A COMPREHENSIVE MIDWIFERY CARE WITH POSSIBLE POSTPARTUM DEPRESSIVE DISORDER IN THE GARUT DISTRICT AREA
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Abstract
Introduction: Continuity of care includes obstetric care for pregnancy, childbirth, postpartum, newborn, and family planning which is an important factor in reducing maternal morbidities such as prolonged labor which also causes asphyxia in newborn which can cause suffering in mothers which appears in the form of depression, anxiety, and post-traumatic stress.
Methods: This report used primary and secondary data collection methods. Care was provided to Mrs. B from January to April 2024, who was gestationally 40 weeks and 1 day
Results: Care was given to pregnant women with estimated past labor and care was given to prevent postterm pregnancy. Labor care was carried out at 40 weeks 3 days of gestation accompanied by complications in the form of prolonged labor with a baby born in a state of asphyxia which led to the death of the baby at the age of 17 hours. The physical results of the post-partum examination were good, but there were problems with the mother's psychology due to the death of the baby so that postpartum depression risk monitoring was carried out. The care carried out has several gaps, including the care of prolonged labor, delayed referrals, handling asphyxia and post-resuscitation in infants, neonatal deaths, and postpartum management in mothers at risk of postpartum depression.
Conclusion: Midwives and all healthcare workers at Health center are expected to be able to provide care in accordance with applicable authority and can screen for early detection of postpartum depressive disorders.
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