ASUHAN KEBIDANAN PADA IBU “AS” UMUR 22 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 18 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS

Nimitta Sukma, I G A M Deva (2026) ASUHAN KEBIDANAN PADA IBU “AS” UMUR 22 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 18 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Kebidanan 2026.

	Text (LAPORAN COC 2026) HALAMAN DEPAN.pdf Download (2MB)
	Text (LAPORAN COC 2026) BAB I PENDAHULUAN.pdf Download (247kB)
	Text (LAPORAN COC 2026) BAB II TINJAUAN PUSTAKA.pdf Download (422kB)
	Text (LAPORAN COC 2026) BAB III METODE PENENTUAN KASUS.pdf Download (272kB)
	Text (LAPORAN COC 2026) BAB IV HASIL DAN PEMBAHASAN.pdf Download (404kB)
	Text (LAPORAN COC 2026) BAB V SIMPULAN DAN SARAN.pdf Download (173kB)
	Text (LAPORAN COC 2026) DAFTAR PUSTAKA.pdf Download (203kB)
	Text (LAPORAN COC 2026) LAMPIRAN.pdf Download (695kB)

Abstract

CONTINUITY OF CARE FOR MRS. “AS” 22 YEARS OLD MULTIGRAVIDA SINCE TRIMESTER II OF PREGNANCY UNTIL 42 DAYS POSTPARTUM ABSTRACT Women experience physical and psychological changes during pregnancy, childbirth, postpartum, and the neonatal period; therefore, Continuity of Care (COC) is needed to maintain maternal and neonatal health. This report aimed to evaluate midwifery care provided to Mrs. “AS,” a 22-year-old multigravida woman, from 18 weeks and 6 days of gestation until 42 days postpartum. The method used was a case study through interviews, observation, physical examinations, and documentation from September 2025 to April 2026. Pregnancy care followed integrated antenatal care standards, including maternal and fetal monitoring, physical and laboratory examinations, iron supplementation, TT immunization, nutritional counseling, birth preparedness, and prenatal yoga to reduce physiological discomfort. Labor occurred normally pervaginally without complications. The first stage lasted 3 hours with effleurage massage and counterpressure, the second stage 10 minutes according to APN standards, the third stage 5 minutes with active management of the third stage, and the fourth stage included monitoring of vital signs, uterine contractions, bleeding, and bladder condition according to standards. Newborn care included IMD, hypothermia prevention, eye ointment, vitamin K, HB-0 immunization, and umbilical cord care. The baby cried immediately after birth, had active muscle tone, reddish skin color, and birth weight of 2,950 grams. The postpartum period (KF 1–KF 4) included monitoring of uterine involution, lochia, lactation, postpartum danger signs, nutritional counseling, personal hygiene, exclusive breastfeeding, IUD family planning, oxytocin massage, and Kegel exercises. Neonatal care (KN 1–KN 3) included monitoring of growth and danger signs, cord care, nutritional fulfillment, CHS, CCHD screening, BCG and oral polio immunization, and baby massage care. The baby received exclusive breastfeeding, bonding attachment, stimulation, and weight increased to 3,400 grams at 16 days of age. Continuity of Care midwifery care was conducted physiologically according to the needs of the mother and baby. Keywords: midwifery care; continuity of care; pregnancy; childbirth; postpartum; baby ASUHAN KEBIDANAN PADA IBU “AS” UMUR 22 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 18 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS ABSTRAK Wanita mengalami perubahan fisik dan psikologis selama kehamilan, persalinan, nifas, dan masa neonatus sehingga diperlukan asuhan Continuity of Care (COC) untuk menjaga kesehatan ibu dan bayi secara berkelanjutan. Laporan ini bertujuan mengevaluasi hasil asuhan kebidanan pada ibu “AS” umur 22 tahun multigravida sejak usia kehamilan 18 minggu 6 hari sampai 42 hari masa nifas. Metode yang digunakan yaitu studi kasus melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi pada September 2025–April 2026. Asuhan kehamilan diberikan sesuai standar antenatal terpadu meliputi pemantauan ibu dan janin, pemeriksaan fisik dan laboratorium, pemberian tablet tambah darah, imunisasi TT, konseling gizi, persiapan persalinan, serta prenatal yoga untuk mengurangi ketidaknyamanan fisiologis. Persalinan berlangsung normal pervaginam tanpa komplikasi. Kala I berlangsung 3 jam dengan effleurage massage dan counterpressure, kala II 10 menit sesuai standar APN, kala III 5 menit dengan manajemen aktif kala III, dan kala IV dilakukan pemantauan tanda vital, kontraksi uterus, perdarahan, serta kandung kemih sesuai standar. Asuhan bayi baru lahir meliputi IMD, pencegahan hipotermi, pemberian salep mata, vitamin K, imunisasi HB-0, dan perawatan tali pusat. Bayi lahir segera menangis, tonus otot aktif, kulit kemerahan, dengan berat lahir 2.950 gram. Masa nifas berlangsung fisiologis melalui kunjungan KF 1–KF 4 meliputi pemantauan involusi uterus, lochea, laktasi, tanda bahaya nifas, konseling nutrisi, personal hygiene, ASI eksklusif, pelayanan KB IUD, pijat oksitosin, dan senam kegel . Asuhan neonatus dilakukan melalui KN 1–KN 3 meliputi pemantauan pertumbuhan dan tanda bahaya, perawatan tali pusat, pemenuhan nutrisi, SHK, PJB, Imunisasi BCG dan Polio tetes dan asuhan pijat bayi. Bayi memperoleh ASI eksklusif, bounding attachment, stimulasi, dan mengalami peningkatan berat badan menjadi 3.400 gram pada usia 16 hari. Asuhan COC berjalan fisiologis sesuai kebutuhan ibu dan bayi. Kata Kunci: asuhan kebidanan; continuity of care ; kehamilan; persalinan; nifas; bayi

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