CONTINUITY OF CARE FOR MIDWIFERY FOR SECON-DEGREE LACERACY OF THE BRITH WAY IN NY. N THE FRISKAH NOVITA PRIMARY  CLINIC MEDAN LABUHAN DISTRICT MEDAN CITY  NORTH SUMATRA IN 2025

Mastari Br Juntak; Rosmani  Sinaga; Siska Suci Triana  Ginting; Muhammad Riezky  Anindhitya; Safriani Loi  Anindhitya; Yuni  Silitonga; Esra  Wati

Authors

Mastari Br Juntak Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rosmani Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siska Suci Triana Ginting Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Muhammad Riezky Anindhitya Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Safriani Loi Anindhitya Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Yuni Silitonga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Esra Wati Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Second Degree Laceration of the Birth Canal, Childbirth, Perineal Massage

Abstract

Perineal rupture is a perineal tear that occurs when a baby is born either spontaneously or with the use of tools or actions. Perineal tears generally occur in the midline and can be extensive if the fetal head is born too quickly. Perineal tears occur in almost all primiparas and are not uncommon in subsequent deliveries. Perineal factors are influenced by several factors, namely maternal factors, fetal factors and assisting factors.(Nainggolan.et.2020) Determining continuous midwifery care (Continuity Of Care) for Mrs. N with a second-degree birth canal at the Friskah Novita Pratam Clinic, Medan Labuhan District, North Sumatra in 2025. This research design uses a descriptive method, especially through a case study approach, conducting research by observing and caring for a 35-year-old woman during pregnancy, childbirth, and postpartum, as well as during family planning. (Nilan Sari et al. 2025) During Mrs. N's pregnancy. N, 24 years old, G1P0A0, with a gestational age of 28 weeks and 3 days based on HPHT April 11, 2024 days or 40 weeks from the first day of the last menstruation. Continuous care Contuinity Of Care used as a final assignment report for midwifery students is very helpful in understanding the process of pregnancy, childbirth, postpartum, newborns and family planning, especially for Mrs. N during the third trimester of pregnancy which began on October 27, 2024 until February 16, 2025 and the author conducted Contuinity Of Care guidance with the aim of successful Contuinity Of Care care.

References

Marjuang Purba E, Mitra S, Medan H. Faktor-Faktor Yang Berhubungan Dengan Terjadinya Rupture Perineum Pada Ibu Bersalin Di Klinik Bersalin Bertuah Kota Medan Tahun 2022.

Nilan Sari, Nur Azizah, Lidya Natalia Sinuhaji, Rosmani Sinaga, Junida Laia. Pengaruh Terapi Akupresure Terhadap Hyperemesis Gravidarum Pada Ibu Hamil Trimester I Di Puskesmas Kuala Bangka Kab. Labuhan Baru Utara Tahun 2022. Naj : Nursing Applied Journal. 2025 Apr 30;3(2):197–203.

Munthe J, Kristin O, Pane C, Mitra Husada Medan Stik, Et Al. Science Midwifery Relationship Of Husband Support, Culture, And Sexual Comfort With Mother’s Interest In Using Iud At Tanah Alas District Public Health Southeast Aceh [Internet]. Vol. 10, Science Midwifery. Online; 2022. Available From: Www.Midwifery.Iocspublisher.Orgjournalhomepage:Www.Midwifery.Iocspublisher.Org

Rinayanti Manurung H, Sinaga R, Batubara Z, Poddar R. Malaysian Journal Of Medicine And Health Sciences (Eissn 2636-9346) Education Study Porgram Of Professional Program Midwife. Vol. 17, Mal J Med Health Sci. 2021.

Kehamilan F, Bayi D, Lahir B. Buku Ajar. Fisiologis Persalinan (2020)

Azizah N, Adethia K, Damanik Lp, Sinaga R, Pitaloka D. The Relationship Behavior Of Pregnant Women To The Utilization Of Triple Elimination Examination In Puskesmas Kuala Bangka Kab. Labuhan Batu Utara. Vol. 2, Int. J. Midwifery Res Azizah Et Al. 2022.

Dioso R. The Implementation Of Midwifery Competency Standards In Applying Behaviour Of Normal Childbirth Care (Apn) On Bidan Praktik Mandiri Pera. Enferm Clin. 2020 Jun 1;30:96–8.

perawatan Ibu Dan Bayi Untuk. Lingkar Edukasi Indonesia [Internet]. Available From: Www.Lingkaredukasiindonesia.Com

Fitriyani D, Arifah Diii Kebidanan S, Ilmu Kesehatan F, Yogyakarta A. Asuhan Kebidanan Pada Ibu Hamil Trimester Ii Dengan Kehamilan Normal. Vol. 2. Defri Pradana Dkk; 2024.

Sitanggang T, Dalimunthe T, Marjuang Purba E, Nurmawan Sinaga S, Purnama Sari E, Et Al. Factors Associated With Compliance Of Pregnant Women In Consuming Fe Tablets In The Working Area Of The Pardamean Health Center, Pematang Siantar City In 2022. Jurnal Eduhealth [Internet]. 2022;13(02):2022. Available From: Http://Ejournal.Seaninstitute.Or.Id/Index.Php/Healt

Aliyah Il, Insani U. Pengaruh Penerapan Vulva Hygiene Terhadap Risiko Infeksi Luka Episiotomi Pada Ibu Post Partum Di Ruang Mawar Rsud Kardinah Kota Tegal. Asjn (Aisyiyah Surakarta Journal Of Nursing). 2023 Dec 31;4(2):46–54.

Damanik L, Sembiring A, Mitra Husada Medan Stik. Hubungan Karakteristik Ibu Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Sei Bejangkar Kabupaten Batubara Tahun 2020.

Susanti Pasaribu R, Kartika Tarigan C, Kebidanan Program Diploma Tiga Kebidanan Stikes Mitra Husada Medan P, Kebidanan Program Sarjana Kebidanan Stikes Mitra Husada Medan P, Tinggi Ilmu Kesehatan Mitra Husada Medan S. Pengaruh Kompres Hangat Dan Massage Punggung Terhadap Pengurangan Rasa Nyeri Persalinan Kala Ii Di Praktek Bidan Mandiri Bidan (Pmb) Deby Kecamatan Medan Ampls Kota Medan.

Cristie Ly, George Tn, Sonny Kjr. Hubungan Tinggi Badan Dengan Ukuran Lebar Panggul Pada Mahasiswi Angkatan 2010 Fakultas Kedokteran. E-Biomedik (Ebm) [Internet]. 2013;1:178–83. Available From: Https://Media.Neliti.Com/Media/Publications/60593-Id-Hubungan-Tinggi-Badan-Dengan-Ukuran-Leba.Pdf