Asuhan Kebidanan Komprehensif pada Ny. F Umur 21 Tahun G1P0A0 di Puskesmas Sebakung Jaya

Abstract

Comprehensive midwifery care is a continuous service approach carried out from pregnancy, childbirth, postpartum, neonatal, to family planning to support the safety of mothers and babies. The third trimester of pregnancy is often accompanied by complaints of discomfort such as back pain due to changes in body posture and increased pregnancy burden. In addition, obstetric complications such as premature rupture of membranes (PROM) can increase the risk of infection and contribute to cesarean section (CS) delivery. During the postpartum period, mothers are also susceptible to breast milk production disorders so that non-pharmacological interventions are needed, one of which is oxytocin massage to help increase breast milk production and release. This study aims to provide an overview of the implementation of comprehensive midwifery care for Mrs. F, 21 years old, G1P0A0, at the Sebakung Jaya Community Health Center. The research method used a case study with a continuity of care approach through assessment, observation, physical examination, interviews, documentation, and ongoing assistance. Monitoring of pregnant women was carried out three times. The results showed that in the third trimester the mother experienced complaints of back pain that could be overcome through posture education and relaxation exercises. During the delivery process, PROM was found which is an indication for a CS for the safety of the mother and fetus. Postpartum monitoring is performed four times. Oxytocin massage is performed during the postpartum period to help stimulate milk production and improve the comfort of breastfeeding mothers. Infant monitoring is performed three times, and family planning monitoring is performed once. Continuous, comprehensive midwifery care supports early detection of complications, improves the quality of maternal care, and accelerates postpartum recovery.

Abstrak

Asuhan kebidanan komprehensif merupakan pendekatan pelayanan berkelanjutan yang dilakukan sejak masa kehamilan, persalinan, nifas, neonatus, hingga keluarga berencana untuk mendukung keselamatan ibu dan bayi. Kehamilan trimester III sering disertai keluhan ketidaknyamanan seperti sakit pinggang akibat perubahan postur tubuh dan peningkatan beban kehamilan. Pada masa nifas, ibu juga rentan mengalami gangguan pengeluaran ASI sehingga diperlukan intervensi nonfarmakologis, salah satunya pijat oksitosin untuk membantu meningkatkan produksi dan pengeluaran ASI. Penelitian ini bertujuan untuk memberikan gambaran pelaksanaan asuhan kebidanan komprehensif pada Ny. F umur 21 tahun G1P0A0 di Puskesmas Sebakung Jaya. Metode penelitian menggunakan studi kasus dengan pendekatan continuity of care melalui pengkajian, observasi, pemeriksaan fisik, wawancara, dokumentasi, dan pendampingan berkelanjutan. Pemantauan ibu hamil dilakukan 3 kali. Hasil penelitian menunjukkan bahwa pada trimester III ibu mengalami keluhan sakit pinggang yang dapat diatasi melalui edukasi postur tubuh dan latihan relaksasi. Pemantauan pada masa nifas dilakukan 4 kali. Pada masa nifas dilakukan pijat oksitosin yang membantu memperlancar produksi ASI dan meningkatkan kenyamanan ibu menyusui. Pemantauan bayi dilakukan 3 kali dan pemantaun Kb 1 kali. Asuhan kebidanan komprehensif yang diberikan secara berkesinambungan mampu mendukung deteksi dini komplikasi, meningkatkan kualitas pelayanan maternal, serta mempercepat pemulihan ibu postpartum.