<![CDATA[Maternal and infant mortality rates remain key indicators of a nation’s health status. Based on data from the Central Java Provincial Health Office (2022), the maternal mortality rate reached 87 per 100,000 live births, while neonatal mortality was 5.9 per 1,000 live births, with the highest causes being prematurity, asphyxia, and low birth weight. One of the conditions that increases the risk of complications during pregnancy and childbirth is breech presentation, which occurs in about 3–5% of singleton pregnancies. Breech presentation is associated with prolonged labor, early rupture of membranes, cord prolapse, and increased perinatal mortality. Efforts to reduce maternal and infant mortality have been strengthened through the Safe Motherhood Initiative and comprehensive midwifery care or Continuity of Care (CoC), covering pregnancy, childbirth, postpartum, newborn, and family planning services. This study used a descriptive case study approach involving Mrs. Y, 29 years old, G2P1A0 at 34 weeks of gestation with breech presentation at Karanganyar Health Center. Comprehensive midwifery care was provided, including early detection of breech presentation, management through maternal posture exercises (knee–chest and prenatal yoga techniques), third-trimester antenatal care, labor monitoring, postpartum care, newborn assessment, and family planning counseling. The results showed that the pregnancy, childbirth, postpartum period, newborn care, and family planning processes proceeded physiologically without complications. The mother demonstrated an understanding of fetal well-being, preparation for childbirth, postpartum self-care, exclusive breastfeeding, newborn care, and postpartum contraceptive options. In conclusion, comprehensive Continuity of Care midwifery services were effective in enabling early detection of risks, improving maternal knowledge, and supporting optimal maternal and neonatal health. Complementary care such as posture exercises (knee–chest and prenatal yoga) was beneficial in helping reposition the fetus and reducing discomfort during pregnancy. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator penting dalam menggambarkan derajat kesehatan masyarakat. Berdasarkan data Dinas Kesehatan Provinsi Jawa Tengah (2022), AKI mencapai 87 per 100.000 kelahiran hidup, sedangkan angka kematian neonatal sebesar 5,9 per 1.000 kelahiran hidup dengan penyebab terbanyak BBLR, prematuritas, dan asfiksia. Salah satu kondisi yang berpotensi meningkatkan komplikasi kehamilan dan persalinan adalah letak sungsang, yang terjadi pada 3–5% kehamilan tunggal dan dapat menyebabkan partus lama, ketuban pecah dini, prolaps tali pusat, serta peningkatan mortalitas perinatal. Upaya pemerintah untuk menurunkan AKI dan AKB dilakukan melalui program Safe Motherhood Initiative yang mencakup pelayanan kebidanan berkesinambungan atau Continuity of Care (CoC) pada masa kehamilan, persalinan, nifas, bayi baru lahir, dan keluarga berencana. Metode yang digunakan adalah studi kasus deskriptif pada Ny. Y, usia 29 tahun, G2P1A0 dengan usia kehamilan 34 minggu dan letak sungsang di Puskesmas Karanganyar. Asuhan kebidanan diberikan secara komprehensif meliputi deteksi dini letak sungsang, penatalaksanaan dengan latihan posisi (knee–chest dan prenatal yoga), pemeriksaan antenatal trimester III, pemantauan persalinan, perawatan masa nifas, penilaian bayi baru lahir, serta konseling keluarga berencana. Hasil asuhan menunjukkan bahwa kehamilan, persalinan, masa nifas, perawatan bayi baru lahir, dan pelayanan KB berlangsung fisiologis tanpa komplikasi. Ibu memahami pentingnya pemantauan kesejahteraan janin, persiapan persalinan, perawatan diri pada masa nifas, pemberian ASI eksklusif, perawatan bayi baru lahir, serta pemilihan kontrasepsi pascasalin. Kesimpulan dari studi ini adalah bahwa pelayanan kebidanan Continuity of Care secara komprehensif efektif dalam mendeteksi dini faktor risiko, meningkatkan pengetahuan ibu, serta mendukung kesehatan ibu dan bayi secara optimal. Asuhan komplementer berupa latihan posisi seperti knee–chest dan prenatal yoga juga bermanfaat dalam membantu mengoreksi posisi janin dan mengurangi ketidaknyamanan selama kehamilan.]]>
