CONTINUOUS OBSTETRIC CARE (CONTINUITY OF CARE) IN NY A WITH GRADE 1 BIRTH ROAD LACERATION AT THE PRATAMA NIRMALA CLINIC, MEDAN PERJUANGAN DISTRICT  YEAR 2025

Yuli Hermeliza; Srilina Br Pinem; Nirmala Sapni; Rita Zahara; Yen Petra Kuntari Situmeang; Fitriani; Maulida Reka

Authors

Yuli Hermeliza Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Srilina Br Pinem Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nirmala Sapni Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rita Zahara Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Yen Petra Kuntari Situmeang Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Fitriani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Maulida Reka Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Continuity of Care, Maternal Mortality Rate (MMR), First-Degree Perineal Laceration

Abstract

Background: Maternal and Child Health (MCH) is a priority health issue in Indonesia, with the Sustainable Development Goals (SDGs) aiming to reduce maternal mortality to 70 per 100,000 live births by 2030. A common complication contributing to maternal morbidity is perineal laceration, which affects a significant number of women during childbirth due to factors such as fetal weight and incorrect pushing techniques. Objective: This study aims to provide comprehensive Continuity of Care (CoC) for Mrs. A, a 34-year-old G3P2A1, managing a first-degree birth canal laceration at the Pratama Nirmala Clinic in 2025. Methods: This research utilizes a descriptive case study Design using Helen Varney’s seven-step approach and SOAP documentation. Results: Mrs. A gave birth to a baby weighing 3,410 grams and experienced a first-degree laceration involving the vaginal mucosa and perineal skin. Continuity of care was provided through pregnancy, labor, and four postpartum visits, during which the mother opted for the Lactational Amenorrhea Method (MAL) for contraception. Conclusion: The application of Continuity of Care ensures holistic monitoring of the mother’s recovery and the newborn’s health, effectively managing complications such as first-degree lacerations to prevent further infection and promote optimal healing.

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