Asuhan Kebidanan Komprehensif pada Ny. R. Umur 29 Tahun G2P1A0 di Puskesmas Karanganyar

Abstract

Comprehensive midwifery care encompasses all aspects of midwifery management, from pregnancy through labor and delivery to the newborn, ensuring a safe delivery and a healthy, healthy baby throughout the postpartum period. Continuity of Care (COC) midwifery care provides continuous midwifery care to both mother and baby, starting during pregnancy, labor, the newborn, the postpartum period, and family planning. With COC care, the mother's condition is monitored closely at all times.The purpose of this study was to provide Continuity of Care (COC) Midwifery Care to Mrs. R aged 29 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 collected data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This research was conducted in June-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, the baby was born spontaneously. On the third day postpartum, Mrs. R 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 contraceptive methods including advantages, disadvantages, side effects and effectiveness. In newborn care, all findings were within normal limits. Mrs. R was given HB0 immunization, vitamin K, eye ointment, and SHK. Meanwhile, in family planning care, Mrs. R used a 3-month injection. It is hoped that health workers can provide comprehensive midwifery care with correct procedures and according to client needs, as well as implement complementary care as a non-pharmacological therapy in midwifery care.

Abstrak

Asuhan kebidanan komprehensif merupakan asuhan menyeluruh manajemen kebidanan mulai dari ibu hamil, bersalin, sampai bayi baru lahir sehingga persalinan dapat berlangsung aman dan bayi yang dilahirkan selamat dan sehat sampai masa nifas. Asuhan Kebidanan Continuity of Care (COC) merupakan asuhan kebidanan berkesinambungan yang diberikan kepada ibu dan bayi dimulai pada saat kehamilan, persalinan, bayi baru lahir, nifas dan keluarga berencana. Dengan adanya asuhan COC maka perkembangan kondisi ibu setiap saat akan terpantau dengan baik.  Tujuan penelitian ini mampu memberikan Asuhan Kebidanan Continuity Of Care (CoC) Pada Ny. R umur 29 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 Juni-Sptember 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. R 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 R diberikan imunisasi HB0, vitamin K, salep mata dan SHK. Sedangkan pada asuhan KB Ny. R menggunakan KB suntik 3 bulan. Diharapkan tenaga kesehatan dapat melakukan asuhan kebidanan secara komprehensif dengan prosedur yang benar.