Evidence based midwifery

care Peny Ariani, SST, M.Keb

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6 Filosofi Dasar Profesi Kebidanan

Normal'&'Natural'childbirth

Women'centre'care

Continuity'of'care

Empowering'women

women'and'family'partnership
Normal and Natural Childbirth
COC…….
Partnership
 Defenisi

Defenisi
• Evidence  Fakta
• Base  Dasar
• Evidence Base  Praktik berdasarkan Bukti

The Process of Systematicallly finsing, appraising and using

research findings as the basis for clinical decisions

“Proses Sistematis untuk mencari, menilai dan menggunakan hasil

penelitian sebagai dasar untuk pengambilan keputusan klinis.
 Manfaat Evidence Base
• Keamanan bagi Bidan karena intervensi yang dilakukan berdasarkan bukti ilmiah
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• Meningkatkan kompetensi (kognitif)

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• Memenuhi tuntutan dan kewajiban sebagai professional dalam memberikan

3 asuhan yang bermutu

• Memenuhi kepuasan pelanggan yang mana dalam asuhan kebidanan klien

mengharapkan asuhan yang benar, sesuai dengan bukti dan teori serta
4 perkembangan ilmu pengetahuan dan teknologi
 Sumber Evidence Base
Publikasi Jurnal
1) Evidence! Based Midwifery di Royal College Midwives Inggris
http://www.rcm.org.uk/ebm/volume11112013/volume1111issue11/the1physical1effect1of1exercise1in1pregnancy1on1pre1eclampsia1gestational1
diabetes1birthweight1and1type1of1delivery1a1struct/
Midwifery Today ! http://www.midwiferytoday.com/articles/midwifestouch.asp
International Breastfeeding Journal :http://www.internationalbreastfeedingjournal.com/content
Comfort in Labor http://Childbirthconnection.org.

Pengalaman Klinis

Pengalaman Wanita
Tingkatan Evidence Base
Circle of Midwifery Assessment
Process

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Evidence Based Midwifery
Care
Evidence
Based Clinical Evidence Based
Midwifery Expertise Midwifery Care is the
Care (Dr, integration of clinical
MW) expertise, research
evidence and woman
Woma Research preference.
n
Values Evidence

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Guide to Individualized Midwifery Care for
Normal Pregnancy and Birth
• Basic concept of midwifery care
• Role of midwives
 External Environment for Birth
 Support to Keep Birth Normal
 Position for Labor
 Assessment and Monitoring Labor
 Midwifery Care in 2nd, 3rd,and 4th stage
 Immediate Care of New-born Baby

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To put understanding into practice
Study tour
Action Plan
SEEING

Role Play, Video

presentation THINKING practice LISTENINIG

FEELING Trust game

discussion

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Actual
practice
 To build trust relationship with women and their families
 Individualized and based on evidence midwifery care
 Case study, SOAP
 Improvement of birth environment
 Permission of attendance of family to delivery room
 Position change during labour
 Massage to reduce pain for women
 Intake of food and beverage during labour
 Explanation of progress of labour and procedure to women and families
Introduction of methods for measuring progress of labour
without vaginal
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Voice of midwives who practiced the care in
their working place
• “If I took care of woman gently and politely, I felt the woman’s
attitude toward us also changed well more relaxed.”
• “I want to care for every woman to give birth safety and happily with
love”
• “If I make woman to push naturally and assess necessary case of
episiotomy, it took longer time for delivery. But it reduced bleeding
during delivery and pain after delivery.”

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What is required to midwives after
this?(Vision of the future)
• To share the concepts among all
midwives
• To build the trust relationship with
women and their families forever
• To continue the practice what we learnt
any time

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EBP in MIdwifery
 Tugas
Bagi menjadi 9 Kelompok, buat makalah dengan topik EBM
disertai jurnal yang mendukung terkait :
1. Asuhan kehamilan
2. Asuhan persalinan
3. Asuhan BBL
4. Asuhan Masa Nifas
5. Proses Menyusui
6. Kespro Remaja (Dismenore, Anemia)
7. Keluarga Berencana
8. Kespro Menopause
9. Pelayanan Kebidanan Komunitas