Asuhan Kebidanan Pada Ibu “AMP” Umur 29 Tahun Primigravida dari Umur Kehamilan 17 Minggu 2 Hari Sampai 42 Hari Masa Nifas

Pulasari, Ni Made Nitiasih (2026) Asuhan Kebidanan Pada Ibu “AMP” Umur 29 Tahun Primigravida dari Umur Kehamilan 17 Minggu 2 Hari Sampai 42 Hari Masa Nifas. Other thesis, Poltekkes Kemenkes Denpasar.

	Text BAGIAN AWAL_LAPORAN COC_NI MADE NITIASIH PULASARI [1-17].pdf Download (552kB)
	Text BAB I_LAPORAN COC_NI MADE NITIASIH PULASARI [18-23].pdf Download (202kB)
	Text BAB II_ LAPORAN COC_NI MADE NITIASIH PULASARI [24-45].pdf Download (278kB)
	Text BAB III_ LAPORAN COC_NI MADE NITIASIH PULASARI [46-59].pdf Download (329kB)
	Text BAB IV_ LAPORAN COC_NI MADE NITIASIH PULASARI [47-108].pdf Download (403kB)
	Text BAB V_LAPORAN COC_NI MADE NITIASIH PULASARI [109-110].pdf Download (191kB)
	Text DAFTAR PUSTAKA_LAPORAN COC_NI MADE NITIASIH PULASARI [111-114].pdf Download (175kB)
	Text LAMPIRAN_LAPORAN COC_NI MADE NITIASIH PULASARI.pdf Download (1MB)

Abstract

As a primigravida with no prior experience or knowledge of pregnancy, Mrs. “AMP” requires continuity of care to ensure monitoring throughout her pregnancy and prevent complications for both the mother and the fetus. Care was provided from September 2025 to March 2026 at the Petang I Community Health Center. The method used the CoC approach through subjective and objective assessment, diagnosis, management, and evaluation. Prenatal care was provided 8 times by a healthcare provider and 2 times by an obstetrician-gynecologist (OB-GYN), supplemented by prenatal yoga. Labor proceeded normally on February 14, 2026, with the application of the 60-step APN protocol accompanied by relaxation techniques, breathing exercises, and effleurage massage. The first stage lasted 4 hours and 15 minutes, the second stage lasted 25 minutes, the third stage lasted 10 minutes, and monitoring of the fourth stage was within normal limits. The baby cried immediately upon birth, was active, had a rosy complexion, and weighed 2,700 grams. Postpartum care from KF1 to KF4 showed uterine involution and lactation; the processes of uterine involution, lochia discharge, and lactation during the postpartum period proceeded normally, and the mother chose an IUD as contraception with complementary care including oxytocin massage and Kegel exercises. Postpartum visits KN1–KN3 proceeded physiologically with complementary infant massage care. Comprehensive and continuous midwifery care was provided to Ms. “AMP” without any gap between theory and practice. Recommendations for healthcare providers include maintaining CoC services and utilizing complementary therapies to support the health of the mother and baby. Kehamilan primigravida pada Ny. “AMP” belum memiliki pengalaman pengetahuan tentang kehamilan memerlukan asuhan Continuity of Care untuk memastikan pemantauan selama kehamilan untuk mencegah komplikasi pada ibu dan janin. Asuhan diberikan September 2025–Maret 2026 di Puskesmas Petang I. Metode menggunakan pendekatan CoC melalui pengkajian subjektif, objektif, penegakan diagnosis, penatalaksanaan dan evaluasi. Asuhan kehamilan sebanyak 8x ditenaga kesehatan 2x dengan SPoG dengan asuhan komplementer prenatal yoga. Persalinan berlangsung normal tanggal 14 Februari 2026 dengan penerapan APN 60 langkah disertai teknik relaksasi, pernapasan dan massage effleurage. Kala I berlangsung selama 4 jam 15 menit, kala II berlangsung selama 25 menit, kala III selama 10 menit dan pemantauan kala IV dalam batas normal. Bayi lahir segera menangis, gerak aktif, kulit kemerahan dan berat lahir 2700 gram. Asuhan nifas KF1–KF4 menunjukkan involusi uterus dan laktasi, proses involusi uterus, pengeluaran lochea dan laktasi pada masa nifas berlangsung normal serta ibu memilih KB AKDR dengan asuhan komplementer pijat oksitosin dan senam kegel. Kunjungan KN1-KN3 berlangsung fisiologis dengan asuhan komplementer pijat bayi. Asuhan kebidanan komprehensif dan berkesinambungan telah diberikan pada Ny “AMP” tanpa kesenjangan antara teori dan praktik. Saran bagi tenaga kesehatan diharapkan mempertahankan pelayanan CoC serta pemanfaatan terapi komplementer untuk menunjang kesehatan ibu dan bayi.

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