Asuhan Kebidanan Komprehensif pada Ny S Umur 29 Tahun G2P1A0 di Puskesmas Bojong 1 Kabupaten Pekalongan

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators of the quality of healthcare services in a country. The 2030 Sustainable Development Goals (SDGs) target is to reduce the MMR to less than 70 per 100,000 live births and the IMR to 12 per 1,000 live births. One effective strategy to achieve this target is through Continuity of Care (CoC). To provide comprehensive and continuous midwifery care (CoC) to Mrs. S, from pregnancy, childbirth, postpartum, newborn care (neonate), to family planning (FP) services at the Bojong 1 Community Health Center in Pekalongan Regency. Method: This research is a case study with a descriptive approach. Data collection was conducted through interviews, physical examinations (inspection, palpation, percussion, auscultation), observations using monitoring sheets/KIA books/partographs, and supporting laboratory tests. Documentation of care was conducted using the SOAP method. Results: Care was provided from December 2025 to March 2026. In the third trimester of pregnancy, Mrs. S complained of frequent urination which is a discomfort in the third trimester. The delivery process was spontaneous and normal at 38 weeks of gestation, with the first and second stages proceeding smoothly, and Early Initiation of Breastfeeding (IMD) was performed. The postpartum period progressed normally, progressing through the taking-in, taking-hold, and letting-go phases. The newborn was in healthy (physiological) condition and had received BCG and Polio 1 immunizations. For family planning care, the mother chose a 3-month injectable contraceptive. Conclusion: Overall, the implementation of Continuity of Care midwifery care for Mrs. S. S has complied with applicable midwifery service standards and theory, and no significant gaps were found between theory and practice in the field.

Abstrak

Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator utama kualitas pelayanan kesehatan di suatu negara. Target SDGs tahun 2030 adalah menurunkan AKI hingga kurang dari 70 per 100.000 kelahiran hidup (KH) dan AKB hingga 12 per 1.000 KH. Salah satu strategi efektif untuk mencapai target tersebut adalah melalui asuhan kebidanan berkelanjutan. Memberikan asuhan kebidanan secara komprehensif dan berkelanjutan pada Ny. S mulai dari masa kehamilan, persalinan, nifas, bayi baru lahir (neonatus), hingga pelayanan keluarga berencana (KB) di Puskesmas Bojong 1 Kabupaten Pekalongan. Metode: Jenis penelitian ini adalah studi telaah kasus dengan pendekatan deskriptif. Pengumpulan data dilakukan melalui wawancara (interview), pemeriksaan fisik (inspeksi, palpasi, perkusi, auskultasi), observasi menggunakan lembar pemantauan/buku KIA/partograf, serta pemeriksaan penunjang laboratorium. Pendokumentasian asuhan dilakukan dengan metode SOAP. Hasil: Asuhan dilakukan sejak Desember 2025 hingga Maret 2026. Pada kehamilan trimester III, Ny. S mengeluhkan sering BAK yang merupakan ketidaknyamanan trimester III. Proses persalinan berlangsung spontan dan normal pada usia kehamilan 38 minggu dengan kala I dan II berjalan lancar, serta dilakukan Inisiasi Menyusu Dini (IMD). Masa nifas berlangsung normal melewati fase taking in, taking hold, hingga letting go. Bayi baru lahir dalam kondisi sehat (fisiologis) dan telah mendapatkan imunisasi BCG serta Polio 1. Pada asuhan KB, ibu memilih kontrasepsi suntik 3 bulan. Kesimpulan: Secara keseluruhan, pelaksanaan asuhan kebidanan berkelanjutan pada Ny. S telah sesuai dengan standar pelayanan kebidanan dan teori yang berlaku, serta tidak ditemukan adanya kesenjangan yang signifikan antara teori dan praktik di lapangan.