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"All aspects of safe, effective, holistic care for birthing mothers, newborns and their families are included in this easy-access guide for new antepartum and postpartum nurses and their preceptors during the orientation period. Presented in the convenient, easy-to-use Fast Facts format, the book provides up-to-date information regarding care for both low- and high-risk antepartum and postpartum patients. It encompasses evidence-based practise guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications and care of special populations. Each chapter features a helpful "orientation guide"to acquaint the new orientee with essential information on procedures and policies, equipment, medications and evidence-based protocols.Chapters are organised systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests and holistic evidence-based nursing care practises. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimised and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practise in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations and lab values."

"Ners spesialis keperawatan maternitas mempunyai kompetensi dalam penanganan kasus obstetri komplikasi untuk mewujudkan tujuan Millennium Development Goals Penyusunan laporan praktik residensi ini memberikan gambaran tentang peran dan fungsi ners spesialis keperawatan maternitas dalam pencapaian kompetensi Laporan ini memfokuskan penerapan teori need for help Wiedenbach pada asuhan keperawatan ibu hamil yang mengalami ketuban pecah dini Preterm Premature Rupture of Membrane PPROM dengan kelahiran prematur Penerapan teori dalam asuhan keperawatan ini merupakan salah satu dari sembilan peran mandiri perawat ners spesialis keperawatan maternitas yaitu sebagai pemberi pelayanan keperawatan Peran lainnya adalah sebagai edukator konselor advokat pengelola kolaborator komunikator dan koordinator agen perubah dan peneliti Penerapan teori need for help sangat tepat karena sesuai dengan kondisi kasus bahwa PPROM dengan kelahiran prematur adalah salah satu kondisi kegawatan obstetri Penerapan teori tersebut berhasil membantu menyelesaikan masalah keperawatan klien dengan baik

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Maternity nursing specialist contributes in handling obstetric cases to achieve the MDG rsquo s goals This clinical practice report aimed to describes the roles and functions of maternity nursing specialist in achieving competencies This report focuses on the application of the Wiedenbach rsquo s lsquo need for help rsquo theory to pregnant women who were experiencing preterm premature rupture of membranes PPROM with preterm birth The application of this theory in nursing care is one independent roles of the maternity nursing specialist namely care giver Another roles are educator counselor advocate manager collaborator communicator and coordinator change agent and researcher The application of need for help theory was very appropriate because it was fit to the conditions of the cases where PPROM with preterm birth is one of obstetric emergency conditions The application of the theory had successfully helped to solve the client rsquo s nursing problem well "

"Karya ilmiah akhir disusun sebagai laporan praktik residensi ners spesialis keperawatan maternitas yang menggambarkan pencapaian kompetensi ners spesialis keperawatan maternitas dengan fokus pada aplikasi teori keperawatan need for help dan symptom management pada ibu hamil dengan preeklampsia berat. Kompetensi ners spesialis keperawatan maternitas diwujudkan dengan penerapan peran dan fungsi perawat sebagai pemberi pelayanan keperawatan, advokat, manajer, rehabilitator, komunikator, edukator, kolaborator, dan agen perubah. Aplikasi teori keperawatan need for help Wiedenbach dan symptom management Humphreys pada ibu hamil dengan preeklampsia berat dapat mengatasi masalah keperawatan selama fase akut dan pemeliharaan.

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This final report is created as a report of maternity nursing specialist residency practice which describes the achievement of maternity nursing specialist’s competencies focused on the application of ‘need for help’ and ‘symptom management’ nursing theory to pregnant women with severe preeclampsia. The competencies of a maternity nursing specialist were actualized by the implementation of roles and functions as a nursing care provider, an advocate, a manager, a rehabilitator, a communicator, an educator, a collaborator, and a change agent. The application of Wiedenbach’s ‘need for help’ nursing theory and Humphreys theory of symptom management to pregnant women with severe preeclampsia could solve the nursing problems during acute and maintenance phase."

