Pertolongan Persalinan Kala IV

Praktikum Maternitas

8 Feb 202205:08

Summary

TLDRThis video script provides a detailed walkthrough of postpartum care. It features a maternity nurse named Harahap Ners discussing procedures such as immediate post-birth checks, including blood pressure, pulse, and uterine contractions. The script also covers the initiation of breastfeeding, mobilization of the mother, and documentation of the birth process. Additionally, it mentions cleaning the mother, changing clothes, and baby care including measurements, medication, and immunization. The script emphasizes the importance of recording details like bleeding, complications, and birth specifics.

Takeaways

👩‍⚕️ The speaker is a maternity nurse named Istrinya Harahap, specializing in maternal nursing.
📖 The script discusses post-birth care, specifically after a 40-week pregnancy.
👶 The newborn is referred to as 'Nova' and is healthy, with a focus on immediate breastfeeding.
🕒 There is a two-hour observation period after delivery to check vital signs and for any bleeding.
🩺 The mother's uterus will be checked continuously to ensure there is no postpartum bleeding.
🚶‍♀️ The mother is encouraged to mobilize and move around after delivery.
🚾 The mother is advised to use the bathroom to ensure there are no issues with bowel movements.
👨‍👩‍👧‍👦 Family members are involved in the process, possibly in facilitating prayers for the mother.
🧼 The mother is helped to clean and change clothes after delivery.
📝 Comprehensive documentation is done, including the birth process, baby's measurements, and any medications given.
🌟 The baby's Apgar score, gender, weight, and any complications are recorded.
📋 The documentation also includes the time, date, and type of delivery, as well as any complications that may have occurred.

Q & A

What is the name of the speaker in the transcript?
-The speaker's name is not explicitly mentioned in the transcript, but they are referred to as 'Ibu Anggrek'.
What is the speaker's profession?
-The speaker is a maternity nurse specialist.
What is the main topic of discussion in the transcript?
-The main topic of discussion is the process of childbirth assistance and postpartum care.
What is the initial action taken after the baby is born?
-After the baby is born, the mother is congratulated and the baby is checked to see if they can breastfeed directly.
What is the purpose of the two-hour observation period after childbirth?
-The two-hour observation period is to monitor the mother's blood pressure, pulse, and uterine contractions to ensure there is no bleeding after childbirth.
What is the abbreviation 'imd' mentioned in the transcript?
-The abbreviation 'imd' is not clear from the transcript, but it might refer to 'immediate' care or actions taken right after childbirth.
What is the significance of the 15-minute and 30-minute intervals mentioned?
-The 15-minute and 30-minute intervals are for checking the mother's condition, specifically the electrical activity of the uterus, in the first and second hours postpartum.
What does the family of the mother do during the two-hour period?
-The family of the mother is allowed to facilitate or be present for prayers and to help the mother clean up and change clothes after childbirth.
What kind of documentation is done by the nurse?
-The nurse documents the entire childbirth process, including partograph records, birth records, and placental details.
What are the baby care procedures mentioned in the transcript?
-Baby care procedures include measuring the baby's weight, height, head circumference, and administering medications like vitamin K and immunizations.
What information is recorded about the baby's birth?
-The birth information recorded includes the time, date, gender, type of delivery, weight, and any complications that may have occurred.
What is the importance of documenting the amount, color, and characteristics of the bleeding?
-Documenting the amount, color, and characteristics of the bleeding is crucial for monitoring the mother's health postpartum and identifying any potential complications.

Outlines

00:00

👶 Post-Delivery Care and Documentation

This paragraph discusses the post-delivery care and documentation process. It starts with a greeting and introduces the speaker, Harahap Ners, a maternity nursing specialist. The speaker outlines the immediate post-delivery care, which includes monitoring the mother's blood pressure, pulse, and uterine contractions to ensure there is no bleeding after delivery. The mother is also checked for bleeding from the birth canal. Gradual mobilization and movement are encouraged. The mother is observed for the first two hours post-delivery, with checks every 15 minutes in the first hour and every 30 minutes in the second hour. Family members are encouraged to facilitate prayers. The mother is then helped to clean and change clothes or diapers. The next day, the mother receives explanations about postpartum care and infant care, including breastfeeding. The nursing staff documents the delivery process, including partograph and birth records, and the baby's care, such as measurements and administration of vitamin K and immunizations. The documentation also includes recording any bleeding, medication used during delivery, and any complications for the mother or baby.

