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Salsa Bila Nakiah; Syeilendra Syeilendra

Misterius: Publikasi Ilmu Seni dan Desain Komunikasi Visual 2024 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

This study aims to examine the structure of the presentation of Barzanji at the Aqiqah event in Batu Hampa, Koto XI Tarusan District, South Coast, with a focus on the regilius elements and local culture integrated in this ritual. Using a qualitative approach with a descriptive method, data were collected through direct observation, in-depth interviews with artists, religious leaders, and local communities, as well as visual documentation of the Aqiqah event. The results of the study show that the structure of presenting Barzanji consists of five main stages: preparation, opening, reading of the Barzanji text, joint prayer, and closing. The preparation stage involves arranging the venue and inviting religious leaders and the surrounding community. The reading of the barzanji text is carried out alternately by the artists. The joint prayer, led by Ustaz, became the core of the event with the aim of asking for blessings for the newborn. The event ended with a meal together as a symbol of gratitude and togetherness. The reading of Barzanji in the context of Aqiqah not only functions as a religious ritual, but also strengthens social and cultural relations in the community, and as a religious ritual this event is also a means of educating Islamic values for the younger generation and strengthening social ties in the community. This research provides new insights into the importance of preserving the Barzanji tradition in West Sumatra which is rich in regilian and cultural values.

Alfina Fistalita; Mila Sari; Rahmat Prayogi; Bambang Riadi

Filosofi : Publikasi Ilmu Komunikasi, Desain, Seni Budaya 2024 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

The tradition of planting Tembuni (ari-ari) and preserving babies in Lampung culture is a form of local wisdom that still survives today, with a deep symbolic meaning as a hope for safety and happiness for newborn babies. This research aims to understand the meaning, spiritual values ​​and symbolism in the procession of planting tembuni and baby salvation. Qualitative research methods with an ethnographic approach were used through in-depth interviews with the community, traditional leaders and traditional birth attendants, as well as direct observation and literature review. The results of the research show that this tradition has a spiritual meaning that reflects a harmonious relationship with ancestors and nature, and is believed to have a positive influence on the baby's character as it is hoped that he will be a child who is respectful, not fussy, and has good luck in life. It can be concluded that this tradition not only contains spiritual and moral values, but also functions as social learning that strengthens the cultural identity and togetherness of the ultramodern Lampung community.

Mediana Tabelak; Grouse T, S. Oematan; Anna H. Talahatu

Jurnal Ilmu Kesehatan 2024 Lembaga Pengembangan Kinerja Dosen

Breast milk (breast milk) is the best nutrition for babies, the low coverage of exclusive breastfeeding is a threat to the growth and development of children, breastfeeding is the right of every mother, and exclusive breastfeeding to newborns is one of the efforts to prevent infectious diseases, malnutrition problems, and infant death. due to many influencing factors, namely the lack of maternal knowledge about breastfeeding, working mothers, lack of support from family, information support from health workers and the surrounding environment. In 2023, in the work area of the Penfui Health Center, there are 177 working mothers who have babies or around 45.45%. The purpose of this study is to analyze factors related to the low coverage of exclusive breastfeeding in working mothers in the Penfui Health Center Area. This study is an analytical survey research using the Cross-Sectional method and a sample of 64 respondents. The data of this study was analyzed using the Chi Square test. The results of the study found that there was a significant relationship between maternal knowledge (p=0.046), information exposure (p=0.020), family support (p=0.044), health worker support (p=0.031) and low coverage of exclusive breastfeeding. There was a relationship between maternal occupation (p0.027) and infant health status (p=0.041), age (p=0.326) there was no significant relationship with low coverage of exclusive breastfeeding in the Penfui Health Center area. The conclusion in this study is that knowledge, information exposure and family support are related to exclusive breastfeeding. and the support of health workers, mothers' work and health status are related to the low coverage of exclusive breastfeeding in the work area of the Penfui Health Center. Mothers should further increase their awareness and willingness to provide exclusive breastfeeding even though they are busy with work to increase the coverage of Exclusive Breastfeeding.

