Asuhan Kebidanan Continuity of Care (Coc) pada Ny U Usia 25 Tahun G1P0A0 Hamil 25 Minggu di PMB Rina Agustina Suruh

Abstract

Continuity of Care (CoC) is a midwifery service provided continuously from the pregnancy period, childbirth, postpartum, newborn, to family planning. This service aims to improve the health of mothers and babies and to detect complications early during pregnancy and childbirth. This report aims to provide comprehensive midwifery care to Mrs. U, a 25-year-old G1P0A0, 25 weeks pregnant, in the service area of Pratama Tanjung Keramat Hospital. The method used is a case study with a continuous midwifery management approach starting from the third trimester of pregnancy, childbirth, postpartum, newborn, to family planning services. Data collection was conducted thru interviews, observations, physical examinations, documentation, and literature studies. The results of the care show that during the pregnancy, the mother experienced discomfort in the form of lower back pain and increased blood pressure leading to gestational hypertension. Management was carried out thru routine monitoring, health education, non-pharmacological therapy, and care according to midwifery service standards. The delivery proceeded normally without complications, the condition of the mother and baby was good, the postpartum period was physiological, the newborn was healthy, and the mother chose to use contraceptives. The conclusion of this report shows that Continuity of Care midwifery can be implemented well and helps detect complications early, thereby maintaining the health of both mother and baby optimally.

Abstrak

Continuity of Care (CoC) merupakan asuhan kebidanan yang diberikan secara berkesinambungan mulai dari masa kehamilan, persalinan, nifas, bayi baru lahir hingga keluarga berencana. Pelayanan ini bertujuan untuk meningkatkan kesehatan ibu dan bayi serta mendeteksi secara dini adanya komplikasi selama masa kehamilan dan persalinan. Laporan ini bertujuan memberikan asuhan kebidanan komprehensif pada Ny. U usia 25 tahun G1P0A0 hamil 25 minggu di wilayah kerja PMB Rina Agustina. Metode yang digunakan yaitu studi kasus dengan pendekatan manajemen kebidanan secara berkelanjutan mulai trimester III kehamilan, persalinan, nifas, bayi baru lahir, hingga pelayanan keluarga berencana. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dokumentasi, dan studi pustaka. Hasil asuhan menunjukkan bahwa selama kehamilan ibu mengalami ketidaknyamanan berupa nyeri punggung bawah. Penatalaksanaan dilakukan melalui pemantauan rutin, edukasi kesehatan, terapi nonfarmakologis, dan asuhan sesuai standar pelayanan kebidanan. Persalinan berlangsung normal tanpa komplikasi, kondisi ibu dan bayi baik, masa nifas berjalan fisiologis, bayi baru lahir sehat, serta ibu memilih menggunakan alat kontrasepsi. Kesimpulan laporan ini menunjukkan bahwa asuhan kebidanan Continuity of Care dapat dilaksanakan dengan baik dan membantu mendeteksi komplikasi secara dini sehingga kesehatan ibu dan bayi dapat terjaga secara optimal.