Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain key indicators of public health status. In Indonesia, the MMR is 305 per 100,000 live births and the IMR is 22 per 1,000 live births. These conditions are influenced by hemorrhage, infection, hypertensive disorders in pregnancy, and complications during childbirth and the postpartum period. Continuous midwifery care through the Continuity of Care (CoC) approach is essential to improve maternal and neonatal outcomes. One non-pharmacological intervention to manage labor pain is counterpressure therapy.This study aimed to describe comprehensive midwifery care using the Continuity of Care approach with the application of counterpressure therapy in labor pain management. This study employed a descriptive method with a case study approach on Mrs. N, a 25-year-old woman (G2P1A0), in the working area of Puskesmas Paninggaran, Pekalongan Regency. Comprehensive midwifery care was provided during pregnancy, childbirth, postpartum, newborn care, and family planning using a midwifery management approach.The implementation of Continuity of Care was carried out according to service standards. During labor, the application of counterpressure therapy effectively reduced the intensity of labor pain and improved maternal comfort. The mother’s condition during pregnancy, childbirth, and postpartum remained stable without complications. The newborn was delivered in good condition with normal vital signs. The mother demonstrated adequate knowledge of self-care, newborn care, and contraceptive use.Comprehensive midwifery care using the Continuity of Care approach combined with counterpressure therapy was effective in improving maternal comfort during labor and ensuring favorable maternal and neonatal outcomes. Abstrak Latar Belakang: Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi indikator utama derajat kesehatan masyarakat. Di Indonesia, AKI mencapai 305 per 100.000 kelahiran hidup dan AKB sebesar 22 per 1.000 kelahiran hidup. Kondisi ini dipengaruhi oleh perdarahan, infeksi, hipertensi dalam kehamilan, serta komplikasi persalinan dan nifas. Pelayanan kebidanan berkesinambungan melalui pendekatan Continuity of Care (CoC) diperlukan untuk meningkatkan kesehatan ibu dan bayi. Salah satu intervensi nonfarmakologis dalam mengurangi nyeri persalinan adalah teknik counterpressure. Penelitian ini bertujuan untuk mendeskripsikan asuhan kebidanan komprehensif dengan pendekatan Continuity of Care serta penerapan teknik counterpressure dalam manajemen nyeri persalinan. Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus pada Ny. N usia 25 tahun (G2P1A0) di wilayah kerja Puskesmas Paninggaran Kabupaten Pekalongan. Asuhan kebidanan diberikan secara komprehensif meliputi masa kehamilan, persalinan, nifas, bayi baru lahir, dan keluarga berencana dengan pendekatan manajemen kebidanan. Asuhan kebidanan Continuity of Care terlaksana sesuai standar pelayanan. Penerapan teknik counterpressure selama persalinan terbukti menurunkan intensitas nyeri dan meningkatkan kenyamanan ibu. Kondisi ibu selama kehamilan, persalinan, dan nifas dalam keadaan baik tanpa komplikasi. Bayi lahir dalam kondisi normal dengan tanda vital baik. Ibu mampu memahami perawatan diri, perawatan bayi, serta penggunaan kontrasepsi. Asuhan kebidanan komprehensif dengan pendekatan Continuity of Care yang dikombinasikan dengan teknik counterpressure efektif dalam mengurangi nyeri persalinan serta menghasilkan luaran ibu dan bayi yang baik.
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