ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU L.S MASA KEHAMILAN TRIMESTER III, BERSALIN, NIFAS, NEONATUS, DAN KELUARGA BERENCANA DIWILAYAH KERJA PUSKESMAS SITADATADA KECAMATAN SIPOHOLON TAHUN 2025

KEMENTERIAN KESEHATAN POLITEKNIK KESEHATAN MEDAN
PROGRAM STUDI DIPLOMA III KEBIDANAN TAPANULI UTARA
LAPORAN TUGAS AKHIR, 2025
FITRI HUTABARAT
P07524222017
PERIODE, JANUARI S.D JUNI 2025
ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU L.S G2P1AA0
MASA KEHAMILAN TRIMESTER III, BERSALIN, NIFAS,
NEONATUS DAN KELUARGA BERENCANA DI WILAYAR KERJA
PUSKESMAS SITADATADA TAHUN 2024
ABSTRAK
V BAB + 108 Halaman + 8 Tabel + 10 Lampiran
Wanita akan melalui proses kehamilan, persalinan, dan nifas. Dalam
menjalani proses tersebut wanita maupuıı bayi akan mengalami masalah
kesehatan yang dimana akan mengakibatkan resiko kematian. Salah satu
indikator Angka Kematian Ibu (AKI), yaitu jumlah kematian ibu selama
masa kehamilan, persalinan dan nifas. Oleh sebab itu untuk mengatasi
resiko tersebut akan dilakukan asuhan berkelanjutan (continue care), dalam
upaya yang diselenggarakan dalam meningkatkan kualitas kesehatan Ibu,
dimana tujuan dari pemberian asuhan tersebut adalah memberikan asuhan
secara komprehensif dimulai dari masa kehamilan sampai asuhan keluarga
berencana.
Asuhan komprehensif dilakukan kepada ibu L.S pada masa
kehamilan trimester III sampai dengan keluarga berencana dengan
menggunakan pendokumentasian metode Helen Varney dan SOAP.
Asuhan diberikan kepada ibu L.S masa hamil sebanyak 3 kali
kunjungaa Asuhan persalinan dilakukan dengan 60 langkah APN, bayi
lahir spontan, BB: 3300 gram, PB: 50 cm, LD: 34 cm, LK: 36 cin, dengan
APGAR Score pada menit pertama adalah 8 dan menit ke-5 adalah 10 dan
bayi segera menangis, Pada bayi baru lahir diberikan asuhan suntik
Vitamin K, pemberian salep mata dan imunisasi HB0. Asuhan masa nifas
dilakukan sebanyak 3 kali kunjungan sudah diajarkan teknik menyusui
yang benar, perawatan luka perineum. Asuhan BBL juga dilakukan
sebanyak 3 kali dimana ibu diberitahu agar memberikan ASI selama 6
bulan tanpa makanan tambahan. Pada aksseptor KB ibu memilih KB
implant dan telah diberitahukan manfaat dan kerugian KB tersebut.
Berdasarkan hasil dari pemeriksaan asuhan secara komprehensif kepada ibu L.S
dan akseptor KB, penulis tidak ditemukan kesulitan. Dikarenakan terjadinya kerja
sama yang baik antara pasien, keluarga pasien dan tenaga kesehatan.

MEDAN HEALTH POLYTECHNIC OF THE MINISTRY OF HEALTH
ASSOCIATE DEGREE OF MIDWIFERY STUDY PROGRAM IN NORTH
TAPANULI
FINAL PROJECT REPORT, 2025
FITRIHUTAB
ART
P07524222017
COMPREHENSIVE MIDWIFERY CARE FOR MRS. L.S G2P1AA0
DURING THE THIRD TRIMESTER OF PREGNANCY, LABOR,
POSTPARTUM, NEONATAL, AND FAMILY PLANNING IN TM
WORKING AREA OF THE SITADATADA COMMUNITY HEALTH
CENTER IN 2024 (PERIOD, JANUARY TO JUNE 2025
SUMMARY OF MIDWIFERY CARE
V CHAPTERS + 108 Pages + 8 Tables + 10 Appendices
Women undergo the processes of pregnancy, labor, and postpartum.
During this journey, both women and infants may experience health problems that
can lead to a risk of mortality. The Maternal Mortality Rate (MMR) is one
indicator, measuring the number of maternal deaths during pregnancy, childbirth,
and the postpartum period. Therefore, to address these risks, continuous care is
provided to improve maternal health quality. The goal of this care is to offer
comprehensive support, starting from pregnancy all the way through family
planning.
This comprehensive care was provided to Mrs. L.S from her third
trimester of pregnancy through family planning, using the Helen Varney and
SOAP documentation methods.
Midwifery care was given to Mrs. L.S for a total of three prenatal visits,
with no serious complaints found in either the mother or the fetus. Labor care
followed the 60 steps of APN (Normal Birth Delivery). The baby was born
spontaneously with a birth weight of 3300 grams, a length of 50 cm, a head
circumference of 34 ciri, and a chest circumference of 36 cm. The APGAR score
was 8 in the first minute and 10 in the fifth, and the baby cried immediately. The
newborn received Vitamin K injections, eye ointment, and the Hepatitis B (HBO)
immunization. Postpartum care included three visits, during which the mother was
taught proper breastfeeding techniques and perineal wound care. Newborn care
was also conducted over three visits, with the mother being advised to provide
exclusive breastfeeding for six months without any additional food For faintly
planning, the mother chose the implant, and she was informed of its benefits and
drawbacks.
Based on the comprehensive examinations and care provided to Mrs. L.S
and the family planning acccptor, the author encountered no difficulties. This was
due to the good cooperation between the patient, the patient's