CONTINUITY OF CARE IN MRS. R WITH 1ST DEGREE BIRTH DUCT LACERATION AT PMB SUMIATI, KUALA HULU DISTRICT   CITY OF AEK CANOPAN PROVINCE  NORTH SUMATRA IN 2025

Rati Aksari; Nur Azizah; Sumiati; Kristin Katarina Simamora; Dewi Chyntia Pasaribu; Nova Eliza Pasaribu; Deviria

Authors

Rati Aksari Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nur Azizah Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Sumiati Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Kristin Katarina Simamora Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Dewi Chyntia Pasaribu Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nova Eliza Pasaribu Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Deviria Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Continuity of Care, Midwifery Care, Normal Labor, First-Degree Birth Canal Laceration

Abstract

Maternal health remains a crucial public health concern, particularly in reducing maternal and neonatal mortality as targeted by the Sustainable Development Goals (SDGs). Birth canal lacerations frequently occur during vaginal delivery and may affect maternal recovery if not managed appropriately.(Arnold, Sadler and Lacerations, 2021) This study aimed to describe the implementation of Continuity of Care in a mother experiencing a first-degree birth canal laceration at PMB Sumiati, Kuala Hulu District, Aek Canopan City, North Sumatra Province. This case study was conducted from September 2024 to March 2025 using direct midwifery care and documentation review. The subject was Mrs. R (G2P1A0) at 39 weeks of gestation who underwent spontaneous vaginal delivery following the 58-step Normal Childbirth Care (APN) standard. The newborn was delivered safely, and the third stage of labor was completed within normal limits.(Sinaga,A 2022) During the fourth stage of labor monitoring, the mother’s vital signs were stable; however, a first-degree birth canal laceration was identified. Continuous and comprehensive midwifery care, including appropriate laceration management, monitoring, and postpartum education, was provided. The results showed that the mother experienced optimal recovery without complications such as infection or excessive bleeding. In conclusion, the Continuity of Care approach is effective in ensuring safe childbirth and supporting maternal recovery in cases of minor obstetric complications, thereby contributing to improved quality of maternal health services.

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