Sudarni
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Asuhan Kebidanan Continuity of Care (CoC) dengan Teknik Counter Pressure untuk Mengurangi Nyeri Persalinan pada Ny. S Usia 21 Tahun di Puskesmas Sebengkok Tarakan Sudarni; Widayati
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

Continuity of Care (CoC) midwifery care is a comprehensive and continuous service provided from pregnancy, childbirth, postpartum, newborn care, to family planning. One non-pharmacological intervention to reduce labor pain is the counterpressure technique, which involves applying pressure to the sacral area during uterine contractions to decrease pain intensity and improve maternal comfort. This case study aimed to describe the implementation of the counterpressure technique in CoC midwifery care for Mrs. S, a 21-year-old primigravida (G1P0A0) at the Sebengkok Community Health Center. This study used a descriptive case study design with the Varney midwifery management approach and SOAP documentation. Data were collected through interviews, observations, physical examinations, documentation review, and supporting examination results. Comprehensive care was provided during pregnancy, labor, postpartum, newborn care, and family planning services. The results showed that both mother and fetus remained in physiological condition throughout pregnancy without complications. During the active phase of the first stage of labor, the mother experienced labor pain that was managed using the counterpressure technique. After the intervention, the mother appeared more relaxed, demonstrated better breathing control, and reported reduced pain intensity. Labor progressed normally with the spontaneous birth of a healthy female infant weighing 3265 grams and measuring 52 cm in length. The postpartum period was physiological, breast milk production was adequate, and the mother chose an intrauterine device (IUD) for contraception.   Abstrak Asuhan kebidanan Continuity of Care (CoC) merupakan pelayanan berkesinambungan mulai dari kehamilan, persalinan, nifas, bayi baru lahir, hingga keluarga berencana. Salah satu intervensi nonfarmakologis untuk mengurangi nyeri persalinan adalah teknik counter pressure, yaitu pemberian tekanan pada daerah sakrum saat kontraksi berlangsung. Studi kasus ini bertujuan menggambarkan penerapan teknik counter pressure dalam asuhan kebidanan CoC pada Ny. S usia 21 tahun G1P0A0 di Puskesmas Sebengkok. Metode penelitian menggunakan desain deskriptif dengan pendekatan studi kasus melalui manajemen kebidanan Varney dan pendokumentasian SOAP. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi, dan pemeriksaan penunjang. Asuhan diberikan secara komprehensif mulai masa kehamilan hingga pelayanan keluarga berencana. Hasil studi menunjukkan kondisi ibu dan janin selama kehamilan dalam keadaan fisiologis tanpa komplikasi. Pada persalinan kala I fase aktif, teknik counter pressure diterapkan untuk mengurangi nyeri kontraksi sehingga ibu tampak lebih rileks, mampu mengatur pernapasan dengan baik, dan mengalami penurunan intensitas nyeri. Persalinan berlangsung normal dengan bayi perempuan lahir spontan, berat badan 3265 gram, panjang badan 52 cm, dan kondisi baik. Masa nifas berlangsung fisiologis, produksi ASI lancar, serta ibu memilih kontrasepsi IUD pascapersalinan.