LAPORAN PRAKTIK KEBIDANAN KOMUNITAS DALAM KONTEKS CONTINUITY OF CARE DAN KOMPLEMENTER ASUHAN KEBIDANAN PADA IBU “KI” USIA 32 TAHUN MULTIGRAVIDA MULAI DARI UMUR KEHAMILAN 19 MINGGU 5 HARI SAMPAI 42 HARI MASA NIFAS Asuhan dilaksanakan di Wilayah Kerja Unit Pelaksana Teknis Daerah Puskesmas Nusa Penida I Tahun 2025

Kamariasih, Luh Kade (2026) LAPORAN PRAKTIK KEBIDANAN KOMUNITAS DALAM KONTEKS CONTINUITY OF CARE DAN KOMPLEMENTER ASUHAN KEBIDANAN PADA IBU “KI” USIA 32 TAHUN MULTIGRAVIDA MULAI DARI UMUR KEHAMILAN 19 MINGGU 5 HARI SAMPAI 42 HARI MASA NIFAS Asuhan dilaksanakan di Wilayah Kerja Unit Pelaksana Teknis Daerah Puskesmas Nusa Penida I Tahun 2025. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Kebidanan 2025.

	Text (Laporan COC Kebidanan 2025) HALAMAN DEPAN.pdf Download (1MB)
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Abstract

ASUHAN KEBIDANAN PADA IBU “KI” UMUR 32 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 19 MINGGU 5 HARI SAMPAI 42 HARI MASA NIFAS Kasus ini diambil di Wilayah Kerja UTPD Puskesmas Nusa Penia I tahun 2025 Continuity of Care sesuai standar berperan penting dalam mencegah komplikasi pada ibu dan bayi. Studi kasus ini dilaksanakan di UPTD Puskesams Nusa Penida I bertujuan mengetahui hasil asuhan pada ibu “KI” usia 32 tahun sejak kehamilan trimester II hingga 42 hari masa nifas. Metode yang digunakan meliputi wawancara, pemeriksaan, observasi, dan dokumentasi. Perkembangan kehamilan berlangsung fisiologis dengan standar 12 T serta kenaikan berat badan 11,5 kg sesuai rekomendasi berdasarkan IMT 11,6. Asuhan komplementer berupa prenatal yoga dengan gerakan Cat Cow Pose untuk membantu mengurangi nyeri pinggang. Persalinan berlangsung pervaginam tanpa komplikasi, dengan kala I selam 4 jam 15 menit, kala II 10 menit, kala III 5 menit, dan kala IV dalam batas normal. Metode untuk mengurangi nyeri persalinan menerapkan teknik relaksasi dengan penafasan dan pijat punggung dengan teknik effluerage dan counterpressure. Bayi lahir pukul 11.55 wita, segera menangis, gerak aktif, berat lahir 3050 gram, dan berhasil IMD pada menit ke-50. Masa nifas menunjukkan involusi uterus, lochea, psikologis normal, serta laktasi lancar setelah dilakukan pijat oksitosin. Asuhan neonatal esensial pada bayi baru lahir terpenuhi. Peningkatan berat badan bayi 750 gram sehingga perlu konseling ASI agar berat badan meningkat. Asuhan pijat bayi diberikan selama masa neonatus hingga 42 hari agar berat badan bayi mengalami peningkatan. Kesimpulannya, asuhan sesuai standar penting untuk deteksi dini komplikasi pada ibu dan bayi. Pemantauan berkelanjutan dan edukasi keluarga diperlukan guna meningkatkan keberhasilan asuhan serta kesehatan jangka panjang ibu dan bayi. Kata kunci: kehamilan, persalinan, nifas, bayi baru lahir, asuhan kebidanan continuity of care. MIDWIFERY CARE FOR A 32 YEAR OLD MULTIGRAVIDA MOTHER "KI" FROM 19 WEEKS 5 DAYS OF PREGNANCY UP TO 42 DAYS OF THE PUBLIC PERIOD This case was taken in the UTPD Puskesmas Nusa Penida I in 2025 Continuity of Care in accordance with standards plays an important role in preventing complications in both mother and baby. This case study was conducted at UPTD Puskesmas Nusa Penida I and aimed to determine the outcomes of care provided to Mrs. “KI,” a 32-year-old woman, from the second trimester of pregnancy until 42 days postpartum. The methods used included interviews, examinations, observations, and documentation. The pregnancy progressed physiologically according to the 12T standard, with a weight gain of 11.5 kg, which was in line with recommendations based on a BMI of 11.6. Complementary care in the form of prenatal yoga, specifically the Cat-Cow Pose, was provided to help reduce lower back pain. The delivery occurred vaginally without complications, with the duration of the first stage lasting 4 hours 15 minutes, the second stage 10 minutes, the third stage 5 minutes, and the fourth stage within normal limits. Pain management during labor was carried out using relaxation techniques, including breathing exercises and back massage using effleurage and counterpressure techniques. The baby was born at 11:55 WITA, cried immediately, was active, had a birth weight of 3050 grams, and successfully initiated early breastfeeding (IMD) at the 50th minute. The postpartum period showed normal uterine involution, normal lochia, stable psychological condition, and smooth lactation after oxytocin massage was performed. Essential neonatal care for the newborn was fulfilled. The baby experienced a weight gain of 750 grams; however, breastfeeding counseling is still needed to further improve weight gain. Infant massage was provided during the neonatal period up to 42 days to support weight gain. In conclusion, care provided according to standards is crucial for early detection of complications in both mother and baby. Continuous monitoring and family education are necessary to improve the success of care and support the long-term health of both mother and baby. Keywords: pregnancy, childbirth, postpartum period, newborn, continuity of care in midwifery care

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