CONTINUOUS MIDWIFERY CARE (CONTINUITY OF CARE) FOR MRS. A WITH SECOND-DEGREE LACERATION AT PMB DESY FAHRYANI, MEDAN BELAWAN DISTRICT, MEDAN CITY, NORTH SUMATRA PROVINCE IN 2025

Authors

  • Gracia Dinda Anastasya Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
  • Desy Fahryani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
  • Herna Rinayanti Manurung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
  • Rosmani Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
  • Mirna Sari Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
  • Sri Jenny Arman Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
  • Amalia Riska Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Laceration, Laceration Care, Education, Prevention, Mild of Anemia

Abstract

Background: A birth canal laceration is a tear in the midline of the birth canal that can become extensive if the fetus's head is born too soon. Influencing factors include improper childbirth techniques, incorrect straining techniques, and fetal macrosomia (weight >4000g). Objective: This study aims to provide and analyze comprehensive midwifery care for Mrs. A, focusing on the prevention and management of perineal lacerations. Methods: The method used is a case study, conducted by examining a clinical problem across longitudinal cases. The case is analyzed in depth, examining both the case's specific aspects and responses to exposures. The care follows continuous obstetric care (CoC) from pregnancy, through the first stage of labor (kala 1), to birth and family planning, using the Varney midwifery management method and documented via SOAP notes. Results: The care provided included laceration wound treatment for Mrs. A, which was monitored closely alongside education sessions from pregnancy to birth control. Through proper perineal massage during pregnancy and controlled delivery techniques during the first stage of labor, the risk of extensive laceration was minimized. Conclusion: Continuous midwifery care is effective in identifying risk factors for birth canal lacerations and improving the mother's recovery through integrated monitoring and education.

References

Azizah, N. (2025) “Optimalisasi Peran Fasilitator Dalam Kelas Ibu Hamil Untuk Meningkatkan Kesiapsiagaan Menghadapi Perdarahan Postpartum Di Desa Bangun Rejo Tahun 2025,” Jurnal Pengabdian Masyarakat 360 Derajat, 2(1), pp. 46–52. Available at: https://doi.org/10.35328/b19jpd27.

Kementrian Kesehatan (2023) Profil Kesehatan Indonesia 2023.

Manurung, H R, et al (2022) “Intervention Effects in Using an Application Compared with a Module with Pictures on Knowledge, Attitude, and Practice of the Pregnant Women in North Sumatra, Indonesia,” Open Access Macedonian Journal of Medical Sciences, 10, pp. 121–125. Available at: https://doi.org/10.3889/oamjms.2022.8125.

Ministry of Health of the Republic Indonesia (2022) Profil Kesehatan Indonesia Tahun 2021 (atau) Pedoman Nasional Pelayanan Kedokteran: Tata Laksana Komplikasi Persalinan. Jakarta.

President of the Republic of Indonesia [Presiden RI] (2023) “Law of the Republic of Indonesia Number 17 of 2023 concerning Health [Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 Tentang Kesehatan],” Undang-Undang, (187315), pp. 1–300.

Putri, A. ; Lestari, D. (2020) “Faktor yang Berhubungan dengan Kejadian Laserasi Perineum pada Ibu Bersalin.”

Sinaga, K, et al (2024) “Efektifitas Penggunaan Injeksi Oksitosin pada Penanganan Perdarahan Post Partum di RSU Latersia Binjai Kec . Binjai Kota Binjai Provinsi Sumatera Utara Tahun 2024,” Jurnal Siti Rufaidah, 2(2), pp. 29–37.

Sinaga, F.W., Fauzianty, A. and Napitupulu, N.I.M.B. (2025) “Hubungan Pendidikan dan Pengetahuan Ibu Tentang Anemia dengan Keteraturan Konsumsi Tablet Darah Wilayah Kerja Puskesmas Penanggalan Provinsi Aceh Tahun 2023,” Vitalitas Medis: Jurnal Kesehatan dan Kedokteran, 2(2), pp. 220–231.

Sitanggang, T. et al. (2022) “Factors Associated with Compliance of Pregnant Women in Consuming Fe Tablets in the Working Area of the Pardamean Health Center, Pematang Siantar City in 2022,” Jurnal eduhealth, 13(02), p. 2022. Available at: http://ejournal.seaninstitute.or.id/index.php/healt.

Sugiyono (2020) Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta.

WHO 2021 (2021) “Jurnal Medika Nusantara,” Jurnal Medika Nusantara , 2(1), pp. 154–161

Downloads

Published

2026-01-08

How to Cite

Gracia Dinda Anastasya Sinaga, Desy Fahryani, Herna Rinayanti Manurung, Rosmani Sinaga, Mirna Sari, Sri Jenny Arman and Amalia Riska (2026) “CONTINUOUS MIDWIFERY CARE (CONTINUITY OF CARE) FOR MRS. A WITH SECOND-DEGREE LACERATION AT PMB DESY FAHRYANI, MEDAN BELAWAN DISTRICT, MEDAN CITY, NORTH SUMATRA PROVINCE IN 2025”, Mitra Husada Health Internasional Conference (MIHHICo), 5(1). Available at: http://prosidingmhm.mitrahusada.ac.id/index.php/mihhico/article/view/667 (Accessed: 12January2026).

Issue

Vol. 5 No. 1 (2025): Vol. 5 No. 1 (2025): The 5th Mitra Husada Health International Conference (MIHHIC0 2025)

Section

Articles

License

Copyright (c) 2025 Gracia Dinda Anastasya Sinaga, Desy Fahryani, Herna Rinayanti Manurung, Rosmani Sinaga, Mirna Sari, Sri Jenny Arman, Amalia Riska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.