"Karya Ilmiah Akhir ini merupakan analisis dan rangkaian kegiatan praktik residensi ners spesialis keperawatan maternitas, dengan penerapan teori keperawatan konservasi Levine dan unpleasant symptoms pada proses keperawatan ibu hamil dengan preeklampsia berat. Teori konservasi Levine memungkinkan individu untuk beradaptasi guna mempertahankan integritasnya dengan hasil akhir berupa konservasi. Fokus utama konservasi adalah keseimbangan antara suplai dan kebutuhan energi agar terjaga seluruh aspek keutuhan individu. Sedangkan teori unpleasant sympthom digunakan dalam mengurangi gejala - gejala ketidaknyamanan dengan cara meningkatkan pemahaman terhadap sekumpulan gejala ketidaknyamanan dari berbagai konteks dan menyediakan informasi yang bermanfaat serta memberikan dampak negatif dari gejala ? gejala ketidaknyamanan. Laporan akhir residensi juga memaparkan pencapaian target kompetensi dan berusaha memodifikasi hambatan yang dihadapi selama praktik.

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The final paper is an analysis of maternity nursing practice spesialist with the application Concervation Levine and unpleasant symptoms on nursing process with severe preeclampsia pregnant women. Levine conservation theory allows individuals to adapt in order to maintain its integrity with the final result of conservation. The main focus of conservation is a balance between supply and demand, in order to keep all aspects of individual integrity. While unpleasant theory sympthom use in reducing the symptoms - symptoms of discomfort by increasing the understanding of the group of symptoms of discomfort from a variety of contexts and provide useful information and that had a negative impact on the symptoms - symptoms of discomfort. The final report also describes residency achievement of competence and attempt to modify the constraints faced during practice."

"Angka Kematian Ibu di Indonesia saat ini adalah 373 per 100.000, per kelahiran hidup. Beberapa penelitian teiah membulctikan adanya hubungan yang kompleks antara faktor sosio-demograf. faktor individual, yang mempengaruhi kedekatan pelayanan antenatal akan letapi hanya sedikit informasi tentang faktor yang berhubungan dengan kedatangan pada kunjungan pertama ke pelayanan antenatal darn penelitian yang telah dilakukan khususnya untuk daerah perkotaan., Faktor yang diperkirakan berhubungan dengan kedatangan pada kunjungan pertama ke pelayanan antenatal baik daerah perkotaan mapun pedesaan adalah: perilaku berisiko, dukungan sosial, dukungan profesional, penerimaan terhadap kehamilan adalah faktor-faktor yang telah dibuktikan berhubungan dengan keterlambatan kedatangan ibu pada kunjungan pertama ke pelayanan antenatal. Sampel penelitian ini adalah 109 ibu hamil di Kelurahan Cipinang Basal- Utara Kecamatan Jatinegara Jakarta Timur.Semua responden adalah ibu hamil diatas usia 18 tahun yang memanfaatkan pelayanan antenatal di Puskesmas dan Bidan praktek. Penelitian dilaksanakan selama 14 hari yaitu dari tanggal 4 -18 Juli 2003. Keterpatan waktu datang pada kunjungan pertama ke pelayanan antenatal didapatkan adalah 71.9% sedangan terlambat datang pada kunjungan pertama adalah 22.9%. Tidak ditemukan hubungan yang bermakna secara analisis bivariat dengan uji chi-square. Namun secara multivariat ditemukan ada 3 variabel independen yang ditemukan bermalata dengan kedatangan pada kunjungan pertama ke pelayanan antenatal dengan uji regresi logistik ganda yaitu : pendidikan ibu; pengahsialan keluarga dan dukungan sosial dengan p <0.05. Rekomendasi dari hasil penelitiaan ini adalah dapat menjadi bahan pertimbangan bagi perencanaan program Kesehatan Ibu dan Anak (KIA) di Kelurahan CBU khususnya dan Suku Dinas Kesehatan Jakarta Timur umumnya melalui: meningkatkan kualitas pelayanan antenatal dengan kunjungan rumah yang aktif pengambangan pendidikan kesehatan dan pendidikan berkelanjutan pada petugas profesional: perawat maternitas dan BidanBibliography: 53 (1986 - 2002)

