Postnatal Care (Pnc)
Transcript of Postnatal Care (Pnc)
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POSTNATAL CARE (PNC)
RESTI AMELIA
CIII 11 200
PEMBIMBING
dr. Ayu Angelina
SUPERVISOR
dr. Elia!e" C. #u$u%& S'OG ()*& M.+e$
,IBA-A)AN ,ALAM RANG)A TUGAS )EPANITERAAN )LINI)
BAGIAN OBSTETRI ,AN GINE)OLOGI
A)ULTAS )E,O)TERAN UNIVERSITAS /ASANU,,IN
MA)ASSAR
REER
MARET 20
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Apa itupostnatal?
Masa nifas/puerperium masa setelah keluarnya
plasenta sampai alatalatreproduksi pulih sepertisebelum hamil dan secaranormal berlangsung selama
6 minggu atau 4 hari
PENDAHULUAN
suhan Nifas Normal$ &alam' lmu ebidanan$ *disi ke+4$ ,akarta' Penerbit -ina Pustaka #ar!ono Pra!irohard"o. 01 2' 36+55
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Masalah yangtimbul?
Periode postnatal masatransisi kritis bagi ibu. bayi.
dan keluarga secara siologi.emosional dan sosialPenyebab utama kematianibu postnatal'
$ Perdarahan postpartum$ nfeksi nifas
Masalah psikologis PostPartum Blues
PENDAHULUAN
suhan Nifas Normal$ &alam' lmu ebidanan$ *disi ke+4$ ,akarta' Penerbit -ina Pustaka #ar!ono Pra!irohard"o. 01 2' 36+55
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Apa ituPostnatal care?Penatalaksanaan asuhan yang
diberikan pada pasien mulai dari
saat setelah lahirnya bayisampai dengan kembalinyatubuh dalam keadaaan sebelumhamil atau mendekati keadaan
sebelum hamil
PENDAHULUAN
suhan Nifas Normal$ &alam' lmu ebidanan$ *disi ke+4$ ,akarta' Penerbit -ina Pustaka #ar!ono Pra!irohard"o. 01 2' 36+55
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Mengapa PNCdibutuhan?Menurunkan angkamorbiditas dan mortalitas
ibu dan bayi
PENDAHULUAN
suhan Nifas Normal$ &alam' lmu ebidanan$ *disi ke+4$ ,akarta' Penerbit -ina Pustaka #ar!ono Pra!irohard"o. 01 2' 36+55
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!u"uanPostnatal care?
Mendukung ibu dan keluarganyadalam masa transisi ke
konstelasi keluarga baru. danmenanggapi kebutuhan mereka
PENDAHULUAN
Taylor K. Committed to ending preventable child and maternal deaths. [online]. 2014 [cited 2015 Feb 01 st. vailable !rom
http"##$$$.%said.gov#ne$s&in!ormation#!rontlines#maternal&child health#committed&ending&preventable&child&and&maternal
http://www.usaid.gov/news-information/frontlines/maternal-child%20health/committed-ending-preventable-child-and-maternalhttp://www.usaid.gov/news-information/frontlines/maternal-child%20health/committed-ending-preventable-child-and-maternal -
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!AHAPAN MA#A N$%A#
&'Immediate postpartum
()"am pertama
('Early postpartum () "am * &
minggu
+'Late postpartum & minggu *
periode postpartum
komplikasi yang akut mungkin ter"adiseperti perdarahan karena atonia uteri
bu men"alani pemulihan sik 7hormonal
Pastikan in8olusi uterus dlmkeadaan normal
9idak ada perdarahan. lokia tdkberbau busuk. tdk demam
bu menyusui dgn baik. dsb
:aktu yg dibutuhkan untuk in8olusialat+alat genital. kembalinya haid. 7kembalinya seluruh fungsi siologis$
Taylor K. Committed to ending preventable child and maternal deaths. [online]. 2014 [cited 2015 Feb 01 st. vailable !rom
http"##$$$.%said.gov#ne$s&in!ormation#!rontlines#maternal&child health#committed&ending&preventable&child&and&maternal
http://www.usaid.gov/news-information/frontlines/maternal-child%20health/committed-ending-preventable-child-and-maternalhttp://www.usaid.gov/news-information/frontlines/maternal-child%20health/committed-ending-preventable-child-and-maternal -
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