Hida Febrina; Hikmah Ifayanti; Hellen Febrianti

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Continuity of care (COC) or sustainable care is the care provided by a midwife to clients or patients from pregnancy, childbirth, the puerperium, newborn care, and family planning. This study aimed to provide continuity of midwifery care for a primigravida pregnant woman, Mrs. D, at a midwife practice. A case study method was used. The subject was Mrs. D, G1P0A0. Data collection was carried out from September to December 2023. The results showed that during pregnancy Mrs. D complained of sleep difficulties, during childbirth there was bloody show, in the puerperium period milk production was insufficient, the baby had diaper rash, and for family planning she wanted to use the pill. Interventions provided were health education on third trimester discomforts, normal childbirth management with 60 steps of APN, oxytocin massage, and olive oil for the baby. In conclusion, continuity of midwifery care was provided for Mrs. D with oxytocin massage and olive oil interventions. Milk production increased and the baby's diaper rash reduced.

Okta Saprina; Hikmah Ifayanti; Nila Qurniasih

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

This research is a comprehensive midwifery care case study on Mrs. K from pregnancy to postpartum family planning conducted at the PMB Okta Saprina, S.Tr.Keb and Mrs. K's home from October-December 2023. The assessment during pregnancy found complaints of frequent urination which were addressed by counseling on reducing drinking at night. During labor, Mrs. K experienced severe pain on a scale of 8, which was reduced to moderate pain on a scale of 5 after being given lavender aromatherapy. Labor care stages I-IV were normal according to theory and without complications. The baby was born spontaneously, full-term, without complications. During the postpartum period, Mrs. K experienced breast engorgement which was treated with aloe vera compresses for 7 days until the complaint was resolved. Care for the newborn and postpartum period was according to standards. At 42 days postpartum, Mrs. K chose to use 3-month injectable contraception after being screened with the KLOP wheel. The management provided to Mrs. K was in accordance with evidence-based practice in providing comprehensive midwifery care, namely counseling for frequent urination, lavender aromatherapy for labor pain, and aloe vera compresses for breast engorgement with satisfactory results.

Maya Aufia Sabila; Himatul khoeroh; Sri Nurhayati

Jurnal Siti Rufaidah 2024 PPNI UNIMMAN

Maternal Mortality Rate (MMR) is the number of maternal deaths during pregnancy or within 42 days after the end of pregnancy from any cause related to pregnancy during a certain time per 100,000 live births (World Bank, 2021). The maternal mortality rate (MMR) worldwide according to the World Health Organization (WHO) in 2020 is 295,000 deaths with the causes of maternal death being high blood pressure during pregnancy (pre-eclampsia and eclampsia), bleeding, postpartum infections, and unsafe abortion (WHO , 2021). According to ASEAN data, the highest MMR was in Myanmar at 282.00/100,000 KH in 2020 and the lowest MMR was in Singapore in 2020. There were no maternal deaths in Singapore (ASEAN Secretariat, 2021). According to the Indonesian Ministry of Health (2020), the number of MMR in Indonesia in 2020 was 4,627 cases and in 2021 it increased to 6,865 cases (Media Indonesia, 2021). The maternal mortality rate in Indonesia is still quite high. From data from the Kaliwadas Health Center, maternal deaths were caused by bleeding, pneumonia, pulmonary TB, hemorrhagic shock. And there are various factors that can cause the most maternal deaths in Indonesia, namely bleeding, hypertension in pregnancy, bleeding disorders, CPD, history of SC (Ministry of Health of the Republic of Indonesia, 2020).Objective: Able to provide comprehensive services according to service standards in pregnancy care, childbirth, postpartum, postpartum, family planning.Research methods : This research uses a qualitative descriptive method with a field observational case study approach. Results: Based on the comprehensive midwifery care provided to Mrs. N, 27 years old with a history of caesarean section (SC) and cephalopelvic disproportion (CPD), Mrs. S with the first visit to the fourth visit with a diagnosis of CPD so action had to be taken with (SC). In the care of newborns up to 28 days no problems were found and during the postpartum period no problems were found. Mrs. S chose implantable birth control contraception. Conclusion: Appropriate care provided by midwives during pregnancy, childbirth, newborns, postpartum and family planning is very important for the health of mothers and babies.    

