
Ha-&! ' &, #.-#*&a (#n&$,)& -a.an 4an *&#.&$an+ =+ M#n%#!a-$an $#(a!& "a*a &, )an*a aa4a $#a(&!an
• P#n*a.aan "#.,a&na( • U."#.#(#-&- .a,&*a.,(
• Sa$&) $#"a!a 4an #a) *an (#n#)a" • Sa$&) "#.,) 4an #a)
• P#n!&a)an $a,.
• P#n#!,a.an a&.an *a.& %a!an !a&. • G#.a$an %an&n )&*a$ )#.a-a
• O*#(a "a*a a%a *an %a.& ; %a.& • H&"#.)#n-&
• D#(a( )&n& *an (#n&&!
Ha-&! ' &, #.-#*&a ,n),$ *a)an $# &*an a)a, "#),a- $#-#a)an )#.*#$a) %&$a (#n*a"a)$an -a!a -a), )an*a
*&a)a-6+ M#n%#!a-$an "a*a &, ,n),$ (#n$n-,(-& (a$anan 4an #.&& *an -#&(an -#"#.)& -a4,.an &%a, / &$an / *a&n / )#!,. / -,-, / *!!
Ha-&! ' &, #.-#*&a (#n&$,)& -a.an 4an *&#.&$an + M#n*&-$,-&$an "a*a &, ,n),$ -#.&n %a!an ; %a!an "a&
Ha-&! ' &, #.-#*&a (#n&$,)& -a.an 4an *&#.&$an
8+ M#n*&-$,-&$an "a*a &, ,n),$ (#n#na!& )an*a ; )an*a "#.-a!&nan 5+ M#nan%,.$an &, ,n),$ #. KB / -#)#!a (a-a
n&"a-Ha-&! ' &, (#n#.)& *an #.-#*&a (#n,na$an $n).a-#"-& S#)#!a (#!a&.$an ana$ "#.)a(an4a ,n),$ %a.a$ ana$ S#!an%,)n4a nan)&+
10+ M#n*&-$,-&$an "a*a &n, ,n),$ (#n,.an& a$)&&)a-n4a *&!,a. .,(a -#&na (#(&!&$& a$), 4an ,$," ,n),$ &-).aa)+ D&$a.#na$an &, a$an (#(,),$an an4a$ #n#.& 4an ,$," an4a$ -aa) "#.-a!&nan nan)& Ha-&! ' &, #.-#*&a (#n&$,)& -a.an 4an *&#.&$an !# &*an 11+ M#nan%,.$an &, ,n),$ (#!a$,$an $,n%,nan ,!an 2 (&n,
#.&$,)n4a+
Ha-&! ' &, #.-#*&a ,n),$ (#!a$,$an $,n%,nan ,!an 12+ M#!a$,$an "#n*$,(#n)a-&an
Ha-&! ' )#!a *&a)a) *&,$, .#&-)#. &, a(&!
VIII EVALUASI
Tana! 06 ; -#")#(#. ; 2016 / ",$,! 7ITA
1+ K#a*aan ,(,( &, *an %an&n a&$ *&)an*a& *#nan )an*a ; )an*a &)a! &, *an DJJ *a!a( a)a- n.(a!+
• TD 12030 ((HG • N 100@ "#.(#n&) • DJJ 10@ "#.(#n&)
PENDOKUMENTASIAN HASIL ASUHAN KEBIDANAN (SOAP)
IDENTITAS ISTRI / SUAMI
Na(a ' N4 “N” 3 Tn+ “G”
U(,. ' 15Ta,n 3
Aa(a ' I-!a( 3 I-!a(
S,$,3Ban-a 'Jaa3In*n#-&a 3Jaa3In*n#-&a
P#n*&*&$an ' SMA 3 SMA
P#$#.%aan ' &, .,(a )ana 3 7&.a-a-)a
A!a(a) ' L.+ (#.a$ 3L.+ (#.a$
La(a (#n&$a ' 1 )a,n
1+ I, (#na)a$an &n& $#a(&!an 4an "#.)a(an4a 2+ I, (#na)a$an a.& "#.)a(a a&* )#.a$&. <+ I, (#na)a$an (#.a-a$an "#.#.a$an %an&n + I, (#na)a$an *&-,n)&$ TT *& BPM
5. I, (#na)a$an -#.&n "#a! *an $.a( *&$a$&
6. &, (#na)a$an -#.&n BAK
OBJEKTIF (O)
1+ K#a*aan ,(,( ' Ba&$
2+ K#-a*a.an &, ' C("-(#n)&-<+ B#.a) a*an ' 60 $
+ Tan*a?)an*a &)a! *a!a( a)a- n.(a!
• T#$anan *a.a ' 12030 ((H • Na*& '20@ "#.(#n&)
=+ T&*a$ a*a $#!a&nan "a*a "#.(#.&$-aan >&-&$ 6+ M,$a *an $a$& )&*a$ a*a #*#(a
+ S!#.a )&*a$ &$)#.,- *an $n%,n)&a )&*a$ ",a) 8+ TFU ( 5+ P#(#.&$-aan !#"!* • L#"!* I ' • L#"!* II ' • L#"!* III ' • L#"!* I ' ASSESMENT (A)
GIP0A0/ ,(,. $#a(&!an 28 (&n,/ &n).a,)#.&n#/ %an&n ),na!/ %an&n &*,"/
",n,n $&.&/ ".#-#n)a-& $#"a!a/ $#"a!a #!,( (a-,$ PAP/ $#a*aan &, a&$/ $#a*aan %an&n a&$+
Tana! 06 S#")#(#. 2016
1+ M#n%a!an& $(,n&$a-& 4an a&$ *#nan &,+ 2+ M#n-#.a-& TT *an DJJ
<+ M#n%#!a-$an "a*a &, aa (a-a!a -#.&n BAK a*a!a a! 4an >&-&!&-+ M#nan%,.$an &, (#("#.an4a$ (&n,( *&-&an a.& *an (#n,.an&
(&n,( *&(a!a( a.&
=+ M#n%#!a-$an $#(a!& )#n)an 10 )an*a $#a(&!an
6+ M#n*&-$,-&$an "a*a &, ,n),$ (#n$n-,(-& (a$anan && *an -#&(an + M#n*&-$,-&$an ,n),$ &, -#.&n %a!an ; %a!an "a&
8+ M#n*&-$,-&$an $#(a!& )#n)an "#.-&a"an "#.-a!&nan 5+ M#nan%,.$an &, ,n),$ #.?KB -#)#!a
n&>a-10+ M#n*&-$,-&$an "a*a &, ,n),$ (#n,.an& a$)&&)a- #.a) *&!,a. .,(a 11+ M#nan%,.$an &, ,n),$ (#!a$,$an $,n%,nan ,!an 2 (&n, #.&$,)n4a 12.M#!a$,$an "#n*$,(#n)a-&an