Search Repository Universitas Baiturrahim

ABSTRAK Kehamilan, persalinan, bayi baru lahir, nifas dan keluarga berencana merupakan rangkaian proses fisiologis yang saling berkaitan dan memerlukan pelayanan yang berkesinambungan. Asuhan kebidanan Continuity of Care (CoC) merupakan pelayanan menyeluruh yang diberikan sejak masa kehamilan hingga pelayanan KB untuk meningkatkan kualitas kesehatan ibu dan bayi serta mendukung penurunan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Berdasarkan data World Health Organization (2020), AKI dan AKB masih menjadi masalah kesehatan sehingga diperlukan pelayanan komprehensif dan terintegrasi oleh tenaga kesehatan. Tujuan penulisan karya ilmiah akhir profesi ini adalah memberikan asuhan kebidanan secara Continuity of Care pada Ny. Y umur 24 tahun G1P0A0AH0 usia kehamilan 40 minggu di PMB Raja Yuni, mulai dari trimester III, persalinan, bayi baru lahir, nifas hingga keluarga berencana, serta penerapan terapi komplementer birth ball pada persalinan kala I. Metode yang digunakan adalah studi kasus dengan pendekatan manajemen kebidanan dan pendokumentasian SOAP. Hasil asuhan menunjukkan bahwa kehamilan berlangsung fisiologis, persalinan berjalan normal dengan dukungan terapi birth ball untuk membantu kenyamanan ibu, bayi lahir spontan dalam keadaan sehat, masa nifas berjalan normal, serta ibu memilih metode kontrasepsi sesuai kebutuhan. Kesimpulan dari laporan ini adalah asuhan kebidanan secara Continuity of Care yang dilakukan secara komprehensif mampu meningkatkan kualitas pelayanan dan mendukung kesehatan ibu dan bayi secara optimal. Kata Kunci: Continuity of Care, Birth Ball, Persalinan Kala I, Asuhan Kebidanan, Ibu Bersalin. xvi

ABSTRACT Pregnancy, childbirth, newborn care, postpartum care, and family planning are interconnected physiological processes that require continuous and comprehensive healthcare services. Continuity of Care (CoC) in midwifery refers to comprehensive care provided from pregnancy through family planning services to improve maternal and neonatal health outcomes while supporting the reduction of the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). According to the World Health Organization (2020), MMR and IMR remain major global health challenges, highlighting the need for integrated and comprehensive care delivered by healthcare professionals.The purpose of this final professional scientific paper was to provide Continuity of Care midwifery services for Mrs. Y, a 24-year-old primigravida (G1P0A0AH0) at 40 weeks of gestation at PMB Raja Yuni, covering the third trimester of pregnancy, childbirth, newborn care, postpartum care, and family planning, including the implementation of complementary birth ball therapy during the first stage of labor. This study employed a case study method using the midwifery management approach with SOAP documentation. The results showed that the pregnancy progressed physiologically, labor was completed normally with the support of birth ball therapy to enhance maternal comfort, the baby was delivered spontaneously in good health, the postpartum period was uneventful, and the mother selected a contraceptive method according to her needs. In conclusion, comprehensive Continuity of Care midwifery services can improve the quality of maternal healthcare and support optimal maternal and neonatal health outcomes. Keywords: Birth Ball, Continuity of Care, First Stage of Labor, Midwifery Care, Laboring Mother. xvii