Asuhan Kebidanan Continuity of Care (COC) pada Ny. N Umur 24 Tahun di Klinik Tirta Derawan

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain important indicators in assessing public health status. In Indonesia, maternal and neonatal health problems are still a concern due to complications during pregnancy, childbirth, postpartum, and neonatal periods. One of the efforts to reduce MMR and IMR is through Continuity of Care (CoC), which provides comprehensive and continuous midwifery care from pregnancy until family planning services. This study used a descriptive method with a case study approach on Mrs. N, a 24-year-old pregnant woman who received comprehensive midwifery care at Tirta Derawan Clinic, Berau Regency, East Kalimantan. The care included antenatal care, intranatal care, postpartum care, newborn care, and family planning services according to midwifery management standards. The results showed that the implementation of Continuity of Care was carried out comprehensively and continuously. Pregnancy, labor, postpartum, and neonatal periods progressed physiologically without significant complications. The mother and baby were in good condition, the mother understood self-care during the postpartum period, newborn care, breastfeeding, and family planning methods. In conclusion, Continuity of Care midwifery services are effective in improving maternal and neonatal health outcomes and supporting the prevention of complications through continuous monitoring and comprehensive care.

Abstrak

Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi indikator penting dalam menilai derajat kesehatan masyarakat. Di Indonesia, masalah kesehatan ibu dan bayi masih menjadi perhatian akibat adanya komplikasi selama kehamilan, persalinan, nifas, dan masa neonatus. Salah satu upaya untuk menurunkan AKI dan AKB adalah melalui pelayanan Continuity of Care (CoC), yaitu asuhan kebidanan yang dilakukan secara komprehensif dan berkesinambungan mulai dari masa kehamilan hingga pelayanan keluarga berencana. Metode penelitian ini menggunakan pendekatan deskriptif dengan studi kasus pada Ny. N usia 24 tahun yang mendapatkan asuhan kebidanan komprehensif di Klinik Tirta Derawan Kabupaten Berau Kalimantan Timur. Asuhan yang diberikan meliputi asuhan kehamilan, persalinan, nifas, bayi baru lahir, dan keluarga berencana sesuai standar manajemen kebidanan. Hasil menunjukkan bahwa pelaksanaan asuhan Continuity of Care dilakukan secara komprehensif dan berkesinambungan. Masa kehamilan, persalinan, nifas, dan neonatus berlangsung fisiologis tanpa komplikasi bermakna. Kondisi ibu dan bayi dalam keadaan baik, serta ibu memahami perawatan masa nifas, perawatan bayi baru lahir, pemberian ASI, dan penggunaan metode keluarga berencana. Kesimpulannya, asuhan kebidanan Continuity of Care efektif dalam meningkatkan kesehatan ibu dan bayi serta mendukung pencegahan komplikasi melalui pemantauan dan pelayanan yang berkesinambungan.