C%nningham F'( )eveno K*( +loom ,. -illiam bstetrics( edisi /e&2. e$ or/" 3c'ra$&ill( 201" 64&78
3ochtar 9. ,inopsis bstetri( edisi /e&. *a/arta" :'C( 2011" 76&81
U!E,U#
$n1olusi !%U-eratUteru
s
Diameter
-easMeleatPlasent
a
2eadaan
Cer1i3
#etelahplasenta lahir
#epusat&444
gr&(56 cm Lembi
&minggu
Pertengahan
pusatsymphisi
s
644gr
756 cmDapatdilalui( "ari
(minggu
!ateraba
+64gr
6 cmDapatdimasui & "ari
#ebesar
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
3ochtar 9. ,inopsis bstetri( edisi /e&. *a/arta" :'C( 2011" 76&81
U!E,U# L.2$A
Loia
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,U-AHAN %$#$.L./$# MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,A;A!AN P.#!NA!AL A!AU MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,A;A!AN P.#!NA!AL A!AU MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,A;A!AN P.#!NA!AL A!AU MA#A N$%A#
Kementrian Kesehatan 9ep%bli/ ;ndonesia.
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PE,A;A!AN P.#!NA!AL A!AU MA#A N$%A#
Taylor K. Committed to ending preventable child and maternal deaths. [online]. 2014 [cited 2015 Feb 01 st. vailable !rom
http"##$$$.%said.gov#ne$s&in!ormation#!rontlines#maternal&child health#committed&ending&preventable&child&and&maternal
2.N!,A#EP#$
.# # #
http://www.usaid.gov/news-information/frontlines/maternal-child%20health/committed-ending-preventable-child-and-maternalhttp://www.usaid.gov/news-information/frontlines/maternal-child%20health/committed-ending-preventable-child-and-maternal -
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PE,A;A!AN P.#!NA!AL A!AU MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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PE,A;A!AN P.#!NA!AL A!AU MA#A N$%A#
am ;bstetrics. edisi ke+3$ Ne! ?ork' Mc
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%,E2UEN#$ 2UNBUN/AN P.#!NA!AL
$' 2un"ungan pertama (6+5 "am setelahpersalinan)$
> Mencegah pendarahan masa nifas krn atonia uteri.
> Mendeteksi 7 mera!at penyebab lain pendarahan.
> Pemberian %# a!al. melakukan hubungan antaraibu 7 bayi baru lahir
> Men"aga bayi tetap sehat. mencegah hipotermia.
> 9erus memantau ibu 7 bayi baru lahir utk "ampertama setelah kelahiran. atau sampai ibu 7 bayidlm keadaan stabil
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%,E2UEN#$ 2UNBUN/AN P.#!NA!AL
$$' 2un"ungan edua (6 hari setelahpersalinan)
> memastikan in8olusi uterus ber"alan normal.
> tdk ada perdarahan abnormal. tdk ada bau.
menilai adanya tanda+tanda demam. infeksi> memastikan ibu menyusui dgn baik
> memberikan konseling pada ibu mengenaiasuhan pada bayi. tali pusat. men"aga bayitetap hangat 7 mera!at bayi sehari+hari$
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%,E2UEN#$ 2UNBUN/AN P.#!NA!AL
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%,E2UEN#$ 2UNBUN/AN P.#!NA!AL
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
RekomendasiKetetapan
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,E2.MENDA#$ ;H.
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
9e/omendasiKetetapan
,E2.MENDA#$ ;H.
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
9e/omendasiKetetapan
,E2.MENDA#$ ;H.
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
9e/omendasiKetetapan
Next
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
Next
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
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,E2.MENDA#$ ;H.
-orld ealth rganiAation. 9ecommendations on postnatal care o! the mother and ne$born. 'eneva " - 201
!HAN2
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!HAN2:.U,E#!$ AMEL$A