Author : Riswana Mailoa, Maria Rantung, Arend L Mapanawang
Background: Gestsional Diabetes Mellitus is a normal pregnancy accompanied by umbilical cord twists that can form loops around the body, shoulders, upper / lower limbs and neck in infants. Cases of infant mortality in childbirth with several complications such as abortion, umbilical cord winding, asphyxiation and low birth weight are still serious problems today. The aim of the study: to provide midwifery care using 60 steps APN delivery management. The type of research used was descriptive with a case study approach to midwifery management in accordance with the 7 varney steps. Childbirth care was carried out at the A-athirah clinic in the village of Gosoma Halmahera Utara in 2020. The results of the study: Mrs. L, 32 years old GIIPIA0. Gestation age 40 weeks 5 days with umbilical cord twisting 1 time and the umbilical cord is loosened to deliver the whole body of the baby. Conclusion: The baby was born safely on 28 October 2020 at 09.25 East Indonesia Time, female sex, Weight: 3,300 kilograms, Body length: 48 centimeters.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD