Asuhan Kebidanan Continuity of Care (COC) pada Ny ‘N’ Usia 38 Tahun di Klinik Aria Medistra Kabupaten Semarang

Abstract

Based on the digital recording system of Maternal Perinatal Death Notification data, Central Java is included in the 3 provinces with the highest MMR. Therefore, innovation and acceleration strategies are needed to achieve the expected target. The purpose of this case study is to provide comprehensive midwifery care to Mrs. 'N' who is 38 years old. Care is provided with a continuity of care approach according to midwifery service standards starting from pregnancy, childbirth, postpartum period, BBL care, to family planning services. The care method applied is descriptive, with a Case study approach. The implementation of care was carried out during the period from November 2024 to April 2025. Data collection techniques include primary and secondary data. Primary data was collected through physical and supporting examinations, interviews, and direct observation while secondary data was from the maternal and child health book (KIA). During pregnancy, Mrs. "N" underwent a physiological pregnancy with regular monitoring which showed fetal development and maternal condition within normal limits. The labor process took place spontaneously, with active phase I pain management through effleurage massage. The baby was born healthy and had a normal APGAR score. The newborn received complete initial care and growth and development monitoring through neonatal visits. No neonatal danger signs were found. During the postpartum period, the mother showed no complications, and all postpartum visits were carried out according to standards. The mother chose to use the IUD contraceptive method as postpartum birth control. This choice was based on the desire for exclusive breastfeeding and the need for safe long-term contraception.

Abstrak

Berdasarkan sistem pencatatan secara digital data kematian Maternal Perinatal Death Notification, Jawa Tengah termasuk dalam  3 provinsi dengan AKI terbanyak. Untuk itu diperlukan inovasi dan strategi percepatan agar dapat mencapai target yang diharapkan.  Tujuan dari studi kasus ini ialah memberikan asuhan kebidanan secara menyeluruh  kepada Ny. ‘N’ yang berusia 38 tahun. Asuhan diberikan dengan pendekatan continuity of care sesuai standar pelayanan kebidanan mulai dari masa kehamilan, persalinan, masa nifas, perawatan BBL, hingga pelayanan KB. Metode asuhan yang diterapkan ialah deskriptif, dengan pendekatan  Case study (studi kasus). Pelaksanaan asuhan dilakukan selama periode November 2024 hingga April 2025. Teknik pengumpulan data meliputi data primer dan sekunder. Data primer dikumpulkan melalui pemeriksaan fisik dan penunjang, wawancara, dan observasi langsung sedangkan data sekunder dari buku kesehatan ibu dan anak (KIA). Selama masa kehamilan, Ny. “N” menjalani kehamilan fisiologis dengan pemantauan teratur yang menunjukkan perkembangan janin dan kondisi ibu dalam batas normal. Proses persalinan berlangsung secara spontan, dengan penatalaksanaan nyeri kala I fase aktif melalui massage effleurage. Bayi lahir dalam kondisi sehat dan nilai APGAR normal. Bayi baru lahir mendapat perawatan awal yang lengkap serta pemantauan tumbuh kembang melalui kunjungan neonatus. Tidak ditemukan tanda bahaya neonatal. Pada masa nifas, ibu menunjukkan tidak terdapat komplikasi, dan seluruh kunjungan nifas dilaksanakan sesuai standar. Ibu memilih untuk menggunakan metode kontrasepsi IUD sebagai KB pascasalin. Pemilihan ini didasarkan pada keinginan untuk menyusui eksklusif dan kebutuhan akan kontrasepsi jangka panjang yang aman.