Pendekatan Continuity of Care dengan Terapi Gym Ball dalam Mendukung Kemajuan Persalinan
Keywords:
Continuity Of Care, Kemajuan Persalinan, Persalinan, Primigravida, Gym Ball.Abstract
Labor is a physiological process experienced by pregnant women at the end of pregnancy. However, prolonged labor and slow cervical dilatation remain common problems that may increase maternal and neonatal complications. The Continuity of Care (CoC) approach is one of the comprehensive midwifery care models that provides continuous assistance from pregnancy, labor, postpartum, newborn care, to family planning. This case study aimed to describe the effectiveness of the Continuity of Care approach in supporting labor progress in multigravida mothers. This study used a descriptive case study design on Mrs. B, a 21-year-old G2P1A0 woman who received continuous midwifery care from the third trimester of pregnancy until postpartum. Data were collected through interviews, observations, physical examinations, and medical record documentation. Midwifery care included emotional support, labor education, breathing relaxation techniques, mobilization, hydration support, and gym ball exercises during labor. The results showed that labor progress occurred effectively, characterized by progressive cervical dilatation, decreased maternal anxiety, good uterine contractions, and stable maternal and fetal conditions during labor. The Continuity of Care approach was effective in supporting labor progress through continuous monitoring, emotional support, and comprehensive midwifery care.
Abstrak
Persalinan merupakan proses fisiologis yang dialami ibu hamil pada akhir kehamilan. Namun, persalinan lama dan lambatnya kemajuan pembukaan serviks masih menjadi masalah yang dapat meningkatkan komplikasi pada ibu dan bayi. Pendekatan Continuity of Care (CoC) merupakan salah satu model pelayanan kebidanan komprehensif yang memberikan pendampingan secara berkelanjutan mulai masa kehamilan, persalinan, nifas, bayi baru lahir hingga keluarga berencana. Penelitian ini bertujuan untuk mengetahui efektivitas pendekatan Continuity of Care dalam mendukung kemajuan persalinan pada ibu multigravida. Penelitian menggunakan desain studi kasus deskriptif pada Ny. B usia 21 tahun G2P1A0 yang diberikan asuhan kebidanan berkelanjutan mulai trimester III kehamilan hingga postpartum. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi rekam medis. Asuhan yang diberikan meliputi dukungan emosional, edukasi persalinan, teknik relaksasi napas, mobilisasi, pemenuhan cairan, dan penggunaan gym ball selama persalinan. Hasil menunjukkan bahwa kemajuan persalinan berlangsung baik ditandai dengan pembukaan serviks yang progresif, kontraksi uterus adekuat, kecemasan ibu berkurang, serta kondisi ibu dan janin tetap stabil selama proses persalinan. Pendekatan Continuity of Care efektif dalam mendukung kemajuan persalinan melalui pemantauan berkelanjutan, dukungan emosional, dan asuhan kebidanan komprehensif.
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