Pertolongan Persalinan Kala IV
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
- π©ββοΈ The speaker is a maternity nurse named Istrinya Harahap, specializing in maternal nursing.
- π The script discusses post-birth care, specifically after a 40-week pregnancy.
- πΆ The newborn is referred to as 'Nova' and is healthy, with a focus on immediate breastfeeding.
- π There is a two-hour observation period after delivery to check vital signs and for any bleeding.
- π©Ί The mother's uterus will be checked continuously to ensure there is no postpartum bleeding.
- πΆββοΈ The mother is encouraged to mobilize and move around after delivery.
- πΎ The mother is advised to use the bathroom to ensure there are no issues with bowel movements.
- π¨βπ©βπ§βπ¦ Family members are involved in the process, possibly in facilitating prayers for the mother.
- π§Ό The mother is helped to clean and change clothes after delivery.
- π Comprehensive documentation is done, including the birth process, baby's measurements, and any medications given.
- π The baby's Apgar score, gender, weight, and any complications are recorded.
- π 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
πΆ 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
π‘Assalamualaikum
π‘Maternal Nursing
π‘Childbirth Assistance
π‘Postpartum Care
π‘Breastfeeding
π‘Vital Signs
π‘Uterine Contractions
π‘Mobility
π‘Documentation
π‘Vitamin K
π‘Immunization
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
Transcripts
hai hai
[Musik]
Halo
[Musik]
assalamualaikum warahmatullahi
wabarakatuh salam sejahtera untuk kita
semua nama saya istrinya Harahap ners
spesialis keperawatan maternitas saat
ini kita akan mempelajari
pertolongan persalinan kalau
40 Oke Selamat atas kelahiran bayinya
gaya Nova sehat kita tunggu dulu sampai
betul-betul bayinya mungkin bisa
menyusui langsung ya Jadi ini namanya
imd Ibu Anggrek Nanti ibu akan dilakukan
observasi selama dua jam Setelah
melahirkan ini yaitu pemeriksaan tekanan
darah dan Nadi Ibu lalu tapi pemeriksaan
Kontraksi rahim ibu Hai karena rahim ibu
ini akan diperiksa terus untuk
memastikan tidak adanya perdarahan
setelah melahirkan
kemudian ibu akan dicek juga perdarahan
yang keluar dari Jalan lahir Ibu
kemudian setelah itu kita akan membantu
ibu secara bertahap untuk mobilisasi
atau bergerak turun dari tempat tidur
Apakah itu sudah bisa buang air besar ke
kamar mandi selama dua jam ini karena
akan meng-cover Fasi itu Ibu ini yang
empat hal tadi selama 15menit setiap 15
menit dalam satu jam pertama kemudian
setiap 30 menit
dalam satu jam yang kedua jadilah
dibahas listrik dilihat ya setelah ini
Bapak dan keluarga boleh memfasilitasi
atau kami persilahkan jika baiknya mau
diadzankan lalu ibu akan dibantu untuk
membersihkan badan lalu mengganti
pakaian atau memasang pembalut
Oh berarti setelah di ruang rawat esok
hari ibu akan diberikan semua penjelasan
terkait perawatan postpartum dan juga
perawatan bayi dan menyusui
perawat melakukan dokumentasi terkait
proses persalinan dari kelas 1 sampai
kalau empat termasuk pencatatan
partograf dan pencatatan kelahiran bayi
dan plasenta
setelah bayi sudah melakukan itu skin
konteks atau ikan atau inisiasi menyusu
Dini
perawatan bayi bisa dilakukan secara
terpisah antara lain mengukur berat
badan tinggi badan atau panjang badan
bayi ikan kepala lingkar perut pemberian
obat-obatan seperti vitamin K dan
imunisasi telah membantu merapikan ibu
setelah melahirkan
dan melakukan perawatan bayi baru lahir
perawat mobil akan perlengkapan dan
peralatan
Hai dan
mendokumentasikan seluruh proses
persalinan
dari lembar observasi djj dahi
paragraf dan asuhan keperawatan
Hai dokumentasi juga dilakukan
Hai tetap kelahiran bayi berupa waktu
yaitu
tanggal dan jam jenis kelamin dan jenis
persalinannya
the documentation juga termasuk lahir
plasenta tagal waktu kelengkapan tetap
beratnya SMK
Hai jangan lupa untuk mencatat
perdarahan terkait dengan jumlah warna
dan karakteristik perdarahan yang
terjadi
obat-obatan yang digunakan selama proses
persalinan
dicatat dengan seksama
Hai untuk bayi kita catat jenis kelamin
aja badan berat badan agar sport
posisinya letaknya sungguh letaknya
kepala atau Adakah suka tunggal atau
kembar dan catat juga apabila terjadi
komplikasi pada ibu atau pada bayi
berupa perdarahan adanya freeconfig
infeksi kondisi bayi Adakah asfiksia
atau tidak dan lainnya Tuliskan nama
penolong dan tempat bersalin
demikian pendokumentasian ini
hai hai
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