COUNTINUITY OF CARE FOR NY. E WITH TFU DISCREPANCY AT NIAR PRATAMA CLINIC, KEC. MEDAN AMPLAS YEAR 2024
Keywords:
Key words: Uterine Fundus Height, Pregnancy, Nutrition PatternsAbstract
Background: Measurement of fundus uteri height can be done at 24 weeks of gestation which aims to
determine the gestational age and growth of the fetus in the womb. Fundus height that is not in accordance
with gestational age is related to the nutritional intake of pregnant women so that it affects the level of infant
health, the incidence of low birth weight babies (LBW), and infant mortality. Methods: The research design
used in this study was descriptive research conducted by means of a case study approach with midwifery
documentation of 7 helen varney steps and developmental notes in the form of SOAP. The population in
this study were all pregnant women at the Pratama Niar Clinic, totalling 329 people. The number of samples
taken was 1 respondent with collection techniques, namely primary data and secondary data. Data analysis
by making conclusions from the research conducted by comparing the results of the care provided with the
existing theory. Results: Based on the results of care carried out from pregnancy, childbirth,
postpartum period, newborn, and family planning, it was found that during pregnancy at 32
weeks, the mother's fundus height was 25 cm and according to Mc Donald, the fundus height at
30-32 weeks of pregnancy reached 29.5-30 cm, it can be concluded that there is a gap between
theory and practice, but during childbirth, postpartum, newborn, and family planning, it was
found that there was no gap between practice and theory. Conclusion From the results of the care
provided by the author during the third trimester of pregnancy to family planning, it was found
that the cause of the discrepancy in fundus height was due to unhealthy lifestyle patterns and
nutritional intake. So it is hoped that by carrying out comprehensive midwifery care starting
from pregnancy, childbirth, postpartum, newborns and family planning can follow students in
providing care to clients to improve the quality of better education so as to create more
professional and competitive health workers.
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