Asuhan Kebidanan Komprehensif pada Ny. Y Umur 23 Tahun G1P0A0 di Rumah Sakit Balikpapan Baru

Abstract

The Maternal Mortality Rate (AKI) and Infant Mortality Rate (AKB) are the main indicators of the success of maternal and infant health services. In order to reduce this number, continuous obstetric services or Continuity of Care (COC) is an important approach that includes pregnancy care, childbirth, postpartum, newborns, and family planning. This study aims to provide comprehensive obstetric care to Mrs. Y, 23 years old, at Balikpapan Baru Hospital, using a descriptive method through a case study. Data was obtained from interviews, observations, and simple physical and laboratory examinations. The results showed that pregnancy care was carried out eight visits, including the provision of nutrition education and danger signs in the third trimester. In normal childbirth, Mrs. Y went through a physiological process from stage I to stage IV without complications. The postpartum period is handled with four visits, involving education about nutrition, wound care, and contraceptive preparation. Newborn care is provided through vital monitoring, immunization, and education to mothers about exclusive breastfeeding. For family planning, Mrs. Y chooses a hormone-free contraceptive method based on counseling. All care is carried out in accordance with national health service standards and relevant midwifery theories. Comprehensive interventions have successfully improved client understanding and adherence to health recommendations, supporting a reduced risk of complications in mothers and babies. This study emphasizes the importance of implementing COC in improving the quality of midwifery services and reducing maternal and infant mortality. It is hoped that the implementation of COC can continue to be improved by health workers through training and the provision of adequate facilities.

Abstrak

Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator utama keberhasilan pelayanan kesehatan ibu dan bayi. Dalam rangka menurunkan angka ini, pelayanan kebidanan berkelanjutan atau Continuity of Care (COC) menjadi pendekatan penting yang meliputi asuhan kehamilan, persalinan, nifas, bayi baru lahir, dan keluarga berencana. Penelitian ini bertujuan memberikan asuhan kebidanan komprehensif kepada Ny. Y, usia 23 tahun, di RS Balikpapan Baru, menggunakan metode deskriptif melalui studi kasus. Data diperoleh dari wawancara, observasi, serta pemeriksaan fisik dan laboratorium sederhana.Hasil menunjukkan asuhan kehamilan dilakukan delapan kali kunjungan, meliputi pemberian edukasi gizi dan tanda bahaya trimester ketiga. Pada persalinan normal, Ny. Y melalui proses fisiologis dari kala I hingga kala IV tanpa komplikasi. Masa nifas ditangani dengan kunjungan empat kali, melibatkan edukasi tentang nutrisi, perawatan luka, dan persiapan kontrasepsi. Asuhan bayi baru lahir diberikan melalui pemantauan vital, imunisasi, dan edukasi kepada ibu mengenai pemberian ASI eksklusif. Untuk keluarga berencana, Ny. Y memilih metode kontrasepsi tanpa hormon berdasarkan konseling.Keseluruhan asuhan dilakukan sesuai standar pelayanan kesehatan nasional dan teori kebidanan yang relevan. Intervensi yang komprehensif berhasil meningkatkan pemahaman dan kepatuhan klien terhadap rekomendasi kesehatan, mendukung penurunan risiko komplikasi pada ibu dan bayi. Studi ini menekankan pentingnya pelaksanaan COC dalam meningkatkan kualitas pelayanan kebidanan dan mengurangi mortalitas ibu dan bayi. Diharapkan implementasi COC dapat terus ditingkatkan oleh tenaga kesehatan melalui pelatihan dan penyediaan sarana yang memadai.