Garuda - Garba Rujukan Digital

Asuhan Kebidanan Continuity of Care (COC) pada Ny. T Umur 30 Tahun G1P0A0 di Puskesmas Tengaran Puji Winarni; Heni Setyowati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are still important indicators of the success of maternal and neonatal health services. The role of midwives is very important in reducing MMR and IMR, one of which is through continuous midwifery care. This care includes a "continuity of care" approach from midwives who provide services starting from the preconception period, pregnancy, childbirth, postpartum, to family planning, in accordance with midwifery standards that can be carried out independently, collaboratively, or through referrals. The research design used is descriptive, with a case study approach (Case Study) with documentation using the SOAP method. The case study was conducted on Mrs. T aged 30 years in June to March 2026, data collection methods used observation, interviews and document studies. Comprehensive midwifery care for pregnant women is providing counseling regarding pregnancy discomforts such as frequent urination the mother gave birth spontaneously at 38 weeks of pregnancy at Tunas Harapan Hospital because the family wanted to give birth at the hospital. Neonatal visits had no complications. During the postpartum period there were no abnormalities and problems. Mrs. T chose to use a 3-month injection for contraception. Continuity of Care (COC), or continuous midwifery care, was well-received by Mrs. T, her husband, and other family members. She and her family experienced the benefits, increasing their knowledge. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi indikator penting keberhasilan pelayanan kesehatan maternal dan neonatal. Peran bidan sangat penting dalam menurunkan AKI dan AKB, salah satunya melalui asuhan kebidanan berkesinambungan. Asuhan ini mencakup pendekatan "continuity of care" dari bidan yang memberikan layanan mulai dari masa prakonsepsi, kehamilan, persalinan, nifas, hingga KB, sesuai dengan standar kebidanan yang dapat dilakukan secara mandiri, kolaboratif, atau melalui rujukan. Desain penelitian yang digunakan yaitu deskriptif, dengan pendekatan studi kasus (Case Study) dengan pendokumentasian dengan metode SOAP. Studi kasus dilakukan pada Ny. T umur 30 tahun pada bulan Juni sampai Maret 2026 metode pengumpulan data menggunakan observasi, wawancara dan studi dokumen. Asuhan kebidanan komprehensif dari Ibu Hamil yaitu pemberian konseling mengenai ketidaknyamanan kehamilan yaitu sering BAK, Ibu bersalin spontan pada umur kehamilan 38 minggu di RS Tunas Harapan karena keinginan keluarga untuk melahirkan di RS. Kunjungan neonatal tidak ada komplikasi. Pada masa nifas tidak ada kelainan dan masalah. Ibu memilih untuk ber KB Suntik 3 bulan. Continuity Of Care (COC) atau asuhan kebidanan berkesinambungan pada Ny. T ini dapat dilakukan dan diterima dengan baik oleh ibu, suami dan anggota keluarga lain nya. Ibu dan keluarga merasakan manfaatnya sehingga pengetahuan ibu dan keluarga semakin bertambah.

