Author : Afrianti Umar*, Maria Rantung, Alexander O Maengkom
The Indonesian Demographic Health Survey (SDKI) reported an AKI in 2012 of 359 / 100,000 live births, but this figure is still far above the target of AKI for the MDGes (Millennium Development Goals) set by the WHO of 102 / 100,000 live births. While the IMR in Indonesia reached 40/1000 live births. Based on data obtained from Tobelo Health Office of North Halmahera Regency, the number of maternal mothers in 2016 was 3,663 people. And in 2017 from January to April as many as 439 people. AKI in the year 2016 as many as 13 people, because bleeding 10 people, HDKI 1 person, infection 1 person, others 1 person. The goal is to perform Post Partum Midwifery Care at Ny "A" with Perineum Level III rupture at Tiberias Wosia clinic in North Halmahera District. From the above background, the formulation of this problem is "How Implementation of Midwifery Care Management at Post Partum Mother with Rupture Perinium Level III at Tiberias Tobelo Clinic 2017. This type of descriptive research with case study approach that is, examine and analyze theory, about management of Midwifery 7 step Varney, and methods of documenting and understanding Perinium Rupture, causes, signs, pathologists and management at Tiberias Maternity Clinic. Results after midwifery care of the general condition of the mother and vital signs within normal limits: TD: 110 / 70mmHg, P: 24 / mnt, N: 83 / mnt, S: 36.5ºC, Good uterine contractions, palpable hard and round, Lochia rubra expenditure, Pain of prineum region has been reduced marked by a. Stitch wound started well. No signs of infection such as heat, redness, pain, swelling and tissue damage. The conclusion after the authors did on June 17, 2017 was the third day post partum The normal walking on the mark with the general condition of the mother and vital signs within the normal limit of TD 110 / 70mmHg, breathing 24 / mnt, pulse 83 / mnt, temperature 36.6 º C , Good uterine contractions and no signs of infection such as heat, redness, pain, swelling and tissue damage. The suggestion of each midwife is capable of applying optimal midwifery care in order to see the problem clearly and appropriately, in dealing with patients with perineal tears to avoid dangerous complications. Key words: Midwifery Care, Perineal Level Rupture III.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD