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"Angka kematian ibu (AKI) merupakan salah satu indikator untuk menentukan derajat kesehatan ibu. AKI secara nasional masih relatif tinggi. Penyebab AKI antara lain perdarahan setelah persalinan, eklamsia, dan infeksi. Selain itu, AKI juga disebabkan oleh faktor tiga terlambat dan empat terlalu. Perdarahan menempati persentase tertinggi penyebab kematian ibu. Laporan ini memberikan gambaran tentang pelaksanaan praktik residensi Ners Spesialis Keperawatan Maternitas fokus pada kasus perdarahan postpartum dengan penerapan kedua teori yaitu "Need for Help Wiedenbach" pada keadaan emergensi dan teori "Conservation Levine" untuk pemulihan ibu postpartum dengan perdarahan. Fokus teori keperawatan “Need for Help Wiedenbach” adalah memberikan pertolongan sesuai dengan kebutuhan pasien saat ini yaitu pada kasus ini saat terjadi perdarahan. Kemudian setelah fase akut teratasi, asuhan keperawatan diberikan untuk mempertahankan keseimbangan energi ibu postpartum setelah mengalami perdarahan. Perawat perlu memahami dan melaksanakan perannya sebagai pemberi asuhan keperawatan, pendidik, konselor, advokat, koordinator, kolaborator, peneliti, dan agen pembaharu dalam pelayanan praktik keperawatan.

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MMR is still relatively high nationally. The causes of MMR may include postpartum hemorrhage, eclampsia, and infection. In addition, MMR is also caused by the “three delays” and “four frequently occurring factors” among women. Bleeding is the highest percentage of the causes of maternal death. This report provided an overview of the practice implementation by resident maternity nursing specialist focused on the application theories of Need for Help from Wiedenbach during acute stage and Conservation from Levine during recovery stage with postpartum hemorrhage. The nursing theory of "Need for Help Wiedenbach" is indented to provide help in accordance with the needs of patients here and now in case of postpartum hemorrhage. Then after the acute phase is managed, the nursing care is given to maintain energy balance of postpartum women after bleeding. The nurses need to understand and carry out their roles as providers of nursing cares, educator, counselor, advocate, coordinator, collaborator, researcher, and innovator in the nursing maternity practices."

"Perdarahan postpartum merupakan salah satu situasi kegawatan maternal yangmembutuhkan penanganan segera. Penanganan kegawatan diprioritaskan untukmencegah syok hipovolemia yang mengancam jiwa. Setelah stabil, klien akan mendapatperawatan lanjutan untuk pemulihan. Di masa pemulihan, klien masih membutuhkanbantuan untuk mengatasi gangguan yang masih muncul, merawat diri, danmempersiapkan diri untuk memulai peran barunya. Penerapan integrasi modelkeperawatan Need For Help Wiedenbach dan Konsep Adaptasi Roy merupakan formatpengkajian yang sesuai untuk kondisi pada lima kasus yang dikelola Residen. Residenmengaplikasikan Evidence-Based Practice Nursing (EBPN) dalam perawatan klienperdarahan postpartum fase pemulihan. EBPN yang digunakan bertujuan untukmengatasi kecemasan klien akibat trauma dan hospitalisasi. EBPN yang digunakansebagai intervensi keperawatan adalah teknik afirmasi positif. Teknik Afirmasi positifdalam pengelolaan lima kasus kelolaan berpengaruh signifikan dalam menurunkan nilaikecemasan klien. Teknik afirmasi efektif untuk membantu klien menghadapi masalahpsikologis pasca perdarahan postpartum yang menimbulkan stres dan trauma. Perawatyang bertugas mengelola klien-klien dengan perdarahan postpartum fase pemulihandapat menggunakan integrasi model keperawatan sebagai acuan bagi perawatankliennya. Perawat maternitas juga dapat menggunakan teknik afirmasi positif untukmenurunkan tingkat kecemasan pada klien-klien dengan gangguan perdarahanpostpartum.

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Postpartum hemorrhage is one of the maternal emergencies which need immediate

treatment. The emergency management is prioritized to avoid hypovolemic shock which

can be life threatening. Once stable, clients will receive further treatment for recovery.

