CONTINUOUS MIDWIFERY CARE FOR PREGNANT WOMEN NY D WITH GRADE I BIRTH CANAL LACERATION AT RONI MIDWIFE INDEPENDENT PRACTICE BARUS SUB-DISTRICT PERCUT SEI TUAN REGENCY DELI SERDANG YEAR 2024

Abstract

The process of pregnancy, postpartum labor, newborn, and contraceptive services is a natural or physiological process. In this process, there are also several conditions that can endanger or threaten life and can result in death. Therefore, health workers or midwives play an important role in this matter, both in health services to the safety of mothers and their babies. The purpose of this study was to perform continuous midwifery care on Mrs. D with grade I birth canal laceration at the Independent Practice of Midwife Roni Barus Kec. Percut Sei Tuan Kab. Deli Serdang using descriptive research methods. The results of the study starting from pregnancy (ANC) were carried out 4 times starting from the gestational age of 30 weeks to the gestational age of 39 weeks 2 days, in this process no pathological problems were found, in the process of labor from stage I to stage III all went smoothly, until at the stage of labor precisely in stage IV there was a grade I birth canal laceration, where the perineal tear started from the vaginal mucosa to the perineal skin. So that it is emphasized on continuous midwifery care for Mrs. D with grade I birth canal laceration to perform suturing performed with mattress technique, treatment of perineal wounds, It is expected that health workers will provide education about maintaining personal hygiene, especially in the perineal wound area where these actions aim to reduce the discomfort felt by the mother due to perineal wounds, prevent infection, and accelerate the wound healing process. by using the Helen Varney seven-step approach method. It is expected that health workers can conduct health education and also appropriate care in cases of birth canal laceration according to SOPs and patient needs.