Continuity of Care sebagai Strategi Pendampingan Ibu dan Bayi: Studi Kasus Asuhan Kebidanan

Abstract

Continuity of midwifery care is essential to monitor maternal and neonatal conditions comprehensively from pregnancy, childbirth, newborn care, postpartum care, to contraceptive decision-making. This case study aimed to describe the implementation of continuity of midwifery care for Mrs. D, a 26-year-old primigravida, from the third trimester of pregnancy to family planning services at Shanty Clinic, Medan. This study used a descriptive case study design based on Varney’s seven-step midwifery management and SOAP documentation. Data were collected through history taking, observation, physical examination, labor monitoring, and documentation review. The findings showed that pregnancy progressed physiologically with minor complaints, including frequent urination and fatigue. Labor occurred spontaneously; a male newborn was delivered with a birth weight of 3,250 grams and a length of 48 cm, with good general condition and early breastfeeding initiation. Postpartum care was conducted through repeated visits; fatigue and breast discomfort improved after counseling on breastfeeding techniques, nutrition, rest, and postpartum exercise. The newborn showed no danger signs during neonatal follow-up. At the end of the postpartum period, the mother chose the Lactational Amenorrhea Method after receiving counseling. Continuity of care supported early detection, health education, and comprehensive monitoring of the mother and newborn.