During the recovery period, clients still need help to overcome problems that still occur,

to take care of themselves, and to prepare to start their new roles. The application of

Needs Help Wiedenbach nursing model integration and Roy's Adaptation Concept is an

assessment format that is suitable for the conditions of the five cases managed by the

Resident. Resident applies EvidenceBased Practice Nursing (EBPN) in the treatment of

postpartum hemorrhage clients in the recovery phase. EBPN is used to treat clients’

anxiety caused by trauma and hospitalization. The use of EBPN as a nursing

intervention is a positive affirmation technique. Positive affirmation technique in the

five managed cases management significantly affects in reducing clients’ anxiety. The

affirmation technique is effective to help clients to face psychological issues after

postpartum hemorrhage which causes stress and trauma. Nurses who are in charge of

supporting clients with postpartum hemorrhage in the recovery phase can use the

nursing model integration as a reference for treatment for their patients. Maternity

nurses can use positive affirmation techniques as well to reduce anxiety levels of clients

with postpartum hemorrhage disorders."

"Perawat spesialis maternitas berperan dalam menurunkan Angka Kematian Ibu AKI akibat komplikasi kehamilan dan persalinan. Salah satu peran perawat adalah memberikan asuhan keperawatan yang komprehensif dengan mengidentifikasi dan mengatasi masalah pasien perdarahan post partum dengan pedekatan teori keperawatan. Penerapan model need for help Wiedenbach diterapkan pada fase akut untuk mefasilitasi ibu mengatasi masalah perdarahan yang dialami dan teori self care Orem diterapkan pada fase pemulihan untuk memfasilitasi pasien meningkatkan kemampuan dalam merawat dirinya. Lima kasus kelolaan pasien memiliki masalah yang berbeda beda sesuai hasil pengkajian model need for help Wiedenbach dan self care Orem. Kasus yang dilaporkan adalah pasien perdarahan post partum akibat retensio plasenta dengan keluhan perdarahan aktif, lemas, pusing. Masalah keperawatan yang ditemukan pada fase akut adalah perdarahan, kurang volume cairan, resiko gangguan perfusi jaringan, kecemasan, sedangkan masalah keperawatan pada fase pemeliharaan adalah defisit perawatan diri, risiko cidera, nyeri, kecemasan, dan berduka. Intervensi keperawatan yang dilakukan pada fase akut adalah untuk mengatasi masalah kegawatan dengan menghentikan perdarahan dan resusitasi cairan. Sedangkan intervensi keperawatan pada fase pemulihan adalah untuk meningkatkan kemandirian pasien dalam melakukan perawatan dirinya. Evaluasi yang didapatkan adalah perdarahan teratasi dan pasien mandiri dalam melakukan perawatan dirinya

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The Final Report of residential of Maternity Nursing Specialist which focus on application Theori of need for Help Wiedenbach and Self Care orem of Women with Post Partum Haemorhagae AbstrackMaternity nursing specialists have role in reducing maternal mortality due to complication of pregnancy and childbirth. One of the nurses 39 roles is to provide comprehensive nursing care by identifying and resolving patient problems with postpartum hemorrhage using nursing theories. The application of "the need for help" Wiedenbach theory in the acute phase is to facilitate mother in overcoming the bleeding problem and "the self care" Orem theory is applied in the recovery phase to facilitate patient having self care. Five cases of postpartum hemorrhage patients have different problems according to the results of "the need for help" theory of Wiedenbach and "self care" theory of Orem.

Reported cases were postpartum hemorrhage patients due to placental retention with active bleeding, weakness and dizziness complaints. Nursing problems found in the acute phase are bleeding, lack of fluid volume and risk of tissue perfusion disorders, while the problems in the recovery phase are self care deficits, risk of injury, pain, anxiety and grief. In the acute phase, nursing interventions is conducted to overcome emergency problem by stopping bleeding and fluid resusitation. While in the recovery phase, the nursing interventions is conducted to facilitate patients in doing self care. Evaluation obtained is bleeding resolved and having self care patients. "

"Praktik residensi keperawatan maternitas diselenggarakan untuk menghasilkan perawat maternitas yang menguasai aplikasi teori keperawatan maternitas dan memiliki keterampilan khusus untuk melakukan perawatan maternitas baik di rumah sakit maupun di komunitas. Laporan residensi ini menjelaskan tentang pelaksanaan praktik residensi maternitas, peran dan fungsi perawat maternitas, pencapaian kompetensi praktik dan upaya untuk memodifikasi hambatan yang dihadapi. Laporan residensi ini fokus pada penerapan teori need for help Wiedenbach dan self care Orem pada ibu hamil dengan tuberculosis multi drug resistance. Perawat maternitas perlu meningkatkan pengetahuan dan keterampilan klinik secara berkelanjutan sehingga mampu meningkatkan kualitas asuhan keperawatan maternitas.

