HEALTH POLYTECHNIC OF MINISTRY OF HEALTH JAMBI

MIDWIFERY DEPARTMENT

Final Paper, August 2016

Ghea Listia BR Simatupang

The Management of Comprehensive Midwifery Care to Mrs. R at BPM Ernita, Subdistrict of Kota
Baruof Jambi City, 2016

Viii + 118 pages, 7 charts, 1 table, 3 appendices

ABSTRACT

The target of Maternity Mortality Rate in 2015 was 102 mortality per 100,000 of live births.On the
other hand, based on Indonesian Health Demography Survey of 2012 reported that Maternity
Mortality Rate in Indonesia related with pregnancy, delivery and confinement was 359 per 100,000
of live births, Maternity Mortality Rate shows a decrease compared to from 2002 to 2003 was 307
per live births. The direct causes of maternity mortality are: hemorrhage 28%, pre-eclampsia and
eclampsia 24 %, infection 11%, puerperium complication 8%, obstetrical trauma 5%, obstetrical
emboli 3%.

This report is a case study report conducted with continuity of care starting from the third trimester,
delivery, neonatal infant, confinement and family planning to Mrs. SR which aims to get description
regarding the implementation of comprehensive midwifery care. The subject of the care was taken
with purposive sampling method. The data collecting in conducting the care is carried out through
anamnesis, examination, obstetrical exam, and laboratory test. The venue of providing the
midwifery care is at BPM Ernita, Am.Keb starting from January to June ,2016.

The research shows that the antenatal care, intranatal care, neontala care, postnatal care and family
planning are in line with the theory, but there are some examinations that were not carried out such
as laboratory test, anogenital exam, pelvic exam and the frequency of antenatal visits whcih a little
bit are not in line with antenatal visit time distribution, the mother’s bladder exam right after
delivery, perineum stitching which is not in line with the standard and applying the gauze to
stitcching cut with bethadine gauze, suctioning the mucus right the infant is born, the examination
of the infant’s length which should be carried out with a stadiometer but carried out with a
measuring tape.

In conclusion, there are some gaps of the care between theory and practice in implementation, but
as a whole, the care provided to Mrs. R starting from the period of pregnancy of the third trimester,
delivery, neonatal infant and family planning can be carried out and are in physiologic conditions
without having significant difficulties. All the care provided to the mother can be understood and
comprehended, surprisingly, the mother can explain again the materials presented regarding
planning and implementation.