Karya Kesehatan Siwalima
Vol. 5 No. 1 (2026): March-August

Innovation of Natural Therapy in Continuity of Care (CoC) Midwifery

Dwi Cipto Astuti (Bachelor of Midwifery, Faculty of Nursing and Health Sciences, Karya Husada University, Semarang, Indonesia)
Syarifah (Bachelor of Midwifery, Faculty of Nursing and Health Sciences, Karya Husada University, Semarang, Indonesia)
Fitria Hikmatul Ulya (Universitas Karya Husada Semarang)



Article Info

Publish Date
30 Mar 2026

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators of a nation's health status. Elevated rates are often associated with unmonitored complications during pregnancy and childbirth. The Continuity of Care (CoC) approach provides a continuous care model that enables early detection of potential complications through sustained relationships between midwives and patients. This study aims to provide comprehensive midwifery care to Mrs. Y (41 years old) and Mrs. D (22 years old), encompassing the third trimester of pregnancy, labor, newborn care, postpartum care, and family planning services. The research employed a descriptive observational design using Varney’s seven-step midwifery management approach and SOAP documentation. The results showed that both patients experienced physiological pregnancies. The labor process was normal, with care focusing on pain management for Mrs. Y and comprehensive management of stages I–IV of labor for Mrs. D. The newborns were healthy, supported by the implementation of Early Initiation of Breastfeeding (EIB). The postpartum period progressed without complications, facilitated by education on nutrition and breastfeeding techniques. At the end of the care period, both patients chose long-term contraceptive methods, with Mrs. Y opting for tubectomy (MOW). In conclusion, the implementation of CoC effectively supports a safe reproductive process and minimizes the risk of complications through continuous monitoring and patient education.

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Journal Info

Abbrev

KKS

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Karya Kesehatan Siwalima (KKS) is a peer-reviewed scientific journal committed to the dissemination of knowledge, research findings, and evidence-based practices in the field of health sciences. The journal aims to advance interdisciplinary perspectives and promote innovative approaches to improving ...