ASUHAN KEBIDANAN KOMPREHENSIF BERKELANJUTAN (CONTINUITY OF CARE) PADA NY. N DI TPMB FITRIANI, SST KOTA TANJUNGPINANG TAHUN 2023

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Kehamilan, persalinan, dan nifas merupakan proses fisiologis yang berisiko menjadi patologis jika tidak dipantau secara memadai. Pelayanan Continuity of Care (COC) bertujuan untuk meningkatkan kesinambungan pelayanan guna mendeteksi dini komplikasi. Tujuan studi Kasus ini adalah mampu mengetahui gambaran “Continuity of Care” Asuhan Kebidanan secara komprehensif sesuai dengan standar pelayanan kebidanan pada Ny. N. Studi kasus ini menggunakan pendekatan asuhan kebidanan komprehensif pada Ny. N umur 32 tahun. Asuhan diberikan sejak kehamilan trimester III, persalinan, nifas, bayi baru lahir, hingga keluarga berencana (KB) dengan manajemen Varney dan dokumentasi SOAP. Pada masa kehamilan, Ny. N melakukan 10 kali kunjungan ANC dengan keluhan nyeri punggung dan kram kaki. Persalinan berlangsung normal secara spontan dengan berat bayi 3100 gram. Masa nifas dan neonatus berlangsung tanpa komplikasi. Ibu berencana menggunakan kontrasepsi suntik 3 bulan. Asuhan dilaksanakan pada bulan Februari s/d Mei 2023 dilakukan di PMB Fitriani, SST Kota Tanjungpinang dan di rumah Ny. N. Subjek Ny. N dan bayi Ny. N. Pengumpulan data pada studi kasus ini menggunakan teknik observasi, wawancara, dan dokumentasi. Asuhan secara komprehensif telah diberikan sesuai standar pelayanan kebidanan dan tidak ditemukan kesenjangan yang signifikan antara teori dan praktik di lapangan, diharapkan dapat menerapkan pengetahuan kesehatan yang didapat selama masa kehamilan, persalinan, nifas, dan bayi baru lahir.

Keywords: Continuity of care, Asuhan Kebidanan, Komprehensif, Nyeri punggung, Kram kaki

Pregnancy, childbirth, and the postpartum period are physiological processes that carry the risk of becoming pathological if not adequately monitored. Continuity of Care (COC) aims to improve the consistency of services to ensure the early detection of complications. The objective of this case study is to describe the comprehensive "Continuity of Care" midwifery management provided to Mrs. N, in accordance with midwifery service standards. This case study utilized a comprehensive midwifery care approach for Mrs. N, aged 32 years. Care was provided starting from the third trimester of pregnancy, through labor, the postpartum period, newborn care, and family planning (KB), using Varney’s management and SOAP documentation. During the pregnancy, Mrs. N completed 10 Antenatal Care (ANC) visits with complaints of back pain and leg cramps. Labor proceeded normally and spontaneously, resulting in a baby weighing 3100 grams. The postpartum and neonatal periods progressed without complications. The mother plans to use a 3-month injectable contraceptive method. The care was conducted from February to May 2023 at PMB Fitriani, SST, Tanjungpinang City, and at Mrs. N's residence. The subjects were Mrs. N and her newborn. Data collection for this case study employed observation, interviews, and documentation techniques. Comprehensive care was successfully delivered according to midwifery service standards, and no significant gaps were found between theory and field practice. It is hoped that the client can apply the health knowledge gained during the periods of pregnancy, childbirth, postpartum, and newborn care.

Keywords: Continuity of care, Midwifery care, Comprehensive, Back pain, Leg cramps