CONTINUOUS OBSTETRIC CARE (CONTINUITY OF CARE) ON MRS. L WITH THE BREAST MILK DAM AT PMB BD. WANTI MEDAN DELI DISTRICT  NORTH SUMATRA PROVINCE YEAR 2025

Jenni Murni Wati Simanjorang; Lisa Putri Utami Damanik; Dyanti SR Butarbutar; Lia Andriani; Valentina Lusia Berutu; Amanda Salsyahbillah; Mastina

Authors

Jenni Murni Wati Simanjorang Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Lisa Putri Utami Damanik Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Dyanti SR Butarbutar Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Lia Andriani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Valentina Lusia Berutu Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Amanda Salsyahbillah Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Mastina Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Continuity of Care, Pregnancy, Delivery, Second-Degree Perineal Rupture

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are critical health indicators. Perineal rupture is a significant cause of morbidity during childbirth, requiring proper management to prevent hemorrhage and infection. These risks can be mitigated through Continuity of Care (COC). To provide comprehensive midwifery care to Mrs. L, aged 26, covering the third trimester of pregnancy, delivery, newborn care, postpartum, and family planning, utilizing Varney’s management and SOAP documentation. This descriptive study with a case study approach was conducted at PMB Bd. Wanti S.Keb, Medan, in 2024. The subject was a third-trimester pregnant woman monitored through the postpartum period. During pregnancy, Mrs. L experienced physiological back pain, resolved through counseling and exercise. Spontaneous delivery occurred at 41 weeks. A second-degree perineal rupture involving the vaginal mucosa and muscles occurred during the second stage. Management involved continuous suturing and strict monitoring. The female baby was born vigorous with normal vital signs. Postpartum visits confirmed good uterine involution and successful lactation. Continuity of Care was successfully implemented. The management of the second-degree perineal rupture adhered to Normal Childbirth Care standards, effectively preventing complications like hemorrhage or infection.

References

Aprianti, S. P., Arpa, M., & Nur, F. W. (2023). Asuhan Kebidanan Berkelanjutan / Continuity Of Care. 5(4), 11990-[Halaman Akhir].

Damanik, L. P. U. (2018). The Effectiveness of Neck Massage in Increasing Puerperal Mothers’ Breast Milk Quantity from Day One to Day Three in Bantul. Health Science Journal, 12(6), 1000599.

Dinas Kesehatan Kota Medan. (2023). Profil Kesehatan Kota Medan Tahun 2022. Dinas Kesehatan Kota Medan.

El-Nahas, M., El-Shazly, S., El-Gamel, F., Motawea, M., Kyrillos, F., & Idrees, H. (2018). Relationship between skin temperature monitoring with Smart Socks and plantar pressure distribution: a pilot study. Journal of Wound Care, 27(8), 536–541. https://doi.org/10.12968/jowc.2018.27.8.536

Kasus, S. (2023). Asuhan Kebidanan Antenatal pada Ny. F dengan Emesis Gravidarum. Journal of Muslim Community Health (JMCH), 4(1), 69–76.

Manurung, H. R., & Sigalingging, T. (2020). Pengaruh Pijat Oksitosin Terhadap Kelancaran ASI Pada Ibu Nifas Di Puskesmas Sitinjo Kabupaten Dairi Tahun 2019. Excellent Midwifery Journal, 3(1), 69–78.

Mardhiyah, A. (2024). Profil Kesehatan Provinsi Sumatera Utara Tahun 2023. Dinas Kesehatan Provinsi Sumatera Utara.

Mertasari, L., & Juliani, M. (2022). Contribution of Early Breastfeeding Initiation to Onset of Lactation in Postpartum Mothers and Breastfeeding in Midwives Independent Practice. Jurnal Kebidanan Dan Kesehatan Tradisional [Atau Nama Jurnal Terkait], 6(1), 47–54.

Nurhayati, F., Firmanto, K., Dewi, K., & Khairunnisa, S. Z. (2024). PENDERITA DOWN SYNDROME: The Understanding of Life Quality Improvement of People with Down Syndrome. [Nama Jurnal Mohon Dilengkapi], 15(01), 77–85.

Sinaga, S. N. (2022). Factors influencing knowledge of postpartum mothers about baby blues in Desmawati Clinic Pancur Batu District, District Deli Serdang year 2020. Science Midwifery, 10(5), 3958–3963.

World Health Organization. (2023). Trends in maternal mortality 2000 to 2020: estimates Population Division. World Health Organization. https://www.who.int/publications/i/item/9789240068759

Murni, D., Ndraha, Y., Sinaga, S. N., (2024). THE EFFECT OF OXYTOCIN MASSAGE ON FLUENCY BREASTFEEDING IN MULTIPAROUS POSTPARTUM MOTHERS IN THE WORKING AREA PUSKESMAS MEDAN JOHOR YEAR 2022. 1(4), 350–356.

Sinaga, R., Sinaga, K., & Damanik, N. S. (2022). Hubungan Status Gizi Ibu Nifas Dengan Penyembuhan Luka Perineum. Indonesian Health Issue, 1(1), 69–75. https://doi.org/10.47134/inhis.v1i1.13

Yuliana, Y., Sinaga, K., Surbakti, I. S., Sinaga, A., & Aulia, A. (2024). Faktor Faktor yang Berhubungan dengan Kejadian Stunting pada Balita di Desa Jurusen Kecamatan Pegasing Kabupaten Aceh Tengah Provinsi Aceh Tahun 2022. Inovasi Kesehatan Global, 1(1), 13–28.