Asuhan Kebidanan Continuity of Care (COC) Ny F Usia 26 Tahun G1P0A0

Abstract

Continuity of care (CoC) is a service that is achieved when there is a continuous relationship between a woman and a midwife. Continuing care relates to the quality of service over time which requires a continuous relationship between patients and health professionals. Midwifery services must be provided from preconception, early pregnancy, during all trimesters, labor and delivery until the first six weeks postpartum which can reduce maternal and infant mortality rates for the health status of a nation. Objective to provide comprehensive midwifery care to Mrs F (Continuity of Care) covering pregnancy, labor, postpartum, newborns and neonates up to family planning.Method in this research the author used a data collection method, namely using interviews, observation with primary and secondary data through the KIA Book, physical examination and this research began in December-April 2023, the research instrument used SOAP. Based on the results of a comprehensive case study (Continuity of Care) on Mrs.F from pregnancy, labor, postpartum, newborns and neonates, it was found that Mrs.F aged 26 years G1P0A0 gestational age 36 weeks no problems found, Delivery of Mrs. F was carried out at the clinic labor, amniotic fluid leaking. The postpartum period was normal, there was no bleeding, uterine contractions were good, lochea rubra, perineal abrasions, the mother received vitamin A. In the newborn the results of the anthropometric examination were normal, SHK was negative. Mrs.F decided to use injection 3 mounths birth control.

Abstrak

Continuity of care (CoC) adalah pelayanan yang dicapai ketika terjalin hubungan yang terus-menerus antara seorang wanita dan bidan. Asuhan yang berkelanjutan berkaitan dengan kualitas pelayanan dari waktu kewaktu yang membutuhkan hubungan terus menerus antara pasien dengan tenaga profesional kesehatan. Layanan kebidanan harus disediakan mulai prakonsepsi, awal kehamilan, selama semua trimester, kelahiran dan melahirkan sampai enam mingggu pertama postpartum yang dapat menurunkan Angka Kematian Ibu dan bayi untuk derajat kesehatan suatu bangsa. Tujuan memberikan asuhan kebidanan Pada Ny F secara Komperehensif (Continuity Of Care) meliputi masa kehamilan, masa persalinan, nifas, bayi baru lahir dan neonatus sampai KB. Metode dalam penelitian ini penulis menggunakan metode pengumpulan data yaitu menggunakan wawancara, observasi dengan data primer dan sekunder melalui Buku KIA, pemeriksaan fisik serta penelitian ini dimulai sejak bulan Desember – April 2024 instrumen penelitian menggunakan SOAP. Berdasarkan hasil studi kasus secara Komperehensif (Continuity Of Care) pada Ny F dari kehamilan, masa persalinan, nifas, bayi baru lahir dan neonatus didapatkan Ny. F  usia 26 Tahun G1P0A0 usia kehamilan 36 minggu 4 hari tidak ditemukan masalah , Persalinan pada Ny. F  dilakukan di PMB. Masa nifas berlangsung normal tidak ada pendarahan, kontraksi uterus baik, lochea rubra, luka lecet perinium, ibu mendapatkan vitamin A. Pada bayi baru lahir hasil pemeriksaan antropometri normal, SHK negative. Ny. F memutuskan menggunakan KB Suntik 3 bulan.