ASUHAN KEBIDANAN PADA NY. Y MASA HAMIL, BERSALIN DENGAN LASERASI PERINEUM DERAJAT II, NIFAS, BAYI BARU LAHIR, DAN KELUARGA BERENCANA DI PRAKTEK MANDIRI BIDAN Y.H KOTA PEMATANG SIANTAR

Background: The Maternal Mortality Rate (MMR) is an indicator to see the
success of maternal health efforts. Health services for pregnant women should
guarantee protection for pregnant women and the fetus, such as early detection of
risk factors, prevention and early treatment of complications in pregnancy. During
pregnancy, there will be several changes that will disturb the mother's comfort,
such as shortness of breath and low back pain. One of the factors that affect the
lactation process is the flat shape of the nipples, which can inhibit the lactation
process
Objective: To provide midwifery care in the form of Continuity of Care starting
from pregnancy, childbirth, postpartum, newborn and family planning services.
Method: a case study of continuous midwifery care and documentation in SOAP
format.
Result: Mrs.Y, 24, GIP0A0, third trimester of pregnancy, complaints are flat
nipples, shortness of breath and low back pain. Shortness of breath and low back
pain can be resolved except for flat nipples due to congenital abnormalities. Care
for the first stage of labor proceeded normally, in the second stage, a second
degree perineal laceration was performed with a continuous suturing technique.
The baby was born normally, weighing 3700 grams. The postpartum period
proceeds normally. On the 24th day the baby stops drinking milk because milk
production has stopped. Mrs.Y used the technique of interrupted intercourse for
pregnancy control.
Conclusion: Continuity of Care can increase knowledge and degree of maternal
and child health.