CONTINUITY OF CARE MANAGEMENT IN NY. R WITH RUPTURE OF THE PERINEUM DEGREE I AT PMB MIDWIFE WANTI MEDAN CITY
Keywords:
Continuity of Care, Rupture of the Perineum, Postpartum PeriodAbstract
Rupture of the perineum is a common complication in childbirth that can increase the risk of infection and postpartum maternal morbidity. Rupture of the perineum occurs due to maternal factors (parity, birth distance, and infant weight), improper delivery and past labor history. Rupture of the perineum has its own impact on the mother which is one of the causes of complications during the postpartum period until death. This study aims to describe the continuity of care (COC) in Mrs. R who experienced a perineal rupture of the first degree at PMB Midwife Wanti, Medan Deli District. A healthy Indonesia is one of the targets for social transformation for the 2045 golden program, which is Indonesia's goal to become a developed, sovereign, and sustainable country by 2045, improving quality. There are 60% of cases of mothers giving birth experiencing perineal tears which result in bleeding and infectionsafter childbirth, while in Indonesia out of 26 million mothers giving birth, 40% of mothers experience rupture perineumThe research was conducted through a case study approach with service stages that include pregnancy, childbirth, postpartum period, newborn (BBL), and family planning (KB). This type of research is qualitative descriptive through a case study approach. The subject of the study was Mrs. R, a primigravida mother who underwent care from pregnancy to birth control at PMB Wanti. Data was collected through interviews, observations, physical examinations, and SOAP documentation. The intervention was structured based on Varney's seven-step midwifery care management. The results show that the systematic implementation of COC care can improve the quality of services and accelerate the recovery of postpartum mothers. Evidence-based interventions such as personal hygiene, nutrition education, and psychological support have been shown to be effective in supporting the healing of perineal wounds and maternal readiness during postpartum and breastfeeding.
References
Andriani, R. (2024). Hubungan Pengetahuan Ibu Nifas Tentang Perawatan Luka Post Sc Dengan Kejadian Infeksi Luka Sc Di Desa Multatuli Kec Natal Kab Mandailing Natal Tahun 2023 Rizky Andriani Isyos Sari Sembiring Ernawati Napitupulu Titin Suherni Elnia Sc , Dimana Sekitar 90 %. 2(1).
Azizah, N., Sari Sembiring, I., Sembiring, M., Asnika, A., Emmaria Sinaga, R., & Purnamasari, D. (2021). Peningkatan Kualitas Kesehatan Ibu Dan Anak Melalui Pemanfaatan Buku Kia (Kesehatan Ibu Dan Anak) Untuk Pencegahan Stunting. Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat Dan Corporate Social Responsibility (Pkm-Csr), 4. Https://Doi.Org/10.37695/Pkmcsr.V4i0.1347
Bintangdari Johan, R., Indah Noviyanti, N., Ilmu Kesehatan, F., Borneo Tarakan, U., Utara, K., & History, A. (2023). Daun Sirih Merah Sebagai Perawatan Tradisional Dalam Penyembuhan Luka Perineum Red Betel Leaves As Traditional Care In Perineal Wound Healing. Jurnal Kesehatan Delima Pelamonia35, 7(1), 43. Https://Ojs.Iikpelamonia.Ac.Id/Index.Php
Damanik, L. P., Sembiring, I. S., Sinaga, K., Magdalena, M., & Falina, I. (2021). Perawatan Teknik Akupunktur Untuk Percepatan Penyembuhan Luka Post Partum Post Sectio Cesarea. Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat Dan Corporate Social Responsibility (Pkm-Csr), 4, 436–439. Https://Doi.Org/10.37695/Pkmcsr.V4i0.1210
Hubungan Pengetahuan Ibu Nifas Tentang Perawatan Luka Post Sc Dengan Kejadian Infeksi Luka Sc Di Desa Multatuli Kec Natal Kab Mandailing Natal Tahun 2023. (N.D.).
Munthe, Juliana. (2022). Buku Ajar Asuhan Kebidanan Berkesinambungan (Continuity Of Care) Edisi 2. 298.
Muriasih, R., & Julianti, R. (2025). Jurnal Sains , Teknologi Dan Kesehatan Rsud Cut Nyak Dhien Meulaboh Kabupaten Aceh Barat. 2(4), 722–731.
Pratiwi, I. G. D., & Amanah, Y. (2022). Penyembuhan Luka Ruptur Perineum Spontan Pada Ibu Nifas. Jurnal Keperawatan Profesional (Kepo), 3(1), 103–107. Https://Doi.Org/10.36590/Kepo.V3i1.346
Profil-Kesehatan-Ibu-Dan-Anak-2024. (N.D.).
Profil Kesehatan, D., & Medan, K. (2025). Profil Kesehatan 2024.
Profil Kesehatan Indonesia 2024_250916_075046 (1). (N.D.).
Ribur Sinaga, Fitri Handayani, Nopalina Suyanti Damanik, Rumondang Sitorus, Nur Azizah, & Kamelia Sinaga. (2024). Pengaruh Terapi Birthball Terhadap Kemajuan Persalinan Kala I Pada Ibu Bersalin Di Pustu Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024. Jurnal Sains Dan Kesehatan, 8(1), 91–101. Https://Doi.Org/10.57214/Jusika.V8i1.549
Simbolon, Y., Sinaga, R., & Yudiyanto, A. R. (2024). Sustainable Midwife Care Management (Continuity Of Care) At Ny. N With Grade Ii Perineum Rupture At Pmb Azri Yani Kec. Deli Tua Kab. Deli Serdang Field City In 2024: Sustainable Midwife Care Management (Continuity Of Care) At Ny. N With Grade Ii Perineum . Mitra Husada Health Internasional Conference (Mihhico), 4(1), 498–504.
Sinaga, R., Sinaga, K., & Damanik, N. S. (2022). Hubungan Status Gizi Ibu Nifas Dengan Penyembuhan Luka Perineum. Indonesian Health Issue, 1(1), 69–75. Https://Doi.Org/10.47134/Inhis.V1i1.13
Valentin, I., Sari Sembiring, I., Astuti, A., Indrayani, N., & Novita Sari, S. (2023). Jurnal Medika Husada.
WHO. (2020). The World Health Organization (Who) Approach To Healthy Ageing. Maturitas, 139. Https://Doi.Org/10.1016/J.Maturitas.2020.05.018
Yuliana Mendrofa. (2024). E With Rupture Perineum Degree I At Pratama Clinic.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Marselina, Ribur Sinaga, Ingka Pangaribuan, Veronika Manalu, Reni Elisabet Sihotang, Eflora Kariana Br Sembiring, Sri Muliana Putri Bakara
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
