ASUHAN KEBIDANAN PADA IBU “MP” UMUR 27 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 24 MINGGU 3 HARI SAMPAI 42 HARI MASA NIFAS

Wiati, Ni Wayan (2026) ASUHAN KEBIDANAN PADA IBU “MP” UMUR 27 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 24 MINGGU 3 HARI SAMPAI 42 HARI MASA NIFAS. Diploma thesis, Profesi Kebidanan Poltekkes Kemenkes Denpasar.

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Abstract

MIDWIFERY CARE FOR MOTHER “MP”, 27 YEARS OLD, MULTIGRAVIDA, FROM 24 WEEKS AND 3 DAYS OF GESTATION TO 42 DAYS POSTPARTUM Case Study Conducted at Independent Midwifery Practice Ni Nyoman Kartini in 2026 ABSTRACT The implementation of integrated Continuity of Care (CoC) with complementary midwifery services serves as a crucial strategy to optimize comfort and minimize discomfort throughout the perinatal period. This case study provides a comprehensive midwifery care report for Mrs. "MP," a 27-year-old multigravida, spanning from 24 weeks and 3 days of gestation through 42 days postpartum. The study was conducted at the Ni Nyoman Kartini Independent Midwifery Practice between October 2025 and March 2026. Data were collected using a triangulation method, including structured interviews, physical examinations, direct observation, and documentary analysis. During the antenatal stage, the pregnancy progressed physiologically under the 12T standard of care, supplemented by the complementary use of a birthing ball. The labor process was physiological, with the following durations Stage I: 6 hours; Stage II: 15 minutes; Stage III: 5 minutes; and Stage IV monitoring: 2 hours. The infant was born in good condition, exhibiting immediate crying and active movement, with a birth weight of 3,100 grams; essential neonatal care and infant massage were subsequently administered. Complementary interventions, specifically effleurage massage, were utilized for effective pain management. In the postpartum period, uterine involution, lochia discharge, and lactation proceeded normally, supported by Kegel exercises and oxytocin massage. Post-delivery, the mother opted for a 3-month injectable contraceptive method. Keywords: midwifery care, continuity of care, complementary therapy vi ASUHAN KEBIDANAN PADA IBU “MP” UMUR 27 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 24 MINGGU 3 HARI SAMPAI 42 HARI MASA NIFAS Studi Kasus Dilakukan di Praktik Mandiri Bidan Ni Nyoman Kartini Tahun 2026 ABSTRAK Penerapan Continuity of Care (COC) yang berintegrasi dengan asuhan kebidanan komplementer merupakan strategi krusial dalam mengoptimalkan kenyamanan serta meminimalisir keluhan selama periode perinatal. Pada studi kasus ini, asuhan kebidanan komprehensif diberikan kepada Ibu “MP”, usia 27 Tahun, Multigravida, mulai dari kehamilan 24 Minggu 3 Hari hingga 42 hari masa nifas di Praktik Mandiri Bidan Ni Nyoman Kartini selama periode Oktober 2025 hingga Maret 2026. Data dikumpulkan melalui metode triangulasi yang mencakup wawancara terstruktur, pemeriksaan fisik, observasi langsung, serta studi dokumentasi. Selama masa antenatal, kehamilan berlangsung fisiologis dengan penerapan standar 12T disertai intervensi komplementer penggunaan gymball. Pada fase persalinan berlangsung fisiologis dengan durasi kala I: 6 jam, kala II: 15 Menit, kala III: 5 menit, dan pemantauan kala IV: 2 jam. Bayi lahir dengan kondisi baik, segera menangis, gerak aktif, dan berat badan 3000 gram yang diberikan asuhan neonatal esensial dan pijat bayi. Asuhan komplementer yang diberikana juga berupa effleurage massage untuk manajemen nyeri. Dalam masa nifas, proses involusi uterus, pengeluaran lokia, dan laktasi berlangsung normal dengan dukungan senam kegel dan pijat oksitosin. Ibu memilih kontrasepsi suntik 3 bulan pasca persalinan. Kata Kunci: asuhan kebidanan, continuity of care, komplementer

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