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PANDUAN
PERAWATAN METODEKANGURU (PMK)
RS. MITRA KELUARGAJL. BUKIT GADING RAYA KAV. 2
KELAPA GADING PERMAI
JAKARTA 2014
BAB. I
DEFINISI
1. PENGERTIAN PERAWATAN METODE KANGGURU (PMK)
Per!"# $e"%&e '#r (PMK) * K#r%% M%"+er, -re (KM-) &+ /er!"# #"' B
Ber" L+r Re#&+ (BBLR) &e## $e''# '%#"' #,# #"r '" &e## '" (,'#3"%3,'#
%#"")5 &$# $e##'# ,+ "+# #"' $e#+#"'# . Me"%&e # ,#" "e/" $&+
&''# # $e#&'# 'e,e+"# 'e,e$"# BBLR. E,e#,# &+6
A. K%#"' #,# ('" 'e '") #"r &e## # ,er er'e#7"#5 "er,3$e#er,
&''# ,e7' .
B. Pe$er# ASI e',',8 (&e#).
-. D$ &''# & RS5 'e$ &/" "'# & r$+.
D. B 'e &/" &/#'# e+ .
E. Se"e+ & r$+ /er &'## "#&' #7" # $e$&.
F. Me"%&e # $er/'# $e"%&e # ,e&er+# $#,!5 #$# e8e'"8 #"' $e#+#&r er
,"re, # &$ %e+ BBLR ,e$ /er!"# & r# /er!"# #"e#,8
Per!"# Me"%&e K#r (PMK) $er/'# "er#"8 /e##" #"%r
&$ /er!"# BBLR5 &e## eer/ 'ee+# #"r #6 $er/'# r #
e8e'"8 #"' $e$e#+ 'e"+# # /# $e#&,r " '%#"' '"
'e '" 5 &$# "+ '# $e#7& "+er$%re"%r #5 ,e+#
$e#&/"'# 'e+#"# ($e#+#&r &r +/%"er$)5 PMK $e$&+'#
/e$er# ASI5 /er## &r #8e',5 ,"$,5 'e,e$"# ',+ ,#. PMK
&/" $e#r#'# 'e7 #8e',5 /e#'" er"5 $,+ $e#, 'e"&'/,#
P# Per!"# Me"%&e K#r (PMK)
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,er" $e##'"# +## #"r ,er" $e##'"'# /er"$+#
/er'e$## .
2. PRINSIP METODE KANGURU
Me##"'# /er!"# r +r &$ #'"%r &e## er"#&' ,e/er" '#r #
$e#&e'/ # &e## "7# $e$/er"+#'# ,+ ," %/"$ (9:5; 3 9## 8,' "+# #"r #' "er, e+ &e'" +r$%#,. Se+#
$er, e+ #$# $# (,e$ &$ &e'/# ,# ).
B. Me#,"'# ,+ "+ (9:5; 3 9
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"&' , &/,+'#.
E. Me##'"'# /r%&', ASI.
B # $e#&/" PMK $e$/er%e+ ASI e+ $ '# # $e#&/"
/er!"# &e## $e"%&e '%#@e#,%#. Per!"# $e"%&e '#r 7 $e##'"'# '"#
(%#) ,er" + ,er er$'#. P%,, # $e#&/" PMK
$e$&+'# #"' $e$er'# ASI ,er #,# 'e/& #. Se# "5
r#,## &r ,# &/" $e##'"'# /r%&', ASI 5 ,e+# '# e+ ,er#
$e$er'# r ,,# ,e, &e## 'e"+# .
F. Me#r#'# re,'% "er#8e', ,e$ /er!"# & r$+ ,'".
Ber /e#e"# 7 "e+ $e$/er+"'# $#8" PMK &$ $e#r#
'e7 #8e', /& BBLR ,e$ /er!"#. P& PMK5 "er//r %e+ '$#
'%$e#, # & /& "+ # ,e+# $e$' 'e'e# "+ #"' '$#
"er,e".
G. Me$/er,#'" $, r!" & r$+ ,'".
M#8" ## &e## er'r## #8e', /& &+ &/"
&/#'# e+ e/" ,e+# $, /er!"# e+ ,#'"5 #
&'er'# e+ ,e&'".