Nurdiati Kusuma Wardhani; Isne Susanti; Eka Oktavia

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

IMD is the process of giving milk to a baby one hour after birth. In Indonesia, the proportion of the IMD population has still not reached the set target. The IMD coverage target in Indonesia in 2019 is 50%. Based on data from the Bantul District Health Service in 2022, the percentage of newborns who received IMD was 83%. The IMD target for Bantul Regency was 85.5%, so this number has not been able to meet the target. The aim of this research is to understand the relationship between Early Initiation of Breastfeeding (IMD) and the smooth production of breast milk in postpartum mothers at PMB Tatik Suprihatin. The method used is a quantitative analytical study with a cross sectional design. This research used 40 respondents selected using the total sampling method. Data was collected through questionnaires and analyzed univariately and bivariately, with the chi-square statistical test.

Fitriani Fitriani; Ester Simanullang; Nur Azizah

Jurnal Ilmu Kesehatan 2024 Lembaga Pengembangan Kinerja Dosen

Indonesia's maternal mortality rate (MMR), at 189 per 100,000 live births, is higher than countries in Southeast Asia such as Malaysia, Brunei, Thailand and Vietnam. Indonesia's newborn mortality rate is the third highest in Southeast Asia at 9.3 per 1,000 live births. In 2022 to 2023, there was an increase in the number of maternal deaths from 4,005 to 4,129, and the number of newborn deaths from 20,882 to 29,945 (Ministry of Health, 2023). Anaemia in pregnant women can increase the risk of premature birth, maternal and child mortality, and infectious diseases. Iron deficiency anaemia in mothers can affect fetal/baby growth and development during pregnancy and afterwards. This study is a type of quantitative research using a case control design. The research that has been done shows that most respondents experienced mild anaemia 20 people (66.7%), moderate anaemia 7 people (23.3%) and who did not experience anaemia only 3 people (10%). Most of the respondents, 83.3%, did not make routine ANC visits and 83.3% also had a poor diet. There is a significant relationship between ANC visits (p=0.000), diet (p=0.002) with the incidence of anaemia in pregnant women at the Puskesmas in 2019.    

Endang Sulistyowati

Inovasi Kesehatan Global 2024 Lembaga Pengembangan Kinerja Dosen

Mother and Child Health (MCH) requires efforts through a holistic approach known as Continuity of Care (COC). Continuity is essential throughout a woman's life cycle, including during pregnancy, childbirth, and the postpartum period. To achieve COC, it can be implemented through monitoring and services such as ANC, INC, PNC, and Newborn Care, as well as connecting health care facilities to ensure prompt and accurate handling of emergencies. The aimofthis research is to provide comprehensive midwifery care for pregnant women in the third trimester, during labor, postpartum, care for the newborn, neonates, and family planning. The study was conducted from April to May 2024 at the Special Regional Hospital for Mother and Child, Pertiwi, Makassar. The caremethod in this research involves interviews, observations, and management of the subject 'scare. The subject in this care is Mrs. “N," a woman in her second pregnancy, who has givenbirth once, is currently at 37 weeks and 6 days gestation. The results of comprehensive midwifery care for Mrs. "N" during the third trimester of pregnancy showed well-preparedness for childbirth. Normal delivery occurred, followed by normal care for the newborn and neonatal care. The conclusion of this research is that comprehensive care allows for data collection, determination of actual and potential diagnoses, and timely referral or collaboration with other health care providers in case of issues.

Putri Diah Pemiliana; Novitri Adelina Sipayung

Inovasi Kesehatan Global 2024 Lembaga Pengembangan Kinerja Dosen

Midwife home visits are a form of healthcare service aimed at enhancing mothers' knowledge of newborn care. This study aims to analyze the impact of midwife home visits on improving mothers' knowledge of newborn care. The research employed a quantitative method with a quasi-experimental design. The sample consisted of 60 new mothers, divided into intervention and control groups. The study's findings indicated a significant increase in the knowledge of mothers in the intervention group compared to the control group after the midwife home visits. The home visits were proven effective in improving mothers' understanding of newborn care, including exclusive breastfeeding, umbilical cord care, and recognizing danger signs in newborns.    

