STIKes English for midwife pertemuan 7 (Collecting Subjective data and counseling )

Summary

In this video, a midwife named Novi guides a postpartum patient, Julie, through a consultation on contraception. Novi collects important subjective data, including Julie's personal details, obstetric history, and daily activities, to recommend an appropriate contraceptive method. After discussing the benefits and potential side effects of the three-month injection contraception, Julie agrees to proceed. The video highlights the importance of personalized care, informed decision-making, and follow-up visits for continued contraception management. The midwife ensures Julie understands her options and supports her in making the best choice for her health and family planning needs.

Takeaways

• 😀 The midwife introduces herself and explains the purpose of the consultation, which is to gather subjective data for contraceptive counseling.
• 😀 The patient is a new mother who has recently delivered a baby and is seeking contraception to prevent future pregnancies.
• 😀 The midwife collects the patient's identity details, such as name, age, address, contact information, and occupation.
• 😀 The midwife asks about the patient's obstetric history, including whether this is her first pregnancy and whether she has experienced any complications like miscarriage or stillbirth.
• 😀 The midwife confirms that the patient's labor was normal, with no complications during the delivery or postpartum period.
• 😀 The midwife inquires about the patient's daily activities, including her nutrition (three meals per day) and fluid intake (up to two liters per day).
• 😀 The patient reports that she is exclusively breastfeeding her baby and plans to continue for six months without introducing formula milk.
• 😀 The midwife explains the three-month injection contraception method, highlighting its effectiveness, convenience, and suitability for breastfeeding mothers.
• 😀 The midwife provides information about potential side effects of the injection, including weight gain, mood swings, and irregular menstrual periods.
• 😀 The midwife emphasizes that the contraception injection does not protect against sexually transmitted infections (STIs) and that condoms should be used to prevent STI transmission.
• 😀 The patient decides to choose the three-month injection method and confirms that she has already discussed this decision with her husband.
• 😀 The midwife schedules the next visit for the patient to receive the second injection and reminds her of the advantages and possible side effects of the contraception method.

Q & A

What is the role of the midwife in this script?

The midwife's role is to collect subjective data from the patient to help guide the selection of an appropriate contraception method, while also providing detailed information about the 3-month injection contraception.

Why is collecting subjective data important for midwifery care in contraception?

Collecting subjective data is crucial because it helps the midwife understand the patient's medical history, current health status, and lifestyle, allowing her to offer personalized advice on contraception that suits the patient’s needs.

What type of contraception is discussed in this script?

The script discusses the 3-month injection contraception, a hormonal contraceptive that is administered every 13 weeks.

What are the advantages of the 3-month injection contraception?

The advantages of the 3-month injection contraception include its effectiveness (over 99%), the convenience of not needing to remember daily pills, and its safety for breastfeeding mothers.

What are the potential side effects of the 3-month injection contraception?

Potential side effects of the 3-month injection contraception include weight gain, headaches, mood swings, and irregular menstrual periods.

Does the 3-month injection contraception protect against sexually transmitted infections (STIs)?

No, the 3-month injection contraception does not protect against sexually transmitted infections, so it is important to use condoms to prevent STI transmission.

How does the patient feel about using contraception in this script?

The patient is open to using contraception, specifically the 3-month injection, and has already discussed the decision with her husband.

What kind of daily activities and health information does the midwife gather from the patient?

The midwife collects information about the patient's diet, fluid intake, and breastfeeding plans, including whether she plans to breastfeed exclusively and how much milk she consumes daily.

What is the importance of the patient's decision to breastfeed exclusively in this context?

The decision to breastfeed exclusively is important because the 3-month injection contraception is safe for breastfeeding mothers, and the patient will not need to worry about it affecting her milk supply.

What steps does the midwife take to ensure the patient understands the contraception method?

The midwife explains the benefits and potential drawbacks of the 3-month injection contraception in detail, answers any questions the patient has, and provides reassurance about the method’s suitability for breastfeeding mothers.