Вы находитесь на странице: 1из 12

ENGLISH LANGUAGE

“Physical Change In Pregnancy, Variety Of Expresi Feeling And Complain Patient To


Midwifery”

Dosen Pembimbing

Aulia Suryasari S.Pd

Di susun oleh:

1. Ayu Ulandari (1540118004)


2. Cintya Wahyuriani (1540118005)
3. Ismil Fijriah (1540118006)

AKADEMI KESEHATAN RUSTIDA

KRIKILAN GLENMORE BANYUWANGI

2019-2020
PREFACE
Praise to be God Almighty for the blessings of grace, and that we were given the
opportunity to be able to compile a working paper entitled “Physical Change In Pregnancy,
Variety Of Expresi Feeling And Complain Patient To Midwifery” is properly and correctly and
on time.

The paper is structured so that readers can know how Physical Change In Pregnancy,
Variety Of Expresi Feeling And Complain Patient To Midwifery. This paper was compiled with
help from various parties. Both parties come from outside as wel as from parties concerned itself.
And because the aid and help of God Almighty, these papers can finally resolved.

The compilers also thanked to Mrs. Aulia Suryasari S.Pd as the teachers/tutors in English
subject. Who have many professors help compilers in order to complete this paper.

Hopefully this paper can give a broader insight to the reader. Although this paper has
advantages and disadvantages. For suggest and please his constituents. Thank you.

Author

07 May 2020
TABLE OF CONTENTS
PREFACE..................................................................................................................................................2
TABLE OF CONTENTS..........................................................................................................................3
CHAPTER I...............................................................................................................................................4
INTRODUCTION.....................................................................................................................................4
A. Background of the paper..................................................................................................................4
B. Problem formulation........................................................................................................................5
C. Purpose of the paper........................................................................................................................5
CHAPTER II.............................................................................................................................................5
THEORY AND DISCUSION...................................................................................................................5
A. Physical Change In Pregnancy.........................................................................................................5
B. Variety Of Expresi Feeling And Complain Patient To Midwifery...................................................8
CHAPTER III............................................................................................................................................8
CONCLUSION..........................................................................................................................................8
A. Conclusion.......................................................................................................................................8
B. Suggest............................................................................................................................................8
BIBLIOGRAPHY......................................................................................................................................9
CHAPTER I
INTRODUCTION
A. Background of the paper
Pregnancy is a normal process, a natural that begins with fetal growth and
development intrauterine and starts since the conception until the childbirth. (Dewi &
Sunarsih 2011).
Pregnancy is the term used to describe the period in which a fetus develops inside
a woman’s womb or uterus. Pregnancy usually lasts about 40 weeks, or just over 9
months, as measured from the last menstrual period to delivery. Health care providers
refer to three segments of pregnancy, called trimesters. The major events in each
trimester are described below.
When measured from fertilization it is about 38 weeks. An embryo is the
developing offspring during the firs eight weeks following fertilization, after which, the
term fetus is used until birth. Symptoms of early pregnancy may include missed periods,
tender breasts, nausea and vomiting, hunger, and frequent urination. Pregnancy may
confirmed with a pregnancy test.
B. Problem formulation
1. What is the Physical Change In Pregnancy?
2. What kind Variety Of Expresi Feeling And Complain Patient To Midwifery?
C. Purpose of the paper
1. Knowing the Physical Change In Pregnancy
2. Knowing the Variety Of Expresi Feeling And Complain Patient To Midwifery
CHAPTER II

THEORY AND DISCUSION


A. Physical Change In Pregnancy
A woman’s body undergoes many transformations during the nine months of
pregnancy. Some of these physical changes are visible, such as an expanding belly and
weight gain, while others are well known, such as an enlarged uterus, morning sickness
and backaches.
1. First trimester
The first trimester of pregnancy is calculated from the first day of your last
menstrual cycle to the 13th week of pregnancy. In this trimester, physical change are
not very visible, but there are some symptoms that you may experience. During the
first few weeks of pregnancy, hormone levels will change significantly. As a result of
these pregnancy hormones, you will experience several symtoms of pregnancy, such
as :
a. The breast feels painful and looks swollen
b. The body feels tired easily
c. Morning sickness, but this nausea may appear in the afternoon, evening, or
night.
d. Emotions tend to change, for example from happy to anxious, or suddenly
sad.
e. Headaches
f. Constipation
g. Feeling more often want to pee, cravings, and changing sexual desire.
h. Appearance of stretch marks on the thighs, buttock, abdomen, and chest area
i. Dark lines called linea nigra can also appear, stretching from the navel to the
pubic hair.
j. Experience a weight gain 0f 1,5 – 3 kilograms.
2. Two trimester
a. Stomach enlarges
A definite change is the size of an increasingly enlarged abdomen. This is
because the stomach must make more space for the fetus to grow and develop
in it. As the stomach grows, the mother’s weight increases
b. Breast changes
The include the size of the enlarged breasts and discoloration of the nipple.
Enlarged breasts occur because of the accumulation of fat in the breast more
and more mammary glands that grow to produce milk. Breast skin will also
darken accompanied by small lumps around the nipple.
c. Skin change
Some pregnant women will experience skin changes in the second trimester.
Among these include the appearance of stretch marks on the abdomen,
breasts, buttocks, and thighs. Stretch marks appear due to stretched skin
during pregnancy.
d. Varicose veins
In addition to swollen feet and physical fatigue, when the pregnancy enters
the age 20 weeks, usually the mother will also experience varicose veins or
dilation of blood vessels.
e. Hair growth
Hormonal changes during pregnancy can also increase your hair growth.
Your head hair can become thicker
f. Gums become more sensitive
Gum health will also weaken during pregnancy. Hormonal changes cause the
gums become more sensitive, swollen, and bleed especially after brushing
your teeth.
3. Three trimester
a. Weight gain
One of the body changes in the early trimester 3 is a drastic weight gain. This
include reasonable because it is caused by a growing fetus.
b. Back and pelvic pain
As you get closer to the time of delivery, the body’s hormones will change.
These hormonal changes cause the joints between the pelvic bones to relax.
c. False contractions appear
Be prepared to experience contractions several times during the third
trimester of pregnancy. Contractions that occur more than once are usually
false, not contraction of real childbirth, although the symptoms and taste are
almost the same.
d. Frequent urination
Enlarged uterine size can also make the bladder (the body’s organ that hold
urine before being expelled depressed). That position of the fetus that has
moved toward the pelvis makes the bladder increasingly depressed.
e. Lordosis
Many pregnant women experience back pain and will show prominent signs
of lordosis, stomach and buttocks. But according to Harvard gaze research,
showing that lordosis during pregnancy is actually adjusting your spine to
realign your center of gravity on your body.

