Asuhan Persalinan Normal

Summary

This detailed video script outlines the process of normal childbirth care, demonstrating the essential steps involved in assisting a mother during labor and delivery. It begins with an introduction from the midwife, explaining the necessary preparations and equipment for delivery. The script follows through key stages including the observation of labor signs, the use of medications like oxytocin, and the delivery of the baby. It also covers post-delivery procedures, such as cutting the umbilical cord, managing the placenta, and conducting newborn checks, along with finalizing the mother's recovery and cleanliness. The script emphasizes a thorough and caring approach to a safe and smooth delivery process.

Takeaways

• 😀 Greeting and introduction by the midwife, Yulia, who introduces herself as the assisting midwife for the delivery.
• 😀 Preparation of the delivery room with necessary medical supplies such as oxytocin, medications, and various instruments.
• 😀 The midwife checks the patient’s readiness for delivery, ensuring the presence of labor symptoms such as the urge to push and pressure on the anus.
• 😀 A thorough hand-washing procedure is followed before performing any medical tasks, such as administering oxytocin and preparing the delivery instruments.
• 😀 The midwife performs an internal examination to check the cervical dilation and ensures it is complete before proceeding with the delivery.
• 😀 The amniotic sac is broken when the patient is fully dilated, and the color and volume of the amniotic fluid are checked to ensure normal conditions.
• 😀 The fetal heart rate is monitored to ensure the baby’s health, and it is noted as normal at 144 beats per minute.
• 😀 Instructions are given to the patient on how to properly push during contractions, emphasizing the need for proper breathing and positioning.
• 😀 The delivery of the baby proceeds with careful guidance, ensuring the head and body are delivered safely without umbilical cord entanglement.
• 😀 After the baby is born, the midwife ensures the baby’s well-being, including checking for signs of life and drying the baby before further care.
• 😀 Active management of the third stage of labor is performed, including administering oxytocin to contract the uterus, cutting and tying the umbilical cord, and ensuring the placenta is fully expelled and intact.

Q & A

What is the main topic discussed in the script?

The script provides a detailed explanation of the steps involved in a normal childbirth, covering various stages such as labor, delivery, and post-delivery care for both the mother and the newborn.

What is the first action taken when assisting a mother in labor?

The first action is the introduction of the midwife, where she greets the mother, confirms her readiness, and prepares the necessary tools for the delivery.

What tools are prepared for the delivery process?

The tools include oxytocin, methergine, lidocaine, a variety of sterilized instruments, clothing for the medical staff, and equipment like a Doppler to monitor the baby's heartbeat.

How does the midwife confirm the mother's readiness for delivery?

The midwife assesses the presence of signs indicating that the second stage of labor has begun, such as the urge to push, pressure in the perineum, and the opening of the vulva.

What is checked during the internal examination of the mother?

The midwife checks for cervical dilation and ensures that the amniotic sac has ruptured before proceeding with further steps in the delivery.

What happens if the amniotic sac has not ruptured?

If the amniotic sac has not ruptured, the midwife assists in breaking the water manually using a sterile instrument, ensuring it is done safely.

How does the midwife monitor the baby's well-being during delivery?

The midwife checks the fetal heart rate using a Doppler device to ensure the baby's heartbeat is normal, typically around 144 beats per minute.

What is done immediately after the baby is born?

After the baby is born, the midwife checks for any umbilical cord issues, ensures the baby is breathing and crying, and then proceeds to dry the baby and perform necessary care.

What steps are taken during the third stage of labor?

In the third stage, the midwife administers oxytocin to help the uterus contract, monitors the expulsion of the placenta, and checks for any remaining tissue to ensure the complete delivery of the placenta.

How does the midwife ensure the mother’s recovery after delivery?

The midwife ensures the mother's recovery by monitoring her uterine contractions, checking her vital signs, assisting with the emptying of the bladder, and cleaning and preparing her for post-delivery care.