DEFINA, NURASISAH (2026) CASE REPORT EFEKTIVITAS KNEE CHEST POSITION TERHADAP ROTASI KEPALA JANIN PADA MULTIGRAVIDA TRIMESTER III PRESENTASI BOKONG DI PMB BIDAN ”U” KAMAL KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT EFEKTIVITAS KNEE CHEST POSITION TERHADAP ROTASI KEPALA JANIN PADA MULTIGRAVIDA TRIMESTER III PRESENTASI BOKONG DI PMB BIDAN ”U” KAMAL KABUPATEN BANGKALAN xiii + 12 Halaman + 10 Tabel + 9 Lampiran Pendahuluan: Presentasi bokong pada kehamilan trimester III merupakan salah satu kondisi yang berpotensi meningkatkan risiko komplikasi persalinan, terutama apabila disertai anemia dan Kekurangan Energi Kronis (KEK). Knee chest position dapat menjadi salah satu intervensi nonfarmakologis untuk membantu perubahan posisi janin. Laporan kasus ini bertujuan menggambarkan penerapan knee chest position pada ibu multigravida trimester III dengan presentasi bokong yang disertai anemia dan KEK. Metode: Laporan kasus ini menggunakan desain case report dengan pendekatan manajemen asuhan kebidanan melalui dokumentasi SOAP. Subjek adalah Ny. F G1P2A0 dengan presentasi bokong, anemia, dan KEK yang memperoleh asuhan di PMB Ulumiyah, Kecamatan Kamal, Kabupaten Bangkalan, selama Mei–Juni 2026. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik dan obstetri, pemeriksaan penunjang, serta dokumentasi rekam medis. Data dianalisis secara deskriptif berdasarkan perubahan kondisi ibu dan janin selama asuhan. Pelaksanaan asuhan dilakukan setelah memperoleh informed consent, dengan menjaga kerahasiaan identitas pasien. Hasil dan Pembahasan: Asuhan meliputi pemeriksaan kondisi ibu dan janin, edukasi serta demonstrasi knee chest position, konseling gizi, pemberian Multiple Micronutrient Supplement (MMS) dan tablet Fe, serta pemantauan secara berkala. Ibu menunjukkan kepatuhan dalam melakukan latihan, mengonsumsi suplemen, dan menerapkan pola makan bergizi seimbang. Selama pemantauan, kadar hemoglobin meningkat dari 9,2 g/dL menjadi 11 g/dL, sedangkan berat badan bertambah dari 50 kg menjadi 53 kg. Posisi janin juga mengalami perubahan dari presentasi bokong menjadi presentasi kepala, dengan kepala janin telah memasuki pintu atas panggul. Penerapan knee chest position sebagai bagian dari asuhan komprehensif menunjukkan hasil yang mendukung terjadinya perubahan presentasi janin. Simpulan: Penerapan knee chest position yang dilakukan secara teratur dan disertai pemantauan serta asuhan gizi dapat mendukung perubahan presentasi janin dari bokong menjadi kepala. Bidan perlu memberikan edukasi, memantau kepatuhan latihan, dan mendukung pemenuhan kebutuhan nutrisi ibu selama kehamilan. Kata kunci: knee chest position; presentasi bokong; multigravida; anemia; Kekurangan Energi Kronis. ABSTRACT CASE REPORT THE EFFECTIVENESS OF THE KNEE-CHEST POSITION ON FETAL HEAD ROTATION IN THIRD-TRIMESTER MULTIGRAVIDA WOMEN WITH BREECH PRESENTATION AT PMB MIDWEFERY “U” KAMAL, BANGKALAN REGENCY Introduction: Breech presentation in the third trimester is a condition that may increase the risk of complications during labor, particularly when accompanied by anemia and Chronic Energy Deficiency (CED). The knee-chest position is a non-pharmacological intervention that may help facilitate changes in fetal position. This case report aimed to describe the application of the knee-chest position in a third-trimester multigravida with breech presentation accompanied by anemia and CED. Methods: This case report employed a case report design using the SOAP approach to midwifery care documentation. The subject was Mrs. F, G1P2A0, with breech presentation, anemia, and CED, who received care at PMB Ulumiyah, Kamal District, Bangkalan Regency, from May to June 2026. Data were collected through anamnesis, observation, physical and obstetric examinations, supporting examinations, and medical record documentation. Data were analyzed descriptively based on changes in the maternal and fetal conditions throughout the provision of care. The intervention was implemented after obtaining informed consent, while patient confidentiality was maintained. Results and Discussion: The care provided included maternal and fetal assessment, education and demonstration of the knee-chest position, nutritional counseling, administration of Multiple Micronutrient Supplements (MMS) and iron tablets, and regular monitoring. The mother demonstrated adherence to the exercises, supplement intake, and a balanced nutritious diet. During the monitoring period, hemoglobin levels increased from 9.2 g/dL to 11 g/dL, while body weight increased from 50 kg to 53 kg. The fetal position also changed from breech presentation to cephalic presentation, with the fetal head entering the pelvic inlet. The application of the knee-chest position as part of comprehensive midwifery care showed supportive results in facilitating the change in fetal presentation. Conclusion: Regular application of the knee-chest position, accompanied by monitoring and nutritional care, may support the change in fetal presentation from breech to cephalic. Midwives are encouraged to provide education, monitor adherence to the exercises, and support adequate maternal nutritional intake throughout pregnancy. Keywords: knee-chest position; breech presentation; multigravida; anemia; Chronic Energy Deficiency.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Suryaninghsih, Suryaninghsih NIDN4024057801 UNSPECIFIED Siti, Anisak NIDN4028068401 |
| Additional Information: | 7LTA20260023 |
| Uncontrolled Keywords: | knee chest position; presentasi bokong; multigravida; anemia; Kekurangan Energi Kronis. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 16 Oct 2026 02:55 |
| Last Modified: | 16 Oct 2026 02:55 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12781 |
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