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Determinants Factors of First Visit among Pregnant Women into Prenatal Care Series a Part of Family Centered Maternity Nursing at Cipinang Besar Utara (CBU) Sub Centres, Jatinegara Sub District East Jakarta 2003Maternal mortality rate are still high in Indonesia, i.e. 373 per 100.000. live births Research studies have revealed a complex relationship of demographic, social, and personal factors that influence adequate prenatal care. However, relatively tittle information have been done to study factors related to first visit into prenatal care among pregnant women especially in urban area. Predictive factors to be tested were drawn fmrn recent studies in both rural and urban areas that cited are behaviour risk, psychological risk factor, low acceptance of the pregnancy. has been reported to have no effect on time of visit and to be associated with early visit to prenatal care series. Social support, professional support, socio-demographic, risk behaviours variables as well as acceptance were tested as determinants factors of late entry into prenatal care in sample of 1 09 women in the CBU sub enters, as a urban area in East Jakarta.The respondents were all those who pregnant and over age 18 served by midwife practices and community health centre, during 14 days (4-18th July) 2003. On time visit into prenatal care during the first trimester occurred in 22,9% and late visit by accrued 71.9% overall of cases. No statistically significant independent varialles in bivariate analyses. However In multivariate logistic regression, family income, mother education, professional support, are were all significant predictors of first visit into prenatal care (p <0.005). This study reccommends that district Health office and subdistrict Health Centers derector more services in the attachment by using mobile ANC services. Furthermore, since mother educations, family income are significant factors, it is suggested that health services should be integrated into home economic activities. At last professionalism of maternity nurse and rnidwifes should always improved in relatives to give the ANC service quality.Bibliography: 53 (1986 - 2002)"

"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."

"Anemia merupakan masalah bagi negara berkembang dan negara maju. Anemia menjadi salah satu penyebab angka kematian ibu di Indonesia. Ketidakpatuhan mengkonsumsi tablet besi merupakan penyebab utama terjadinya anemia di Indonesia. Penelitian ini bertujuan mengembangkan konsep baru tentang kepatuhan ibu hamil dalam mengkonsumsi tablet besi yang dipengaruhi oleh sosial budaya Kutai. Studi kualitatif dengan pendekatan grounded theory dilakukan pada sepuluh partisipan yang direkrut melalui theoritical sampling di Kotamadya Samarinda. Hasil penelitian menunjukkan adanya faktor eksternal terutama keyakinan dan budaya yang menganggap tablet besi penyebab kegemukan ibu dan bayi, dan pemicu ibu hamil diikuti oleh makhluk halus serta anggapan ibu hamil tidak perlu mengkonsumsi tablet besi. Faktor lain yang mempengaruhi yaitu persepsi ibu hamil, dukungan sosial dan pendidikan kesehatan. Pendidikan kesehatan yang adekuat tentang tablet besi diharapkan menjadi bagian dari bentuk pelayanan keperawatan untuk meningkatkan kepatuhan ibu hmil dalam mengkonsumsi tablet besi.

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Anemia is development and developed countries problems. Anemia is one of reason that leading maternal mortality rate. Non compliance on consuming iron tablets is the main cause of anemia in Indonesia. This research is conducted to develop new concept of iron tablets compliance amongst pregnant women that's influenced by Kutai's social culture. A grounded theory study has been done amongst 10 participants in Samarinda.

The results shows that there are external factors especially belief and culture in the community (avoid big baby and afraid of ghost) and another factors (women's perception and social support as well as health education that influence the women's compliance). Adequate health education about iron are expected to be part of nursing service to improve compliance pregnancy in consuming iron."