MANAJEMEN ASUHAN KEBIDANAN KESEHATAN REPRODUKSI PADA NY “N” DENGAN ANEMIA PADA WANITA PRAKONSEPSI DI RSUD LABUANG BAJI MAKASSAR

Irmayanti Iskandar, Anieq Mumthi’ah Al Kautzar, Nurfaizah Alza
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Abstract

Introduction Preconception is the period before pregnancy or prior to the meeting of the ovum with sperm. Adequate nutrition intake during the preconception will support the functional reproductive system as it smoothens the process of ovum maturation, ovum production, and ovum quality and complete fertilization process. Anemic preconception puts women at a higher risk of anemia in pregnancy, which eventually impacts on the fertilization process and fetal development. This study aimed to conduct the management of reproductive health midwifery care on Mrs. “N” with preconception anemia in Regional Public Hospital of Labuang Baji Makassar. Method This research in accordance with the 7-step Varney. Result The findings suggest that Mrs. “N” reported several complaints including fatigue, frequent dizziness, pale conjunctiva appearance, dry lip mucosa, and Hb 11.9 g/dl as shown from the laboratory results. The midwifery care was conducted by providing the patient with iron tablets containing 60 mg of elemental iron and 250 folic acids. In addition to that, the medical team also gave a recommendation that the patient consume date juice as well as 7 pieces of dates every morning. Conclusion This study concluded the midwifery care using the 7-step Varney and SOAP for Mrs. “N” with preconception anemia in Regional Public Hospital of Labuang Baji Makassar with results of increasing Hb levels up to 15.8 gr/dl, composmentis awareness, normal vital signs, and no abnormalities nor complications shown from the physical examination. These results show that there is no gap between all the treatments and the theories.
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纽约产妇生殖保健管理和马卡萨农村妇女产前贫血
孕前是指怀孕前或卵子与精子相遇之前的一段时间。孕前充足的营养摄入有助于促进卵子成熟、产生卵子、提高卵子质量和完成受精过程,从而支持生殖系统的功能。孕前贫血使女性在怀孕期间患贫血的风险更高,最终会影响受精过程和胎儿发育。本研究的目的是在望加锡拉旺巴吉地区公立医院对患有孕前贫血的“N”女士进行生殖健康助产护理管理。方法按照Varney七步法进行研究。结果“N”女士报告了几个主诉,包括疲劳,经常头晕,结膜外观苍白,唇黏膜干燥,实验室结果显示Hb 11.9 g/dl。助产护理通过向患者提供含有60毫克元素铁和250种叶酸的铁片来进行。除此之外,医疗团队还建议患者每天早上饮用枣汁和7片枣。结论本研究总结了在望加锡拉旺巴吉地区公立医院对孕前贫血的“N”女士使用7步Varney和SOAP助产护理的结果,结果Hb水平升高至15.8 gr/dl,成分意识,生命体征正常,体检未发现异常和并发症。这些结果表明,所有的治疗方法与理论之间没有差距。
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