<![CDATA[Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain important indicators of national health status. Although efforts to reduce MMR and IMR continue, maternal deaths are still predominantly caused by hemorrhage, hypertensive disorders, infection, and postpartum complications, while infant mortality is closely related to prematurity, asphyxia, infection, and congenital abnormalities. Continuity of Care (CoC) is a comprehensive midwifery care model that integrates services from pregnancy, childbirth, postpartum, newborn care, to family planning. CoC enables early detection of risks, prevention of complications, and improved maternal–infant health outcomes. This descriptive case study involved Mrs. D, 25 years old, who received comprehensive midwifery care at Karanganyar Public Health Center, Pekalongan. The care included antenatal assessment following the 10T standard, monitoring of physiological pregnancy, labor management using the APN steps, postpartum care, newborn care, breastfeeding support, and family planning counseling. Complementary care, including breastfeeding education and maternal comfort measures, was provided according to the client’s needs. Results: Pregnancy, labor, postpartum, and newborn care all progressed physiologically without complications. The mother showed good understanding of danger signs, childbirth preparation, postpartum self-care, and exclusive breastfeeding. The newborn demonstrated normal adaptation, received standard essential newborn care, and showed normal growth during follow-up. The mother successfully selected an appropriate postpartum contraceptive method. Comprehensive Continuity of Care services effectively supported early risk detection, improved maternal knowledge, and optimized maternal–neonatal outcomes. Strengthened breastfeeding support contributed to improved maternal confidence, especially for primipara mothers. CoC implementation should be continued as a key strategy to help reduce maternal and infant mortality. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi indikator penting dalam menilai kualitas kesehatan suatu negara. Meskipun berbagai upaya telah dilakukan, kematian ibu masih banyak disebabkan oleh perdarahan, preeklamsia/eklamsia, infeksi, dan komplikasi masa nifas, sedangkan kematian bayi sering berkaitan dengan prematuritas, asfiksia, infeksi, dan kelainan bawaan. Pelayanan kebidanan berkesinambungan atau Continuity of Care (CoC) merupakan model asuhan komprehensif yang diberikan mulai dari kehamilan, persalinan, nifas, perawatan bayi baru lahir hingga keluarga berencana. Pelayanan ini terbukti penting untuk deteksi dini risiko, pencegahan komplikasi, serta peningkatan kesehatan ibu dan bayi. Penelitian ini merupakan studi kasus deskriptif pada Ny. D, usia 25 tahun, yang mendapatkan asuhan kebidanan komprehensif di Puskesmas Karanganyar Kabupaten Pekalongan. Asuhan meliputi pemeriksaan antenatal sesuai standar 10T, pemantauan kehamilan fisiologis, penatalaksanaan persalinan dengan langkah APN, perawatan masa nifas, perawatan bayi baru lahir, dukungan menyusui, serta konseling keluarga berencana. Asuhan komplementer seperti edukasi menyusui dan teknik kenyamanan ibu diberikan sesuai kebutuhan. Seluruh proses kehamilan, persalinan, masa nifas, perawatan bayi baru lahir, hingga pelayanan KB berjalan fisiologis tanpa komplikasi. Ibu memiliki pemahaman yang baik mengenai tanda bahaya kehamilan, persiapan persalinan, perawatan diri masa nifas, dan pemberian ASI eksklusif. Bayi menunjukkan adaptasi normal dan mendapatkan pelayanan esensial neonatal lengkap. Ibu memilih metode kontrasepsi pascasalin yang sesuai kondisinya. Simpulan asuhan kebidanan Continuity of Care terbukti efektif dalam mendeteksi dini risiko, meningkatkan pengetahuan ibu, serta mendukung optimalisasi kesehatan maternal dan neonatal. Dukungan menyusui berperan penting dalam meningkatkan kepercayaan diri ibu, terutama pada ibu primipara. Penerapan CoC perlu terus diperkuat sebagai strategi utama dalam menurunkan AKI dan AKB.]]>
Copyrights © 2025
