CONTINUITY OF CARE FOR MRS. E WITH SHOULDER DYSTOCIA AT THE MOTHER NIETA CLINIC, HAMPARAN PERAK DISTRICT, DELI SERDANG REGENCY, NORTH OF SUMATERA 2025

Lisnawati Laia; Marliani; Ika Damayanti Sipayung; Irene Simangunsong; Feby Natalia Sianipar; Origa Nasha; Ayu Nanda

Authors

Lisnawati Laia Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Marliani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Ika Damayanti Sipayung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Irene Simangunsong Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Feby Natalia Sianipar Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Origa Nasha Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Ayu Nanda Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Continuity of Care (CoC), Shoulder Dystocia, At The Mother

Abstract

Improving maternal and child health, reproductive health is a national strategy for health Development. Development targets for 2030 include improving public health to increase life expectancy, reduce maternal and child mortality, and improve nutrition for toddlers. Mortality rate, maternal mortality (MMR) worldwide, according to the World Health Organization ( WHO), in 2021, there were 395,000 deaths per 100,000 live births (WHO, 2021). ASEAN reports a maternal mortality rate of 253 per 100,000 live births (ASEAN Secretariat, 2021). Indonesia's maternal mortality rate in the same year was as many as 7,389 cases, different from the year previously, which experienced 4,627 cases of maternal deaths ( Ministry of Health of the Republic of Indonesia, 2021). The target in the Ministry of Health's Strategic Plan to reduce the AKB is to lower the IMR from 18.6 per 1,000 live births in 2022 to 17.6 in 2023 and to 16 in 2024. Annual IMR data is not available. Available, so that the 2023 achievements can be used with the 2022 achievement data. Shoulder dystocia is a complication that occurs during childbirth when the fetal shoulder gets stuck in the birth canal after the fetus's head is delivered. Shoulder dystocia mainly caused by deformity pelvis, failure of the shoulders to “fold” into in pelvis ( eg: in macrosomia ) caused by the phase active and short second stage of labor in multiparas so that decline too big head fast causes the shoulder to not fold at the time through road born or head has through door middle pelvis after experience successful prolongation of the second stage of labor on the shoulder fold enter to in pelvis.

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