Intra Natal Care For Mrs. “R” G4p3a0 40 Weeks Gestation With Premature Rupture Of Membranes At Sorawolio Health Center

Abstract

Background: Premature rupture of membranes (KPD) is a condition in which the membranes break before labor begins or signs (inpartu), with cervical opening less than 3 cm in primipara and less than 5 cm in multipara. This KPD case was experienced by Mrs. "R" at Puskesmas Sorawolio. If not treated quickly, KPD can increase the risk of infection and other complications in the mother and baby. Objective: This report aims to provide intranatal midwifery care to Mrs. "R" who experienced KPD at Puskesmas Sorawolio, using Varney's 7-step approach and SOAP documentation. The purpose of this case study is to provide optimal obstetric care to prevent complications and ensure the safety of the mother and baby during labor. Methods: This study used a case study method with the Varney 7-step approach and SOAP documentation, conducted from January 11 to March 8, 2023 at the Sorawolio Health Center. The data used included primary and secondary data. Assessment and implementation of care were carried out in week 4, while evaluation was carried out in week 5. Results: KPD care for Mrs. "R" was carried out by installing Ringer Lactate infusion 28 drops per minute to replace lost body fluids, giving oxytocin 5 IU 20 drops per minute to strengthen contractions, and intensive monitoring from stage I to stage IV. All stages of labor proceeded without complications, with vital signs of mother and baby within normal limits. Conclusion: Midwifery care management with Varney's 7 steps and SOAP documentation showed good results, without complications in the mother or fetus. Midwives are expected to provide professional services regardless of the patient's social status.