ASUHAN KEBIDANAN CONTINUITY OF CARE (COC) PADA NY. “H” DI WILAYAH KERJA PUSKESMAS ARJASA KABUPATEN JEMBER TAHUN 2025

Midwifery care includes maternal and child health, covering pregnancy,
childbirth, postpartum, neonates, and family planning. This case study aims to
provide midwifery care through continuity of care using the midwifery
management approach. The case report involves a third trimester pregnant
woman, delivery, postpartum, neonatal, and family planning care at the private
midwifery practice of Siti Khasanah, using step SOAP method, which includes
Subjective, Objective, Assessment, and Planning. Midwifery care was provided to
Mrs. H, G2P0A1, 22 years old, starting from 38 weeks of gestation, through
delivery, postpartum, newborn care, and family planning, from Februari 24,
2025, to June 16, 2025. The mother was categorized as high-risk pregnancy
(HRP). The second stage of labor lasted 45 minutes, spontaneous delivery at term,
with strong crying, active movements, assisted by a midwife, male baby, birth
weight: 3270 grams, length: 52 cm, early initiation of breastfeeding (EIBF) for 1
hour. The placenta was delivered spontaneously, and the postpartum period was
normal. The mother chose the 3 month injectable contraceptive. The case report
results showed that midwifery care from pregnancy to family planning had no
complications. The mother was able to care for herself and her baby. Her
knowledge improved, starting with maintaining her health during pregnancy by
ensuring adequate rest, as she experienced sleep difficulties in the third trimester.
She also learned how to increase breast milk production and choose the most
suitable contraceptive method. Thus, the problems she experienced were resolved
without complications. After continuous care and intervention, it can be
concluded that Mrs. H’s pregnancy was high-risk with a KSPR score of 10
(yellow category). The care for pregnancy, childbirth, postpartum, newborn, and
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family planning proceeded normally. It is expected that after receiving the care,
Mrs. H will be able to independently apply the care to herself and her baby.