P# Per!"# Me"%&e K#r (PMK)
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BAB. II
RUANG LINGKUP
1. KRITERIA BAYI UNTUK METODE KANGURU
A&/# 'r"er #"' $e"%&e '#r &+ 6
A. B &e## er" 2000 r$.
B. T&' & 'e## " /e#'" # $e#er".
-. Re8e', '%%r, ,/ $e#e# # '.
D. Per'e$## ,e$ & #'"%r (r$+ ,'") '.
E. Ke,/# 'e'",er"# %r# "5 ,#" $e#&'# &$ 'eer+,#.
2. KOMPONEN PERAWATAN METODE KANGURU
P& !#5 PMK "er&r &r 9 '%$/%#e#5 " 6
A. K%#"' K" 'e K" (skin-to-skin contact)
B. Pe$er# ASI (breastfeeding)
-. D'## "er+&/ (support)
L"er"r "err $e#$+'# ," '%$/%#e# ,e+# $e#7& "er&r &r 4 '%$/%#e#5
"6
A. K#r%% P%,"%# (P%,, K#r)
Posisi Kanguru &+ $e#e$/"'# /& /%,, "e' &&& #5 & #"r
'e& /&r 5 "#/ ,#. B &r'# "e#7# +# $e#e#'# /%/%'5
', '' "%/ ,e+# "er7& '%#"' '" '" ,e, $#'#. P%,,
&$#'# &e## '# /#7# " /e#'" ##. Ke/ &/#'# 'e
,, '## " 'r5 &e## /%,, ,e&'" "e#&+ (e',"e#,). U7# /e#'" "e/" er&
& !+ '/# .
P%,, 'e/ ,e/er" # er"7# #"' $e#7 r ,r# #/, "e"/ "er'
$e$er /e# r "er7& '%#"' $" #"r .
B. K#r%% N"r"%# (N"r, K#r)
Kanguru Nutrisi $er/'# ,+ ," $#8" PMK5 " $e##'"'#
/e$er# ASI ,er #,# $/# &e## /e$er# ASI /er+.
-. K#r%% S//%r" (D'## K#r)P# Per!"# Me"%&e K#r (PMK)
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Kangaroo Support $er/'# e#"' #"# ,er 8,' $/# e$%,5 ' &r
"e# 'e,e+"# $/# 'er#5 r &/" $e''# PMK #"' #.
Be#"' &'## /& PMK &/" er/ &'## 8,' $/# e$%,%#. D'##
&/" &/er%e+ &r /e", 'e,e+"#5 ,er+ #%" 'er5 $,r'".
T#/ &'##5 '# ,#" ," #"' &/" $e''# PMK &e##
er+,. W#" +$ ,e'# ,&+ &er'# #8%r$, e&', "e#"# PMK
,e7' '#7## #"e#" /er"$.
S" "e+ +r5 $e$er'# &'## &r er /+'5 "r# er/ 6
1) Dukungan !osiona"6 I $e$er'# &'## #"' $e''# PMK. B#'
$& # $e#$ 'er# # ,#" e,r #"' $e$e#+ 'e"+#
/er"$# ,e+# $e$"+'# &'## &r 'er5 "e$# ,er" /e",
'e,e+"#. PMK $e$" &/" $e$e#+ ,e$ 'e"+# .
2) Dukungan #isik6 Se$ eer/ $# /er"$ PMK5 $er!" '# ,#"
$e#" !'" . I,"r+" "&r # '/ ,#" /e#"# /er### /&
PMK. Oe+ 're# "5 $e$er'# &'## #"' $e$#" $e#ee,'#
",3", r$+.
9) Dukungan $ukasi6 S#" /e#"# $e$er'# #8%r$, # "+'# r
&/" $e$+$ ,er+ /r%,e, PMK $eer" +! PMK $e$# ,#"
/e#"#. I +r, $e#e"+ $#8" PMK. > # $e$" PMK $e#7& e+
er$'# '# $e##'"'# 'e$#'## +! '# er+, $e#7#'#
PMK ' & r$+ ,'" "/# ," & r$+.
