BED SIDE TEACHING KEBIDANAN

Summary

This video script focuses on a clinical teaching session where a midwife, Evi, performs a physical examination of a postpartum mother, Hana, accompanied by a student, Agni. The midwife educates the student about the key aspects of postpartum care, including the signs of potential complications and the importance of regular checks. The script highlights the process of gathering patient information, performing the examination, and ensuring that no warning signs are present. The interaction emphasizes learning, communication, and patient care, with a focus on practical knowledge and patient safety.

Takeaways

• 😀 The midwife introduces herself to the patient, Ibu Hana, and explains the purpose of the physical examination during the postpartum period.
• 😀 The physical examination will be conducted by the midwife and observed by a student, Agni, for educational purposes.
• 😀 The goal of the physical examination is to assess the mother's condition after childbirth and detect any potential complications.
• 😀 The midwife seeks the patient’s consent before proceeding with the examination and asks for the patient's name and birthdate for identification.
• 😀 Agni, the student, demonstrates knowledge of the postpartum period ('ibu nifas') and its duration, which lasts about 6 weeks after delivery.
• 😀 The midwife explains the purpose of the physical examination as a way to detect complications such as excessive bleeding, infection, or other health risks.
• 😀 The student provides correct answers about danger signs in the postpartum period, including excessive bleeding, fever, headache, and other potential issues.
• 😀 The physical examination is carried out without complications, confirming that the patient’s condition is normal and no danger signs are observed.
• 😀 The midwife provides feedback to the student, emphasizing the importance of building confidence in communicating with patients and continuing practice.
• 😀 The session ends with the midwife thanking the patient for their cooperation and reminding them to call for any concerns, ensuring patient comfort and care.

Q & A

What is the role of the midwife (bidan) Evi in this scenario?

Midwife Evi is responsible for taking care of the postpartum patients, conducting physical examinations, and supervising students during their clinical learning.

What was the purpose of the physical examination performed on Ibu Hana?

The physical examination aimed to check Ibu Hana's condition after childbirth and to provide clinical learning for students by involving them in a real patient interaction under the guidance of a midwife.

Who is Agni and what is her role in the examination?

Agni is a student who participated in the physical examination of Ibu Hana, practicing under the supervision of Midwife Evi to gain clinical experience.

What does the term 'nifas' refer to?

The term 'nifas' refers to the postpartum period, which begins after the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, typically lasting about 6 weeks.

What is the goal of conducting a physical examination during the nifas period?

The goal is to detect any potential complications or issues that could arise during the postpartum period, ensuring the mother's health and well-being.

What are the 'danger signs' that can occur during the nifas period?

The danger signs include excessive bleeding, high fever (over 38°C), severe headache, persistent pain in the calf (possible deep vein thrombosis), difficulty breathing, or chest pain (which may indicate embolism).

How did Agni perform during the assessment of Ibu Hana's condition?

Agni demonstrated a good understanding of the condition and correctly identified potential danger signs, as well as performed the examination in a structured manner under the supervision of the midwife.

What were the results of Ibu Hana's physical examination?

Ibu Hana's examination results were normal. No danger signs or symptoms of complications were found. Her uterine contraction was in good condition, and no abnormal bleeding or signs of deep vein thrombosis were detected.

What recommendation did Midwife Evi offer to Agni at the end of the session?

Midwife Evi encouraged Agni to be more confident in communicating with patients to foster a good relationship and improve her skills. She also advised Agni to practice more and suggested signing the learning materials for further review.

Why is it important for students like Agni to participate in real patient assessments?

It is important because it provides students with hands-on experience in a clinical setting, allowing them to apply their theoretical knowledge, practice patient interaction, and improve their diagnostic and examination skills under professional supervision.