B. Variety Of Expresi Feeling And Complain Patient To Midwifery


1. Encouraging/motivating
Encouraging is used by midwifeery to encourage patient to have a positive thinking
about her/his disease.
For example:
a. I’m sure you will make it.
b. Have faith and everything will work out well
c. Be brave and you’ll be okay
d. You need to see the bright side of it.
e. Just does it, you’ve got nothing to loose.
Practice the dialogue:

A patient gets loss of her leg and doubt to go home.

P : I don’t know what to do…

M : You may not know what to do now, Sir. But once you’re out there…There’s so
much to do.

P : I feel so useless

M : I understand the feelings. Some people think this is the end of the world. But
many handicapped people do useful things, Things they never thought of before. P:
Like what?

M : One of our patients last year… You know, he writes now. He says he can’t be
happier.

P : Really? I should think of hobby now.

M : Why not. Everyone has potentials.

P : That’s true. Thanks.

M : You’re Welcome.

2. Complaining
Complaining is used to express the complain of patient
For example:
a. Is this what you call ‘first class hospital’?
b. How come he did that to us?
c. Oh…..not again……
d. How could you do this to me?
e. What kind of service is this?
Practice the dialogue:
Condition at the hospital
M : Look at this mess… Is this what you call ’first class hospital’?
S : Well. That’s what it is
M : Why on earth don’t they hire more cleaners around here?
S : Efficiency, I guess.
M : That doesn’t make sense
S : It does to them
M : It’s always about money, right? S: What can I say?
M : Right…who cares…
3. Consoling/soothing
Consoling purposes to consul patient to be calm down or relax
For example:
a. Take it easy…
b. Calm down…
c. Don’t worry…
d. Take a deep breath …
e. You’re in pain. Aren’t you?

Practice the dialogue:

Patient need comfortable and relaxing

M : Good morning… How are you?

P : Well… not very good, I’m afraid

M : I can see that…, but we’ll help you out. Now… shall we try to something to
make you relaxed?

P : Do you think it will work? 12

M : It usually does. Just relax… Take this seat and put your head down here…Dr,
Joni is a real expert here.

P : Is she?

M : Yes… she knows what to do. You will like her

P: I hope so.
CHAPTER III
CONCLUSION
A. Conclusion
Pregnancy is a normal process, a natural that begins with fetal growth and
development intrauterine and starts since the conception until the childbirth. (Dewi &
Sunarsih 2011).
Pregnancy is the term used to describe the period in which a fetus develops inside
a woman’s womb or uterus. Pregnancy usually lasts about 40 weeks, or just over 9
months, as measured from the last menstrual period to delivery. Health care providers
refer to three segments of pregnancy, called trimesters. The major events in each
trimester are described below.
B. Suggest
We are as the writer want to apology for the shortage of this paper. We know that
this paper is still far from perfect. So that we need the suggest from the reader for the
perfection of this paper. Thank you very much for the reader.
BIBLIOGRAPHY
https://www.halodoc.com/kesehatan/trimester-1

https://www.popmama.com/amp/pregnancy/first-trimester/donahandayani/7-perubahan-yang-
terjadi-pada-tubuh-saat-trimester-pertama

https://www.alodokter.com/tanda-tanda-kehamilan-normal-pada-trimester-pertama

https://www.halodoc.com/7-perubahan-pada-ibu-hamil-saat-trimester-kedua

https://www.popmama.com/amp/pregnancy/second-trimester/bagasdharma/perubahan-fisik-
kehamilan-trimester-kedua

https://hellosehat.com/kehamilan/kandungan/perubahan-tubuh-hamil-trimester-3/

https://nakita.grid.id/amp/027064/perubahan-fisik-ibu-hamil-di-trimester-3