ASUHAN KEBIDANAN PADA IBU “JJM” USIA 26 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 15 MINGGU 1 HARI SAMPAI DENGAN 42 HARI MASA NIFAS

DEWI, SINAR TIARA (2026) ASUHAN KEBIDANAN PADA IBU “JJM” USIA 26 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 15 MINGGU 1 HARI SAMPAI DENGAN 42 HARI MASA NIFAS. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Kebidanan 2026.

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Abstract

MIDWIFERY CARE FOR MRS. “JJM” A 26-YEAR-OLD PRIMIGRAVIDA FROM 15 WEEKS AND 1 DAY OF GESTATION UNTIL 42 DAYS POSTPARTUM Case Study Conducted at the Regional Technical Implementation Unit (UPTD) of Puskesmas II, Denpasar Barat District Health Office 2026 ABSTRACT Continuity of care in midwifery is an essential approach to improving maternal and neonatal health through early detection of complications and the provision of comprehensive care. This case report aimed to evaluate the implementation of continuity of care for Mrs. “JJM,” a 26-year-old primigravida, from 15 weeks and 1 day of gestation until 42 days postpartum, including standard neonatal care. The study employed a case study approach using interviews, physical examinations, observations, and documentation. Midwifery care during pregnancy was provided according to the 12T antenatal care standards, accompanied by education regarding pregnancy danger signs, nutrition, rest patterns, and birth preparedness. Complementary care interventions included endorphin massage, pelvic tilt exercise, relaxation techniques, counterpressure massage, oxytocin massage, and Kegel exercises to reduce maternal discomfort. Labor progressed spontaneously via vaginal delivery without complications, with the first stage lasting 4 hours and 38 minutes, the second stage 38 minutes, the third stage 7 minutes, and the fourth stage 2 hours. The neonate was born spontaneously with a strong cry, good muscle tone, a birth weight of 3,200 grams, and immediate breastfeeding initiation (IMD) was successfully performed. The postpartum period progressed physiologically with normal uterine involution and adequate lactation. The mother selected contraceptive implant use as a postpartum family planning method. In conclusion, continuity of care midwifery services delivered according to established standards supported favorable physiological outcomes for both mother and infant. Keywords: continuity of care, pregnancy, childbirth, postpartum period, newborn ASUHAN KEBIDANAN PADA IBU “JJM” USIA 26 TAHUN PRIMIGRAVIDA DARI UMUR KEHAMILAN 15 MINGGU 1 HARI SAMPAI DENGAN 42 HARI MASA NIFAS Studi Kasus Dilakukan di Unit Pelaksana Teknis Daerah Puskesmas II Dinas Kesehatan Kecamatan Denpasar Barat Tahun 2026 ABSTRAK Pelayanan kebidanan berkesinambungan (continuity of care) merupakan upaya untuk meningkatkan kesehatan ibu dan bayi melalui deteksi dini komplikasi dan pemberian asuhan secara komprehensif. Tujuan laporan ini adalah mengetahui hasil penerapan asuhan kebidanan pada Ibu “JJM” usia 26 tahun primigravida sejak usia kehamilan 15 minggu 1 hari sampai 42 hari masa nifas beserta asuhan bayi baru lahir sesuai standar. Metode yang digunakan adalah studi kasus dengan pendekatan continuity of care melalui wawancara, pemeriksaan fisik, observasi, dan dokumentasi. Asuhan kebidanan selama kehamilan diberikan sesuai standar pelayanan antenatal 12T disertai edukasi mengenai tanda bahaya kehamilan, nutrisi, pola istirahat, dan persiapan persalinan. Asuhan komplementer yang diberikan meliputi endorphin massage, pelvic tilt exercise, teknik relaksasi, counterpressure massage, pijat oksitosin, dan senam kegel untuk mengurangi ketidaknyamanan ibu. Persalinan berlangsung spontan pervaginam tanpa komplikasi dengan kala I 4 jam 38 menit, kala II 38 menit, kala III 7 menit, dan kala IV 2 jam. Bayi lahir spontan, menangis kuat, tonus otot baik, berat lahir 3.200 gram, dan dilakukan IMD. Masa nifas berlangsung fisiologis dengan involusi uterus dan laktasi baik. Ibu memilih KB implan sebagai kontrasepsi pascapersalinan. Simpulan menunjukkan bahwa asuhan kebidanan berkesinambungan sesuai standar dapat mendukung proses fisiologis ibu dan bayi. Kata kunci: asuhan kebidanan berkesinambungan, kehamilan, persalinan, nifas, bayi baru lahir

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