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Created by :
GROUP 5
LEDY AMELIA OKTAVIANI (173112540120258)
SRI RAHAYU (173112540120259)
SRI WULANDARI (173112540120077)
VITA INDRIANI (173112540120076)

FALKUTAS ILMU KESEHATAN

PROGRAM STUDY D4 KEBIDANAN UNIVERSITAS NASIONAL
2017 / 2018

Jl. Sawo Manila, Pejaten, Pasar Minggu, Jakarta Selatan 12520

Telp. (021) 7806700 (Hunting) Ext. 24, Fax. 7806462

 MIDWIFERY CARE IN PREGNANT WOMEN G1P0A0 18 WEEKS
WITH MILD ANEMIA

S : SUBYEKTIF
1. Identity
a. Wife Identity
Name : Ny. R
Age : 22 years old
Religion : Islam
Tribes : Jakarta / Indonesia
Education : senior high school
Work : Housewife
Address : jl. Salak no 12, south Jakarta
b. Identitas Suami
Name : Tn. T
Age : 27 years old
Religion : Islam
Tribes : Jakarta / Indonesia
Education : Senior High School
Work : Private employees
Address : jl. Salak no 12, south Jakarta

2. Main Complaint
Mother said often dizzy, tired, and weak
3. history of midwifery
a. menstrual history
Menarchea : 14 years
Siklus :28 days
much of : 1 full softex
blood color : redness
 Disminorhoe : the first day in menstruation
its long : 6-7 days
HPHT : 12 june 2017

b. History of pregnancy, childbirth and postpartum ago

Date of
Place complication baby childbirth
birth Gestasi Type
of help
No onal of Ke
deliver ba er PB/BB Kead Lactas
age age labor mother ada
y by gender aan i
an

This
pregnant
1

c. pregnancy history now

HPHT : 12 June 2017
TP : 19 march 2018
UK : 18 weeks
complaints :
TM I : dizzy, nausea
TM II : dizzy, get tired quickly
TM III :-
4. previous medical hystory
Mother said never had a disease
contagious : hiv, tbc
decreased : hipertensi, DM
cronic : jantung.
5. current medical history
Mother said never had illness
contagious : hiv, tbc
decreased : hipertensi, DM
cronic : jantung.
6. family history of disease
Mother said in the family had no history of disease
contagious : hiv, tbc
decreased : hipertensi, DM
cronic : jantung.
7. marital status
1 st wedding
Age of marriage : Istri 22 years Suami : 27 years
Long marriage : 1 year
8. family planning history
Mother said she had never used family planning
9. socio-cultural history
Mother said the relationship with her family is good, the family fully
support her pregnancy
During pregnancy the mother does not consume herbal medicine, not
smoking, not dringking..

10. psychological history

The mother said this pregnancy is desirable
11. daily habit patterns
a. nutrition patterns
before pregnancy : eat : 2 x/day with moderate portion
(rice, side dishes, vegetables) and
with some fruits
drink : 8 glass/day
while pregnant : eat : 2 x/day with moderate portion
(rice, side dishes, vegetables) and
with some fruits
drink : 6 glass/day
 b. pattern of elimination
before pregnancy : defecate : 1x/day, yelow, no complaints
urination : 4-5 x/day, clear yellow, no
complaints
while pregnant : defecate: 1x / day, yelow, no complaints
urination : 7-8 x/day, 4-5 x/day, clear
yellow, no complaints.
c. activity patterns
before pregnancy : doing their own activities at home, such as
sweeping, washing, cooking
while pregnant : educe activity
d. break pattern
before pregnancy : siesta at 12.00
sleep at night 21.00-05.00
while pregnant : siesta at 12.00
sleep at night 21.00-05.00

II. OBJECTIVE
1. . General examination
o General situation : good
Awareness : composmentis
 VITAL SIGN : Blood pressure : 100/70 Mmhg
Pulse: 80 x/min
respiratory: 24 x/min
Temperature: 36,5 0 C
• Weight before pregnancy : 50 kg
• pregnant weight now : 55 kg
• Height : 160 cm
• LILA: 26 cm
• Hemoglobin : 9 gr / dl
2. Physical examination
a. Inspection
 Head: Head clean, no bumps / scars, no dandruff
 Advance: Symmetrical, No odema, pale, no cloasma gravidarum.
 Eyes: Symmetrical, Sclera white, pale conjunctiva.
 Nose: Symmetrical, no secret and polyp.
 Mouth and mouth: mucosa Dry lips, no stomatitis, no dental caries.
 Ear: Symmetrical, no serumen.
 Neck: No visible swelling of the jugular vein and thyroid gland.
 Chest: Symmetrical, prominent nipples, colostrums have not come out,
hyperpigmentation areola mamae.
 Abdomen: No stitches, stomach visible enlarged according to
gestational age, linea nigra exists.
 Genetalia: Vulva not oedem, no varices.
 Anus: No hemaroid

Extremities :
Above: Symmetrical, no oedem, no polidaktili and sindactili.
Below: Symmetrical, no oedem, no polidaktili and sindactyl.

b. Palpate
 Neck: No palpable swelling of the jugular vein and thyroid gland.
 Chest: Not palpable lumps mamae chewy colostrum not regular.
Abdomen:
 Leopold One: ballotment (+)
 Leopold two: -
 Leopold three: -
 Leopold four: -
 c. Auscultation
Respiratory: normal (no whezzing or ronchi)
fetal heart rate: (+) 135 x / min (Right Back )
d. Percussion
Patella Reflect: right / left (+) / (+)

3. Investigations
blood group : B
Haemoglobin : 9 gr / dl

Weight before pregnancy : 50 kg

 pregnant weight now : 55 kg
 Height : 160 cm
 LILA: 26 cm
 Haemoglobin : 9 gr / dl
Potential Dx: the mother may have moderate anemia
Mx: -
Needs ;
 explain to the mother about the perceived complaints
 encourage the mother to take adequate rest
 give mothers drugs like fe and kalk
 tell the mother how to eat fe.

IV. MANAGEMENT
1. Explain to the mother about the perceived complaint, explain to the mother
about the perceived complaint, mother understand.
2. Encourage the mother to rest a minimum of 7-8 hours / day, encourage the
mother to rest well, mother understand and want to do advice from health
personnel.
3. Encourage the mother to consume adequate nutrition, encouraging the
mother to consume adequate nutrition, mother understand
4. Give the mother a tablet blood booster sperti fe, give mother tblet blood
booster, mother to receive.
5. Tell the mother how to consume blood glucose medication, tell how to
consume the drug by: taking medicine fe not taken with the aur because it will
disturb drug metabolism result, mother understand
6. Encourage the mother to visit again in 1 month, mother understand