ASUHAN KEBIDANAN PADA IBU “LT” UMUR 29 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 25 MINGGU 4 HARI SAMPAI 42 HARI MASA NIFAS

ISABELA TABELAK, TIRZA VIVIANRI and Armini, S.ST., M.Keb, Ni Wayan and Suarniti, SST.,M.Keb, Ni Wayan (2026) ASUHAN KEBIDANAN PADA IBU “LT” UMUR 29 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 25 MINGGU 4 HARI SAMPAI 42 HARI MASA NIFAS. Other thesis, Poltkkes Kemenkes Denpasar.

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Abstract

MIDWIFERY CARE FOR 29-YEAR-OLD PRIMIGRAVID MOTHER "JA" FROM 25 WEEKS OF GESTATION 4 DAYS TO 42 DAYS OF POSTPOINT Case Study Conducted at PMB Farida Sadik, SST ABSTRACT Every woman experiences physical and psychological changes throughout her life. During pregnancy and the postpartum period, physical and psychological changes occur. Therefore, Continuity of Care (COC) is needed to support the heajah of mothers and babies continuously. This report aims to evaluate the resujas of midwifery care provided to mothers "JA" during the second trimester of pregnancy through the postpartum and neonatal periods. The method used was a case study with data collection techniques through interviews, examinations, observations, and documentation. Care was provided from November 2025 to April 2026. Pregnancy care did not meet standards due to laboratory tests in the third trimester. Pregnancy progressed physiologically with the implementation of 10T. Interventions provided included acupressure, breathing relaxation, body positioning techniques, prenatal yoga and brain booster, gym ball, oxytocin massage, and infant massage. The delivery process took place vaginally without complications. The first stage lasted 11 hours with gym ball and counterpressure, the second stage lasted 20 minutes according to 60 APN, and the third stage lasted 10 minutes with active management of the third stage. The baby was born crying immediately, with active muscle tone, reddish skin, and a birth weight of 2,600 grams. The postpartum period proceeded normally, with physiological involution, lochia, and lactation. The baby received stimulation, bonding attachment, exclusive breastfeeding, and immunizations, with her birth weight increasing to 3,355 grams at one month of age. Continuity of Care (COC) care was physiological and appropriate to the needs. Laboratory tests were optimized from the beginning of the first trimester. Keywords: continuity of care; pregnancy; childbirth; postpartum; neonate ASUHAN KEBIDANAN PADA IBU “LT” UMUR 29 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 25 MINGGU 4 HARI SAMPAI 42 HARI MASA NIFAS Studi Kasus Dilaksanakan di PMB Farida Sadik, SST ABSTRAK Perubahan fisik dan psikologis dialami setiap wanita sepanjang hidupnya. Selama masa kehamilan hingga masa nifas perubahan fisik dan psikologis terjadi. Karena itu, diperlukan Continuity of Care (COC) untuk mendukung kesehatan ibu dan bayi secara berkelanjutan. Laporan ini bertujuan untuk mengevaluasi hasil asuhan kebidanan yang diberikan kepada Ibu “LT” selama kehamilan trimester kedua hingga masa nifas dan neonatus. Metode yang digunakan adalah studi kasus dengan teknik pengumpulan data melalui wawancara, pemeriksaan, observasi, dan dokumentasi. Asuhan dilakukan dari bulan November 2025 hingga April 2026. Asuhan kehamilan tidak sesuai standar karena pemeriksaan laboratorium di trimester ketiga. Kehamilan berjalan fisiologis dengan penerapan 10T. intervensi yang diberikan mencakup akupressure, relaksasi nafas, teknik posisi tubuh, prenatal yoga dan brain booster, gym ball, pijit oksitosin dan pijit bayi. Proses persalinan berlangsung pervaginam tanpa komplikasi. Kala I selama 11 jam dengan gymball dan counterpressure, kala II berlangsung 20 menit sesuai 60 APN, dan kala III 10 menit dengan manajemen aktif kala III. Bayi lahir segera menangis, tonus otot aktif, kulit kemerahan, berat badan 2.600 gram. Masa nifas berlangsung normal dengan proses involusi, lochea, dan laktasi yang fisiologis. Bayi telah menerima stimulasi, bounding attachment, ASI eksklusif, dan imunisasi, dengan berat badan meningkat menjadi 3,355 gram di usia satu bulan. Asuhan Continuity of Care (COC) berjalan fisiologis dan sesuai kebutuhan. Optimalisasi pemeriksaan laboratorium sejak awal trimester pertama. Kata Kunci: asuhan berkelanjutan; kehamilan; persalinan; nifas; neonatus

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