Asuhan Kebidanan Komprehensif pada Ny RWKH 32 Tahun G4P1A2 di RSU Banyumanik 2 Semarang Fitria Damayanti; Wahyu Kristiningrum
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal Comprehensive and continuous midwifery care or Continuity of Care (CoC) is a continuous and integrated health service, especially in midwifery care, which ensures patients receive comprehensive and integrated care starting from early pregnancy, childbirth, postpartum, newborn care, to family planning programs. The goal is to build a trusted relationship between patients and health workers, so that they can monitor the patient's condition optimally, detect problems and complications as early as possible, improve well-being and reduce maternal and infant mortality rates. This case study was conducted at Banyumanik 2 General Hospital, Semarang on November 28, 2025 – May 18, 2026. The subject of the case study was Mrs. RWKH G4P1A2. Data collection techniques used primary data and secondary data. Primary data were obtained through observation, physical examination, and individual interviews, as well as documentation using an assessment format, while secondary data were obtained from the KIA book. Monitoring of pregnant women was carried out once in TM2, and three times in TM3. The monitoring results were obtained in TM 3 pregnant women complained of back pain and anxiety because at 30-34 weeks of pregnancy the baby's position was transverse. After being given complementary therapy education of light exercise/pelvic rocking exercise and knee chest position (prostration) in the morning and evening for 10-15, Giving acupressure points BL 23, BL 40, GV 3 and GV 4 to reduce back pain. At 36 weeks of pregnancy the baby's position was longitudinal with a head presentation, convergent. During the labor process, Mrs. RWKH experienced premature rupture of membranes, uterine inertia, and labor pain so that antibiotics and complementary therapy (acupressure and counter pressure) were given. After 5 hours of inpartu observation, on April 16, 2026 at 08.14 WIB the baby was born vaginally. The postpartum period was normal, there was no bleeding, good uterine contractions, vaginal discharge within normal limits, 2nd degree perineal tears and breast milk had come out. In newborns, the results of anthropometric examinations were within normal limits. Care for KF 2 to KF 4 and KN 1 to KN 3 was carried out well without any problems. Mrs. RWKH decided to use condoms and the lactational amenorrhea method. Abstrak Asuhan kebidanan yang komprehensif dan berkelanjutan atau Continuity of Care (CoC) adalah pelayanan kesehatan yang berkelanjutan dan terintegrasi, terutama dalam asuhan kebidanan, yang memastikan pasien menerima perawatan yang komprehensif dan terpadu mulai dari awal kehamilan, persalinan, nifas, perawatan bayi baru lahir, hingga program keluarga berencana. Tujuannya adalah untuk membangun hubungan yang terpercaya antara pasien dan tenaga kesehatan, sehingga dapat memantau kondisi pasien secara optimal, mendeteksi masalah dan komplikasi sedini mungkin, meningkatkan kesejahteraan dan menurunkan angka kematian ibu dan bayi. Studi kasus ini dilaksanakan di RSU Banyumanik 2 Semarang pada 28 November 2025 – 18 Mei 2026. Subjek studi kasus yaitu Ny. RWKH G4P1A2. Teknik pengumpulan data menggunakan data primer dan data sekunder. Data primer diperoleh melalui observasi, pemeriksaan fisik, dan wawancara individu, serta dokumentasi menggunakan format pengkajian, sedangkan data sekunder diperoleh dari buku KIA. Pemantauan ibu hamil dilakukan sebanyak 1x pada TM2, dan 3x pada TM3. Hasil pemantauan didapatkan pada TM 3 ibu hamil mengeluh nyeri punggung dan cemas karena pada usia kehamilan 30-34 minggu posisi bayinya melintang. Setelah diberikan edukasi terapi komplementer latihan ringan/pelvic rocking exercise dan posisi knee chest (sujud) pagi dan sore selama 10-15, Memberikan akupresur titik BL 23, BL 40, GV 3 dan GV 4 untuk mengurangi nyeri punggung. Pada usia kehamilan 36 minggu posisi bayi membujur dengan presentasi kepala, konvergen. Pada proses persalinan Ny. RWKH mengalami ketuban pecah dini, inersia uteri, dan nyeri persalinan sehingga diberikan antibiotik, dan terapi komplementer (akupresur dan counter pressure). Setelah dilakukan observasi inpartu selama 5 jam, tanggal 16 April 2026 jam 08.14 WIB bayi lahir pervaginam. Masa nifas berlangsung normal tidak ada pendarahan, kontraksi uterus baik, pengeluaran pervaginam dalam batas normal, robekan perineum derajat 2 dan ASI sudah keluar. Pada bayi baru lahir, hasil pemeriksaan antropometri dalam batas normal. Asuhan KF 2 sampai KF 4 dan KN 1 sampai KN 3 dilaksanakan dengan baik tanpa masalah. Ny. RWKH memutuskan menggunakan kontrasepsi kondom dan metode amenore laktasi.

Asuhan Kebidanan Continuity of Care pada Ny. R Umur 22 Tahun G2P1A0 di Puskesmas Penajam Hamidah; Ninik Cristiani
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

According to the World Health Organization (WHO), maternal mortality is still very high. In 2020, approximately 287,000 women died during and after pregnancy and childbirth in 2020, which means approximately 810 women die every day due to preventable causes. The role of midwives is very important in reducing MMR and IMR, one of which is through continuous midwifery care (continuity of care). The method used in comprehensive care is through a case study consisting of a single unit. Based on the results of a comprehensive case study on Mrs. A from pregnancy, labor, postpartum, newborn and neonate, it was found that Mrs. R, 22 years old G2P1A0, 35 weeks of gestation, had a problem of frequent urination. Mrs. A gave birth spontaneously at the Penajam Health Center and the newborn was in good condition, the postpartum period was normal and Mrs. A decided to use a 3-month injection of contraception. The care provided by midwives to mothers during pregnancy and post-natal contraceptive services is very important, namely as early detection of complications that may occur, so that they can be avoided or better managed. Abstrak Menurut World Health Organization (WHO), angka kematian ibu masih sangat tinggi. pada tahun 2020, sekitar 287.000 wanita meninggal selama dan setelah kehamilan dan persalinan pada tahun 2020., yang berarti sekitar 810 wanita meninggal setiap harinya karena penyebab yang sebenarnya dapat dicegah. Peran bidan sangat penting dalam menurunkan AKI dan AKB, salah satunya melalui asuhan kebidanan berkesinambungan (continuity of care). Metode yang digunakan dalam asuhan komprehensif melalui suatu kasus (case study) yang terdiri dari unit tunggal. Berdasarkan hasil studi kasus secara komperehensif pada Ny A dari kehamilan, masa persalinan, nifas, bayi baru lahir dan neonatus didapatkan Ny. R usia 22 tahun G2P1A0 usia kehamilan 35 minggu ditemukan masalah yaitu sering buang air kecil. Ny. R bersalin secara spontan di Puskesmas Penajam dan bayi baru lahir dalam keadaan baik, masa nifas berlangsung normal dan Ny. R memutuskan menggunakan KB Suntik 3 bulan. Asuhan yang diberikan oleh bidan kepada ibu selama masa kehamilan hingga pelayanan kontrasepsi setelah melahirkan sangat penting yaitu sebagai deteksi dini terhadap komplikasi yang mungkin terjadi, sehingga dapat dihindari atau ditanggulangi dengan lebih baik.