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Maternity nursing practice residency organized to produce nurse of maternity who master the application of nursing theory and have special skills to do a good maternity care in hospitals and in the community. This residency final report describes the implementation of the practice residency maternity, roles and functions of nurses maternity, the attainment of practice and attempts to modify the barriers. Focus of this final report is application of theory need for help Wiedenbach and self care Orem in pregnant women with tuberculosis multi drug resistance. Nurse maternity needs to improve knowledge and clinical skills on an ongoing basis to improve the quality of maternity nursing care. "

"ABSTRAK Laporan Praktek Residensi Spesialis Keperawatan Maternitas Dengan Penerapan Teori Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson Pada Ibu Dengan Preeklampsia Abstrak Angka kematian ibu di Indonesia masih tinggi yaitu sebesar 359/100.000 kelahiran hidup. Pada tahun 2013 tercatat 27.1 penyebab kematian ibu disebabkan karena hipertensi pada kehamilan yang merupakan urutan kedua penyebab kematian ibu di Indonesia setelah pendarahan. Angka kematian ibu akibat preeklamsia di Indonesia adalah antara 9,8 - 25 . Perawat sebagai bagian dari tenaga kesehatan memiliki peran untuk memberikan asuhan keperawatan yang komprehensif untuk memantau dan memonitor kondisi ibu.Kasus kelolaan ada lima, namun dijelaskan secara terperinci pada satu kasus kelolaan. Hasil yang diperoleh dari keempat klien berusia < 20 tahun, satu kasus kehamilan yang kedua dan empat kasus kehamilan pertama, dua kasus dengan eklampsia, dan tiga kasus dengan preeklampsia berat, terdapat edema, dan protein urin lebih dari positif satu. Kelima kasus dilakukan pembedahan seksio sesaria, tiga kasus beresiko tinggi mengalami post partum blues. Fase akut menggunakan pengkajian dengan model konsep need for help Wiedenbach, sedangkan fase pemulihan menggunakan teori self care Orem dan caring Swanson. Pada fase akut pasien mengalami masalah gangguan perfusi jaringan serebral, intoleransi aktivitas, resiko cidera pada janin dan kecemasan. Sedangkan pada fase pemulihan pasien mengalami gangguan rasa nyaman nyeri, hambatan mobilitas fisik, defisit perawatan diri, kecemasan, dan resiko tinggi koping individu tidak efektif.Ketiga teori keperawatan ini dapat diterapkan pada pasien dengan preeklampsia untuk penanganan masalah emergensi pada fase akut dan peningkatan kenyamanan, perawatan diri setelah operasi dan peningkatan koping yang efektif untuk penanganan pada masa pemulihan bagi ibu dan bayinya. Kata Kunci: preeklampsia, need for help Wiedenbach, self care Orem, caring Swanson ABSTRACT Report Of Specialist Practice Residency Maternity Nursing Theory And Concept With The Application Of Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson In Mother With Preeklampsia. Abstract Maternal mortality rate in Indonesia is 359 100,000 live births. On 2013 the prevalence of maternal mortality rate cause of on the pregnant woman is 27,1 . This is the second maternal death in Indonesia after bleeding. Maternal mortality death caused by preeclampsia in Indonesia is between 9.8 25 . Nurse as a part of the health workers has a role to give comprehensive nursing care to monitor the condition of the motherFrom five cases founded, only one case was explain in details. There are four clients with age less than 20. On that case it was found one case on the second second pregnancy, four cases on the first pregnancy, two cases with eclampsia, and three cases with severe preeclampsia, five with cases with high blood pressure, edema, and urine protein more than positive one . Five cases were done section cesarean, three high risk caused post partum blues. The acute phase using assessment with the model concept of Wiedenbach, while the recovery phase using Orem self care and caring Swanson theory. On the acute phase the clients having a problems with tissue perfusion problems, activity intolerance, fetal risk and anxiety. While in the recovery phase of patients experiencing painful discomfort, physical imobility, self care deficit, anxiety, and high risk of ineffective individual coping.These nursing theories can be applied to patients with preeclampsia for the emergency problems in the acute phase and improved self care after surgery and effective coping enhancement for recovery treatment for mother and baby. Keywords reeclampsia, concept of Wiedenbach, self care Orem, caring Swanson"

