ASUHAN KEBIDANAN PADA IBU “RYF” USIA 37 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 21 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS

KALTSUM S. SALEH, UMMI and Gunapria Darmapatni, S.ST., M.Keb, Made Widhi and Eka Utarini, SST.,M.Kes, Gusti Ayu (2026) ASUHAN KEBIDANAN PADA IBU “RYF” USIA 37 TAHUN MULTIGRAVIDA DARI UMUR KEHAMILAN 21 MINGGU 6 HARI SAMPAI 42 HARI MASA NIFAS. Other thesis, Poltkkes Kemenkes Denpasar.

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Abstract

ABSTRACT Pregnancy, childbirth, and the postpartum period are important stages in a woman's reproductive cycle that require continuous care to prevent complications. This case study aims to evaluate the Continuity of Care (CoC) provided to Mrs. “RYF”, a 37-year-old multigravida, from 21 weeks and sixth day of pregnancy until 42 days postpartum. The pregnancy was categorized as high-risk, and the mother completed 10 antenatal visits, including assessments based on the 12 T components. Complaints such as lower back pain were managed using complementary care methods, including prenatal gentle yoga and back effleurage massage. Labor progressed normally, with the active phase of the first stage lasting 2 hours, the second stage 15 minutes, and the third stage 10 minutes. A healthy baby boy was born. During the postpartum period, monitoring included lactation, uterine involution, and lochia, all of which remained within normal limits. The mother received education on postpartum danger signs, rest, Kegel exercises, oxytocin massage, and contraception. Newborn care included early initiation of breastfeeding (EIBF), administration of vitamin K, eye ointment, HB-0 immunization, and baby massage. Three neonatal visits were carried out, covering physical examinations, baby massage, and BCG immunization. All care was provided according to midwifery standards, proceeded physiologically without and was complemented by evidence-based complementary intervention. Keywords: Pregnancy; Labor; Postpartum; Baby ABSTRAK Kehamilan, persalinan, dan masa nifas merupakan tahapan penting dalam siklus reproduksi perempuan yang memerlukan asuhan berkesinambungan guna mencegah terjadinya komplikasi. Studi kasus ini bertujuan untuk mengevaluasi penerapan Continuity of Care (CoC) pada Ny. “RYF”, usia 37 tahun, multigravida, sejak usia kehamilan 21 minggu 6 hari hingga 42 hari postpartum. Kehamilan dikategorikan sebagai kehamilan risiko tinggi, dan ibu menjalani 10 kali kunjungan antenatal yang mencakup pemeriksaan berdasarkan komponen 12 T. Keluhan seperti nyeri punggung bawah ditangani melalui metode asuhan komplementer, meliputi prenatal gentle yoga dan back effleurage massage. Persalinan berlangsung normal dengan durasi kala I fase aktif selama 2 jam, kala II selama 15 menit, dan kala III selama 10 menit. Bayi laki-laki lahir dalam keadaan sehat. Selama masa nifas, pemantauan meliputi proses laktasi, involusi uterus, dan pengeluaran lokia yang seluruhnya berada dalam batas normal. Ibu juga mendapatkan edukasi mengenai tanda bahaya masa nifas, istirahat, latihan Kegel, pijat oksitosin, dan kontrasepsi. Asuhan pada bayi baru lahir meliputi inisiasi menyusu dini (IMD), pemberian vitamin K, salep mata, imunisasi HB-0, dan pijat bayi. Kunjungan neonatus dilakukan sebanyak tiga kali yang mencakup pemeriksaan fisik, pijat bayi, dan imunisasi BCG. Seluruh asuhan diberikan sesuai dengan standar pelayanan kebidanan, berlangsung secara fisiologis tanpa komplikasi, serta didukung oleh penerapan intervensi komplementer berbasis evidence-based practice. Kata Kunci: Kehamilan; Persalinan; Nifas; Bayi

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