A R R A N G E D BY :

S E K A R AY U D YA D W I P U T R I (P1337420618014)
EKO HARMOKO N UR P (P1337420618039)
S H I N TA S A L S A B I L A (P1337420618051)
TA J U D I N H U D A I BY N I Z A R (P1337420618057)
M A U L I N A AY U M E I D I A S T U T I (P1337420618065)
L A R A S AT I N U G R A H E N I (P1337420618070)
NOVIA ANGGI ASTUTI (P1337420618074)
R O I S U L FA H M I I LYA S (P1337420618085)
 DEFINISI OF MATERNITY
• Maternity nursing is the provision of
quality and professional health
services that identify, focus and
adapt to the physical and
psychosocial needs of mothers,
families and newborns that make
the family a basic unit in society
that has important functions in
giving birth, raising children and
mutually supporting members his
family.
ETHICSIN NURSING PRACTICE

Ethics in nursing practice is a

reflection of self, restraint and
special.
1. Code of Ethics
• Nursing ethics based on the
American Nurses Association (ANA):
• The obligations of each nurse.
• Professional ethical standards that
cannot be discussed.
• Understanding of nursing and its
commitment to society.
 
2. Ethical Principles
The nurse is a professional who is
needed to provide competent and
ethical care.
• Some ethics related to patient care
include:
• Right to make your own choices.
• Respect for others: the principle that all
people are equally important.
• Obligation to do well.
• Obligation not to make mistakes.
• Justice in treating everyone.
• Obligations to keep promises.
• The obligation to tell the truth.
• Perform the best actions for each
individual.
3. Ethical Approach
• The right approach, focus on the right of individuals to
choose, the right to privacy, knowing the truth and being
free from injury.
•   The benefit approach, based on this approach, ethical
actions are actions that give better than worse.
4. Ethical Dilemma
• Ethical dilemmas are choices that have the potential to
undermine ethical principles (Lagana & Duderstadt, 2004).
In nursing it is based on nurses' commitment to advocacy.
• The advocacy role of maternity nurses is more in pregnant
women than in fetuses but the needs of mothers and fetuses
are interdependent (Lagana & Duderstadt, 2004).
5. Ethics in the Care of Newborns
• Ethics includes determining what is good, right and fair
(Pierce, 1998). The role of nurses in the Neonatal Intensive
Care Unit (NICU) is to protect vulnerable babies and support
and respect the decisions of their parents.
• Three categories of babies treated at the NICU according to
Pierce (1998) are:
1) Babies with intensive care may have a poor prognosis.
2) Babies with intensive care can have meaningful results.
3) Babies with intensive care are not clear how the results
will be.
CONCEPT OF NURSING BASIC
MATERNITY

• Pregnancy care means broader care for mothers,

newborns and other family members and emphasizes
the importance of interpersonal relationships.
• Maternity nursing is a philosophy of maternal care, a
normal physiological process that makes a person find
individual reactions in a normal context.
1. Assumptions underlying maternity nurse care are as follows:
a. All individuals have the right to be born healthy, therefore
every pregnant woman and fetus is entitled to quality health
services
b. Public attitudes towards sexuality, role relationships,
pregnancy and childbirth
c. Reproduction involves one or more other individuals and is a
normal psychophysiological process, where the people
involved can feel physical and emotional satisfaction.
d. The experience of pregnancy, childbirth, and child health
disorders is a family development task that can prevent a
crisis situation.
e. Physiological changes and adjustments experienced by the
mother and child during the birth process can go well.
f. Each reproductive outcome and experience of giving birth to
each individual will be influenced by their cultural heritage.
2. Critical Thinking
• Maternity and perinatal nurses must think in all aspects of
nursing practice to get the best results.
Three very important components in critical thinking include:
1) knowledge
2)   the ability to change and adapt
3) the ability to make decisions.
• In nursing practice, nurses collect data from various sources
of notes, observations, interviews and questions, then the
data is grouped, analyzed, and makes plans for nursing care
that includes evaluation (Reeder, 1994).
3. Problem Approach
With the paradigm shift and taking into account the
current reproductive health situation, the government
adopted four policies.
a. Prioritize the interests of clients by paying attention to
reproductive rights, equality and gender justice.
b. Use the life cycle approach in dealing with reproductive
health issues.
c. Proactively expanding the reach of reproductive health
services.
d. Improving the quality of community life through quality
reproductive health services.
• At this time, there have been
agreed upon four priority
components of reproductive
health called the Essential
Health Reproductive Package
(PKRE), namely:
a. New Mother and Child
Health.
b. Family Planning (KB).
c. Adolescent Reproductive
Health (TRC).
d. Prevention and
Management of Sexually
Transmitted Diseases (STDs),
including HIV / AIDS.
. Provision and utilization of maternal and newborn health
4

services
a. Provision of maternal and newborn health services in the
government sector.
• Midwives and nurses in the village who generally work at the
Polindes
• Supporting Puskesmas as a satellite
• At the Puskesmas level which has General Practitioners,
Midwives and nurses
• PONED includes administration of enteral par oxytocin,
antibiotics, sedativa and also includes postpartum services,
manual removal of the placenta, forceps or vacuum extraction,
prevention of hypothermia and resuscitation in newborns.
• All Regency / City and Provincial Hospitals that have obstetric
and obstetricians can provide Comprehensive Emergency
Obstetric and Neonatal Services (PONEK).
b. Provision of maternal and newborn health services by the
public and private sectors.
• Posyandu which is managed by health cadres provides
antenatal services with the help of midwives in the village.
• Private midwife facilities are available in various villages and
cities which also provide childbirth assistance in patients'
homes.
• 5. Factors that play a role in reducing maternal mortality
include:
• a. Good medical management
• b. Development of education and training programs in the
field of midwifery and maternity care that can provide
quality nursing care.
• c. Better facilities and hospital development
• d. Significant changes in the attitudes of doctors, nurses and
parents have contributed to the decline in MMR
• e. Prenatal care
• f. Development of maternal and child health programs