Se$ &/" $e''# PMK "ere/, &r ,5 /r",5 /e#&&'#5 &5
$/# $. Beer/ + er'" +r, &7&'# +# /er"$## 'e"'
er'%#,", $e#e# PMK5 ,e/er"6 /%,, '#r5 $'## 5 /er!"# &
#,"", & r$+5 / # %e+ &''# #"' # &&e'/# /
# +r, &+#&r#. D$ $e''# '%#,e# /& PMK5 /e", 'e,e+"#
$e#7e,'# 'e#"## $#8" ,er" $/', &r PMK #5
,e $e$er ,# #"' ,e"/ re'%$e#&, # &er'#. Me',#'#
PMK ,e'# &+ 'e/",# ,e#&r ,e"e+ $e$+$ PMK5 '#
/ ," 'e!7#.
D. K#r%% D,+re (Pe$##)
P# Per!"# Me"%&e K#r (PMK)
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Kangaroo Dis%&arg&+ $e$,'# $e''# PMK ,e+# /& ,"
/# &e## 5 "e"/ &/" $e''# PMK +'# $e#7"'## & r$+.
Me"%&e # $er/'# ,+ ," "e'#%% "e/" # # ,e&er+#5 $r+5 ,er" &/"
'# / 8,", #"' /er!"#.
'. MANFAAT PERAWATAN METODE KANGURU
A. U#"' B
1) S+ "+ 5 &e#" 7#"# 8re'e#, /er#/,# re"8 "er&/" &$ ", #%r$.
2) BBLR e+ e/" $e#/ ,+ # 9:5;= - "er"$ &$ !'" 1 7$ /er"$.
9) ASI ,e "er,e& $&+ &&/"'# ,e+# $e$/er'" ,,"e$ $# 're# $e##'"#
/r%&', ASI.
4) K%#"' &e## $e#e'# e8e' # $e#e##'# ,e+# $e#r#'# ,"re, &"#& &e##
'&r '%r",% # re#&+.
;) Me#r#'# re,/%# #er 8,%%, /er' # &"#& &e## !'" /e$+# # e+
,#'" /& 7 ",' "$".
:) Me##'"'# er" &e## e+ e/".
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'e"e### 'er ( e+ /,5 'r# $er, ,"re,). Pe##'"# /r%&', ASI5
/e##'"# $ $e#, 'e,',e,# &$ $e#,. Se# "5 /er $er7' 'e 8,",
'e,e+"# $/# #"r r$+ ,'" "&' $e$er'# " '+,, 're# &/" $e##'# r PMK.
-. U#"' A+
1) A+ $e$#'# /er## # e+ e,r &$ /er!"# #.
2) Me##'"'# +## #"r + #5 "er"$ er/er# /e#"# & #er &e## "#'"
'e'er,# /& #' # "#.
D. U#"' Pe", Ke,e+"#
B /e", 'e,e+"# /# ,e&'" '# er$#8" &r ,e e8,e#, "e# 're# e+ #'
$er!" # ,e#&r. De## &e$'# e# 'er7 /e", '# er'r#. B+'# /e", 7,"r &/"
$e''# ", # # $e$er'# /er+"# /e", $,# /e$er',# # " 'e!"# /&
$/# $e$er'# &'## 'e/& &$ $e#er/'# PMK.
E. U#"' R$+ S'"
Se&'"# & 9 $#8" 8,", /e## &e## /e#er/# PMK "
1) $ /er!"# e+ /e#&e' ,e+# e/" /# &r 8,", 'e,e+"#. De## &e$'#5 "e$/"
"er,e" &/" '# 'e# # # $e$er'# ("r# %@er $e##'").
2) M#8" # &+ /e#r## /e### 8,", (,"r'5 #'"%r5 " #+ #) ,e+#
&/" $e$#" e8,e#, #r#.
9) De## #'# "r# %@er ,er" e8,e#, #r# &+r/'# 'e$#'## 'e#'#
/e#+,# (re@e#e).
F. U#"' Ner
Kre# /e### ASI $e##'"5 + # &/" &''# &$ ,' $'r% $' &/"
$e#+e$" &e@, ($/%r" ,, 8%r$). De$'# / &e## /e##'"# /e$#8"# ASI 'e$#'##
,'" e+ 'e # "e#"# $e#+e$" /er!"# 'e,e+"# # &''# & 8,",
'e,e+"# /e$er#"+ $/# ,!,".
P# Per!"# Me"%&e K#r (PMK)
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BAB. III
TATA (AKSANA
1. )ARA PERA*ATAN METODE KANGURU
Per!"# Me"%&e K#r &/" &''# &e## 2 r5 " 6
A. PMK Intr!itn 6 B &e## /e#'" " '%#&, # er" $e$"+'#
/er!"# #"e#,8 '+,, & r# r!" /er#"%%5 +'# $#'# $e$er'#
#"# ".
