Search Repository Universitas Fort De Kock

Dasar asuhan persalinan normal adalah asuhan yang bersih dan aman selama persalinan dan setelah bayi lahir, serta upaya pencegahan komplikasi. Sementara itu, fokus utamanya adalah mencegah terjadinya komplikasi. Angka kejadian perdarahan pasca persalinan di Indonesia diperkirakan sekitar 45 % dari seluruh persalinan yang ada. Pelatihan asuhan persalinan normal merupakan upaya meningkatkan kompetensi bidan dalam melakukan pertolongan persalinan. Tujuan penelitian ini untuk mengetahui dana, motivasi, sarana dan pelatihan bidan dalam melakukan pertolongan persalinan serta mengetahui tentang pengetahuan bidan dalam menerapkan 58 langkah APN. Desain penelitiann ini pendekatan studi kualitatif. Sampel penelitian ini berjumlah 8 orang ( 1 kepala puskesmas, 1 bidan koordinator dan7 bidan desa). Teknik pengumpulan data terdiri dari wawancara dan observasi asuhan persalinan normal oleh bidan. Analisa data yaitu variable input, proses dan output. Penelitian ini dilakukan pada bulan Desember 2018 sampai Januari 2019. Hasil penelitian ini menunjukkan bahwa tingkat pengetahuan bidan masih belum baik, karena masih ada langkah APN yang belum dilakukan. Sikap profesional bidan dalam penerapan Asuhan Persalinan Normal belum memenuhi standar. Bagi bidan yang telah pernah mengikuti pelatihan APN dalam melakukan pertolongan persalinan normal, bidan ini lebih disiplin dan dapat menerapkan 58 langkah APN walaupun tidak maksimal. Dapat disimpulkan bahwa bidan yang berada di Wilayah Kerja Puskesmas Tanjung Emas belum melakukan seluruh langkah APN secara keseluruhan. Disarankan untuk meningkatkan pengetahuan dengan mengikuti pelatihan APN dan Pendidikan lanjutan, untuk meningkatkan kedisiplinan dalam menerapkan 58 langka APN sesuai standar.

The basis care in normal delivery is clean and safe care during and after the baby is born. They are efforts to prevent complications. Meanwhile, the main focus is to prevent complications. The incidence of postpartum hemorrhage in Indonesia is estimated around 45% of all existing deliveries. Normal childbirth training is an effort to improve the competence of midwives in carrying out childbirth assistance. The purpose of this research was to find out the funds, motivation, facilities and training of midwives in conducting childbirth assistance and knowing about the knowledge of midwives in applying the 58 steps of the APN. The design of this research was a qualitative study approach. It was conducted on December 2018 until January 2019.The informants were 8 people (1 head of community health center, 1 coordinating midwife and 7 village midwives). The data were collected through interviews and observation. It was analyzed in the form of input, process and output variables. The results of this research indicated that the level of knowledge of midwives was not good because there were APN steps that had not been carried out. Then, the attitude of midwives in implementing of Normal Childbirth Care did not base on standards. Next, the midwives who had been participated in APN training, they were more discipline and apply 58 APN steps even though it was not optimal. In short, it can be concluded that midwives in the Tanjung Emas Community Health Center did not taken all the APN steps. Then, it is recommended for them to increase their knowledge by attending further APN and Education training in order to improve their attitude in applying 58 rare APNs according to standards.