ASUHAN KEBIDANAN PADA IBU “F” USIA 32 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 22 MINGGU SAMPAI DENGAN 42 HARI MASA NIFAS

ROHANIYAH, ROHANIYAH (2025) ASUHAN KEBIDANAN PADA IBU “F” USIA 32 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 22 MINGGU SAMPAI DENGAN 42 HARI MASA NIFAS. Diploma thesis, POLTEKKES KEMENKES DENPASAR JURUSAN KEBIDANAN.

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Abstract

MATERNITY CARE FOR MOTHER “F”, 32 YEARS OLD, MULTIGRAVIDA FROM 22 WEEKS OF GESTATION TO 42 DAYS POSTPARTUM ABSTRACT Continuity of care in midwifery improves maternal and neonatal outcomes. The integration of evidence-based complementary therapies offers a holistic approach to maternal care in community settings. This report evaluates the effectiveness of a continuity of care model combined with complementary therapies in community midwifery practice. This descriptive case study employed participatory observation, in-depth interviews, and SOAP documentation from the second trimester until 42 days postpartum (April–October 2025) at the Independent Midwifery Practice of Rohaniyah. The pregnancy progressed physiologically, and care was provided according to the 12T standards, including complementary therapies such as lavender aromatherapy, birth ball exercises, oxytocin massage, back massage, breathing techniques, hypnobirthing, and infant massage. Labor progressed physiologically (first stage: 7 hours, second stage: 25 minutes, third stage: 5 minutes) with the use of aromatherapy, back massage, a birth ball, and breathing techniques. Initial newborn assessment showed active movement with a birth weight of 2800 grams. The postpartum period was physiological with normal uterine involution and lochia, supported by warm breast compresses. The infant demonstrated optimal growth, gaining 1000 grams within 42 days. The mother breastfed on demand without supplementation, supported by counseling on herbal galactagogues. Continuity of care combined with evidence-based complementary therapies resulted in excellent maternal and neonatal outcomes, strengthened the therapeutic relationship, and provided personalized holistic care. Keywords: Complementax ry; Pregnancy; Labor; Postpartum; Baby ASUHAN KEBIDANAN PADA IBU “F” USIA 32 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 22 MINGGU SAMPAI DENGAN 42 HARI MASA NIFAS ABSTRAK Continuity of care dalam kebidanan meningkatkan luaran maternal dan neonatal. Integrasi terapi komplementer berbasis bukti menawarkan pendekatan holistik dalam asuhan maternal komunitas. Laporan ini mengevaluasi efektivitas model continuity of care dengan terapi komplementer dalam praktik kebidanan komunitas. Studi kasus deskriptif menggunakan observasi partisipatif, wawancara mendalam, dan dokumentasi SOAP dilakukan dari trimester II hingga 42 hari nifas (April-Oktober 2025) di Praktek Mandiri Bidan Rohaniyah. Kehamilan berlangsung fisiologis, asuhan diberikan sesuai standar 12T, dengan asuhan komplementer aromaterapi lavender, birth ball, pijat oksitosin, pijat punggung, teknik pernapasan, hypnobirthing dan pijat bayi. Persalinan berlangsung fisiologis (kala I: 7, kala II: 25 menit, kala III: 5 menit) dengan asuhan aromaterapi, pijat punggung, birth ball, dan teknik pernapasan, , penilaian awal bayi gerak aktif. BB 2800 gram. Nifas berjalan fisiologis dengan involusi uterus dan lochea normal, kompres hangat payudara. Pertumbuhan bayi optimal dengan kenaikan BB 1000 gram dalam 42 hari. ASI on demand tanpa tambahan dengan dukungan konseling herbal galaktagog. Continuity of care dengan terapi komplementer berbasis bukti menghasilkan luaran maternal-neonatal sangat baik, meningkatkan hubungan terapeutik dan memberikan asuhan holistik personal. Kata kunci : Komplementer ; Kehamilan; Persalinan; Nifas; Bayi

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