VENNY, EKA SARI (2026) CASE REPORT ASUHAN KEBIDANAN PADA IBU POSTPARTUM PRIMIPARA DENGAN KETIDAKLANCARAN PRODUKSI ASI DI BPM “M” KLAMPIS BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
![[thumbnail of Cover (cover luar, cover dalam, lembar persyaratan gelar).pdf]](http://repo.poltekkes-surabaya.ac.id/style/images/fileicons/text.png) |
Text
Cover (cover luar, cover dalam, lembar persyaratan gelar).pdf Download (908kB) |
|
Text
Halaman Pengesahan Pembimbing.pdf Restricted to Repository staff only Download (618kB) |
|
Text
Halaman Persetujuan Pembimbing.pdf Restricted to Repository staff only Download (508kB) |
|
Text
Daftar Gambar.pdf Download (64kB) |
|
Text
Abstrak dan Abstract.pdf Download (180kB) |
|
Text
Daftar Isi.pdf Download (244kB) |
|
Text
Daftar Pustaka.pdf Download (170kB) |
|
Text
Kata Pengantar.pdf Download (117kB) |
|
Text
BAB 1.pdf Restricted to Repository staff only Download (167kB) |
|
Text
BAB 2.pdf Restricted to Repository staff only Download (351kB) |
|
Text
BAB 3.pdf Restricted to Repository staff only Download (210kB) |
|
Text
BAB 4.pdf Restricted to Repository staff only Download (213kB) |
|
Text
BAB 5.pdf Restricted to Repository staff only Download (201kB) |
|
Text
BAB 6.pdf Restricted to Repository staff only Download (131kB) |
|
Text
Daftar Singkatan.pdf Download (126kB) |
|
Text
Lembar Orisinalitas.pdf Restricted to Repository staff only Download (518kB) |
Abstract
CASE REPORT ASUHAN KEBIDANAN PADA IBU POSTPARTUM PRIMIPARA DENGAN KETIDAKLANCARAN PRODUKSI ASI DI BPM “M” KLAMPIS BANGKALAN xvi + 136 Halaman + 4 Tabel + 4 Lampiran Pendahuluan : Proses pembentukan air susu ibu merupakan faktor krusial dalam menunjang pertumbuhan dan perkembangan bayi, khususnya pada masa awal setelah persalinan. Namun, pada ibu yang baru pertama kali melahirkan (primipara), sering kali ditemui hambatan berupa produksi ASI yang tidak lancar, yang dapat mengganggu pencapaian pemberian ASI eksklusif. Kondisi ini disebabkan oleh beragam faktor, di antaranya minimnya pengalaman dalam menyusui, cedera pada puting susu, serta terbatasnya wawasan ibu mengenai cara merawat payudara dan teknik menyusui yang tepat. Laporan kasus ini disusun dengan maksud untuk memberikan gambaran secara menyeluruh mengenai asuhan kebidanan yang telah diberikan kepada seorang ibu primipara pascapersalinan yang menghadapi kendala produksi ASI di tempat praktik mandiri bidan M Klampis Bangkalan. Metode : Laporan ini menggunakan metode deskriptif dengan pendekatan (case report) pada satu kasus ibu nifas primipara dengan keluhan ASI tidak lancar. Asuhan kebidanan dilakukan secara komprehensif melalui kunjungan rumah selama 4 kali kunjungan, yang meliputi pengkajian, penetapan diagnosis kebidanan, perencanaan, pelaksanaan intervensi, serta evaluasi hasil asuhan kebidanan dengan pendekatan dokumentasi SOAP. Intervensi yang diberikan berupa pijat oksitosin, breastcare, konseling laktasi. Seluruh proses asuhan di pantau secara berkala untuk melihat produksi ASI pada ibu nifas. Hasil asuhan : Hasil menunjukkan secara subjektif ibu mengatakan ASI tidak lancar, bayi sering rewel setelah menyusu, sedangkan secara objektif didapatkan puting susu sebelah kanan lecet, refleks hisap bayi baik, namun pengeluaran ASI sedikit. Pada analisa didapatkan diagnosa P1A0 dengan masalah frekuensi menyusui kurang dan posisi menyusui yang belum tepat. Penatalaksanaan dilakukan dengan pijat oksitosin, breast care, dan konseling laktasi mengenai posisi menyusui yang benar. Hasil evaluasi menunjukkan peningkatan produksi dan pengeluaran ASI, puting lecet teratasi, serta bayi tampak lebih tenang setelah menyusu dan terdapat kenaikan