Asuhan Kebidanan Continuity of Care (COC) pada Ibu O Umur 28 Tahun G3P1A1 di PMB Istiqomah, S. Tr. Keb., Bdn. Rinawati; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal and infant health is an important component in improving public health, so comprehensive and continuous midwifery services are needed through the Continuity of Care (CoC) approach. CoC allows for comprehensive assessment and assistance starting from pregnancy, childbirth, postpartum, newborn care, to family planning, so that changes in maternal and infant conditions can be monitored consistently and early risk detection can be carried out optimally. This study aims to describe the process and results of the implementation of continuous midwifery care for Mrs. O, 28 years old, G3P1A1 at PMB Istiqomah, S. Tr. Keb., Bdn. Pringsari Village, Pringapus District during the period of March 2, 2026 to April 19, 2026. The method used is a case study with a descriptive approach through data collection using in-depth interviews, observations, physical examinations, and document reviews. The results of the assistance show that during pregnancy, Mrs. O did not experience complications, fetal growth was according to gestational age, and third trimester complaints such as anxiety and back pain could be overcome through health education and prenatal yoga. The birth was spontaneous, safe, and without complications, with the baby having a strong cry, good muscle tone, and normal vital parameters. During the postpartum period, uterine involution proceeded physiologically, lactation was smooth, there were no signs of infection, and the mother was able to care for herself and her baby independently. Newborn care also showed good results, including adequate elimination, normal neonatal reflexes, and smooth umbilical cord care. During the family planning phase, the mother chose the 3-month postpartum injectable contraceptive method. Overall, the implementation of the CoC provided tangible benefits in improving maternal readiness for each stage of reproduction, ensuring standardized care, and strengthening the quality of maternal and infant health monitoring. These findings emphasize the need for continued strengthening of continuous midwifery care as a strategic effort to support the reduction of maternal and infant morbidity and mortality. Abstrak Kesehatan ibu dan bayi merupakan komponen penting dalam meningkatkan derajat kesehatan masyarakat, sehingga diperlukan pelayanan kebidanan yang komprehensif dan berkesinambungan melalui pendekatan Continuity of Care (CoC). CoC memungkinkan penilaian dan pendampingan menyeluruh mulai dari masa kehamilan, persalinan, nifas, asuhan bayi baru lahir, hingga keluarga berencana, sehingga perubahan kondisi ibu dan bayi dapat dimonitor secara konsisten dan deteksi dini risiko dapat dilakukan secara optimal. Penelitian ini bertujuan mendeskripsikan proses dan hasil penerapan asuhan kebidanan berkelanjutan pada Ny. O, umur 28 tahun, G3P1A1 di PMB Istiqomah, S. Tr. Keb., Bdn. Desa Pringsari Kec. Pringapus selama periode 2 Maret 2026 sampai 19 April 2026. Metode yang digunakan adalah studi penelaahan kasus dengan pendekatan deskriptif melalui pengumpulan data menggunakan wawancara mendalam, observasi, pemeriksaan fisik, dan telaah dokumen. Hasil pendampingan menunjukkan bahwa selama kehamilan, Ny. O tidak mengalami komplikasi, pertumbuhan janin sesuai usia gestasi, dan keluhan trimester III berupa kecemasan serta nyeri punggung dapat diatasi melalui pendidikan kesehatan dan prenatal yoga. Persalinan berlangsung spontan, aman, tanpa penyulit, dengan bayi lahir menangis kuat, tonus otot baik, dan parameter vital normal. Pada periode nifas, proses involusi uterus berjalan fisiologis, laktasi lancar, tidak ditemukan tanda infeksi, dan ibu mampu merawat diri serta bayinya secara mandiri. Asuhan bayi baru lahir juga menunjukkan hasil baik, meliputi eliminasi adekuat, refleks neonatal normal, serta perawatan tali pusat yang berjalan tanpa masalah. Pada tahap keluarga berencana, ibu memilih KB Suntik 3 Bulan pasca salin. Secara keseluruhan, penerapan CoC memberikan manfaat nyata dalam meningkatkan kesiapan ibu menghadapi setiap tahap reproduksi, memastikan pelayanan sesuai standar, serta memperkuat kualitas pemantauan kesehatan ibu dan bayi. Temuan ini menegaskan bahwa asuhan kebidanan berkelanjutan perlu terus diperkuat sebagai upaya strategis dalam mendukung penurunan angka kesakitan dan kematian ibu serta bayi.

