Armila. V4323005.
2026. CONTINUITY OF MIDWIFERY CARE FOR MRS. N,
A 25-YEAR-OLD WOMAN, AT SANGKRAH COMMUNITY HEALTHCENTER, SURAKARTA. Midwifery Diploma Program,
Vocational School, Universitas Sebelas Maret.Scope: Midwifery care using a Continuity of Care (CoC) approach was provided to Mrs. N, a 25-year-old woman, at
Sangkrah Community Health Center, Surakarta, throughout the antenatal,
intrapartum, postpartum, neonatal, and family-planning periods. Care was
delivered using a comprehensive midwifery management approach, including assessment,
diagnosis, planning, implementation, and evaluation based on data obtained from
the Maternal and Child Health (MCH) Handbook, medical records, and direct
examinations. Implementation: Care
included pregnancy risk screening using the Poedji Rochjati Score Card (PRSC),
monitoring of maternal and fetal conditions, education regarding danger signs,
infection prevention measures, collaboration and referral as indicated, and
preparation for cesarean section delivery. It was continued during the
postpartum period through four postpartum visits (KF1–KF4), neonatal care
through four neonatal visits (KN1–KN4), and family planning services with
postplacental intrauterine device (IUD) insertion without complications. Evaluation: The pregnancy was
classified as high risk due to
transverse fetal lie with a
PRSC score of 10 and was complicated by preterm prelabor rupture of
membranes (PPROM). Delivery was performed by cesarean section
at 37 weeks of gestation. The newborn was
delivered in good condition, and both the postpartum and family planning
periods proceeded without complications. Conclusion
and Recommendation: Evaluation showed no discrepancy between
theory and clinical
practice. Therefore, the
midwifery care provided was in accordance with established standards and
contributed to improved maternal and neonatal health outcomes. Healthcare
providers are encouraged to maintain the quality of comprehensive care in
accordance with service standards.Keywords: Continuity
of Care, high-risk pregnancy, preterm prelabor rupture of membranes (PPROM),
premature rupture of membranes, cesarean section, newborn, intrauterine device
(IUD).
Armila. V4323005. ASUHAN
KEBIDANAN BERKELANJUTAN PADA NY. N UMUR 25 TAHUN DI PUSKESMAS SANGKRAH
SURAKARTA.
Program
Studi DIII Kebidanan, Sekolah Vokasi, Universitas Sebelas Maret Surakarta. Ruang Lingkup : Asuhan kebidanan
berkelanjutan (Continuity of Care/CoC) pada
Ny. N umur 25 tahun di Puskesmas
Sangkrah Surakarta dilakukan mulai dari masa kehamilan, persalinan, nifas, BBL, hingga KB dengan pendekatan manajemen kebidanan
komprehensif melalui pengkajian, diagnosis, perencanaan, pelaksanaan, dan
evaluasi berdasarkan data buku KIA, rekam medis, dan pemeriksaan langsung. Penatalaksanaan : skrining risiko
kehamilan dengan KSPR, pemantauan ibu dan janin, edukasi tanda bahaya,
pencegahan infeksi, kolaborasi dan rujukan sesuai indikasi, serta persiapan
persalinan SC. Asuhan dilanjutkan pada masa nifas KF1-KF4, asuhan KN1-KN4, dan
pelayanan KB dengan pemasangan IUD postplasenta tanpa
komplikasi. Hasil : kehamilan berisiko tinggi dengan letak lintang skor KSPR 10 disertai
PPROM. Persalinan dilakukan secara SC pada usia kehamilan 37 minggu. Bayi lahir
sehat, serta masa nifas dan pelayanan KB berlangsung tanpa komplikasi. Kesimpulan : evaluasi menunjukkan tidak terdapat kesenjangan
antara teori dan praktik sehingga asuhan sesuai standar dan mampu meningkatkan
kesehatan ibu dan bayi. Disarankan tenaga kesehatan mempertahankan mutu
pelayanan komprehensif sesuai standar pelayanan.
