International Health Sciences Journal
Vol. 3 No. 3 (2026): IHSJ Third Issue

Continuity of Midwifery Care in a 35-Year-Old Multigravida at 40 Weeks of Gestation: A Case Study Approach

Fahmi Fuadah (Public Health Study Program, Faculty of Health, Immanuel Institute of Health)
Sri Rejeki (Midwife Study Program, Faculty of Health, Immanuel Institute of Health)
Imelda Sianipar (Midwife Study Program, Faculty of Health, Immanuel Institute of Health)



Article Info

Publish Date
31 May 2026

Abstract

Maternal and neonatal morbidity remain major public health concerns in developing countries. Continuity of care (CoC) in midwifery practice is recognized as an effective approach to improving maternal and neonatal outcomes. This study aimed to describe and analyze the implementation of continuity of midwifery care in a 35-year-old multigravida woman at 40 weeks of gestation in an independent midwifery practice. A case study design was applied. Care was provided from late pregnancy, childbirth, postpartum, neonatal care, and family planning counseling. Data were collected through clinical assessment, observation, documentation review, and standardized maternal examination instruments. The results showed that comprehensive and continuous monitoring enabled early detection of potential complications and ensured safe delivery without maternal or neonatal complications. Postpartum and neonatal examinations were within normal limits, and early breastfeeding initiation was successfully implemented. The findings support that continuity of midwifery care contributes to positive maternal and neonatal outcomes. Strengthening integrated and woman-centered care is recommended to enhance maternal health services.

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Journal Info

Abbrev

go

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health

Description

International Health Sciences Journal (IHSJ) contains manuscripts of Health Sciences which include: midwifery and nursing holistically, including complementary care, herbal, traditional medicine, physiological, psychological, and sociocultural therapy, spiritual, both in nursing management, medical ...