"ABSTRAK Angka kematian ibu (AKI) merupakan salah satu indikator penting dari derajatkesehatan masyarakat. AKI menggambarkan jumlah wanita meninggal dari suatupenyebab kematian terkait dengan gangguan kehamilan atau penanganannya selamakehamilan, melahirkan dan selama nifas. Kasus perdarahan sebagai penyebab utamakematian ibu dapat terjadi pada masa kehamilan, persalinan dan masa nifas. Salahsatu penyebab perdarahan diantaranya adalah plasenta previa. Plasenta previamerupakan salah satu keadaan yang menjadi penyebab perdarahan yang memerlukantindakan segera tenaga kesehatan terkait dengan kondisi ibu dan janin yangdikandungnya. Perawat sebagai salah satu tenaga kesehatan yang memberikan asuhankeperawatan secara komprehensif berperan dalam melakukan pemantauan secaraberkesinambungan kondisi ibu dan janin serta proses persalinan yang akan dihadapi .Tujuan penulisan laporan KIA ini adalah menjelaskan tentang aplikasi konsep danteori keperawatan dalam pemberian asuhan keperawatan pada ibu hamil denganplasenta previa totalis,serta menjelaskan peran perawat maternitas sebagai pemberiasuhan keperawatan, educator, konselor, advokator, pengelola, kolaborator, agenpembaharu (innovator), komunikator dan koordinator serta peneliti dalammemberikan asuhan keperawatan pada ibu hamil dengan plasenta previa. Pemilihankonsep dan teori keperawatan berdasarkan kepada kontek klien yang dalam kondisimengalami komplikasi yang berakibat kecemasan, dibutuhkan pendekatan perawatyang mampu memberikan asuhan secara komprehensif. Oleh karena itu konsep danteori need for help Wiedenbach dan teori of caring Swanson tepat digunakan dalampemberian asuhan keperawatan pada ibu hamil dengan plasenta previa totalis.Dengan harapan kondisi ibu hamil dengan plasenta previa totalis tetap optimal,mampu beradaptasi secara fisik maupun pskologis serta siap terhadap proses persalinan yang akan dihadapi. ABSTRACT The maternal mortality rate (MMR) is one of important indicators of the communityhealth. MMR describes the number of women death caused by problems associatedwith pregnancy or the treatment during pregnancy, childbirth and postpartum period.Hemorrhagic cases as the main cause of maternal death occur during pregnancy,childbirth and postpartum period. One of hemorrhagic causes is placenta previa.Placenta previa is a condition that causes bleeding which requires healthprofessionals? immediate interventions related to the maternal and fetal condition. Anurse as one of health professionals who provides a comprehensive nursing care has arole in monitoring continuously the maternal and fetal condition as well as the laborand birth process. The purpose of this final scientific work was to explain about theapplication of the nursing concepts and theories in providing nursing care to pregnantwomen with placenta previa totalis, as well as to explain the role of maternity nursesas a caregiver, an educator, a counselor, an advocate, a manager, a collaborator, aninnovator, a communicator and a coordinator as well as a researcher in providingnursing care to pregnant women with placenta previa. The selection of nursingconcepts and theories was based on the context of the client experiencedcomplications causing anxiety, nurses? approach that can provide comprehensive carewas needed. Therefore, Wiedenbach need for help concept and theory and Swansontheory of caring were appropriate to be used in the provision of nursing care topregnant women with placenta previa totalis. Hopefully the conditions of pregnantwomen with placenta previa totalis remain optimal, able to adapt physically and psychologically and ready to face the labor process. ;The maternal mortality rate (MMR) is one of important indicators of the communityhealth. MMR describes the number of women death caused by problems associatedwith pregnancy or the treatment during pregnancy, childbirth and postpartum period.Hemorrhagic cases as the main cause of maternal death occur during pregnancy,childbirth and postpartum period. One of hemorrhagic causes is placenta previa.Placenta previa is a condition that causes bleeding which requires healthprofessionals? immediate interventions related to the maternal and fetal condition. Anurse as one of health professionals who provides a comprehensive nursing care has arole in monitoring continuously the maternal and fetal condition as well as the laborand birth process. The purpose of this final scientific work was to explain about theapplication of the nursing concepts and theories in providing nursing care to pregnantwomen with placenta previa totalis, as well as to explain the role of maternity nursesas a caregiver, an educator, a counselor, an advocate, a manager, a collaborator, aninnovator, a communicator and a coordinator as well as a researcher in providingnursing care to pregnant women with placenta previa. The selection of nursingconcepts and theories was based on the context of the client experiencedcomplications causing anxiety, nurses? approach that can provide comprehensive carewas needed. Therefore, Wiedenbach need for help concept and theory and Swansontheory of caring were appropriate to be used in the provision of nursing care topregnant women with placenta previa totalis. Hopefully the conditions of pregnantwomen with placenta previa totalis remain optimal, able to adapt physically and psychologically and ready to face the labor process. "