Tiara Septi Putri Sari; Neti Mustikawati

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Mother's milk (ASI) is a source of food for babies which is useful for the growth and development of babies. Providing breast milk for 6 months to newborns is the gold standard for baby feeding recommended by WHO. Even though breastfeeding is very important for babies, mothers also often experience failure in providing exclusive breastfeeding. This research aims to describe the characteristics and knowledge of mothers regarding exclusive breastfeeding for babies aged 0-6 months at the Doro I Community Health Center. This research is a descriptive quantitative study, data collection uses Cluster Sampling where the sample is grouped based on region (Posyandu) or population location by 65 samples. This research instrument uses a Knowledge Questionnaire about Exclusive Breastfeeding adopted from (Septianingrum, 2018) consisting of 19 questions. For favorable questions the "correct" answer is given a score of 1 and "wrong" is given a score of 0, while for unfavorable questions the "correct" answer is given a score of 0 and "wrong" is given a score of 1. The instrument is valid with a correlation number (r-count) > 0.444 so it is said to be valid while the Cronbach's Alpha value and reliability are 0.984. The data analysis used was univariate in the form of a percentage frequency distribution. The results showed that all mothers of babies aged 0-6 months at the Doro I Community Health Center (Puskesmas) were all respondents (100%) aged 15-49 years, 23 respondents (35.4%) had a high school education, 58 respondents (89.2) did not work and 46 respondents (70.8%) had ever breastfed. Mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all 65 mothers (100%) of respondents have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months. The conclusion obtained is that mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all respondents, 65 mothers (100%) have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months.

Afidatul Awaliyah; Nora Rahmanindar; Meyliya Qudriani

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The Maternal Mortality Rate (MMR) in Tegal Regency in 2022 reached a high number, namely 27 cases, 13 of which occurred during the postpartum period, 10 cases during pregnancy, 4 cases during childbirth. Based on data obtained from the Lebaksiu Community Health Center from September to October 2023, there were no maternal and infant deaths. The number of pregnant women at high risk was 115 cases. These include pregnant women with breech presentation, Chronic Energy Deficiency (CED), age < 20 years, age > 35 years, child spacing < 2, history of CS, TB < 145 cm, HBSAg (+), HIV (+), anemia, history asthma, grand multipara, history of abortion, history of PEB and syphilis (+). The aim of this study was to examine obstetric cases with breech presentation and CED. This research uses a case study approach. The research subject was pregnant mother Mrs. S is 24 years old with breech presentation and CED. Data was taken from September to November 2023. Data was taken using interviews, observation and documentation, the results during the subject's pregnancy were successful in making the pregnancy normal. However, during labor, fetal hypoxia was experienced, so collaboration was carried out with the doctor, after management was carried out according to the doctor's advice, the fetal condition was normal and a SC delivery was carried out. During the postpartum period and the newborn is in normal and healthy condition. Suggestion: it is hoped that if a similar case is found there needs to be collaboration with doctors during pregnancy until postpartum, apart from that it is necessary to involve the family during pregnancy until postpartum.  

Nengsih Yulianingsih; Alayshah Alayshah

Jurnal Sains dan Kesehatan (JUSIKA) 2024 Universitas Muhamadiyah Manado

Background: In clients post Sectio Caesaria (SC), many problems arise, including anxiety. The reason for anxiety in mothers post Sectio Caesaria (SC) is because they don't know how to care for post partum including post Sectio Caesaria (SC) wound care, breast care, exclusive breastfeeding, giving nutrition to babies, caring for newborns and anxiety because they are afraid of the stitches coming out. , afraid of infection in the wound. From this problem, activity intolerance nursing problems will arise where the client is unable to carry out daily activities independently and abnormal vital signs are found during or after activities. Early mobilization exercises are useful for improving blood circulation, preventing thromboembolism, surgical muscle stiffness, stimulates gastrointestinal function and reduces pain. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The data collection method used in this case study is descriptive, namely interviews, observation and physical examination, documentation studies and collecting results from diagnostic examinations. The results of this nursing care show that after implementing ambulation support for 3 days, the patient began to improve from being previously still lying in bed to now being able to move and be active again, the ease of carrying out daily activities increased. Walking distance increases, lower body strength increases, dyspnea during activity decreases, dyspnea after activity decreases, oxygen saturation improves, respiratory frequency improves. It was concluded that from the results of this case study over 3 visits, the problem could be resolved by teaching clients to carry out physical mobilization techniques aimed at increasing their ability to do activities. Advice for clients is that clients can maintain their physical condition.    