Asuhan Kebidanan Continuity of Care (COC) pada Ny. L Umur 24 Tahun G1P0A0 di UPT Puskesmas Penajam Asmawaty; Heni Hirawati Pranoto
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal Mortality Rate (MMR) remains a global and national health problem that requires serious attention because most maternal deaths are caused by complications during pregnancy, childbirth, and the postpartum period, which can actually be prevented through quality and continuous maternal health services. One effort that can be implemented to reduce maternal and infant mortality is the application of Continuity of Care (COC) midwifery services, namely comprehensive and continuous care starting from pregnancy, childbirth, newborn care, postpartum care, until family planning services to improve maternal and infant health outcomes optimally. The purpose of this study was to provide comprehensive midwifery care through a Continuity of Care (COC) approach to Mrs. L, a 24-year-old G1P0A0 woman, from pregnancy, childbirth, newborn care, postpartum care, until family planning services in order to monitor the condition of the mother and baby and detect complications early. The method used was a case study with a Continuity of Care (COC) approach. The care was conducted at UPT Puskesmas Penajam from January 29 to May 5, 2026. Data collection was carried out through interviews, observations, physical examinations, and documentation studies using midwifery care formats, maternal and child health books, and supporting examination results. The results of the Continuity of Care midwifery care showed that Mrs. L’s pregnancy progressed physiologically with third trimester discomforts in the form of Braxton Hicks contractions and back pain, which were managed through education and appropriate care according to the mother’s needs. The labor process occurred normally without complications through the implementation of Normal Delivery Care standards. The baby was born in normal condition with good vital signs and reflexes, and newborn care was provided including thermal protection, rooming-in care, and umbilical cord care. During the postpartum period, complaints of perineal wound pain and inadequate breast milk flow were managed through wound care education, oxytocin massage, and nutritional counseling. Family planning care was provided through counseling regarding postpartum contraceptive selection according to the mother’s condition. The implementation of continuous midwifery care provided positive outcomes for both mother and baby and improved the mother’s readiness in facing the postpartum period and contraceptive use. In conclusion, the implementation of Continuity of Care (COC) midwifery care for Mrs. L, aged 24 years, from pregnancy, childbirth, newborn care, postpartum care, until family planning services was carried out comprehensively and continuously. The care provided was able to maintain normal maternal and infant conditions, detect complications early, and improve the mother’s knowledge and readiness in facing childbirth, the postpartum period, and postpartum contraceptive use. Abstrak Angka Kematian Ibu (AKI) masih menjadi masalah kesehatan global dan nasional yang memerlukan perhatian serius karena sebagian besar disebabkan oleh komplikasi kehamilan, persalinan, dan nifas yang sebenarnya dapat dicegah melalui pelayanan kesehatan maternal yang berkualitas dan berkesinambungan. Salah satu upaya yang dapat dilakukan untuk menurunkan AKI dan AKB adalah melalui penerapan asuhan kebidanan Continuity of Care (COC), yaitu pelayanan kebidanan komprehensif mulai dari masa kehamilan, persalinan, bayi baru lahir, nifas hingga keluarga berencana guna meningkatkan kesehatan ibu dan bayi secara optimal. Tujuan penelitian untuk memberikan asuhan kebidanan komprehensif secara Continuity of Care (COC) pada Ny. L usia 24 tahun G1P0A0 mulai dari masa kehamilan, persalinan, bayi baru lahir, nifas hingga keluarga berencana untuk memantau kondisi ibu dan bayi serta mendeteksi dini adanya komplikasi. Metode yang digunakan adalah studi kasus (case study) dengan pendekatan Continuity of Care (COC). Asuhan dilakukan di UPT Puskesmas Penajam pada tanggal 29 Januari sampai 5 Mei 2026. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi menggunakan format asuhan kebidanan, buku KIA, dan hasil pemeriksaan penunjang. Hasil asuhan kebidanan secara Continuity of Care menunjukkan bahwa kehamilan Ny. L berlangsung fisiologis dengan keluhan ketidaknyamanan trimester III berupa kontraksi Braxton Hicks dan nyeri punggung yang dapat diatasi melalui edukasi dan penatalaksanaan sesuai kebutuhan ibu. Proses persalinan berlangsung normal tanpa komplikasi dengan penerapan asuhan persalinan sesuai standar Asuhan Persalinan Normal (APN). Bayi lahir dalam keadaan normal dengan tanda vital dan refleks baik serta dilakukan asuhan bayi baru lahir berupa menjaga kehangatan, rawat gabung, dan perawatan tali pusat. Pada masa nifas ditemukan keluhan nyeri luka perineum dan kelancaran ASI yang diatasi melalui edukasi perawatan luka, pijat oksitosin, dan konseling nutrisi. Asuhan keluarga berencana dilakukan melalui konseling pemilihan kontrasepsi pasca salin sesuai kondisi ibu. Penerapan asuhan kebidanan berkelanjutan memberikan hasil yang baik terhadap kondisi ibu dan bayi serta meningkatkan kesiapan ibu dalam menjalani masa nifas dan penggunaan kontrasepsi. Kesimpulan Penerapan asuhan kebidanan Continuity of Care (COC) pada Ny. L usia 24 tahun mulai dari kehamilan, persalinan, bayi baru lahir, nifas hingga keluarga berencana dapat dilaksanakan secara komprehensif dan berkesinambungan. Asuhan yang diberikan mampu menjaga kondisi ibu dan bayi tetap normal, mendeteksi dini komplikasi, serta meningkatkan pengetahuan dan kesiapan ibu dalam menghadapi masa persalinan, nifas, dan penggunaan kontrasepsi pasca salin.