"Persalinan kala dua memanjang merupakan kondisi yang memerlukan penanganan perawat agar tidak terjadi dehidrasi atau kelelahan pada ibu dan mencegah gawat janin. Penatalaksanaan keperawatan pada ibu yang mengalami persalinan kala dua memanjang dengan memberikan asuhan keperawatan secara fisik dan psikologis. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori need for help Wiedenbach dan comfort Kolcaba pada asuhan keperawatan ibu yang mengalami persalinan kala dua memanjang. Aplikasi teori need for help Wiedenbach dan comfort Kolcaba efektif diterapkan pada kelima kasus yang berfokus pada masa intranatal baik secara fisik dan psikologis, mencegah dampak persalinan kala dua memanjang terhadap kondisi ibu dan janin serta mengkaji pernyataan klien tentang bantuan yang dibutuhkan kepada perawat. Dengan intervensi keperawatan yang sesuai dengan bantuan yang dibutuhkan klien maka masalah klien dalam keadaan emergency teratasi dan kebutuhan rasa nyaman dapat terpenuhi.

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Prolonged second stage of labor is a condition requiring nurse handling to avoid dehydration or fatigue of the mother and prevent fetal distress. Management of nursing in mother who experience prolonged labor by giving physical and psychological nursing care. The method used is case study with focus on the application of the theory of need for help Wiedenbach and comfort Kolcaba on nursing care in mother who experienced prolonged second stage of labor. The application of need for help Wiedenbach and comfort Kolcaba theories effectively applied to the five cases that focused on intranatal phase both physically and psychological, prevent the impact of prolonged second stage of labor in mother and fetus condition, as well as reviewing the clients statement about the assistance needed to the nurse. Appropriate nursing interventions can address client problems in an emergency and comfort needs can be met."

"Perdarahan postpartum merupakan penyokong utama kematian ibu secara global, dan memiliki implikasi fisiologis dan psikososial bagi ibu, bayi, keluarga dan masyarakat serta penyedia pelayanan kesehatan. Laporan praktik residensi ners spesialis maternitas ini, menerapkan peran dan fungsi perawat dan teori model keperawatan Need for Help Wiedenbach dan Comfort Kolcaba pada kasus perdarahan postpartum. Penerapan teori Wiedenbach dan Kolcaba pada kelima kasus kelolaan dapat diterapkan dan memenuhi kebutuhan pertolongan segera dan kenyamanan klien sehingga pelayanan asuhan keperawatan sesuai dengan harapan klien. Kekuatan teori Wiedenbach pda fase akut berfokus pada kebutuhan "here and now" yang dibutuhkan klien dengan segera, fokus pengkajian adalah fisik dan psikologis. Teori Comfort Kolcaba melengkapi dengan pengkajian aspek fisik, psikospiritual, lingkungan dan sosial, dengan intervensi yang dilakukan meliputi standart comfort intervention, coaching dan comfort food for thr soul. Perawat spesialis maternitas perlu meningkatkan peran dan fungsinya di tatanan pelayanan kesehatan, baik sebagai pemberi pelayanan, edukator, advokat, pengelola, kolaborator, dan komunikator.

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Postpartum Haemmoragic and maternal mortality have physiological and psychosocial implications. This Reports residency practice nurses maternity specialist, is a report for one year by applying roles and functions of nurses and nursing model theory Need for Help Wiedenbach and Comfort Kolcaba in case of postpartum hemorrhage. The application of the theory Wiedenbach and Kolcaba in five cases under management can be applied and meet the immediate relief needs and comfort of the client so that the nursing care services in accordance with the expectations of its clients. The Strength of the theory Wiedenbach on acute phase focuses on the needs of "here and now" that takes the client immediately, the focus of the assessment is physical and psychological.

