CONTINUITY OF CARE IN NIAS C WITH A SECOND-DEGREE PERINEAL RUPTUR AT THE VINA PRATAMA CLINIC, MEDAN CITY

Abstract

The improvement of maternal and child health remains a primary indicator of a nation's health development success, particularly in alignment with the Sustainable Development Goals (SDGs) to reduce the Maternal Mortality Rate (MMR). Perineal rupture, a common tear during childbirth, can lead to severe complications such as hemorrhage, infection, and hematoma if left untreated. This study aims to provide comprehensive midwifery care through a Continuity of Care (COC) approach for Mrs. C at the Vina Pratama Clinic, Medan City, in 2025. The research method utilized primary data collection through direct interviews and clinical assessments, tracking the patient from the third trimester of pregnancy through delivery, the postpartum period, and family planning. During the second stage of labor, the patient delivered a male baby spontaneously weighing 3800 grams with an Apgar score of 10. This resulted in a second-degree perineal rupture affecting the vaginal mucosa, posterior commissure, perineal skin, and muscles. Clinical management included hemostatic compression to expedite wound healing and the provision of education on antiseptic protocols and the Lactational Amenorrhea Method (LAM) for family planning. The study concludes that the COC model ensures a stable relationship between the midwife and patient, which is vital for monitoring recovery, preventing infection, and reducing the risk of maternal morbidity.