Zulliati Zulliati; Ali Rakhman Hakim; Nita Hestiyana

Jurnal Sains dan Kesehatan (JUSIKA) 2024 Universitas Muhamadiyah Manado

The current condition of maternal and child health in Indonesia is still very important to improve and receive special attention. According to 2018 RISKESDES data, it is estimated that around 1 mother dies every hour due to pregnancy, childbirth and postpartum and every day 401 babies die. Overall, the causes of maternal and child death are complex, involving medical aspects that must be handled by health workers. The causes of maternal death are sequentially caused by bleeding, eclampsia, infection, prolonged labor and miscarriage. Most infant deaths are caused by low birth weight (LBW) babies, difficulty breathing at birth and infections. More than half (56%) of infant deaths occur during the newborn period (0-28 days). The family class program is a program designed to implement family involvement in the process of monitoring and improving the health and welfare of mothers and children. People who are in a supportive social environment generally have better conditions compared to people without these benefits. Family support is thought to reduce the effects on an individual's mental health. (Phillips & Pittman, 2014). The Family Class Program will be in line with regional government programs in this case the Banjarmasin Mayor Program, namely the Family Assistance Program by Health workers and also family planning cadres together with PKK cadres, where this program will synergize in the family assistance process starting from prospective brides and grooms to toddlers and monitoring and evaluation will be carried out every year. The Family Class Program which is designed to directly involve cadres, families and Health workers as well as local regional officials so that these two programs can run in tandem and in a directed manner, in its implementation activities will use several innovations such as flip sheets and pocket books which will make it easier for officers to provide assistance.

Rizha Yunia Lestari Dewi; Hafsah Hafsah; Sri Mulyani

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

. According to WHO (2019) TB mortality rate (AKI) in the world namely 303,000 people. Maternal   Mortality Rate (MMR) in ASEAN (2020), namely amounting to 235/100,000 live births. Based on data from the Ministry of Health Figures Maternal mortality (MMR) in Indonesia in 2020 was 4,627 deaths. Data Health Department (2021) MMR 62 cases. Data from Kaliwadas Community Health Center (2022) MMR 0 case. The aim of this research was to reduce maternal and infant morbidity and mortality rates in Brebes district, especially the Kaliwadas Community Health Center area. This research method is qualitative research, namely a research method carried out by exploring, describing and explaining and predicting a phenomenon that occurs on the basis of it in the field. The results of this research are after carrying out comprehensive midwifery care in Mrs. S is 42 years old with risk factors: age, anemia and CED at the Community Health Center Kaliwadas from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning using Varney and midwifery approaches SOAP found gaps between theory and practice.        

Ais Izza Fadhilah; Falasifah Ani Yuniarti; Rina Prawati

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: LBW babies face difficulties adapting to life outside the womb because their organs, such as the lungs, heart, kidneys, liver and digestive system, are not fully mature. The neonatal period is the most vulnerable period for a baby's survival, and one of the causes of newborn deaths is asphyxia. One of the complementary therapy techniques that can be used to increase saturation and hemodynamics in LBW babies is music therapy and murrotal therapy. Research method: The research method used in the intervention is a case report using the intervention method. The research was carried out in the NICU room at Tjitrowardojo Regional Hospital, Purworejo, when the research was carried out on 01-05 May 2024. The research participants were one neonate patient with a diagnosis of LBW accompanied by asphyxia. Oxygen saturation measurements were carried out before and after Murottal Surat Ar-Rahman Therapy was given. Results: After being given the Murotal Al-Qur'an Surah Ar-rahman therapy intervention within 30 minutes for five days, there was an increase in oxygen saturation in LBW babies with asphyxia on the first day from 88% to 93%, and on the fifth day there was an increase in oxygen saturation from 99 % becomes 100%.Conclusion: Murottal Al-Qur'an Surah Ar-Rahman therapy has a positive effect on oxygen saturation in patients with LBW accompanied by asphyxia

