SUSTAINABLE MIDWIFERY CARE (Continuity Of Care) IN NY. I WITH II DEGREE PERENNIUM RUPTURE AT THE ROSLENA CLINIC, MEDAN CITY YEAR 2024

Abstract

Midwifery care management is a problem solving process starting from improvement, formulation, midwifery diagnosis, implementation planning, evaluation, recording, midwifery care or includes 6 steps in Continuity Of Care (COC) midwifery management where integrated services are provided to mothers and children namely starting from pregnancy, childbirth, postpartum, BBL and family planning.  Care is carried out to monitor the development of the condition of the mother and baby. This care is usually called continuous care, because it is carried out in stages, and this care is provided by the community through outpatient care, hospitals, clinics, health centers and other health facilities.

Vaginal tears during childbirth are also called lacerations or perenium tears, which occur when the baby's head enters through the vaginal opening at a size that is too large so that the vagina cannot stretch and can also occur when the baby's head is of normal size but the vagina does not stretch easily. Tears can range from just affecting the skin around the vagina to affecting the anal sphincter (Emi Kusumawardani, et al 2024)