[Kehamilan postterm adalah usia kehamilan yang memanjang sampai 42 mingguatau lebih yang dapat disebabkan oleh berbagai faktor seperti hormonal dangenetik. Meskipun angka kejadian kehamilan postterm sedikit, namun kehamilanpostterm dapat memberikan dampak yang besar tehadap ibu dan janin. Olehkarena itu, penanganan kehamilan postterm dengan mengaplikasikan pendekatanyang efektif seperti Teori Model Keperawatan Need for Help sangat diperlukandalam melakukan pengkajian, observasi dan tindakan yang cepat dan tepat selamaproses persalinan. Selain itu, Theory of Unpleasant Symptoms dapat jugadiaplikasikan untuk membantu mengurangi gejala-gejala ketidaknyaman darisegala aspek baik aspek fisik, psikologis, dan situasional selama prosespersalinan. Kelima kasus kelolaan mengalami gejala-gejala ketidaknyaman yangsaling mempengaruhi setiap gejala dan membutuhkan penanganan segera. Setelahdilakukan terminasi kehamilan melalui induksi persalinan, ditemukan hasil yangberbeda di setiap kasus. Kasus dua sampai lima setelah diinduksi maka dapatmelalui persalinan secara pervaginam sedangkan kasus satu berakhir dengantindakan seksio sesaria karena terjadi gawat janin. Peran perawat khususnyaperawat spesialis maternitas sangat diperlukan pada masa terminasi kehamilantersebut dalam memberikan asuhan keperawatan untuk mengatasi masalah padaibu dengan dengan kehamilan postterm., Post-term pregnancy is a prolonged pregnancy period till 42 weeks or more thatcan be caused by varied factors such as hormonal and genetic. Although theincident rate is considerably small, it can bring negative impacts to mother and herbaby. Thus, it is important to manage the post-term pregnancy by applyingeffective approaches such as Need for Help Nursing Theory to ensure rapid andprecise assessment, observation and immediate intervention carried out duringdelivery process. In addition, The Theory of Unpleasant Symptoms can also beapplied to minimize unpleasant symptoms either physically or psychologicallyand situational discomfort during the labor. The five study cases revealed that themothers experienced unpleasant symptoms that affected each other and requiredimmediate treatment. After termination with labor induction were conducted,different results were found among the cases. Case two to five after be indiuced,they gave birth trough vaginal birth, whil case one ended with caesarean sectionbecause`of fetal distress. Nurse role especially maternity nursing specialist isimperative during the gravidity termination period in performing nursing care toovercome problems experienced by mother with post-term pregnancy.] |