COMPREHENSIVE MIDWIFERY CARE FOR MRS. E USING THE CONTINUITY OF CARE APPROACH AT TRI HASANAH INDEPENDENT MIDWIFERY PRACTICE, SUBULUSSALAM CITY

Abstract

Iron deficiency anemia and lack of continuity in midwifery care are critical health issues during pregnancy thatsignificantly increase the risk of maternal and neonatal complications. This study aims to evaluate the implementationof a comprehensive Continuity of Care (CoC) approach for Mrs. E at the Tri Hasanah Independent MidwiferyPractice in Subulussalam City, covering the third trimester of pregnancy, childbirth, newborn care, postpartum, and family planning services. The research method utilized a descriptive case study design with Varney's 7-step midwifery management and SOAP documentation. The results showed that Mrs. E's pregnancy progressed physiologically at 34weeks and 3 days of gestation. Her complaint of mild fatigue was effectively resolved through structured education on adequate rest and balanced nutrition. She demonstrated high compliance with regular iron (Fe) supplement consumption, maintaining a normal hemoglobin level of 11 g/dL. Childbirth, newborn adaptation, the postpartum period, and family planning choices all proceeded safely without complications. In conclusion, providing structured comprehensive midwifery care is highly   effective   in   maintaining   maternal   health   stability   and   preventing   obstetric complications at the community level.