CONTINUITY OF MIDWIFERY CARE FOR MRS. F EXPERIENCING UMBILICAL CORD ENTANGLEMENT AT MANDREHE HEALTH CENTER, MANDREHE DISTRICT,  WEST NIAS REGENCY, IN 2025

Wendi Idol Sryningsih Gulo; Siti Nurmawan Sinaga; Rumondang; Ria Lolyta; Mei Elizabeth Simatupang; Rosalina Simbolon; Nika Aklima

Authors

Wendi Idol Sryningsih Gulo STIKes Mitra Husada Medan
Siti Nurmawan Sinaga STIKes Mitra Husada Medan
Rumondang STIKes Mitra Husada Medan
Ria Lolyta STIKes Mitra Husada Medan
Mei Elizabeth Simatupang STIKes Mitra Husada Medan
Rosalina Simbolon STIKes Mitra Husada Medan
Nika Aklima STIKes Mitra Husada Medan

Keywords:

Comprehensive Care, Umbilical Cord Entanglement, Childbirth, Continuity of Care

Abstract

Background: Comprehensive midwifery care is a strategic effort to reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in line with the Sustainable Development Goals (SDGs). Umbilical cord entanglement is a labor complication that can cause asphyxia or even fetal death if not managed correctly. Objective: To provide comprehensive continuity of care to Mrs. F from the third trimester of pregnancy, childbirth with umbilical cord entanglement, postpartum, newborn care, to family planning services. Methods: A descriptive case study using Varney’s 7-step midwifery management and SOAP documentation. The subject was Mrs. F (26 years old, G3P2A0) at Mandrehe Health Center, West Nias Regency. Results: During pregnancy, physiological complaints of frequent urination were managed through fluid intake education. During the second stage of labor, a single loop of umbilical cord entanglement was found around the baby's neck and successfully managed by loosening the cord. The baby was born spontaneously, healthy, male, weighing 3,500 grams, length 51 cm, with an APGAR score of 10. The postpartum period was normal across four visits, the newborn received complete basic immunizations, and the mother chose the Lactational Amenorrhea Method (LAM) for contraception. Conclusion: The implementation of comprehensive care proved effective in early detection and management of umbilical cord entanglement complications, ensuring the safety of both mother and baby.

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