Asuhan Kebidanan Komprehensif pada Ny. A Umur 25 Tahun G1P0A0 di TPMB Dina Fitrianingtyas, S.Tr.Keb. Desa Rembes, Kec. Bringin, Kab. Semarang

Abstract

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain important indicators for assessing the success of maternal and child health services; therefore, efforts are needed to improve service quality through a Continuity of Care (CoC) approach that provides continuous midwifery care from pregnancy, through childbirth and the postpartum period, to the newborn and family planning. This study aims to describe the implementation of comprehensive midwifery care for Mrs. A, a 25-year-old G1P0A0 woman, at the TPMB Dina Fitrianingtyas, S.Tr.Keb., in Rembes Village, Bringin Subdistrict, Semarang Regency. The method used was a descriptive study with a case study approach, conducted from September 2025 to May 2026. Care was provided continuously and included one first-trimester prenatal visit, one second-trimester visit, two third-trimester visits, labor support, four postpartum visits, three neonatal visits, and one family planning visit. Data collection was conducted through medical history taking, observation, physical examination, documentation, and health education. The results showed that the pregnancy proceeded physiologically with a total of 11 ANC visits; complaints of nausea and vomiting in the first trimester and back pain in the third trimester were managed through education and complementary therapy; labor occurred spontaneously at 39 weeks’ gestation with a healthy baby girl born via immediate skin-to-skin contact (IMD); the postpartum period proceeded normally with successful management of breastfeeding challenges through oxytocin massage, and the infant demonstrated good growth and adaptation through the end of the neonatal follow-up visits. At the end of the postpartum period, the mother chose to use an implant as contraception. It was concluded that the implementation of comprehensive midwifery care through the Continuity of Care approach can be carried out optimally, supporting the early detection of complications, improving the quality of maternal and infant health services, and contributing to efforts to reduce maternal and infant mortality rates.

Abstrak

Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi indikator penting dalam menilai keberhasilan pelayanan kesehatan ibu dan anak, sehingga diperlukan upaya peningkatan mutu pelayanan melalui pendekatan Continuity of Care (CoC) yang memberikan asuhan kebidanan secara berkesinambungan sejak masa kehamilan, persalinan, nifas, bayi baru lahir hingga keluarga berencana. Penelitian ini bertujuan untuk mendeskripsikan pelaksanaan asuhan kebidanan komprehensif pada Ny. A umur 25 tahun G1P0A0 di TPMB Dina Fitrianingtyas, S.Tr.Keb., Desa Rembes, Kecamatan Bringin, Kabupaten Semarang. Metode yang digunakan adalah deskriptif dengan pendekatan studi kasus (case study) yang dilaksanakan pada September 2025 sampai Mei 2026. Asuhan dilakukan secara berkelanjutan meliputi satu kali kunjungan kehamilan trimester I, satu kali trimester II, dua kali trimester III, pendampingan persalinan, empat kali kunjungan nifas, tiga kali kunjungan neonatus, dan satu kali kunjungan keluarga berencana. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik, dokumentasi, serta pemberian edukasi kesehatan. Hasil menunjukkan bahwa kehamilan berlangsung fisiologis dengan total 11 kali kunjungan ANC, keluhan mual muntah pada trimester I dan nyeri punggung pada trimester III dapat ditangani melalui edukasi dan terapi komplementer, persalinan berlangsung spontan pada usia kehamilan 39 minggu dengan bayi perempuan lahir sehat dan dilakukan IMD, masa nifas berjalan normal dengan keberhasilan penanganan keluhan produksi ASI melalui pijat oksitosin, serta bayi menunjukkan pertumbuhan dan adaptasi yang baik hingga akhir kunjungan neonatus. Pada akhir masa nifas ibu memilih menggunakan kontrasepsi implant. Disimpulkan bahwa penerapan asuhan kebidanan komprehensif melalui pendekatan Continuity of Care dapat terlaksana secara optimal, mendukung deteksi dini komplikasi, meningkatkan kualitas pelayanan kesehatan ibu dan bayi, serta berkontribusi dalam upaya penurunan AKI dan AKB.