Asuhan Kebidanan Continuity of Care pada Ny. T Umur 29 Tahun di Rumah Sakit Umum Daerah Ratu Aji Putri Botung Bunga Ayu Frepitasari; Kartika Sari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal Mortality Rate (MMR) in Indonesia is recorded as the third highest among ASEAN countries. Based on the 2020 Long Form Population Census (LFSP), Indonesia’s MMR reached 189 per 100,000 live births. The leading causes of maternal mortality in 2024 were non-obstetric complications during pregnancy with 1,352 cases, followed by hypertension during pregnancy, childbirth, and postpartum with 988 cases, and obstetric hemorrhage with 955 cases. One of the accelerated efforts to reduce MMR and improve the quality of maternal and child health services is the implementation of continuity of care. This approach aims to provide comprehensive care from pregnancy, childbirth, postpartum, newborn, and neonatal periods to family planning services. The method used in this comprehensive care was a case study involving a single unit of analysis. Based on the results of the comprehensive case study of Mrs. T, a 29-year-old woman, G2P1A0, at 33 weeks of gestation, the identified problems were frequent urination and lower back pain. Mrs. T delivered spontaneously at Ratu Aji Putri Botung Regional Hospital, and the newborn was in good condition. The postpartum period progressed normally, and Mrs. T had understood postpartum contraceptive methods. The care provided during pregnancy, childbirth, postpartum, newborn care, and family planning showed no discrepancies between theory and practice. Midwifery care provided from pregnancy until postpartum contraceptive services is essential for the early detection of possible complications, allowing them to be prevented or managed appropriately. Abstrak Angka Kematian Ibu di Indonesia tercatat tertinggi ketiga di negara - negara ASEAN. Berdasarkan Long Form Survey Penduduk (LFSP) tahun 2020 AKI di Indonesia 189 per 100.000 kelahiran Hidup. Penyebab kematian ibu terbanyak tahun 2024 adalah komplikasi non obstetrik dalam kehamilan sebanyak 1.352 kasus, diikuti oleh hipertensi dalam kehamilan, persalinan dan nifas sebanyak 988 kasus dan perdarahan obstetrik sebanyak 955 kasus Upaya percepatan untuk menurunkan AKI dan meningkatkan mutu pelayanan kesehata ibu dan anak salah satunya adalah melaksanakan asuhan atau countinuity of care. Yang bertujuan untuk memberikan asuhan secara komperhensif dari masa kehmilan, persalinan, nifas, BBL, dan neonatus. Metode yang digunakan dalam asauhan komprehensif melalui suatu kasus (case study) yang terdiri dari unit tunggal. Berdasarkan hasil studi kasus secara komprehensif pada Ny T dari kehamilan, bersalin, nifas, bayi baru lahir, dan keluarga berencana didapatkan Ny T umur 29 tahun G2P1A0 usia kehamilan 33 minggi ditemukan masalah yaitu sering buang air kecil dan nyeri pinggang. Ny T bersalin secara spontan di RSUD Ratu Aji Putri Botung dan bayi baru lahir dalam keadaan baik, masa nifas berlangsung normal dan Ny T sudah mengetahui tentang metode kontrsepsi pasca bersalin. Asuhan yang diberikan kepada ibu selama masa kehamilan, bersalin, nifasm bayi baru lahir, dan KB tidak ada kesenjangan dengan teori. Asuhan yang diberikan oleh bidan kepada ibu selama masa kehamilan hingga pelayanan kontrasepsi setelah melahirkan sangat penting yaitu sebagai deteksi dini terhadap komplikasi yang mungkin terjadi, sehingga dapat dihindari atau ditanggulangi dengan lebih baik.

