Buku Asuhan Nifas Patologis II ini merupakan lanjutan dari Asuhan Nifas Fisiologis
dan Asuhan Nifas Patologis I.
Buku ini dilengkapi dengan berbagai masalah di dalam nifas dan menyusui seperti
sesak nafas, ibu sering menangis, nafsu makan hilang, tidak bisa merawat bayi,
bendungan payudara, mastitis, abses payudara dan tantangan ibu menyusui
dengan hepatitis.
Buku ini juga berisi defenisi, penyebab, faktor resiko, tanda gejala, pencegahan,
komplikasi dan penatalaksanaan sesuai ranah profesi bidan dan ahli madia
kebidanan. Selain berbasis jurnal international, Buku ini juga dilengkapi contoh
asuhan kebidanan tujuh (7) langkah Helen Varney maupun SOAP dan soal kasus
yang dilengkapi jawaban.

DAFTAR ISI
PRAKATA ..............................................................................................................iii
DAFTAR ISI ...........................................................................................................iv
BAB 1 SESAK NAPAS ............................................................................................1
A. Latar Belakang.......................................................................................................................2
B. Definisi......................................................................................................................................2
C. Penyebab.................................................................................................................................3
D. Faktor Risiko...........................................................................................................................4
E. Tanda dan Gejala .................................................................................................................4
F. Pencegahan............................................................................................................................5
G. Komplikasi...............................................................................................................................5
H. Penatalaksanaan...................................................................................................................5
I. Peran Bidan ............................................................................................................................6
J. Bidan Profesi..........................................................................................................................6
K. Ahli Madya Kebidanan.......................................................................................................6
L. Menyusui.................................................................................................................................7
M. Prognosis ............................................................................................................................7
N. Perencanaan Kehamilan Pada Ibu Dengan Riwayat Karidomiopati
Peripartum.......................................................................................................................................8
O. SOAP .........................................................................................................................................8
P. Soal Vignette .........................................................................................................................9
BAB 2 IBU SERING MENANGIS .........................................................................15
A. Latar Belakang.................................................................................................................... 16
B. Definisi................................................................................................................................... 17
C. Etiologi .................................................................................................................................. 19
D. Faktor Risiko........................................................................................................................ 19
E. Tanda Gejala ....................................................................................................................... 21
F. Patofisiologi Postpartum ............................................................................................... 22
G. Penatalaksanaan................................................................................................................ 23
H. Peran Bidan ......................................................................................................................... 26
I. Tinjauan Kasus Menggunakan SOAP........................................................................ 26
J. Soal Vignette ...................................................................................................................... 29
BAB 3 HILANG NAFSU MAKAN (Kehilangan Nafsu Makan pada Ibu Masa
Nifas Menyusui)..................................................................................................33
v
A. Latar Belakang.................................................................................................................... 34
B. Definisi................................................................................................................................... 35
C. Etiologi .................................................................................................................................. 35
D. Faktor Risiko........................................................................................................................ 35
E. Tanda dan Gejala .............................................................................................................. 36
F. Pencegahan......................................................................................................................... 36
G. Penatalaksanaan................................................................................................................ 36
H. Komplikasi............................................................................................................................ 38
I. SOAP ...................................................................................................................................... 38
J. Soal Vignette ...................................................................................................................... 40
BAB 4 IBU TIDAK DAPAT MERAWAT BAYINYA (PSIKOSIS
PASCAPERSALINAN)..........................................................................................43
A. Latar Belakang.................................................................................................................... 44
B. Definisi Psikosis Pascapersalinan................................................................................ 45
C. Faktor Risiko Psikosis Pascapersalinan..................................................................... 47
D. Tanda dan Gejala .............................................................................................................. 49
E. Pencegahan......................................................................................................................... 49
F. Diagnosis.............................................................................................................................. 50
G. Pengobatan......................................................................................................................... 51
H. Penatalaksanaan................................................................................................................ 52
I. Komplikasi............................................................................................................................ 56
J. SOAP ...................................................................................................................................... 57
K. Soal Vignette ...................................................................................................................... 62
BAB 5 MASTITIS PADA MASA NIFAS...............................................................67
A. Latar Belakang.................................................................................................................... 68
