TUGAS BAHASA INGGRIS

DOSEN PENGAMPUH : Wisma Yunita, Dr.,S. Pd., M. Pd.

Oleh :

Ceni Pratiwi
(F0G020073)

Tingkat 1-B

PROGRAM STUDI D3 KEBIDANAN

FAKULTAS MATEMATIKA DAN ILMU PENGETAHUAN ALAM (MIPA)
UNIVERSITAS BENGKULU

TAHUN 2021
The difference in the services of the two midwives,
namely midwives in Indonesia and midwives in the
Netherlands.

1. Midwife services in Indonesia.

One village worker, Lesna Dewi Amd. Keb stated
that Midwifery services in Indonesia consist of:
The scope of midwifery service standards includes
24 standards which are grouped as follows:

A. Public Service Standards (2 standards)

Standard1: Preparation for a Healthy Family Life
Standard 2: Recording and reporting

B. Antenatal Service Standards (6 standards)

Standard 3: Identification of Pregnant Women
Standard 4: Antenatal Examination and Monitoring
Standard 5: Abdominal Palpation

Standard 6: Management of Anemia in Pregnancy

Standard 7: Early Management of Hypertension in
Pregnancy
Standard 8: Preparation for Childbirth
C. Maternity Aid Standards (4 standards)
Standard 9: Stage I Labor Care
Standard 10: Safe Stage II Labor
Standard 11: Active management of stage III labor
Standard 12: Stage II with Fetal Distress via
Episiotomy

D. Postpartum Service Standards (3 standards)

Standard 13: Newborn Care

Standard 14: Treatment in the First Two Hours of

Labor
Standard 15: Care for mothers and babies during the
puerperium

E. Standards for Emergency Management of Obstetrics

- Neonatal (9 standards)
Standard 16: Management of Bleeding in Third
Trimester of Pregnancy
Standard 17: Management of Emergencies in Eclampsia
Standard 18: Emergency Management of Prolonged
Labor / Congestion Standard 19: Delivery using a
Vacuum Extractor
Standard 20: Placental Retention Management
Standard 21: Management of Primary Postpartum
Hemorrhage
Standard 22: Management of Secondary Postpartum
Haemorrhage
Standard 23: Treatment of Puerperal Sepsis
Standard 24: Treatment of Asphyxia Neonatorum

2. Midwives in the Netherlands.

Catharina Geertruida Schrader, a midwife in the

Netherlands, stated that the services carried out
in the Netherlands are:

1. Antenatal services
Midwives according to Dutch regulations have the
right to practice independently than nurses.
Midwives have a legal license to practice and
provide services to women at low risk, including
antenatal, intrapartum and postnatal without an
obstetrician accompanying them to work under the
Health Audit Institute. Midwives should refer
women at high risk or case of pathology to an
obstetrician for proper care. To improve services
for midwives and obstetricians and to improve
collaboration between midwives and obstetricians, a
small group of indications related to maternal
services in the Netherlands was established.

2. Intrapartum Services
Intrapartum care starts from the time the midwife
is called to one hour after the delivery of the
placenta and membrane. Midwives have the ability
to perform an episiotomy but are not permitted to
use medical devices. Usually midwives suture
perineal or episiotomy wounds, for severe wounds
are referred to an obstetrician. Syntometrin and
Ergometrin are given if indicated. Most of the
Kala III is left physiologically. Analgesics are
not used in labor.

3. Postpartum services
In Dutch Midwifery, post natal services begin
after.
In 1988, 80% of deliveries in the Netherlands were
assisted by midwives, only 20% of deliveries in
hospitals. Midwifery services are carried out in
the community - normally, midwives already have a
clear independence. The health conditions of
mothers and children are getting better, midwives
have the responsibility of protecting and
facilitating natural processes, selecting when
women need intervention, avoiding unnecessary
technology and medical assistance. Midwifery
education uses the Direct Entry system with 3 years
of education.

Conclusion :
From the description above, it can be concluded that the
history of development in each country clearly has differences.
Whether it's in the development of services, as well as
midwifery education.
Thus, the descriptions above can be used as a comparison and
we can sort out the positives and negatives of these
differences.