Implementasi Asuhan Kebidanan Continuity of Care pada Ny. E Umur 35 Tahun G3P2A0 di Desa Sambirejo Icca Octavia Noor Hidayati; Ari Andayani
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are the main indicators of public health. To reduce this, the government and health education institutions have implemented a Continuity of Care (CoC)-based continuous care program. Through this model, the mother's health condition from pregnancy, childbirth, postpartum, to family planning services can be monitored holistically. This aims to provide comprehensive midwifery care (Continuity of Care) to Mrs. E, 35 years old, G3P2A0, in Sambirejo Village, Bringin District, Semarang Regency. This study uses a continuous midwifery case study report method. The subject of care is Mrs. E who was accompanied from 38 weeks of pregnancy to 6 weeks of postpartum and contraceptive services. The writing approach was carried out using Varney's 7-step midwifery management and documented in the form of SOAP progress notes. During prenatal care (ANC), the mother complained of back pain at 38 weeks of pregnancy which is included in the physiological discomfort of the third trimester. Laboratory results showed normal Hb levels (13.7 gr/dl). During the delivery process (INC), due to medical indications and considering the risk factor of age (35 years), the delivery process was completed through a Caesarean Section (CS) at the hospital. The baby was born healthy, male, BBL 3,200 grams, and PB 52 cm. Postpartum care (PNC) was carried out in 4 visits; the uterine involution process proceeded normally, the surgical wound was drying, and breast milk flowed smoothly. Neonatal visits (KN) showed normal baby growth with strong reflexes. During Family Planning (KB) care, after receiving counseling on various contraceptive methods, the mother decided to choose the 3-monthly injection method of contraception. The implementation of comprehensive midwifery care (COC) for Mrs. E has gone well. Although the delivery was switched to a Caesarean Section, continuous monitoring has proven effective in detecting risks early so that complications for both mother and baby can be prevented. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator utama derajat kesehatan masyarakat. Untuk menekannya, pemerintah dan institusi pendidikan kesehatan menerapkan program asuhan berkelanjutan berbasis Continuity of Care (CoC). Melalui model ini, kondisi kesehatan ibu sejak hamil, bersalin, nifas, hingga pelayanan KB dapat terpantau secara holistik. Hal ini bertujuan untuk memberikan asuhan kebidanan secara komprehensif (Continuity of Care) pada Ny. E umur 35 tahun G3P2A0 di Desa Sambirejo, Kecamatan Bringin, Kabupaten Semarang. Kajian ini menggunakan metode laporan studi kasus kebidanan berkelanjutan. Subjek asuhan adalah Ny. E yang didampingi sejak usia kehamilan 38 minggu hingga 6 minggu masa nifas dan pelayanan kontrasepsi. Pendekatan penulisan dilakukan menggunakan manajemen kebidanan 7 langkah Varney dan didokumentasikan dalam bentuk catatan perkembangan SOAP. Pada asuhan kehamilan (ANC), ibu mengeluhkan punggung pegal-pegel di usia kehamilan 38 minggu yang termasuk dalam ketidaknyamanan fisiologis trimester III. Hasil laboratorium menunjukkan kadar Hb normal (13,7 gr/dl). Pada proses persalinan (INC), atas indikasi medis dan pertimbangan faktor risiko usia (35 tahun), proses persalinan diselesaikan melalui tindakan operasi Sectio Caesarea (SC) di rumah sakit. Bayi lahir sehat, jenis kelamin laki-laki, BBL 3.200 gram, dan PB 52 cm. Asuhan masa nifas (PNC) dilakukan sebanyak 4 kali kunjungan; proses involusi uterus berjalan normal, luka bekas operasi mengering, dan ASI keluar dengan lancar. Kunjungan neonatus (KN) menunjukkan pertumbuhan bayi normal dengan refleks yang kuat. Pada asuhan Keluarga Berencana (KB), setelah mendapatkan konseling mengenai berbagai metode kontrasepsi, ibu memutuskan untuk memilih metode KB suntik 3 bulan. Pelaksanaan asuhan kebidanan secara komprehensif (CoC) pada Ny. E telah berjalan dengan baik. Meskipun persalinan mengalami pengalihan tindakan menjadi Sectio Caesarea, pemantauan yang berkesinambungan terbukti efektif mendeteksi risiko secara dini sehingga komplikasi pada ibu maupun bayi dapat dicegah.