Fenna Ayuningtyas; Falasifah Ani Yuniarti; Rina Prawati

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: Increased oxygen reliance within the first 24 hours, no illness symptoms, typical radiological findings with lower air content, pulmonary reticulogranular pattern, and air bronchogram are all associated with respiratory distress syndrome, or RDS. Body weight and gestational age have an inverse relationship with the occurrence of RDS. RDS affects 15–30% of newborns born between 32 and 36 weeks and 60–80% of babies born less than 28 weeks. Although it is uncommon, RDS can develop after 36 weeks or term; alternative diagnosis should be explored. Objective: To determine the effectiveness of kinesthetic tactile stimulation therapy and murrotalAl Quran therapy in babies diagnosed with respiratory distress syndrome. Method: This type of research is descriptive research using a case study method approach. Results: The results of the nursing intervention that was carried out in the form of giving kinesthetic tactile stimulation therapy to babies for 5 consecutive days which were carried out for 20 minutes showed that there were changes in oxygen saturation, pulse and breathing became more stable than before the intervention was given.

Nofita Kurniawati; Falasifah Ani Yuniarti; Rina Perawati

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Introduction: Mother's milk (ASI) is a very good nutritional intake for newborn babies. Natural breast milk produced by mothers has important nutrients for babies. Breast milk contains various microbial materials. Nutrition for mothers who are breastfeeding must be given optimally. Oxytocin massage is a non-pharmacological technique that functions to overcome substandard breast milk production. Objective: This study aims to determine the effect of breastfeeding education on breast milk production. Method: This research uses a descriptive observational method using a case study method approach. The subject used was a postpartum mother patient with breast milk production problems in the NICU room at Dr. Tjitrowardojo Hospital, Puroworejo. Data collection was carried out by interviewing Mrs. V and also looked at the medical records in the PICU/NICU room using the neonate assessment format developed by the UMY FKIK Nurse Professional Education. Results: After being given intervention for 5 days, there was an effect of breastfeeding education on breast milk production. Conclusion: Breastfeeding education can influence breast milk production.

Nadia Eka Khaerunnisa; Endang Susilowati; Riyanti Riyanti

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

According to WHO (2019), the maternal mortality rate (MMR) in the world is 303,000 people. The Maternal Mortality Rate (MMR) in ASEAN (2020) is 235/100,000 live births. Based on data from the Ministry of Health, the Maternal Mortality Rate (MMR) in Indonesia in 2020 was 4,627 deaths. Health Department data (2021) MMR 62 cases. Data from Bumiayu Community Health Center (2022) AKI 2 cases. The aim of this research is to reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area. This research method uses descriptive research with a qualitative descriptive approach. The results of this research show that in the results of Comprehensive Care there was a gap between theory and practice after comprehensive midwifery care was carried out on Mrs. E is 39 years old with risk factors for CED age and anemia in Mrs. BPM. R working area of Bumiayu Health Center from third trimester pregnancy, childbirth, newborns, postpartum and family planning using Varney midwifery and SOAP approaches.

Aryanti Musyarfah; Endang Susilowati; Mupliha Mupliha

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: World Health Organization (WHO) in 2020 the maternal mortality rate (MMR) in the world is 152 deaths per 100,000 live births. In ASEAN, the highest MMR in 2020 is in Myanmar, which is 235 per 100,000 live births. The maternal mortality rate in Brebes Regency in 2020 was 62 cases. In the Bantarkawung Health Center working area in 2020 there was 1 case, in 2021 there were 5 cases. Objective: To provide comprehensive midwifery care services to Mrs. N Age 19 Years G1P0A0 with Risk Factors Age <20 Years at the Bantarkawung Health Center, Brebes Regency with a midwifery management approach according to Varney's seven steps and SOAP.  Research method: This study uses descriptive qualitative research with a case study design. The Scientific Writing assignment report is written based on a case report of comprehensive midwifery care in pregnant women, childbirth, newborns, and postpartum using the type of case review study research method. Results: The results of comprehensive midwifery care are the absence of gaps between theory and practice where according to the theory pregnant women with a young age <20 years will experience several risks such as in any.N who experienced a short TFU of 28 cm. Conclusion: After conducting an assessment and collecting data on comprehensive midwifery care on Mrs. N with risk factors for age <20 years at the puskesmas from third trimester pregnancy.