ASUHAN KEBIDANAN PADA NY. W MASA HAMIL, BERSALIN, NIFAS, BAYI BARU LAHIR DAN KELUARGA BERENCANA DI PRAKTEK MANDIRI BIDAN A. S KOTA PEMATANGSIANTAR

Background: During the third trimester of pregnancy, women commonly
experience discomforts such as frequent urination and lower abdominal pain due
to physiological changes and uterine enlargement. These complaints may reduce
maternal comfort if not managed appropriately. Continuity of Care (COC) in
midwifery is a comprehensive approach that provides continuous care throughout
pregnancy, childbirth, the postpartum period, newborn care, and family planning.
This approach aims to improve maternal and neonatal health outcomes while
facilitating the early detection of potential complications. This case study aimed to
provide comprehensive Continuity of Care midwifery services for Mrs. W
throughout pregnancy, childbirth, the postpartum period, newborn care, and
family planning.
Methods: This study employed a case study design using a comprehensive
midwifery care approach with Subjective, Objective, Assessment, and Planning
(SOAP) documentation.
Results: Mrs. W, a 25-year-old woman (G2P1A0), received comprehensive
midwifery care from pregnancy through family planning. During pregnancy, she
experienced lower abdominal pain, which was successfully managed. She had a
spontaneous normal vaginal delivery with a second-degree perineal laceration.
Postpartum follow-up visits were conducted according to the recommended
standards, and no complications were identified. A healthy newborn was delivered
with a birth weight of 3,300 g, a birth length of 49 cm, and an APGAR score of
8/10. Early initiation of breastfeeding was successfully implemented. Following
counseling, Mrs. W chose the 3-month injectable contraceptive as her family
planning method.
Conclusion: Comprehensive Continuity of Care (COC) provided from pregnancy
through family planning resulted in favorable maternal and neonatal health
outcomes and supported the early detection of potential complications. Mothers
are encouraged to attend routine maternal and child health services, provide
exclusive breastfeeding, ensure completion of the infant's basic immunization
schedule, and adhere to the recommended family planning follow-up schedule
established by healthcare professionals