PROSEDUR PERTOLONGAN PERSALINAN Normal | Asuhan Persalinan Normal APN

Summary

This video script provides a comprehensive guide to assisting with labor and delivery in a medical setting. It covers essential preparations, including required tools and equipment, and outlines the step-by-step process of childbirth, from examination and monitoring of the fetus to the delivery and aftercare of both mother and baby. Emphasis is placed on hygiene, safety protocols, and proper medical procedures, ensuring that the healthcare provider is prepared to manage every phase of labor effectively. The script also includes crucial details on handling emergencies and post-delivery care for the mother and newborn.

Takeaways

• 😀 Proper preparation for childbirth includes a variety of medical tools such as sterilized gloves, scissors, clamps, and syringes.
• 😀 Health professionals must ensure all necessary equipment is present before assisting in labor, including medications like oxytocin and vitamin K for the baby.
• 😀 The midwife or assisting professional should wear personal protective equipment (PPE), including gloves, masks, and boots to maintain hygiene.
• 😀 Hand washing with soap and water using six steps is essential for preventing contamination before conducting any procedures.
• 😀 The practitioner should clean the vulva and perineum with wet gauze before conducting any internal examination.
• 😀 An internal exam is performed to check the cervix, fetal presentation, and to ensure the amniotic sac is intact or ready to be broken.
• 😀 The fetal heart rate should be monitored after each contraction, ensuring it remains within a normal range of 120-160 beats per minute.
• 😀 When the cervix is fully dilated, the professional should guide the mother to push during contractions while ensuring her comfort.
• 😀 After the baby is born, immediate assessment is done to check for signs of life, such as crying, breathing, and active movement.
• 😀 After birth, the placenta is delivered carefully, and the practitioner monitors for any complications like excessive bleeding or retained placenta.

Q & A

What are the essential tools needed for assisting with childbirth according to the script?

The essential tools for assisting with childbirth include a USB type C port set, sterile gloves, scissors for episiotomy and cutting the umbilical cord, two artery clamps, anatomical tweezers, syringes, alcohol cotton, a catheter, a Doppler, jelly, 3cc syringes, oxytocin, a suction device, eye ointment, hepatitis B vaccine, vitamin K for the baby, among other materials for hygiene and protection.

What is the first action to be taken by the birth assistant once labor stage 2 is observed?

Once stage 2 of labor begins, the birth assistant should ensure that all necessary childbirth tools are complete, including breaking the oxytocin ampule and preparing the syringe, as well as placing the umbilical cord clamp in the delivery kit.

How should the birth assistant prepare for the examination and delivery process?

The birth assistant should wear an apron, remove jewelry, wash their hands thoroughly using the six-step handwashing method, and put on sterile gloves for performing the examination.

What is the significance of checking the fetal heart rate during the examination?

Checking the fetal heart rate is important to ensure that it is within a normal range (120-160 beats per minute) and that the fetus is not in distress before proceeding with the delivery.

How should the birth assistant help the mother during the delivery of the baby’s head?

The birth assistant should support the baby’s head during delivery, ensuring it turns gently, guiding it downward and then upwards, allowing the shoulders to emerge, and carefully supporting the baby as it is delivered.

What steps should the birth assistant take after the baby is born to assess its condition?

After the baby is born, the birth assistant should assess whether the baby is crying loudly, breathing well, moving actively, and has a healthy skin color.

How is oxytocin administered after the baby’s birth, and why is it important?

Oxytocin is administered intramuscularly in the upper thigh, about one minute after birth, to help the uterus contract properly and prevent excessive bleeding.

What should be done with the umbilical cord after birth?

The umbilical cord should be clamped with two clamps, about 3 cm and 2 cm from the baby's belly button, and then cut between the clamps to secure it.

What steps are involved in placenta delivery after the baby is born?

The birth assistant should apply gentle pressure to the mother’s abdomen to help the placenta detach. If necessary, gentle rotation can be used to assist in removing the placenta while avoiding tearing the membranes.

How is post-delivery care provided to the mother and baby?

Post-delivery care involves monitoring the mother for signs of bleeding, performing uterine massage, ensuring the baby’s skin-to-skin contact with the mother, and giving the baby essential injections, such as vitamin K and hepatitis B vaccine. The assistant should also provide comfort and hydration for the mother.