NURSING ACADEMY OF SUBANG REGENCY

SCIENTIFIC WRITING, JUNE 2016

THE NURSING CARE ON MRS. A WITH POST-OPERATION SECTIO

CAESAREA DAY 3 UNDER INDICATION OF CEPHALO PELVIC
DISPROPORTION (CPD) IN FLAMBOYAN ROOM
SUBANG LOCAL PUBLIC HOSPITAL 2016

NAME: RATNA DEWI ANGGRAENI

NIM : 2013.096
ABSTRACT
Content: 4 Chapters, 97 Pages, 7 Attachments
The background of writing this is because there are many births through the sectio
caesarea as many 125 cases in Flamboyan room local public hospital of Subang
Regency. The aim of this writing is to gain an authentic experience and is able to
implement the nursing care directly and comprehensively to the client through the
nursing process approach that involves assessment, nursing diagnose, planning,
implementation and evaluation. The method used is descriptive in the form of
case study. The data collecting technique are as follows: observation, interview,
documentation study, and library study. Cephalo pelvic disproportion is
disproportion between the size of the fetus and velvis, namely a specific size of
velvis is not big enough to accomodate the outgoing of a specific fetus through
velvis until the birth pervagina happens. The sectio caesarea is a an artificial birth
where the fetus is pushed out through an uterine wall under one condition that the
uterus is in an original condition and the weight of the fetus is more than 500
grams. The assessment to the client shows that there is a wound of sectio caesarea
post-operation under the abdomen and it’s painful, sleep disorder, activity
intolerance, personal hygiene disability, and lack of knowledge about the
operation. The nursing plan is arranged in line with the nursing diagnose to help
client to do the ralaxation technique of deep breath, set up the position a patient
feel comfortable before sleep, to recommend the client to do the personal hygiene
and to give heath education about feeding mother nutrition. The nursing
intervention is adapted with the aim planned. After the 5 day- treatment all five
diagnosis have been well overcome. However, the writer still recommends the
client to see a midwife or the nearest health centre if any complaint. After the
nursing care is completed the writer has a conclusion that a systematic nursing
care can overcome the client’s problem. It is hoped that the health institution must
be able to provide representative infrastructure and the medical team must provide
themselves with nursing care science and skill. Bibliography: 14 sources ( 2006 –
2016 ).