ASUHAN KEBIDANAN PADA IBU “MS” UMUR 26 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 16 MINGGU SAMPAI 42 HARI MASA NIFAS

Parmiyanti, Ni Wayan (2025) ASUHAN KEBIDANAN PADA IBU “MS” UMUR 26 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 16 MINGGU SAMPAI 42 HARI MASA NIFAS. Other thesis, POLTEKKES KEMENKES DENPASAR.

	Text BAGIAN AWAL_COC-PARMIYANTI [1-16].pdf Download (744kB)
	Text BAB I_COC-PARMIYANTI [17-22].pdf Download (136kB)
	Text BAB II_COC-PARMIYANTI [23-74].pdf Download (265kB)
	Text BAB III_COC-PARMIYANTI [75-83].pdf Download (250kB)
	Text BAB IV_COC-PARMIYANTI [84-125].pdf Download (374kB)
	Text BAB V_COC-PARMIYANTI [126-127].pdf Download (124kB)
	Text DAFPUS_COC-PARMIYANTI [128-130].pdf Download (240kB)
	Text LAMPIRAN_COC-PARMIYANTI [131-143].pdf Download (1MB)

Abstract

Maternal and infant mortality rates in Indonesia have shown progress toward achieving the targets of the 2020–2024 National Medium-Term Development Plan (RPJMN). One strategy to address this issue is the implementation of Continuity of Care (CoC). This report aims to present the results of midwifery care provided to Mrs. “MS”, a 26-year-old primigravida, from 16 weeks of pregnancy to 42 days postpartum, including care for her baby. The midwifery care was delivered comprehensively and continuously based on established standards. The case study results showed that the pregnancy progressed physiologically without complications. The mother had a low-risk pregnancy and attended antenatal visits in accordance with standards, including integrated ANC examinations using the 10T approach, ultrasound (USG), and mental health screening. Complaints such as lower back pain were managed with prenatal gentle yoga and perineal massage. Labor proceeded normally, with the active phase of the first stage lasting 4 hours, the second stage 20 minutes, and the third stage 15 minutes. A healthy baby girl was born. During the postpartum period, monitoring of lactation, uterine involution, and lochia remained within normal limits. The mother received education on postpartum danger signs, rest, contraception, Kegel exercises, and oxytocin massage. Newborn care included early initiation of breastfeeding (EIB), administration of vitamin K, eye ointment, HB0 immunization, and baby massage. Neonatal visits were conducted three times. All care was provided according to midwifery service standards and occurred physiologically without complications. The addition of evidence-based complementary care enhanced the quality of service. Angka kematian ibu dan bayi di Indonesia menunjukkan mencapai target RPJMN 2020–2024. Salah satu strategi untuk mengatasi hal ini adalah penerapan Continuity of Care. Laporan ini bertujuan hasil penerapan asuhan pada ibu “MS” umur 26 tahun primigravida dari usia kehamilan 16 minggu sampai dengan 42 hari masa nifas beserta anaknya yang menerima asuhan kebidanan continuity of care sesuai standar secara komprehensif dan berkesinambungan. Hasil studi kasus menunjukkan bahwa kehamilan Ibu “MS” berlangsung fisiologis tanpa komplikasi. Ibu menjalani kehamilan dengan risiko rendah dan melakukan kunjungan antenatal sesuai standar, termasuk pemeriksaan ANC terpadu dengan 10 T, USG, dan skrining kejiwaan. Keluhan seperti nyeri punggung bawah ditangani dengan prenatal gentle yoga dan pijat perineum. Persalinan berlangsung normal dengan kala I fase aktif 4 jam, kala II 20 menit, dan kala III 15 menit. Bayi lahir sehat dengan jenis kelamin perempuan. Pada masa nifas, pemantauan laktasi, involusi uterus, dan lochea dilakukan dalam batas normal. Ibu mendapatkan edukasi tentang tanda bahaya nifas, istirahat, kontrasepsi, senam kegel, dan pijat oksitosin. Asuhan bayi meliputi IMD, pemberian vitamin K, salep mata, imunisasi HB0, dan pijat bayi. Kunjungan neonatal dilakukan tiga kali. Semua asuhan sesuai standar pelayanan kebidanan dan berjalan fisiologis tanpa komplikasi. Penambahan asuhan komplementer berbasis bukti meningkatkan kualitas asuhan.

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