Asuhan Kebidanan Continuity of Care di Puskesmas Kedungwuni II Kabupaten Pekalongan

Abstract

The high MMR is influenced by complications of pregnancy, childbirth, and postpartum which require comprehensive and continuous health services. WHO recommends Continuity Of Care to provide comprehensive and continuous antenatal care to mothers. In the research area in 2025, the average number of mothers who gave birth spontaneously at the Kedungwuni II Community Health Center was 30% of the total deliveries, the rest gave birth at the hospital by CS or spontaneously, because there were risk factors for referral to the hospital. The objective of this case study is to deliver comprehensive and continuous midwifery care to Mrs. R at the Kedungwuni II Community Health Center in Pekalongan Regency This study employed a descriptive  case study Result: Mrs. R's problems during the third trimester of pregnancy, labor, and postpartum were addressed by providing complementary care in the form of prenatal yoga,knee chest position, pelvic rocking, and oxytocin massage. The baby, born spontaneously, was given standard newborn care, and on the 30th day of postpartum, Mrs. R chose progestin-only birth control pills. Continuity of Care midwifery care for Mrs. R was successfully carried out comprehensively from pregnancy to birth control without complications for the mother or baby.

Abstrak

Tingginya AKI dipengaruhi oleh komplikasi kehamilan, persalinan, dan nifas yang memerlukan pelayanan kesehatan secara komprehensif dan berkesinambungan. WHO merekomendasikan Continuity Of Care untuk memberikan pelayanan antenatal secara menyeluruh dan berkelanjutan pada ibu. Di wilayah penelitian pada tahun 2025 rata rata ibu yang melahirkan  secara spontan di puskesmas Kedungwuni II adalah 30% dari total persalinan, sisanya bersalin di RS secara SC dan spontan, karena ada faktor resiko untuk dirujuk ke RS. Tujuan studi kasus ini adalah memberikan asuhan kebidanan secara komprehensif dan berkelanjutan pada Ny. R di Puskesmas Kedungwuni II Kabupaten Pekalongan Metode: Metode penelitian yang digunakan adalah metode kualitatif deskriptif dengan pendekatan studi kasus. Masalah Ny. R pada masa hamil trimester 3, persalinan dan nifas  diatasi dengan memberikan asuhan komplementer yoga ibu hamil, posisi knee chest, pelvik rocking dan pijat oksitosin. bayi lahir spontan normal diberikan asuhan BBL sesuai standar, dan pada masa nifas hari ke 30 Ny, R memilih KB PIL progestin Asuhan kebidanan Continuity of Care pada Ny. R berhasil dilakukan secara komprehensif mulai masa kehamilan hingga KB tanpa komplikasi pada ibu maupun bayi.