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All Journal Jurnal Karya Pendidikan Matematika Dirasah : Jurnal Studi Ilmu dan Manajemen Pendidikan Islam Al-Iqtishod : Jurnal Ekonomi Syariah Ma'mal: Jurnal Laboratorium Syariah dan Hukum Muhasabatuna: Jurnal Akuntansi Syariah Maliyah : Jurnal Hukum Bisnis Islam Journal of Social And Economics Research Oportunitas Jurnal Ilmiah Ilmu-Ilmu Peternakan Jurnal Nuansa: Publikasi Ilmu Manajemen dan Ekonomi Syariah Prosiding Seminar Nasional dan Call For Paper Kebidanan Universitas Ngudi Waluyo journal of social and economic research AL-UJRAH: Jurnal Ekonomi Islam Jurnal At-Tamwil: Kajian Ekonomi Syariah Jurnal Ekonomi dan Bisnis Islam Jurnal At-Tanmiyah Ekonomi dan Bisnis Islam
Sri Wigati
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Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Social Sciences Other

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Asuhan Kebidanan Komprehensif pada Ny. E Umur 22 Tahun G2P1A0 di Puskesmas Karanganyar Kabupaten Pekalongan Sri Wigati; Windayanti, Hapsari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 4 No. 2 (2025): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

Maternal and infant mortality remain major public health concerns in Indonesia, particularly in areas with limited access to continuous maternal health services. Continuity of Care (CoC) is a midwifery care approach that provides comprehensive and continuous services from pregnancy to family planning, aiming to improve care quality and reduce maternal and infant mortality rates. This study aimed to describe the implementation of CoC in midwifery practice at a Public Health Center in Pekalongan District. This study used a descriptive case study design with Varney’s midwifery management approach. Data were collected through interviews, observation, physical examination, and documentation review. Care was provided continuously from 21 weeks of gestation through antenatal, intrapartum, postpartum, newborn, and family planning services. The results showed that all stages of care progressed physiologically without complications. The mother experienced a spontaneous vaginal delivery, normal postpartum recovery with increased breast milk production after oxytocin massage, and the newborn was born in good condition with a birth weight of 3,800 grams and Apgar scores of 8–9. Newborn care followed standard procedures, and the mother chose an intrauterine device (IUD) for contraception. In conclusion, Continuity of Care improves the quality of maternal and neonatal services, strengthens the midwife–mother relationship, and supports early detection of potential complications, contributing to efforts to reduce maternal and infant mortality.   Abstrak Angka kematian ibu dan bayi masih menjadi masalah kesehatan masyarakat di Indonesia, terutama di daerah dengan keterbatasan akses terhadap pelayanan kesehatan maternal yang berkesinambungan. Continuity of Care (CoC) merupakan pendekatan asuhan kebidanan yang memberikan pelayanan komprehensif dan berkelanjutan sejak kehamilan hingga pelayanan keluarga berencana, dengan tujuan meningkatkan mutu asuhan serta menurunkan angka kematian ibu dan bayi. Penelitian ini bertujuan untuk mendeskripsikan penerapan asuhan Continuity of Care dalam praktik kebidanan di salah satu Puskesmas di Kabupaten Pekalongan. Penelitian ini menggunakan desain studi kasus deskriptif dengan pendekatan manajemen kebidanan Varney. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan telaah dokumentasi. Asuhan diberikan secara berkesinambungan mulai usia kehamilan 21 minggu meliputi asuhan kehamilan, persalinan, nifas, bayi baru lahir, dan keluarga berencana. Hasil penelitian menunjukkan bahwa seluruh tahapan asuhan berlangsung secara fisiologis tanpa komplikasi. Ibu menjalani persalinan normal spontan, masa nifas berjalan normal dengan peningkatan produksi ASI setelah dilakukan pijat oksitosin, serta bayi lahir dalam kondisi baik dengan berat badan 3.800 gram dan nilai Apgar 8–9. Asuhan bayi baru lahir diberikan sesuai standar, dan ibu memilih metode kontrasepsi intrauterine device (IUD). Sebagai simpulan, penerapan asuhan Continuity of Care mampu meningkatkan mutu pelayanan kesehatan ibu dan bayi, memperkuat hubungan antara bidan dan ibu, serta mendukung deteksi dini komplikasi sehingga berkontribusi dalam upaya penurunan angka kematian ibu dan bayi.
Co-Authors A Insulistyawati Agustin Dwiningrum ahmad azizul muttaqin Ahmad Firmansyah, Masyekha Akbar, Dilfikar Alvi Nuur Rasyidah Amelia Zahranita Auri Ari Andayani Asmanah Dzulqarnain Fahmida Manin Hapsari Windayanti Hilda, Hilda Atikasari Khoirun Niswah Laura Ayu Wulandari M, Abdullah Aryasatya Putra Maharrani Wulansari Akbarillah Maksudi Maksudi Mila, Dwi Millata Syarifah Nayla Nur Fadila Nurul Fatma Hasan Rahmah Salsabila Al Maghfuri Reisa Medyna zahrah Rianto Anugerah Wicaksono Rismanika Nurul Utami Sheva Sulfah Sahratus Syabrinah Sulthan, M. Naufal Azis Sulthan Ubaidillah Zubair Vidya Efriliana Wicaksana, Darel Hylmi