Asuhan Kebidanan Continuity of Care (Coc) pada Ny. S Umur 33 Tahun G3P2A0 di Desa Sekatak Kabupaten Bulungan Laporan Continuity of Care (Coc) Maimunah; Heni Hirawati Pranoto
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Maternal and child health is an important indicator of health development. Anemia in pregnant women increases the risk of complications for both mother and fetus. Continuity of Care (COC) midwifery services are implemented to reduce maternal and infant mortality rates through continuous monitoring from pregnancy to family planning. To provide comprehensive midwifery care for Mrs. S, 33 years old, using the COC approach in Sekatak Village, Bulungan Regency, from 22 November 2025 to 20 April 2026. This study used a descriptive case study design, collecting data through interviews, observations, physical examinations, documentation, and supporting examinations. Care was provided continuously from pregnancy, delivery, neonate, postpartum, to family planning using the SOAP method. On 22 November 2025, at 33 weeks 6 days of gestation (third trimester), Mrs. S was diagnosed with mild anemia (Hb 10.5 g/dL), which was managed with nutritional education and iron tablets; Hb increased to 11.6 g/dL on 15 December 2025. Physiological delivery occurred on 5 March 2026 from 12:00 to 14:30 WIB, with a baby weighing 2,990 g. Neonatal monitoring was performed on 5, 8, and 19 March 2026; the baby’s growth was normal and exclusively breastfed. Postpartum care from 5 March to 19 April 2026 was physiological, with the mother adapting well and providing sufficient breast milk. On 20 May 2026, the mother chose an implant as a family planning method. COC midwifery care effectively detects problems early, provides appropriate interventions, and supports optimal maternal and child health. Consistent implementation of COC is recommended to optimize maternal and infant care and family planning. Abstrak Kesehatan ibu dan anak merupakan indikator penting pembangunan kesehatan. Anemia pada ibu hamil meningkatkan risiko komplikasi bagi ibu dan janin. Asuhan kebidanan Continuity of Care (COC) dilakukan untuk menurunkan AKI dan AKB melalui pemantauan berkesinambungan mulai kehamilan hingga keluarga berencana. Melaksanakan asuhan kebidanan komprehensif pada Ny. S, 33 tahun, dengan pendekatan COC di Desa Sekatak, Kabupaten Bulungan, periode 22 November 2025–20 April 2026. Metode: Penelitian deskriptif studi kasus dengan pengumpulan data melalui wawancara, observasi, pemeriksaan fisik, dokumentasi, dan pemeriksaan penunjang. Asuhan diberikan mulai kehamilan, persalinan, neonatus, nifas, hingga keluarga berencana menggunakan metode SOAP. Hasil: Pada 22 November 2025, kehamilan trimester III (33 minggu 6 hari) Ny. S mengalami anemia ringan (Hb 10,5 g/dL) yang ditangani melalui edukasi nutrisi dan tablet Fe; Hb meningkat menjadi 11,6 g/dL pada 15 Desember 2025. Persalinan fisiologis terjadi pada 05 Maret 2026 pukul 12.00–14.30 WIB, bayi lahir 2.990 g. Pemantauan neonatus dilakukan pada 05, 08, dan 19 Maret 2026; pertumbuhan bayi normal, menyusu ASI eksklusif. Nifas 05 Maret–19 April 2026 berlangsung fisiologis, ibu adaptif dan ASI tercukupi. Pada 20 Mei 2026, ibu memilih kontrasepsi implant. Asuhan COC efektif mendeteksi masalah dini, memberikan intervensi tepat, dan mendukung kesehatan ibu-bayi. Diharapkan COC diterapkan secara konsisten untuk optimalisasi perawatan ibu dan bayi serta perencanaan keluarga.

Efektivitas Pijat Oksitosin terhadap Kelancaran Produksi ASI pada Ibu Postpartum Hari Ke-7 : Studi Kasus Antika Priskila; Ari Andayani
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Breast milk (ASI) is the best source of nutrition for babies and plays a vital role in supporting optimal growth and development. However, insufficient breast milk production remains a common problem for postpartum mothers and can impact the success of exclusive breastfeeding. Various factors such as fatigue, stress, and lack of oxytocin hormone stimulation can lead to suboptimal breast milk production. One non-pharmacological effort that can be done to help increase breast milk production is oxytocin massage. This case study aims to determine the effectiveness of oxytocin massage on breast milk production in postpartum mothers on day 7. The method used is a descriptive case study with a continuity of care approach for one postpartum mother experiencing insufficient breast milk production. Care was provided through two visits, namely on day 7 and day 10 postpartum. The intervention provided was oxytocin massage for approximately 15–20 minutes accompanied by breastfeeding education and family support. Evaluation was carried out through observations of the smoothness of breast milk production, breastfeeding frequency, and the mother's subjective response after the intervention. Results showed that after oxytocin massage, mothers felt more relaxed and comfortable, their breasts felt fuller, milk production improved, and babies suckled more strongly and appeared calmer after feeding. Oxytocin massage helps stimulate the hormones oxytocin and prolactin, thereby increasing the milk-let-down reflex and supporting successful exclusive breastfeeding. Therefore, oxytocin massage can be an effective non-pharmacological intervention to help increase milk production in postpartum mothers. Healthcare workers are expected to provide education and teach oxytocin massage techniques to mothers and their families to support successful breastfeeding. Abstrak Air Susu Ibu (ASI) merupakan sumber nutrisi terbaik bagi bayi dan berperan penting dalam mendukung pertumbuhan serta perkembangan yang optimal. Namun, produksi ASI yang tidak lancar masih menjadi masalah yang sering dialami ibu postpartum dan dapat memengaruhi keberhasilan pemberian ASI eksklusif. Berbagai faktor seperti kelelahan, stres, dan kurangnya stimulasi hormon oksitosin dapat menyebabkan pengeluaran ASI tidak optimal. Salah satu upaya nonfarmakologis yang dapat dilakukan untuk membantu meningkatkan kelancaran produksi ASI adalah pijat oksitosin. Studi kasus ini bertujuan untuk mengetahui efektivitas penerapan pijat oksitosin terhadap kelancaran produksi ASI pada ibu postpartum hari ke-7. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan continuity of care pada satu ibu postpartum yang mengalami produksi ASI tidak lancar. Asuhan dilakukan melalui dua kali kunjungan, yaitu pada hari ke-7 dan hari ke-10 postpartum. Intervensi yang diberikan berupa pijat oksitosin selama ±15–20 menit yang disertai edukasi menyusui dan dukungan keluarga. Evaluasi dilakukan melalui observasi terhadap kelancaran pengeluaran ASI, frekuensi menyusui, serta respons subjektif ibu setelah intervensi. Hasil menunjukkan bahwa setelah dilakukan pijat oksitosin, ibu merasa lebih rileks dan nyaman, payudara terasa lebih penuh, produksi ASI menjadi lebih lancar, serta bayi menyusu lebih kuat dan tampak lebih tenang setelah menyusu. Pijat oksitosin membantu merangsang hormon oksitosin dan prolaktin sehingga meningkatkan refleks pengeluaran ASI dan mendukung keberhasilan pemberian ASI eksklusif. Dengan demikian, pijat oksitosin dapat dijadikan salah satu intervensi nonfarmakologis yang efektif untuk membantu meningkatkan kelancaran produksi ASI pada ibu postpartum. Tenaga kesehatan diharapkan dapat memberikan edukasi dan mengajarkan teknik pijat oksitosin kepada ibu maupun keluarga sebagai upaya mendukung keberhasilan menyusui.

