ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY. A MASA HAMIL SAMPAI DENGAN KELUARGA BERENCANA DI KLINIK BERKAH PRIMA MEDIKA, GANDU, MLARAK, PONOROGO



Setianingtias, Destina Arifahtul (2026) ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY. A MASA HAMIL SAMPAI DENGAN KELUARGA BERENCANA DI KLINIK BERKAH PRIMA MEDIKA, GANDU, MLARAK, PONOROGO. D3 thesis, Universitas Muhammadiyah Ponorogo.

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Abstract

Pregnancy, childbirth, the postpartum period, the newborn period, and family planning are interconnected physiological processes that require continuous monitoring to facilitate the early detection of complications in both mothers and infants. One effort to maintain maternal and infant health is through comprehensive midwifery care using the Continuity of Care (CoC) approach, which covers pregnancy, childbirth, the postpartum period, newborn care, and family planning. Continuous midwifery care plays an important role in monitoring the condition of the mother and infant, providing health education, detecting risk factors and complications at an early stage, and providing appropriate management according to the client's needs. Based on these conditions, the author provided comprehensive midwifery care to Mrs. A, a 24-year-old G1P10001 woman at 38 weeks of gestation at Berkah Prima Medika Clinic, Gandu, Mlarak, Ponorogo, from pregnancy through family planning services as an effort to maintain maternal and infant health through the Continuity of Care approach.

The method used was descriptive qualitative research with a case study approach. Midwifery care was provided to Mrs. A from 38 weeks of gestation through family planning services. Data were collected through interviews, observation, physical examinations, documentation, and medical records, and were subsequently analyzed descriptively based on the results of the care provided continuously in accordance with midwifery care standards. The care was documented using the SOAP method.

Continuity of Care midwifery services for Mrs. A were provided from pregnancy through family planning. During pregnancy, the mother experienced physiological discomfort in the form of lower back pain and groin pain. Therefore, she was provided with education regarding physiological changes during pregnancy, stretching exercises, warm compresses, proper body positioning, and adequate rest. Labor occurred spontaneously with an episiotomy performed due to a rigid perineum and maternal exhaustion, without complications. The baby was a male, weighing 3,040 grams and measuring 49 cm in length, and was born in good condition. The postpartum period progressed physiologically, with normal uterine involution, lochia consistent with the expected stages, and successful breastfeeding. During the third neonatal visit, mild positional plagiocephaly was identified; therefore, the mother was provided with education regarding changes in the baby's sleeping position and tummy time. During family planning services, the mother chose condoms as a contraceptive method after receiving counseling and making an informed choice because her husband did not permit the use of other modern contraceptive methods.

Based on the results of the midwifery care provided to Mrs. A, it can be concluded that the entire continuum of midwifery care, including pregnancy, childbirth, the postpartum period, newborn care, and family planning, was provided according to the client's needs and midwifery care standards. The Continuity of Care approach was beneficial in facilitating continuous monitoring of maternal and infant health, providing health education, and supporting decision-making regarding family planning based on the principle of informed choice. However, the implementation of Continuity of Care in monitoring adherence to iron (Fe) tablet consumption during pregnancy could not be optimally evaluated because the care began only one day before delivery. Consequently, continuous monitoring of adherence to iron tablet consumption could not be carried out.

Dosen Pembimbing: Fetty Rosyadia, Wachdin and Ririn, Ratnasari | 0712069102, 0705098502
Item Type: Thesis (D3)
Uncontrolled Keywords: ANC : Antenatal Care APGAR : Apperance, Pulse, Grimace, Activity, Respiratory ASI : Air Susu Ibu BAB : Buang Air Besar BAK : Buang Air Kecil BB : Berat Badan BBL : Bayi Baru Lahir BBLR : Berat Badan Lahir Rendah BKKBN : Badan Kependudukan dan Keluarga Berencana Nasional BOK : Bantuan Operasional Kesehatan C : Celcius CPD : Chepalo Pelvic Disproportion COC : Continuity Of Care DJJ : Detak Jantung Janin DM : Diabetes Mellitus DMPA : Depo Medroxy Progesteron Acetate HB : Hemoglobin HCG : Human Chorionic Gonadotropin HIV : Human Immunodeficiency Virus HPHT : Haid Pertama Haid Terakhir IM : Intramuscular IMD : Inisiasi Menyusu Dini INC : Intranatal Care IPKM : Indeks Pembangunan Kesehatan Masyarakat KB : Keluarga Berencana Kemenkes : Kementrian Kesehatan KIE : Komunikasi, Informasi dan Edukasi KU : Keadaan Umum LILA : Lingkar Lengan Atas LH : Luteinizing Hormone mmHg : Milimeter Hydragyrum NCB : Neonatus Cukup Bulan NKB : Neonatus Kurang Bulan PCo2 : Parsal Karbondioksida PO2 : Parsal Oksigen SC : Sectio Caersaria SMK : Sesuai Masa Kehamilan SOAP : Subjektif, Objektif, Assessmen, Planning TB : Tinggi Badan TBC : Tuberkulosis TBJ : Taksiran Berat Janin TD : Tekanan Darah TFU : Tinggi Fundus Uteri TM : Trimester TPMB : Tempat Praktik Mandiri Bidan TT : Tetanus UK : Usia Kehamilan USG : Ultrasonografi VT : Vaginal Touch WHO : World Health Organization
Subjects: R Medicine > RG Midwifery
Divisions: Faculty of Health Sciences > Department of Midwifery
Depositing User: destina arifahtul setianingtias
Date Deposited: 02 Oct 2026 01:19
Last Modified: 02 Oct 2026 01:19
URI: https://eprints.umpo.ac.id/id/eprint/21208

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