berat badan bayi dari 3500gr menjadi 3800gr yang menjadi tanda kecukupan ASI pada bayi. Simpulan : Asuhan kebidanan komprehensif dengan kombinasi pijat oksitosin, breast care, dan konseling laktasi efektif dalam mengatasi ketidaklancaran produksi ASI pada ibu postpartum primipara dan mendukung keberhasilan pemberian ASI eksklusif. Kata kunci: Postpartum, Primipara, Produksi ASI, Perawatan Payudara, Pijat Oksitosin, ASI Eksklusif ABSTRACT CASE REPORT: MIDWIFERY CARE FOR A PRIMIPAROUS POSTPARTUM MOTHER WITH INADEQUATE BREAST MILK PRODUCTION AT BPM ”M” KLAMPIS BANGKALAN xvi + 136 Pages + 4 Tables + 4 Appendices Introduction : The process of breast milk production is a crucial factor in supporting the growth and development of infants, particularly during the early postpartum period. However, in primiparous mothers—those who have just given birth for the first time—obstacles such as insufficient breast milk production are frequently encountered, which can hinder the success of exclusive breastfeeding. This condition is influenced by various factors, including limited breastfeeding experience, nipple trauma, and the mother's lack of knowledge regarding proper breast care and correct breastfeeding techniques. This case report is intended to provide a comprehensive overview of the midwifery care provided to a postpartum primiparous mother facing breast milk production challenges at the independent midwifery practice of M in Klampis Bangkalan. Method : This report employs a descriptive method with a case report approach on a primiparous postpartum mother presenting with complaints of insufficient breast milk production. Midwifery care was provided comprehensively through four home visits, which included assessment, establishment of midwifery diagnosis, planning, implementation of interventions, and evaluation of outcomes using SOAP documentation. The interventions administered consisted of oxytocin massage, breast care, and lactation counseling. The entire process of care was monitored regularly to observe breast milk production in the postpartum mother. Result of Care : The results showed that subjectively the mother complained of inadequate milk flow and the baby often became fussy after breastfeeding, while objectively the nipples were sore, the baby’s sucking reflex was good, but milk output was minimal. The analysis revealed a diagnosis of P1A0 with problems of insufficient breastfeeding frequency and improper positioning. Management was carried out through oxytocin massage, breast care, and lactation counseling on correct breastfeeding positions. Evaluation demonstrated increased milk production and output, resolution of nipple soreness, the baby appearing calmer after feeding, and an increase in the baby’s weight from 3500 g to 3800 g, indicating adequate milk intake. The conclusion : Comprehensive midwifery care combining oxytocin massage, breast care, and lactation counseling proved effective in overcoming insufficient milk production in primiparous postpartum mothers and supporting the success of exclusive breastfeeding. Keywords: Postpartum, Primipara, Breast Milk Production, Breast Care, Oxytocin Massage, Exclusive Breastfeeding
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Siti, Anisak NIDN4028068401 |
| Additional Information: | 7LTA20260006 |
| Uncontrolled Keywords: | Postpartum, Primipara, Produksi ASI, Perawatan Payudara, Pijat Oksitosin, ASI Eksklusif |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 13 Oct 2026 02:34 |
| Last Modified: | 13 Oct 2026 02:34 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12653 |
Actions (login required)
 |
View Item |