about pregnancy thesis chapter I

PART I

PRELIMINARY

A. Background

The number of maternal deaths due to complications during pregnancy and childbirth has decreased by 34% from an estimated 546 000 in 1990-358000 in 2008, according to a new report, Trends in maternal mortality, released by the World Health Organization (WHO), United Nations Children's Fund ( UNICEF), United Nations Population Fund (UNFPA) and the World Bank (WHO, 2010).

According to data from Indonesia Demographic Health Survey (IDHS) 2007, AKI 228 per 100,000 live births, IMR 34 per 1,000 live births, AKN 19 per 1,000 live births, Akaba 44 per 1,000 live births (Herman, et al, 2009).

Indonesia's population in 2007 is 225 642 000 people then there are 4,287,198 live births. With AKI 228 / 100,000 KH mean there are 9774 women die per year or one woman dies every hour by causes related to pregnancy, childbirth and postpartum. The magnitude of death Neonatal, Infant and Toddlers are much higher, with AKN 19/1000 KH, AKB 34/1000 KH and Akaba 44/1000 KH means there are 9 Neonatal, 17 infants and 22 toddlers die every hour (Herman, et al, 2009: 1 ).

Based on global agreements (Millennium Development Goals / MDGs, 2000) in 2015 is expected to decrease the maternal mortality ratio by three-quarters in the period from 1990 to 2015 and Infant Mortality Rate and Infant Mortality Rate decreased by two-thirds in the period 1990-2015. Based on that Indonesia is committed. to lower the maternal mortality rate to 102 / 100,000 KH, the infant mortality rate from 68 to 23/1000 KH, and the Infant Mortality Rate 97 to 32/1000 KH 2015 (Herman, et al, 2009: 1).

Based on the distribution of IMR in Nanggroe Aceh Darussalam in 2008 perkabupaten / town that comes from the health profile of the district / city Province of Nanggroe Aceh Darussalam infant deaths totaled 2031 in 2008 and 849 in 2007. The IMR in Aceh amounted 37/1000 LH , While the National IMR of 35/1000 live births. While the target to be achieved in accordance RPJM Aceh 37/1000 LH 2008 was thus achieving the target has been reached yet as the national average but still above the national figure (Health profile Prov. NAD, 2009).

In 2006, maternal deaths were 200, in 2007 amounted to 209 and in 2008 amounted to 181. The maternal mortality rate (MMR) in the Province of Nanggroe Aceh Darussalam in 2008 can be assumed to be 238 / 100,000 live births (National 228 / 100.00 born alive - Demographic and Health Survey 2008 ) while from the calculation of the health profile data in 2008 showed 191 / 100,000 LH (Health profile Prov. NAD 2009: 25).

Dikabupaten Bireuen, the number of infant deaths in 2008 was 43 infants (0.60%) of the total number of reported infant mortality rate in the province of Aceh, while the maternal mortality rate amounted to 13 people of the total number of maternal mortality in Aceh Province in 2008 ( Health profile of District / City and KIA Program of Aceh Province, 2009).

Efforts to accelerate the decline of MMR has been initiated since the late 1980s through the Safe Motherhood Initiative, which received great attention and support from various parties, both inside and outside the country. In the late 1990s conceptually has been introduced again attempt to sharpen strategies and interventions in reducing maternal mortality through the Making Pregnancy Safer (MPS) launched by the government in 2000. Since 1985 the government set up Child Survival (CS) for reducing infant mortality. Both of the above strategy has been aligned with the Grand Strategy Department of Health in 2004 (Herman, et al, 2009: 2).

B. Purpose

a. General purpose

The general objective of this comprehensive report is to establish a comprehensive obstetric care directly to Ny.N GII PI A0 at the start of the ANC, INC, PNC to care the BBL.

b. Special purpose

1. Conduct an assessment of pregnant women, childbirth, postpartum and newborn.

2. Identify and problem diagnosis of the pregnant women, childbirth, postpartum and newborn

3. Determine the potential problems to pregnant women, childbirth, postpartum and newborn.

4. Provide immediate action or kalaborasi against pregnant women, childbirth, postpartum and newborn

5. Make a plan of action against pregnant women, childbirth, postpartum and newborn

6. Take action against pregnant women, childbirth, postpartum and newborn

7. Make evaluation of pregnant women, childbirth, postpartum and newborn.

C. Scope

The scope of this is to provide a comprehensive report Midwifery Care Management Comprehensive GII PI Ny.N A0 starts from the ANC, INC, PNC to care the BBL since July 10 until December 12, 2010 in the village of At BPS Ny.Mariani Plieng Cot Bayu Subdistrict Syamtalira.

D. Systematics Writing

The systematics of writing of this comprehensive report consists of five chapters, namely:

CHAPTER I INTRODUCTION

Contain the background, purpose, scope and systematic writing.

CHAPTER II REVIEW OF THEORY

Contains theories about Pregnancy, childbirth, postpartum, newborn babies and midwifery care management theory by Helen Varney 1997.

CHAPTER III REVIEW CASES

Contains midwifery care management of pregnancy, childbirth, postpartum and newborn

CHAPTER IV DISCUSSION

Unbiased assessment, diagnosis and problem identification, problem diagnosis and identification of potential problems, immediate action or kalaborasi, Planning, Implementation and evaluation.

CHAPTER V CLOSING

Contains conclusions and suggestions.