B &e## '%#&, #5 PMK "&' &er'# ,e/#7# !'" "e"/ +# &''#
7' $e##7# # # $,+ er& &$ /er!"# & #'"%r. PMK
&''# &e## &r, $#$ ," 7$5 ,er "er,3$e#er, /er +r. Se"e+
e+ ,"5 &e## PMK #"er$"e# &/" &/#&+'# 'e r# r!" #"'
$e#7# PMK '%#"#.
B. PMK Kontinu 6 P& PMK '%#"#5 '%#&, +r, &$ 'e ,"5
+r, &/" er#/, ,er $ "#/ #"# %',e#.
Ke$$/# #"' $#$ (,e/er" $e#+,/ $e#e#) '# $er/'#
/er,r"# "$5 're# PMK ,&+ &/" &$ $e,'/# /e$er# $#$#
&e## $e##'# // $#. De## $e''# PMK5 /e$er# ASI &/"
e+ $&+ /r%,e,# ,e+# $e##'"'# ,/# ASI.
2. (ANGKA+,(ANGKA+ METODE KANGURU
A. Per,/# Pe',## Me"%&e K#r
P# Per!"# Me"%&e K#r (PMK)
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1) Per,/# I
. Me$er,+'# &er+ && /er" &e## r $#& &e## ,# 239
' ,e+r.
. Me$e,+'# '' "##.
. B7 # &/' +r, er,+ +#" ,ee$ &/'.
&. Se$ /e',## $e"%&e '#r "&' $e$' B>.
e. B# !+ 7 &'" &e## /e#'" 7 " '#.
8. Me$' '# 7 # &/" &re#'#.
2) Per,/# B
. B 7## &$#&'#5 "e"/ '/ &er,+'# &e## '# er,+
+#"
. B /er $e$' ""/ 'e/ " "%/ /%/%' ,e$ /e###
$e"%&e #.
B. B Me"%&e K#r D''# &e## B7 K#r
1) B ,&+ &$ 'e er,+5 && "&' "er+# B>.
2) Me$''# "%/5 /%/%' '%, '' /& .
9) Mee"''# "r /&r5 && $e#e$/e /& && .
4) Me$#'# 'e/ 'e ,, '##*'r &e## ,e&'" $e#e#&+.
;) Me$/%,,'# &e## ,' "#' "er"e''5 ,e/er" '"'.
:) Me$''# 7 $%&e '#r5 &e## ", '# ", er& &!+ "e#
.
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;) Me$/%,,'# &e## ,' "#' "er"e''5 ,e/er" '"'.
:) Me##'# ,ee# +#&' " '# er # &" ,e&e$'# #"'
$e#7 "+ .
. S+ "+ ," %/"$ (9:5;0- 39
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BAB. I-
DOKUMENTASI
1. INDIKATOR DAN PEN)ATATAN
Pe#""# '#' #"' r$+ ,'" /er!"# 8%%!3/ 'e er@r, &r ," "e$/" 'e
"e$/" # "er#"# /& "#'" /er!"# # &"!r'# /re$"r BBLR. I#8%r$,
/e#"# /& /er!"# $e"%&e '#r5 $er/'# # &r /r%r$ /er!"#5 +r, "er"" 7.
I#8%r$, # +r, &"" ,e"/ +r5 " 6
A. Untuk Pn%atatan Bai Di Ru!a& Sakit
1) K/# PMK &$ ("#5 er" ,).
2) K%#&, .
9) D" e#'/ $e#e# 8re'e#, $# '%#"' '" #,#.
4) A/'+ &r!" &r$+ ,'" " &"# &r r$+.;) Me"%&e /e$er# $#$ "$.
:) Pe#$"# $e#e# '", * /e$er# $'#.
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2) Me"%&e /e$er# $#$.
9) L$ '%#"' ,e#"+# #,# /er +r.
4) > # # $#'# $er,'# .
;) A/'+ +r, " "e+ &r!" # & r$+ ,'".
:) K/# $e#+e#"'# '%#"' ,e#"+# #,# ("#5 $r 5 er"5 , /,
$e#"r, 5 ,# /e#+e#"# $e"%&e /e$er# $#$ ," /e#/+#).