PANDUAN SKILLS LAB ASUHAN PERSALINAN NORMAL FAKULTAS KEDOKTERAN UNIMUS

Summary

This instructional video focuses on demonstrating the process of normal delivery care in obstetrics. Dr. Laurensia, a faculty member of the Faculty of Medicine at Universitas Muhammadiyah Semarang, guides students through the stages of labor, including the phases of dilation, the delivery procedure, and post-delivery care. The video emphasizes the proper use of medical tools, safety protocols, and maternal and neonatal care, such as the administration of oxytocin, monitoring vital signs, and ensuring the well-being of both mother and baby. It also includes tips on post-delivery monitoring and hygiene to ensure a safe and healthy outcome for both the mother and child.

Takeaways

• 😀 Introduction and greeting to students from Dr. Laurensia, a lecturer at the Faculty of Medicine, Universitas Muhammadiyah Semarang.
• 😀 The session aims to demonstrate normal labor management, focusing on assisting normal childbirth and applying principles of normal delivery care (APN).
• 😀 The first stage of labor is divided into two phases: the latent and active phases. The active phase includes acceleration, maximum dilation, and deceleration.
• 😀 Signs indicating the second stage of labor include increased discharge of mucus and blood, strong contractions, and the urge to push.
• 😀 Dr. Laurensia prepares the necessary medical tools, including protective gear, oxytocin, disinfectants, sterile gloves, and various instruments for childbirth assistance.
• 😀 The importance of ensuring the mother is in the right position for pushing during contractions, along with the proper breathing techniques, is emphasized.
• 😀 Techniques for helping the mother during labor, including adjusting her position and guiding her through pushing with proper breath control.
• 😀 Step-by-step procedures for assisting the baby’s birth, including the handling of the baby’s head, ensuring the safe emergence of the shoulders, and managing the birth of the baby’s body.
• 😀 After birth, the baby is assessed for signs of asphyxia, ensuring it is breathing and moving properly. The baby is then dried and placed on the mother's chest for skin-to-skin contact.
• 😀 Following the delivery of the baby, oxytocin is administered to help the uterus contract, and the placenta is delivered with careful handling. Postpartum care involves monitoring the mother's health and baby’s condition.

Q & A

What is the purpose of this presentation?

The purpose of the presentation is to demonstrate the process of normal delivery care and to teach medical students how to perform normal childbirth assistance, applying the principles of normal labor management.

What are the different stages of Stage 1 labor, as mentioned in the script?

Stage 1 labor is divided into two phases: latent phase and active phase. The active phase itself consists of three stages: 1) Acceleration phase, 2) Maximum dilation phase, and 3) Deceleration phase.

What are the main signs indicating that the labor is progressing to Stage 2?

In Stage 2, signs of labor include an increase in the discharge of mucus and blood, the mother feeling the urge to push, increased pressure in the rectum, and visible bulging in the perineum. The vagina and anus begin to open.

What tools and equipment are necessary for assisting with a normal delivery?

Necessary tools and equipment include a top hat, mask, gown, gloves, sterilizing solution, sterilized gauze, oxytocin ampoules, stethoscope, sterilized instruments, and other items such as a partus set, clamps, surgical scissors, and a sterile drape.

How is oxytocin used during the labor process?

Oxytocin is used to support uterine contractions after the baby is born, with a dose of 10 units injected intramuscularly into the upper thigh to ensure good uterine contractions post-delivery and prevent bleeding.

What actions should be taken immediately after the baby's head emerges during delivery?

Once the baby's head emerges, the perineum should be protected with one hand, and the other hand should support the back of the baby’s head to guide it through the birth canal. The baby’s mouth and nose should be cleared, and the presence of an umbilical cord around the neck should be checked.

What steps should be taken if the baby shows no signs of asphyxia after birth?

If there are no signs of asphyxia, the baby should be dried, placed on the mother’s chest for skin-to-skin contact, and the baby should be checked for signs of good breathing and active movement. Vitamin K1 should also be administered, and the baby should be given a Hepatitis B vaccine.

What is the procedure for cutting the umbilical cord after the baby is born?

After the baby is born, the umbilical cord should be clamped about 3 cm from the baby’s belly, and a second clamp should be placed 2 cm further down the cord. The cord is then cut between the two clamps, and the ends are secured.

How should the placenta be delivered after the baby?

After the baby is born, the placenta should be carefully delivered. The umbilical cord should be gently pulled in the direction of the floor, and if necessary, a gentle twist is applied to help release the placenta from the uterus. Once delivered, the placenta is checked to ensure it is complete.

What post-delivery care is required for the mother and baby?

Post-delivery care involves ensuring the mother’s uterus is contracting well, monitoring her bleeding, checking the baby’s vital signs (breathing, heart rate), and maintaining skin-to-skin contact. The mother should also be monitored for any complications, and the baby should receive routine immunizations and assessments.