[Angka kematian ibu (AKI) merupakan salah satu indikator untuk menentukan derajat
kesehatan ibu. AKI secara nasional masih relatif tinggi. Penyebab AKI antara lain
perdarahan setelah persalinan, eklamsia, dan infeksi. Selain itu, AKI juga disebabkan
oleh faktor tiga terlambat dan empat terlalu. Perdarahan menempati persentase
tertinggi penyebab kematian ibu. Laporan ini memberikan gambaran tentang
pelaksanaan praktik residensi Ners Spesialis Keperawatan Maternitas fokus pada
kasus perdarahan postpartum dengan penerapan kedua teori yaitu “Need for Help
Wiedenbach” pada keadaan emergensi dan teori “Conservation Levine” untuk
pemulihan ibu postpartum dengan perdarahan. Fokus teori keperawatan “Need for
Help Wiedenbach” adalah memberikan pertolongan sesuai dengan kebutuhan pasien
saat ini yaitu pada kasus ini saat terjadi perdarahan. Kemudian setelah fase akut
teratasi, asuhan keperawatan diberikan untuk mempertahankan keseimbangan energi
ibu postpartum setelah mengalami perdarahan. Perawat perlu memahami dan
melaksanakan perannya sebagai pemberi asuhan keperawatan, pendidik, konselor,
advokat, koordinator, kolaborator, peneliti, dan agen pembaharu dalam pelayanan
praktik keperawatan;The maternal mortality rate (MMR) is one of the indicators to determine the
maternal health.
MMR is still relatively high nationally. The causes of MMR mayinclude postpartum hemorrhage, eclampsia, and infection. In addition, MMR is alsocaused by the “three delays” and “four frequently occurring factors” amongwomen. Bleeding is the highest percentage of the causes of maternal death. Thisreport provided an overview of the practice implementation by resident maternitynursing specialist focused on the application theories of Need for Help fromWiedenbach during acute stage and Conservation from Levine during recovery stagewith postpartum hemorrhage. The nursing theory of "Need for Help Wiedenbach" isindented to provide help in accordance with the needs of patients here and now incase of postpartum hemorrhage. Then after the acute phase is managed, the nursingcare is given to maintain energy balance of postpartum women after bleeding. Thenurses need to understand and carry out their roles as providers of nursing cares,educator, counselor, advocate, coordinator, collaborator, researcher, and innovatorin the nursing maternity practices., The maternal mortality rate (MMR) is one of the indicators to determine thematernal health. MMR is still relatively high nationally. The causes of MMR mayinclude postpartum hemorrhage, eclampsia, and infection. In addition, MMR is alsocaused by the “three delays” and “four frequently occurring factors” amongwomen. Bleeding is the highest percentage of the causes of maternal death. Thisreport provided an overview of the practice implementation by resident maternitynursing specialist focused on the application theories of Need for Help fromWiedenbach during acute stage and Conservation from Levine during recovery stagewith postpartum hemorrhage. The nursing theory of "Need for Help Wiedenbach" isindented to provide help in accordance with the needs of patients here and now incase of postpartum hemorrhage. Then after the acute phase is managed, the nursingcare is given to maintain energy balance of postpartum women after bleeding. Thenurses need to understand and carry out their roles as providers of nursing cares,educator, counselor, advocate, coordinator, collaborator, researcher, and innovatorin the nursing maternity practices.]