viii

DAFTAR ISI

HALAMAN JUDUL........................................................................................ i

HALAMAN PERSETUJUAN ......................................................................... ii

HALAMAN PENGESAHAN........................................................................... iii

RIWAYAT HIDUP ......................................................................................... v

KATA PENGANTAR ..................................................................................... vi

DAFTAR ISI.................................................................................................. viii

DAFTAR TABEL........................................................................................... xii

DAFTAR GAMBAR....................................................................................... xiii

DAFTAR BAGAN.......................................................................................... xiv

DAFTAR SINGKATAN.................................................................................. xv

DAFTAR LAMPIRAN .................................................................................... xvi

BAB I PENDAHULUAN........................................................................... 1

A. Latar Belakang Masalah ........................................................ 1

B. Rumusan masalah ................................................................. 3

C. Tujuan Penulisan ................................................................... 3

D. Manfaat Penulisan ................................................................. 4

BAB II TINJAUAN TEORI ............................................................................. 6

A. Konsep Dasar Medis.............................................................. 6

1. Persalinan ....................................................................... 6

a. Pengertian................................................................ 6

b. Faktor –faktor yang berperan dalam persalinan........ 8

c. Tanda dan gejala menjelang persalinan ................... 9

d. Mekanisme persalinan.............................................. 11

e. Proses persalinan dibagi menjadi 4 kala yaitu: ......... 14

ix

2. Ketuban Pecah Dini ........................................................ 16

a. Pengertian................................................................ 16

b. Manfaat Air Ketuban................................................. 16

c. Penyebab................................................................. 16

d. Tanda dan gejala...................................................... 18

e. Mekanisme............................................................... 18

f. Komplikasi Ketuban Pecah Dini................................ 18

g. Pemeriksaan penunjang........................................... 20

h. Diagnosa.................................................................. 21

i. Penatalaksanaan ketuban pecah dini ....................... 22

j. Induksi...................................................................... 25

k. Syarat-syarat dilakukan induksi yaitu:....................... 25

l. Prosedur tindakan induksi: ....................................... 26

B. Manajemen Kebidanan .......................................................... 29

1. Manajemen Kebidanan menurut Hellen Varney .............. 29

a. Pengertian Manajemen Kebidanan........................... 29

b. Langkah-langkah Manajemen Kebidanan................. 29

2. Dasar metode pendokumentasian SOAP........................ 31

C. Landasan Hukum................................................................... 33

BAB III METODE STUDI KASUS.............................................................. 40

A. Definisi operasional studi kasus ............................................. 40

1. Jenis studi kasus............................................................. 40

2. Manajemen Studi Kasus Menggunakan Alur Pikir

Varney ............................................................................ 40

3. Pendokumentasian SOAP............................................... 40

x

B. Ruang lingkup........................................................................ 41

1. Sasaran........................................................................... 41

2. Lokasi studi kasus........................................................... 41

3. Waktu studi kasus ........................................................... 41

C. Metode Perolehan Data ......................................................... 41

1. Data primer ..................................................................... 41

2. Data sekunder................................................................. 43

D. Instrumen studi kasus ............................................................ 44

E. Alur Studi Kasus .................................................................... 45

BAB IV HASIL DAN PEMBAHASAN ......................................................... 46

A. Hasil....................................................................................... 46

1. Data Subjektif.................................................................. 46

2. Data Objektif ................................................................... 53

3. Assessment .................................................................... 56

4. Planning.......................................................................... 59

Catatan Implementasi ............................................................ 60

B. Pembahasan.......................................................................... 86

1. Pengkajian ...................................................................... 86

a. Data Subjektif ........................................................... 86

b. Data Obyektif ........................................................... 87

2. Interpretasi Data.............................................................. 90

a. Diagnosa kebidanan................................................. 90

b. Masalah ................................................................... 91

3. Diagnosa Potensial ......................................................... 92

4. Tindakan Segera............................................................. 93

xi

5. Perencanaan................................................................... 93

6. Penatalaksanaan ............................................................ 95

7. Evaluasi .......................................................................... 96

BAB V PENUTUP .................................................................................... 97

A. Simpulan................................................................................ 97

B. Saran ..................................................................................... 99

DAFTAR PUSTAKA

LAMPIRAN

xii

DAFTAR TABEL

Tabel 2.1. Skor Bishop.............................................................................. 24

Tabel 4.1. Riwayat Kehamilan, Persalinan dan Nifas yang Lalu................ 48

Tabel 4.2. Riwayat KB .............................................................................. 49

xiii

DAFTAR GAMBAR

Gambar 2.1. Mekanisme Persalinan............................................................. 13

xiv

DAFTAR BAGAN

Bagan 2.1. Skema tatalaksana ketuban pecah dini aterm............................. 28

xv

DAFTAR SINGKATAN

AKI : Angka Kematian Ibu

ANC : Ante Natal Care

BBL : Bayi Baru Lahir

CPD : Chepalo Pelvic Disproportion

CVAT : Costo Vertebral Angle Tenderness

DM : Diabetes Militus

DJJ : Denyut Jantung Janin

HIV : Human Immunology Viruses

HPHT : Hari Pertama Haid Terakhir

HPL : Hari Perkiraan Lahir

KPD : Ketuban Pecah Dini

OUE : Ostium Uteri Eksternum

PAP : Pintu Atas Panggul

POD : Poin Of Direction

POU : Posisi Ostium Uteri

RDS : Respiratiry Distress syndrome

RL : Ringer Laktat

RR : Respirasi Rate

SC : Sectio Caesarea

SDKI : Survei Demografi dan Kesehatan Indonesia

SOP : Standar Operasional Prosedur

TBC : Tuberculosis

TFU : Tinggi Fundus Uteri

VT : Vagina Touch

xvi

DAFTAR LAMPIRAN

Lampiran 1. Surat Ijin Survei Pendahuluan Ke RSUD Kudus

Lampiran 2. Surat Ijin Survei Pendahuluan Ke Kesbangpol

Lampiran 3. Surat Ijin Survei Pendahuluan ke DKK Kudus

Lampiran 4. Surat Ijin Survei Pendahuluan ke RSUD Kudus

Lampiran 5. Surat Balasan dari Kesbangpol

Lampiran 6. Surat Ijin Pengambilan Data Awal

Lampiran 7. SOP RSUD Dr. Loekmono Hadi Kudus

Lampiran 8. Format Pengkajian

Lampiran 9. Partograf

Lampiran 10. Data Keadaan Morbiditas pasien Rawat Inap di RSUD Kudus

Lampiran 11. Inform Consent

Lampiran 12. Surat Kesediaan Membimbing

Lampiran 13 Surat Keterangan Konsultasi

Lampiran 14. Berita Acara Ujian Proposal Studi Kasus

Lampiran 15. Berita Acara Ujian Studi Kasus

Lampiran 16. Jadwal Studi Kasus

Lampiran 17. Lembar Konsultasi