Promotion of Pregnancy, Maternity and Normal Postpartum

Promotion of Pregnancy, Maternity and Normal Postpartum A standby midwife is a midwife who has been trusted and given more trust by the government/state to help the community. Promotion of Standby Midwives is one way to carry out appropriate health promotion, namely by approaching traditional birth attendants in the village to collaborate in assisting with childbirth. Midwives can provide appropriate compensation for services if the shaman hands over the pregnant woman to give birth to a midwife. TBAs can be involved in Newborn Midwifery (BBL). a. Pregnancy Promotion The scope of health promotion for pregnant women includes the physical and psychological spheres. The physical scope includes nutrition, oxygen, personal hygiene, clothing, elimination, sexual, mobilization, body mechanics, pregnancy exercise, rest, immunization, traveling, preparation for lactation, preparation for labor and birth, fetal welfare, discomfort, health education and work. The psychological scope includes family support, support from health workers, a sense of security and comfort, preparation for becoming parents, and preparation for siblings. Pregnancy is a dramatic episode of biological conditions, psychological changes and adaptation of a woman who has experienced it. Most women consider that pregnancy is a natural event that must be experienced, but some consider it a special event that really determines their future life. Some pregnant women even feel anxious and panicked which can lead to severe depression. Psychological support and attention will have an impact on social life patterns (harmony, respect, sacrifice, affection and so on).empathy) for pregnant women and technical aspects, can reduce resource aspects (experts, methods for completing normal deliveries, acceleration, pain control and midwifery care). These things can be done by the husband together with the mother's family or midwives as health workers through health promotion. b. Maternity Mother The scope of health promotion for mothers giving birth includes preparation for childbirth, nutrition and fluids, support, fetal welfare, family involvement and reducing pain. Health promotion for mothers giving birth can prevent depression during or after giving birth. Anxiety about childbirth is normal, but a midwife must be able to handle this. One of them is providing health promotion for mothers giving birth. Competition and birth are physiological processes. The birth of a baby is also a social event that mothers and families look forward to for 9 months. When labor begins, the mother's role is to give birth to the baby. For this reason, health promotion can overcome the anxiety, worry, panic and depression of mothers giving birth. It is better to give this promotion well before giving birth, for example during the third trimester of pregnancy. c. Postpartum Mother The scope of health promotion for postpartum mothers includes nutrition and fluids, ambulation, elimination, personal and baby hygiene, rest, sexual, postpartum training/exercise, danger signs, family planning and breastfeeding. The midwife remains with the mother for 2 hours after delivery. During the postpartum period, midwives are advised to ask about the mother's feelings. Usually mothers feel tired and weak. Mother and baby are given the opportunity to rest. When the mother still feels weak, health promotion can be provided through the postpartum mother's family, for example the patient's family is told that the mother can drink and eat light at any time, get up when she wants to urinate and so on. Only after mother felt moregood and willing to be given health education, midwives are permitted to provide health education. That's little by little according to mother's ability. For example, after giving birth, mothers can eat as usual, drink at least 8 glasses of water every day, mothers are taught how to breastfeed and breast care, nutrition for postpartum mothers and so on. It is hoped that by providing health promotion to postpartum mothers, postpartum mothers can face the postpartum period well and normally.