Comfort Kolcaba complements theory with an assessment of the physical, psychospiritual, environmental and social, with interventions include standard comfort intervention, coaching and comfort food for thr soul. Maternity specialist nurses need to enhance the role and functions in order of health care, both as service providers, educators, lawyers, managers, collaborators and communicators."

"Kehamilan diharapkan dapat berlangsung aman dan lancar hingga melahirkan. Akan tetapi wanita hamil sangat beresiko mengalami penyulit atau komplikasi yang tidak diinginkan, salah satunya adalah abortus inkomplit. Fenomena tersebut mendorong profesi keperawatan untuk terus mengembangkan ilmu sejalan dengan tuntutan masyarakat terhadap pelayanan kesehatan yang berkualitas. Laporan ini bertujuan menggambarkan pelaksanaan praktek residensi keperawatan maternitas selama satu tahun, meliputi asuhan keperawatan pada masa childbearing normal dan resiko tinggi, bayi baru lahir normal dan resiko tinggi, perempuan yang mengalami masalah reproduksi dan ginekologi di tatanan klinik maupun di komunitas. Residen juga melakukan asuhan keperawatan pada kasus focus of interest yaitu abortus inkomplit dengan mengaplikasikan teori need for help yang dikombinasikan dengan teori social support. Laporan ini juga mengemukakan hambatan dan dukungan pada pelaksanaan praktek residensi. Selain itu, laporan ini juga memaparkan tentang kegiatan pencapaian kompetensi perawat spesialis maternitas melalui penerapan peran sebagai pemberi perawatan, pendidik, konselor, koordinator, komunikator, advokat, agen perubahan dan peneliti.

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Pregnancy is expected to take place safely and smoothly until delivery. However, pregnant women are particularly at risk to experience complications or unwanted complications, one of which is an incomplete abortion. This phenomenon encourages the nursing profession to continue to develop in line with the science community demands for quality health care. This report aims to describe the implementation of maternity nursing practice residency for one year, covers nursing care during the childbearing normal and high-risk, normal newborns and high-risk women who have problems in reproductive and gynecological clinic and in the community structure. Resident also performs nursing care on a case that is the focus of interest by applying the theory of incomplete abortion need for help is combined with the theory of social support. The report also noted the barriers and support the implementation of the practice residency. In addition, this report also describes about the activities of achievement of competencies through the application maternity nurse specialist role as caregiver, educator, counselor, coordinator, communicator, advocate, change agent and researcher."

"ABSTRAK Tingginya angka kematian ibu saat ini salah satunya disebabkan oleh adanya komplikasi pada saat kehamilan dan persalinan Ners spesialis keperawatan maternitas mempunyai peran penting dalam mencegah kematian baik ibu maupun janin Laporan ini bertujuan untuk memberikan gambaran pelaksanaan praktik ners spesialis keperawatan maternitas meliputi asuhan keperawatan pada masa prenatal intranatal postnatal dan bayi baru lahir normal dan berisiko serta mengenai masalah kesehatan reproduksi perempuan Residen juga memberikan asuhan keperawatan dengan focus penerapan teori need for help dari Wiedenbach pada ibu dengan terminasi kehamilan karena preeklamsia berat Hasil menunjukkan bahwa penanganan segera dan terminasi kehamilan sesuai dengan indikasi dapat mencegah komplikasi dan kegawatan pada ibu dan bayi serta mencegah terjadinya Sindrom HELLP dan Eklamsia Penerapan teori model keperawatan Need For Help efektif untuk diaplikasikan pada kasus terminasi kehamilan karena preeklamsia berat Pencapaian kompetensi perawat spesialis keperawatan maternitas dilakukan dengan penerapan peran perawat secara komprehensif.ABSTRACT One of the causes of high maternal mortality rate is the complications of pregnancy and labor A maternity nursing specialist has an important role to prevent maternal and fetal death This report aimed to provide an overview of the implementation of maternity nursing specialist practice including nursing care of normal and high risk prenatal intranatal postnatal and newborn as well as women rsquo s health Resident also provided nursing care focused on the application of Wiedenbach Need for Help Theory on mothers with pregnancy termination due to severe preeclampsia Results showed that the immediate management and pregnancy termination as indicated could prevent complications and maternal and infant distress as well as prevent HELLP Syndrome and eclampsia The application of Wiedenbach Need for Help Model Theory was effective to be applied on cases of pregnancy termination due to severe preeclampsia The maternity nursing specialist competencies were achieved by applying a nurse rsquo s roles comprehensively."