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ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY. E
UMUR 25 TAHUN DI TPMB LIA NURMALA KOTA JAMBI

Faridotul Umami
ABSTRAK

Persalinan yang akan dilalui oleh ibu memberikan dampak seperti rasa nyeri,
lelah, rasa ingin BAK atau BAB karena terjadinya penekanan bagian terbawah
janin untuk melewati jalan lahir. Selama proses bersalin berlangsung, terdapat 4
tahap yakni kala 1, kala 2, kala 3 dan kala 4. Lamanya proses hingga lahirnya bayi
berbeda bagi setiap ibu dengan riwayat kesehatan sebelumnya. Proses penurunan
kepala janin selama kala 1 persalinan dapat berlangsung selama beberapa jam
hingga berhari-hari. Dimana kontraksi yang dialami ibu menjadi salah satu faktor
lamanya persalinan berlangsung. Asuhan kebidanan yang diberikan kepada Ny. E
di TPMB Lia Nurmala, S.Tr.Keb mulai tanggal 25 Oktober 2026 sampai 11
Februari 2026. Metode asuhan kebidanan pada laporan karya ilmiah akhir ini
menggunakan 7 langkah varney dan SOAP dari usia kehamilan 28-29 minggu
sampai pemilihan KB MAL dengan asuhan kebidanan komplementer terapi pijat
oksitosin pada ibu bersalin. Berdasarkan hasil anamnesa dan pemeriksaan fisik
selama kehamilan Ny. E tidak ada masalah. Pada saat persalinan, diberikan terapi
pijat oksitosin guna merangsang kontraksi persalinan. Lahir ditolong oleh bidan
secara APN, bayi lahir spontan dengan jenis kelamin laki laki BB 3.300 gram, PB
49 cm, LK 35 cm. Bayi dalam keadaan sehat. Masa nifas Ny. E tidak ada
komplikasi serta ASI berjalan dengan lancar. Evaluasi yang didapatkan selama
persalinan, ibu merasakan kontraksi uterus meningkat lebih kuat dan teratur serta
pembukaan serviks meningkat.

CONTINUITY OF CARE MIDWIFERY MANAGEMENT FOR MRS. E
25 YEARS OLD AT TPMB LIA NURMALA, JAMBI CITY

Faridotul Umami
ABSTRACT

The labor process experienced by mothers has impacts such as pain, fatigue, and
the urge to urinate or defecate due to pressure from the presenting part of the fetus
as it passes through the birth canal. During labor, there are four stages: the first
stage, second stage, third stage, and fourth stage. The duration of labor until the
birth of the baby varies for each mother depending on her previous health history.
The descent of the fetal head during the first stage of labor may take several hours
to days. The contractions experienced by the mother are one of the factors
influencing the length of labor. Midwifery care was provided to Mrs. E at TPMB
Lia Nurmala, S.Tr.Keb in Jambi City from October 25, 2026 to February 11, 2026.
The midwifery care method used in this final scientific report applied Varneys 7-
step management and SOAP documentation from 2829 weeks of gestation until
the selection of the Lactational Amenorrhea Method (LAM) for contraception,
including complementary midwifery care in the form of oxytocin massage therapy
during labor. Based on the results of history taking and physical examinations
throughout pregnancy, Mrs. E had no complications. During labor, oxytocin
massage therapy was administered to stimulate uterine contractions. The delivery
was assisted by a midwife using Normal Delivery Care (APN). The baby was
born spontaneously, male, with a birth weight of 3,300 grams, birth length of 49
cm, and head circumference of 35 cm. The baby was in good health. During the
postpartum period, Mrs. E experienced no complications and breastfeeding
proceeded smoothly. Evaluation during labor showed that the mother experienced
stronger and more regular uterine contractions, along with progressive cervical
dilation.