CONTINUOUS MIDWIFERY CARE IN A CASE OF GESTATIONAL HYPERTENSION AT PMB DEBY CYNTIA YUN, MEDAN CITY, NORTH SUMATRA

Abstract

Hypertension in pregnancy is one of the leading causes of maternal mortality in Indonesia and remains a major public health problem (World Health Organization [WHO], 2023; Kementerian Kesehatan Republik Indonesia [Kemenkes RI], 2023). Inadequate management of gestational hypertension increases the risk of obstetric complications during pregnancy and childbirth (Prawirohardjo, 2020). The Continuity of Care (COC) approach is an effective strategy to prevent complications through comprehensive and continuous midwifery care (Varney et al., 2015). This study aims to describe the implementation of continuous midwifery care for Mrs. R with gestational hypertension at PMB Deby Cyntia Yun, Medan Amplas District, North Sumatra. This study used a descriptive case study design with a COC approach covering pregnancy, childbirth, postpartum, newborn care, and family planning, using Varney’s management framework and SOAP documentation (Varney et al., 2015). The results showed that Mrs. R experienced gestational hypertension starting at 32 weeks of gestation. Interventions included routine blood pressure monitoring, nutritional counseling, activity regulation, fetal well-being monitoring, and collaborative management when necessary (Prasetyowati, 2022). Labor occurred spontaneously without complications, while the postpartum period and neonatal condition progressed physiologically (Manuaba, 2019). Mrs. R chose a three-month injectable contraceptive method during the family planning phase (Kemenkes RI, 2022). In conclusion, the COC approach improves early detection of complications, strengthens health education, and supports safe decision-making from pregnancy through the postpartum period (Varney et al., 2015).