Asuhan Kebidanan Continuity of Care (COC) pada Ny. D Umur 27 Tahun G2P1A0 di Puskesmas Karanganyar

Abstract

Maternal Mortality Rate (MMR) is one of the important indicators of public health status where addressing the reduction of maternal mortality and infant mortality rates is done by ensuring that every mother and baby receives quality comprehensive midwifery care, such as maternal health services with integrated ANC, delivery assistance by trained health workers in health care facilities, postpartum care for mothers and babies, special care and referrals in case of complications, and family planning services including postpartum family planning. The purpose of this study is to be able to provide Continuity Of Care (CoC) Midwifery Care to Mrs. D aged 27 years at the Karanganyar Community Health Center. The type of descriptive research used is a case study, the research instrument uses a descriptive approach method and is documented in the form of SOAP. In this care, the author collects data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This study was conducted in August-September 2025. From the results of the provision of pregnancy care found problems that mothers often urinate and back pain, the care provided is to provide pregnant women massage from the back and extremities to reduce complaints of back pain during TM III, inform mothers of TM III discomfort such as frequent urination, and back pain. During the mother's delivery process at the Karanganyar Health Center, Pekalongan Regency, delivery assistance was carried out through normal vaginal delivery and the baby was born spontaneously. On the third day postpartum, Mrs. D complained that her breast milk was not yet smooth, the mother was able to carry out her role as a mother well. The mother was given oxytocin massage care to facilitate breast milk, given counseling about various methods of contraception including advantages, disadvantages, side effects and effectiveness. In newborn care, everything was found to be within normal limits, By Mrs. D was given HB0 immunization, vitamin K, eye ointment and SHK. While in family planning care Mrs. D used a 3-month injection contraceptive. It is hoped that health workers can provide comprehensive midwifery care with correct procedures and according to client needs, as well as apply complementary care as non-pharmacological therapy in midwifery care.

Abstrak

Angka Kematian Ibu (AKI) menjadi salah satu indikator penting dari derajat kesehatan masyarakat dimana menangani penurunan angka kematian ibu dan angka kematian bayi dilakukan dengan menjamin agar setiap ibu dan bayi mendapatkan asuhan kebidanan komprehensif yang berkualitas, seperti pelayanan kesehatan ibu hamil dengan ANC terpadu, pertolongan persalinan oleh tenaga kesehatan terlatih di fasilitas pelayanan kesehatan, perawatan pasca persalinan bagi ibu dan bayi, perawatan khusus dan rujukan jika terjadi komplikasi, dan pelayanan keluarga berencana termasuk KB pasca persalinan. Tujuan penelitian ini mampu memberikan Asuhan Kebidanan Continuity Of Care (CoC) Pada Ny. D umur 27 Tahun di Puskesmas Karanganyar. Jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan Agustus-Oktober 2025. Dari hasil pemberian asuhan kehamilan ditemukan masalah yaitu ibu sering BAK dan nyeri punggung, asuhan yang diberikan adalah memberikan massage ibu hamil dari bagian punggung dan ekstremitas untuk mengurangi keluhan nyeri punggung selama TM III, memberitau ibu ketidaknyamanan TM III seperti sering BAK, dan sakit punggung. Pada proses persalinan ibu di Puskesmas Karanganyar Kabupaten Pekalongan, dilakukan pertolongan persalinan secara persalinan normal pervaginam bayi lahir spontan. Pada hari ketiga post partum, Ny. D mengeluh ibu ASI nya belum lancar, ibu sudah dapat menjalankan dengan baik perannya sebagai ibu. Ibu diberikan asuhan massage oksitosin untuk memperlancar ASI, diberikan konseling tentang macam-macam metode alat kontrasepsi meliputi kelebihan, kekurangan, efek samping dan efektivitasnya. Pada asuhan bayi baru lahir didapatkan semua dalam batas normal, By Ny D diberikan imunisasi HB0, vitamin K, salep mata dan SHK. Sedangkan pada asuhan KB Ny. D menggunakan KB suntik 3 bulan. Diharapkan tenaga kesehatan dapat melakukan asuhan kebidanan secara komprehensif dengan prosedur yang benar dan sesuai dengan kebutuhan klien, serta menerapkan asuhan komplementer sebagai terapi nonfarmakologi dalam asuhan kebidanan.