ASUHAN KEBIDANAN PADA IBU “FN” USIA 23 TAHUN MULTIGRAVIDA DARI USIA KEHAMILAN 23 MINGGU 5 HARI SAMPAI 42 HARI MASA NIFAS

ABUK SERAN, AGUSTINA and Ariyani, Dr. Ni wayan Ariyani ,SST.,M.Keb and Lindayani, SKM.,SST.,M,Keb, I Komang (2026) ASUHAN KEBIDANAN PADA IBU “FN” USIA 23 TAHUN MULTIGRAVIDA DARI USIA KEHAMILAN 23 MINGGU 5 HARI SAMPAI 42 HARI MASA NIFAS. Diploma thesis, Poltkkes Kemenkes Denpasar.

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Abstract

ABSTRACT Comprehensive and continuous midwifery care is essential in improving maternal and neonatal health outcomes and in preventing obstetric and neonatal complications. This case study aimed to evaluate the outcomes of midwifery care provided to Mrs. “FN,” a 23 year-old multigravida, from 23 weeks and 5 days of gestation until 42 days postpartum, including care for the newborn. This study employed a case study design, with data collected through interviews, physical examinations, direct observations, and documentation. The care was provided over a period from November 2025 to April 2026. The pregnancy progressed physiologically, with the implementation of standard antenatal care (12T) and complementary interventions, including prenatal yoga, ginger-based herbal drinks, birthing ball exercises, oxytocin massage, and infant massage. The labor process was physiological and conducted in accordance with established standards at TPMB Farida Sadik, SST. The first stage of labor lasted 2 hours, the second stage 25 minutes, the third stage 4 minutes, and the fourth stage monitoring remained within normal limits. The newborn cried immediately after birth, was active, had normal skin coloration, and weighed 3,100 grams. Early initiation of breastfeeding (EIBF) was successfully performed within the first hour after birth. During the postpartum period, uterine involution, lochia discharge, and lactation progressed normally. Overall, the pregnancy, labor, and postpartum periods were physiological, and the midwifery care provided was in accordance with professional standards, including the integration of complementary care. Midwifery care should be delivered in accordance with established standards to ensure early detection and prevention of complications during pregnancy, childbirth, the postpartum period, and in newborns. Keywords: Pregnancy, Childbirth, Postpartum, newborn, Complementary Care ABSTRAK Asuhan kebidanan yang komprehensif dan berkelanjutan sangat penting dalam meningkatkan hasil kesehatan ibu dan bayi baru lahir serta mencegah komplikasi maternal dan neonatal. Studi kasus ini bertujuan untuk mengevaluasi hasil perawatan kebidanan yang diberikan kepada Ibu “FN,” seorang multigravida berusia 23 tahun, dari usia kehamilan 23 minggu dan 5 hari hingga 42 hari pasca persalinan, termasuk perawatan bayi baru lahir. Studi ini menggunakan desain studi kasus, dengan data yang dikumpulkan melalui wawancara, pemeriksaan fisik, observasi langsung, dan dokumentasi. Perawatan diberikan selama periode November 2025 hingga April 2026. Kehamilan berlangsung secara fisiologis, dengan penerapan perawatan antenatal standar (12T) dan intervensi komplementer, termasuk yoga prenatal, minuman herbal berbasis jahe, latihan bola persalinan, pijat oksitosin, dan pijat bayi. Proses persalinan berlangsung secara fisiologis dan dilakukan sesuai dengan standar yang ditetapkan di TPMB Farida Sadik, SST. Tahap pertama persalinan berlangsung selama 2 jam, tahap kedua 25 menit, tahap ketiga 5 menit, dan pemantauan tahap keempat tetap dalam batas normal. Bayi baru lahir menangis segera setelah lahir, aktif, memiliki warna kulit normal, dan beratnya 3.100 gram. Inisiasi Menyusu Dini (IMD) berhasil dilakukan dalam satu jam pertama setelah lahir. Selama periode pascapersalinan, involusi uterus, keluarnya lokia, dan laktasi berlangsung normal. Secara keseluruhan, kehamilan, persalinan, dan periode pascapersalinan bersifat fisiologis, dan perawatan kebidanan yang diberikan sesuai dengan standar profesional, termasuk integrasi perawatan komplementer. Perawatan kebidanan harus diberikan sesuai dengan standar yang telah ditetapkan untuk memastikan deteksi dini dan pencegahan komplikasi selama kehamilan, persalinan, periode pascapersalinan, dan pada bayi baru lahir. Kata kunci: kehamilan, persalinan, pascapersalinan, bayi baru lahir, perawatan komplementer

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