Asuhan Kebidanan Berkelanjutan Continuity of Care (Coc) pada Ny. I Umur 24 Tahun G2P1A0 di Puskesmas Sumowono Pinky Aprilia Dewi; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 5 No. 1 (2026): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Continuity of Care (COC) is a continuous midwifery care approach from pregnancy, childbirth, postpartum, newborn care, to family planning. This case study aims to provide comprehensive midwifery care for Mrs. I, 24 years old, at Sumowono Health Center using Varney’s management approach and SOAP documentation. The results showed that pregnancy progressed physiologically, childbirth was normal, the postpartum period was without complications, the newborn was healthy with good adaptation, and the mother chose an implant contraceptive method according to her condition. In conclusion, COC is effective in early problem detection, supporting maternal and newborn health, and improving the quality of midwifery services. Abstrak Continuity of Care (COC) merupakan asuhan kebidanan berkesinambungan dari kehamilan, persalinan, nifas, bayi baru lahir hingga KB. Studi kasus ini bertujuan memberikan asuhan kebidanan komprehensif pada Ny. I usia 24 tahun G2P1A0 di Puskesmas Sumowono. Selama masa kehamilan, ibu mengalami ketidaknyamanan berupa nyeri punggung pada trimester III yang ditangani melalui pendidikan kesehatan mengenai postur tubuh yang benar, istirahat yang cukup, kompres hangat, serta anjuran melakukan aktivitas fisik ringan. Proses persalinan berlangsung normal tanpa komplikasi. Masa nifas berlangsung fisiologis dengan involusi uterus yang baik, bayi baru lahir dalam kondisi sehat dengan adaptasi yang baik, serta ibu memilih menggunakan kontrasepsi implan sesuai kondisi dan kebutuhannya. Kesimpulannya, penerapan COC efektif dalam mendeteksi dini masalah pada ibu, memberikan asuhan sesuai kebutuhan klien, mendukung kesehatan ibu dan bayi, serta meningkatkan kualitas pelayanan kebidanan.

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Ida Sofiyanti

Contact Email
ekonurhermansyah@unw.ac.id

Phone
+6287747996725

Journal Mail Official
library@unw.ac.id

Editorial Address
Jl. Diponegoro no 186 Gedanganak, Ungaran Timur, Kabupaten Semarang

Location
Kab. semarang,

Jawa tengah

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ida Sofiyanti

Contact Email ekonurhermansyah@unw.ac.id

Phone +6287747996725

Journal Mail Official library@unw.ac.id

Editorial Address Jl. Diponegoro no 186 Gedanganak, Ungaran Timur, Kabupaten Semarang

Location Kab. semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ida Sofiyanti

Contact Email
ekonurhermansyah@unw.ac.id

Phone
+6287747996725

Journal Mail Official
library@unw.ac.id

Editorial Address
Jl. Diponegoro no 186 Gedanganak, Ungaran Timur, Kabupaten Semarang

Location
Kab. semarang,

Jawa tengah

INDONESIA