Asuhan Kebidanan Continuity of Care pada Ny. N Umur 26 Tahun G2P1A0 dengan Keputihan Fisiologis

Abstract

Maternal and infant mortality rates are one of the indicators for measuring the health status of a country. Early detection efforts to overcome morbidity and mortality for mothers, infants and toddlers can be done by implementing Continuity Of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, to family planning. This study aims to provide comprehensive and continuous midwifery care to Mrs. N from pregnancy, childbirth, postpartum, neonates, to family planning. The study used a descriptive method with a case study approach and SOAP documentation. Data were obtained through interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies in February–May 2026. The results of the care showed that during pregnancy the mother experienced physiological vaginal discharge and was given boiled betel leaf care to wash the intimate organs. The delivery took place normally with the implementation of Normal Delivery Care (APN) and complementary efflurage massage therapy. During the postpartum period, the mother said her breast milk production was low and was given complementary oxytocin massage. Newborn care showed normal conditions with the administration of 1 mg of vitamin K, Hepatitis B immunization, and a SHK examination. In family planning services, the mother chose a 3-month injectable contraceptive. It is recommended that staff continue to improve the quality of midwifery services on an ongoing basis, conduct early detection of danger signs in mothers and babies, provide clear and easy-to-understand IEC, support the success of exclusive breastfeeding, ensure complete postpartum and neonatal visits, and provide individual family planning counseling according to the mother's condition, needs, and preferences so that the health of both mother and baby can be optimally maintained.

Abstrak

Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Penelitian ini bertujuan memberikan asuhan kebidanan komprehensif dan berkesinambungan pada Ny. N mulai masa kehamilan, persalinan, nifas, neonatus, hingga keluarga berencana. Penelitian menggunakan metode deskriptif dengan pendekatan studi kasus dan pendokumentasian SOAP. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi, dan studi pustaka pada Februari–Mei 2026. Hasil asuhan menunjukkan pada masa kehamilan ibu mengalami keputihan fisiologis dan diberikan asuhan rebusan daun sirih untuk membasuh organ intim. Persalinan berlangsung normal dengan penerapan Asuhan Persalinan Normal (APN) dan terapi komplementer massage efflurage. Pada masa nifas ibu mengatakan produksi ASI sedikit dan diberikan komplementer pijat oksitosin. Asuhan bayi baru lahir menunjukkan kondisi normal dengan pemberian vitamin K 1 mg, imunisasi Hepatitis B0, dan pemeriksaan SHK. Pada pelayanan KB, ibu memilih kontrasepsi suntik 3 bulan. Disarankan bagi tenaga agar tetap meningkatkan mutu pelayanan kebidanan secara berkesinambungan, melakukan deteksi dini tanda bahaya pada ibu dan bayi, memberikan KIE yang jelas dan mudah dipahami, mendukung keberhasilan ASI eksklusif, memastikan kelengkapan kunjungan nifas dan neonatus, serta melakukan konseling KB secara individual sesuai kondisi, kebutuhan, dan pilihan ibu sehingga kesehatan ibu dan bayi dapat terjaga secara optimal.