Yeni Trisna Purba
Kebidanan, Universitas Efarina, Pematang Siantar, Indonesia

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ASUHAN KEBIDANAN KOMPREHENSIF NY. D SELAMA KEHAMILAN, PERSALINAN, NIFAS, DAN NEONATUS DI PMB AGUSTINA SARAGIH Adventides Natali Siahaan; Yeni Trisna Purba
Didaktik : Jurnal Ilmiah PGSD STKIP Subang Vol. 11 No. 04 (2025): Volume 11 No. 04 Desember 2025 In Press
Publisher : STKIP Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36989/didaktik.v11i04.8994

Abstract

Comprehensive midwifery care is a continuous service (continuity of care) encompassing pregnancy, childbirth, postpartum, newborn, and family planning periods, aimed at improving maternal health and reducing maternal and infant mortality rates. This case study aims to describe the implementation of comprehensive midwifery care for Mrs. D, 21 years old, G2P1A0, at Agustina Saragih Midwifery Practice, Simalungun Regency, from November 2024 to April 2025. The study employed a descriptive method using Varney’s midwifery management framework and SOAP documentation. Data were collected through interviews, observations, physical examinations, and medical record reviews. The results showed that Mrs. D experienced a physiological pregnancy, with normal vital signs and fetal growth within standard limits. The delivery process proceeded spontaneously and safely without complications, resulting in a live-born infant weighing 3,100 grams. The third and fourth stages of labor were managed according to Active Management of the Third Stage of Labor (AMTSL) principles, followed by close postpartum monitoring. The mother successfully initiated early breastfeeding and demonstrated good psychological adaptation. In conclusion, the comprehensive midwifery care provided was consistent with professional standards and the principles of continuity of care, effectively maintaining maternal and neonatal health while preventing complications during pregnancy and childbirth