B. Definisi................................................................................................................................... 68
C. Penyebab.............................................................................................................................. 69
D. Faktor Risiko........................................................................................................................ 69
E. Tanda dan Gejala .............................................................................................................. 70
F. Pencegahan......................................................................................................................... 70
G. Penatalaksanaan................................................................................................................ 71
H. Penggunaan Obat-Obatan ........................................................................................... 72
I. Komplikasi............................................................................................................................ 73
J. Tinjauan kasus dengan SOAP ...................................................................................... 74
K. Soal Vignette ...................................................................................................................... 79
vi
BAB 6 ABSES PAYUDARA ..................................................................................85
A. Latar Belakang.................................................................................................................... 86
B. Pengertian Abses Payudara.......................................................................................... 87
C. Patofisiologi ........................................................................................................................ 88
D. Epidemiologi....................................................................................................................... 88
E. Penyebab Abses Payudara............................................................................................ 89
F. Faktor Resiko ...................................................................................................................... 89
G. Tanda Gejala ....................................................................................................................... 89
H. Penatalaksanaan................................................................................................................ 89
I. Komplikasi............................................................................................................................ 92
J. Pencegahan dan Pendidikan Pasien ......................................................................... 92
K. Soal Vignette ...................................................................................................................... 96
BAB 7 INFEKSI PADA MASA NIFAS ................................................................101
A. Latar Belakang..................................................................................................................102
B. Definisi Infeksi pada Masa Nifas...............................................................................102
C. Penyebab Infeksi pada Masa Nifas..........................................................................103
D. Faktor Risiko Infeksi pada Masa Nifas....................................................................104
E. Tanda dan Gejala Infeksi pada Masa Nifas...........................................................104
F. Mekanisme Infeksi pada Masa Nifas.......................................................................105
G. Jenis-Jenis Infeksi pada Masa Nifas ........................................................................105
H. Pencegahan Infeksi pada Masa Nifas .....................................................................107
I. Penatalaksanaan Infeksi pada Masa Nifas............................................................108
J. Komplikasi Infeksi pada Masa Nifas........................................................................108
K. SOAP ....................................................................................................................................109
L. Soal Vignette ....................................................................................................................113
BAB 8 PEMBENGKAKAN PAYUDARA.............................................................117
A. Latar Belakang..................................................................................................................118
B. Definisi Pembengkakan Payudara............................................................................119
C. Etiologi ................................................................................................................................120
D. Dampak...............................................................................................................................123
E. Faktor Resiko ....................................................................................................................123
F. Tanda Gejala .....................................................................................................................124
G. Pencegahan.......................................................................................................................126
H. Penatalaksanaan..............................................................................................................127
I. Perawatan Payudara seperti Pijat Payudara.........................................................130
J. SOAP ....................................................................................................................................134
vii
K. Soal Vignette ....................................................................................................................137
BAB 9 ASUHAN PADA IBU NIFAS DENGAN BENDUNGAN ASI ..................143
A. Pendahuluan.....................................................................................................................144
B. Definisi.................................................................................................................................144
C. Faktor Predisposisi .........................................................................................................146
D. Penatalaksanaan..............................................................................................................146
E. Kajian Jurnal terkait Bendungan ASI.......................................................................147
F. SOAP ....................................................................................................................................150
G. Soal Vignette ....................................................................................................................157
BAB 10 TANTANGAN MENYUSUI PADA IBU PENDERITA HEPATITIS B ....161
A. Latar Belakang..................................................................................................................162
B. Definisi.................................................................................................................................163
C. Penyebab............................................................................................................................165
D. Faktor Risiko......................................................................................................................165
E. Aspek Pskologis...............................................................................................................167
F. Komplikasi..........................................................................................................................168
G. SOAP ....................................................................................................................................169
H. Soal Vignette ....................................................................................................................172
PROFIL PENULIS................................................................................................177
SINOPSIS............................................................................................................182