Mindmap

Keywords

💡Assalamualaikum

Assalamualaikum is an Arabic greeting commonly used by Muslims. It means 'Peace be upon you'. In the video, it is used as a respectful greeting at the beginning of the conversation, setting a tone of respect and cultural awareness, which is fitting for a video discussing maternal care and childbirth.

💡Maternal Nursing

Maternal Nursing refers to the specialized nursing care provided to pregnant women, during childbirth, and after delivery. The script mentions '...istri Harahap ners, spesialis keperawatan maternitas...', indicating that the speaker is a specialist in this field, making it a central theme of the video.

💡Childbirth Assistance

Childbirth Assistance pertains to the support provided to a woman during labor and delivery. The script discusses various aspects of this, such as '...mempelajari, pertolongan persalinan kalau...', emphasizing the importance of professional help during this critical process.

💡Postpartum Care

Postpartum Care refers to the medical and emotional care given to a woman after childbirth. The script mentions '...perawatan postpartum...' and details various procedures like blood pressure checks and cleaning, which are part of ensuring the mother's health and well-being after delivery.

💡Breastfeeding

Breastfeeding is the process of feeding an infant with milk directly from the mother's breast. The script refers to it as '...menyusui langsung...' and '...perawatan bayi dan menyusui...'. It is a crucial aspect of newborn care discussed in the video.

💡Vital Signs

Vital Signs are the essential indicators of a person's health, including blood pressure, pulse, and temperature. The script mentions '...pemeriksaan tekanan, darah dan Nadi Ibu...' which means checking the mother's blood pressure, pulse, and respiration rate post-delivery.

💡Uterine Contractions

Uterine Contractions are the tightening and relaxation of the uterus that occur during and after childbirth. The script mentions '...pemeriksaan Kontraksi rahim ibu...' indicating that monitoring these contractions is important to prevent excessive bleeding.

💡Mobility

Mobility in the context of postpartum care refers to the ability to move around after delivery. The script states '...memfasilitasi... untuk mobilisasi...' which implies that helping the mother to move gradually is part of the recovery process.

💡Documentation

Documentation in healthcare refers to the process of recording patient information, treatments, and outcomes. The script mentions '...perawat melakukan dokumentasi terkait...' and '...dokumentasi juga dilakukan...' indicating that thorough record-keeping is a key part of the nursing process.

💡Vitamin K

Vitamin K is a medication given to newborns to prevent bleeding disorders. The script mentions '...pemberian obat-obatan seperti vitamin K...' which shows that it is part of the standard care provided to newborns to ensure their health.

💡Immunization

Immunization refers to the process of protecting a person against a certain disease by stimulating the immune system with a vaccine. The script mentions '...dan imunisasi...' which is a standard procedure to protect newborns from diseases.

Highlights

Introduction to maternity nursing specialization

Learning about childbirth assistance

Congratulations on the birth of a healthy baby

Waiting for the baby to possibly breastfeed directly

Explanation of immediate postpartum care (IMD)

Observation for two hours after childbirth

Checking blood pressure, pulse, and uterine contractions

Ensuring no bleeding after childbirth

Checking for bleeding from the birth canal

Helping the mother to mobilize and move after delivery

Instructions for bowel movements within two hours postpartum

Family involvement in postpartum care

Helping the mother to clean and change clothes

Explanation of postpartum and newborn care

Documentation of the childbirth process

Recording partograph and birth details

Initiation of breastfeeding (skin-to-skin contact)

Newborn care including measurements and medication

Documentation of the entire childbirth process

Recording the time, date, gender, and type of delivery

Documentation of placental delivery and completeness

Recording the characteristics of postpartum bleeding

Recording medications used during childbirth

Recording the gender, weight, and position of the baby

Recording any complications for mother or baby

Recording the name of the assistant and place of delivery