Asuhan Kebidanan Komprehensif pada Ny. D 38 Tahun G5POAO di PMB Herlina Tipuk Rosdiana S.TR. KEB. Bdn

Abstract

In Indonesia, maternal and child health remains a major concern. The leading causes of maternal mortality in Indonesia include hemorrhage, pregnancy-induced hypertension, and infection, while infant mortality is generally caused by asphyxia, prematurity, and infection. Efforts to reduce maternal and infant mortality rates in Indonesia are carried out through the provision of continuity of care (COC). This study is a case study aimed at providing comprehensive midwifery care to Mrs. D, aged 38 years, G5POAO, covering pregnancy, labor, the postpartum period, the newborn, and contraceptive selection. The method used was descriptive, with data collection techniques including interviews, observations, physical examinations, and documentation in the Maternal and Child Health (MCH) record book. The care findings indicated that Mrs. D experienced a physiologically normal pregnancy with third-trimester complaints managed through education and non-pharmacological interventions. Delivery was performed via cesarean section. The baby was born with a strong suck reflex and active muscle movements. The postpartum period was marked by low breast milk production, which was addressed through education and complementary therapy. During the postpartum period, the mother used the MOW method of contraception. In conclusion, the continuity of care approach is effective in detecting, preventing, and managing obstetric issues from pregnancy through the postpartum period, as well as in improving the quality of maternal and infant health care.

Abstrak

Di Indonesia, kondisi kesehatan ibu dan anak juga masih menjadi perhatian. Penyebab utama kematian ibu di Indonesia meliputi perdarahan, hipertensi dalam kehamilan, dan infeksi, sedangkan kematian bayi umumnya disebabkan oleh asfiksia, prematuritas, dan infeksi Upaya   penurunan   AKI   dan   AKB   di   Indonesia   dilakukan   melalui   pemberian   asuhan berkesinambungan atau Continuity of Care (COC). Penelitian ini merupakan studi kasus yang bertujuan untuk memberikan asuhan kebidanan secara menyeluruh kepada Ny. D, usia 38 tahun, G5POAO, mulai dari kehamilan, persalinan, nifas, bayi baru lahir hingga pemilihan kontrasepsi. Metode yang digunakan adalah deskriptif dengan teknik pengumpulan data melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi dalam buku KIA. Hasil asuhan menunjukkan bahwa Ny. D  mengalami kehamilan fisiologis dengan keluhan trimester III yang ditangani melalui edukasi dan nonfarmakologis. Persalinan dilakukan secara Caesarea. Bayi lahir mengais kuat, gerak otot aktif. Masa nifas menunjukkan produksi Asi yang sedikit  yang diatasi dengan edukasi dan terapi komplementer. Pada masa kontrasepsi menggunakan KB MOW. Kesimpulannya, pendekatan continuity of care efektif dalam mendeteksi, mencegah, dan menangani masalah kebidanan sejak masa kehamilan hingga pasca persalinan serta meningkatkan kualitas pelayanan kesehatan ibu dan bayi.