CONTINUITY OF CARE WITH THE BREAST MILK DAM ON NY. W INDEPENDENT PRACTICE MIDWIFE PERA TUNTUNGAN SUB-DISTRICT MEDAN CITY NORTH SUMATRA PROVINCE YEAR 2025

Abstract

Continuous health development is essential to improving public health and achieving the Sustainable Development Goals (SDGs) by 2030. The national target aims to reduce the Maternal Mortality Rate (MMR) to 70 per 100,000 live births and the Infant Mortality Rate (IMR) to 12 per 1,000 live births. This study employed a descriptive observational method with a comprehensive midwifery care approach, specifically Continuity of Care (CoC), for Mrs. W. The management followed Varney’s seven-step process and utilized SOAP documentation to systematically track pregnancy, labor, postpartum, newborn, and family planning stages. Midwifery management was successfully implemented across the continuum of care. The results showed that physiological processes were maintained, and theoretical gaps were identified and addressed through clinical practice. The continuity of care provided to Mrs. W was conducted in accordance with midwifery service standards. During pregnancy, the patient remained compliant and complication-free. Labor proceeded normally, and postpartum issues, such as breast milk engorgement, were effectively resolved through breast care and education. Newborn care followed physiological norms, and the patient opted for the Lactational Amenorrhea Method (MAL) for family planning after receiving adequate counseling. Overall, the midwifery care met professional standards, showing no significant gaps between theory and practice, thereby supporting the reduction of maternal and infant risks.