Eny Sugiasih
Universitas Ngudi Waluyo

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Asuhan Kebidanan Komprehensif pada Ny. H Umur 28 Tahun G3P2A0 dengan Letak Sungsang pada Usia Kehamilan 33 Minggu di UPT Puskesmas Buaran Kota Pekalongan Eny Sugiasih; Isri Nasifah
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

Continuous midwifery care (Continuity of Care/CoC) from pregnancy to family planning is an effective strategy to monitor health status and detect risk factors early to reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Breech presentation in the third trimester of pregnancy is a complication that increases the risk of perinatal mortality if not properly managed. To apply comprehensive midwifery care through Continuity of Care (CoC) for Mrs. H G3P2A0 with breech presentation at UPT Puskesmas Buaran, Pekalongan City. This is a case study using a comprehensive midwifery care management approach. The subject was Mrs. H, 28 years old. Data were collected through interviews, physical examinations, observation of progress, and SOAP documentation method. Antenatal care was provided in 4 visits. At 33 weeks of gestation, a breech presentation was found, and the intervention of knee-chest position education was administered. Upon subsequent evaluation, the fetal position successfully rotated into a normal vertex presentation. Mrs. H gave birth spontaneously at 39 weeks of gestation. The infant was born vigorously, weighing 2900 grams and 47 cm in length. The postpartum period (KF1–KF3) and neonatal visits (KN1–KN3) progressed physiologically without complications. For family planning, the mother chose a long-term contraceptive method. The implementation of CoC midwifery care for Mrs. H complied with the quality standards of services. The knee-chest position intervention proved effective in converting breech presentation to vertex presentation, thereby supporting a safe, normal spontaneous delivery and preventing complications in both mother and fetus.   Abstrak Asuhan kebidanan secara berkesinambungan (Continuity of Care/CoC) dari masa kehamilan hingga keluarga berencana merupakan strategi efektif untuk memantau kondisi kesehatan serta mendeteksi dini faktor risiko guna menurunkan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Kelainan letak sungsang (presentasi bokong) pada kehamilan trimester ketiga menjadi salah satu penyulit yang meningkatkan risiko mortalitas perinatal jika tidak dikelola secara tepat. Menerapkan asuhan kebidanan komprehensif secara Continuity of Care (CoC) pada Ny. H G3P2A0 dengan letak sungsang di UPT Puskesmas Buaran Kota Pekalongan. Studi penelahaan kasus (case study) dengan pendekatan manajemen asuhan kebidanan komprehensif. Subjek studi adalah Ny. H umur 28 tahun. Pengumpulan data dilakukan melalui wawancara, pemeriksaan fisik, observasi perkembangan, dan pendokumentasian metode SOAP. Asuhan antenatal diberikan sebanyak 4 kali kunjungan. Pada usia kehamilan 33 minggu ditemukan janin letak sungsang, lalu diberikan intervensi berupa KIE posisi knee-chest. Pada evaluasi berikutnya posisi janin berhasil berputar menjadi presentasi kepala normal. Ny. H melahirkan secara spontan pada usia kehamilan 39 minggu. Bayi lahir bugar dengan berat badan 2900 gram dan panjang badan 47 cm. Masa nifas (KF1–KF3) dan kunjungan neonatus (KN1–KN3) berlangsung fisiologis tanpa komplikasi. Pada asuhan KB, ibu memilih metode kontrasepsi jangka panjang. Pelaksanaan asuhan kebidanan CoC pada Ny. H berjalan sesuai standar pelayanan. Intervensi posisi knee-chest terbukti efektif mengubah presentasi bokong menjadi presentasi kepala, sehingga mendukung keberhasilan persalinan normal yang aman dan mencegah komplikasi ibu maupun janin.