Pertolongan Persalinan Normal Kala II

Summary

This transcript showcases a professional demonstration of maternity care, focusing on the second stage of labor. The caregiver assists the patient through critical steps, including cervical checks, amniotomy, and episiotomy, with a focus on ensuring the mother's comfort and safety. As contractions intensify, the caregiver prepares for the birth, guiding the mother with breathing techniques and physical support. The transcript culminates in the birth of a healthy baby, with the healthcare team attending to both mother and child post-delivery, ensuring proper cord management and administering oxytocin to prevent postpartum complications.

Takeaways

• 😀 The script is a demonstration of a maternity care process, specifically focusing on labor and delivery assistance.
• 😀 The healthcare provider starts by assessing the patient's condition, confirming that labor contractions are increasing in intensity.
• 😀 An internal examination is conducted to assess the progress of labor, confirming that the cervix is fully dilated and the amniotic sac is intact.
• 😀 An amniotomy (breaking the water) is performed using a sterile instrument to rupture the amniotic sac and release the amniotic fluid.
• 😀 After the amniotomy, the provider monitors the patient for any changes and ensures proper protection to prevent amniotic fluid splashing.
• 😀 The healthcare provider assists the mother in pushing during contractions, emphasizing the technique of pushing as if having a bowel movement.
• 😀 When the baby’s head begins to crown, an episiotomy is performed to enlarge the birth canal and facilitate the delivery.
• 😀 The area is disinfected with iodine before the episiotomy, and careful cutting is made to help with the delivery of the baby.
• 😀 A sterile cloth is used to maintain cleanliness and support during the delivery process, while monitoring the strength of the contractions.
• 😀 After the baby’s head is delivered, the healthcare provider assists with the delivery of the shoulders and ensures no complications with the umbilical cord.
• 😀 Once the baby is born, it is checked for signs of vitality, including breathing and skin color, and is placed on the mother's chest for bonding.
• 😀 The umbilical cord is clamped and cut after it stops pulsing, and the placenta is delivered. Oxytocin is administered to the mother to help with the delivery of the placenta.

Q & A

What is the purpose of the video script?

The purpose of the video script is to demonstrate and explain the process of providing assistance during the second stage of labor, including steps like checking the cervix, performing an amniotomy, assisting with contractions, and monitoring the birth process.

What does the term 'persalinan kala 2' refer to in the script?

'Persalinan kala 2' refers to the second stage of labor, which involves the active pushing and delivery of the baby after the cervix is fully dilated.

What is the significance of checking the vulva and anus during the examination?

Checking the vulva and anus during the examination helps determine the progress of labor. It indicates whether the cervix is fully dilated and if the baby is in the correct position for delivery.

Why is amniotomy performed in this process?

Amniotomy, or breaking the water, is performed to accelerate the labor process by releasing the amniotic fluid, which can help in speeding up contractions and pushing the baby down the birth canal.

What is the purpose of performing an episiotomy?

An episiotomy is performed to widen the birth canal and facilitate the delivery of the baby, particularly if the baby’s head is large or the perineum is not stretching enough.

What are the key signs that indicate the need for an episiotomy in this case?

The key signs that indicate the need for an episiotomy are the thinning and stretching of the perineum, along with a bluish color, suggesting it might not stretch enough for a smooth delivery.

How is the baby delivered after the head emerges?

Once the baby's head emerges, the midwife helps deliver the shoulders and body by gently guiding the baby out. This is done by manipulating the baby’s head to assist with the release of the shoulders and ensuring there are no complications with the umbilical cord.

What role does the assistant play during the delivery process?

The assistant helps with various tasks like providing support to the mother, preparing the necessary tools (e.g., scissors for the episiotomy), and observing the health of the baby and mother during the process.

Why is oxytocin administered after the baby is born?

Oxytocin is administered after the baby is born to help contract the uterus, reduce bleeding, and assist in the expulsion of the placenta.

What steps are taken to care for the baby immediately after birth?

After the baby is born, the health of the baby is assessed, including checking for signs of life such as breathing and skin color. The baby is cleaned, the umbilical cord is cut, and it is placed on the mother or in a designated area for further observation and care.