MIDWIFERY CARE MANAGEMENT OF MRS. S, G2P1A0, BREECH  PRESENTATION, 38 WEEKS 5 DAY

klarasati; Rosmani Sinaga; Nur Azizah; Salbiyana; Clara Deltis

Authors

klarasati Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rosmani Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nur Azizah Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Salbiyana Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Clara Deltis Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Breech Presentation, Parturition, Labor

Abstract

Background: Breech presentation where the fetal buttocks or lower extremities present to the birth canal occurs in approximately 3-4% of term pregnancies and is associated with increased maternal and neonatal morbidity and mortality. Pregnancy and childbirth complications remain leading causes of maternal and perinatal death, with a disproportionate burden in developing countries; Indonesia’s MMR was 189 per 100,000 live births . Objective: To describe the role of comprehensive midwifery care management in improving maternal and neonatal safety during breech deliveries. Methods: Case report and practice review of a care model involving continuous monitoring of maternal and fetal conditions and interventions aligned with professional midwifery standards throughout labor and postpartum observation. Results: Implementation of comprehensive, continuous midwifery management enabled a physiological vaginal birth in breech presentation with favorable maternal and neonatal outcomes and no complications during labor or postpartum observation. Conclusion: Comprehensive, continuous midwifery care delivered according to professional standards substantially contributes to maternal and neonatal safety in breech deliveries and supports progress toward SDG target 3 by improving the quality of maternal and neonatal health services.

References

(Siraj, 2020). (2024) “Stetoskop: The Journal Health of Science,” Stetoskop: The Journal Of

Health

Science,

(1),

pp.

–25.

jurnal.com/index.php/stjhs/article/view/88/80.

Available

at:

https://rumah

Astuti, S. and Putri, R.A. (2024) “Prosiding Seminar Nasional dan Call for Paper Kebidanan

Asuhan Kebidanan Continuity of Care dengan Letak Sungsang, Oligohidramnion dan

Kalsifikasi Plasenta,” Universitas Ngudi Waluyo, 3(2), p. 2024.

dede Waslia (2021) “Moxibution sebagai alternatif penanganan letak sungsang,” Jurnal

Kesehatan Kartika, 16(1), pp. 53–62.

Tauhid, L. and Purnamasari, G. (2022) “Asuhan Kebidanan pada Persalinan Pada Ibu Dengan

Malposisi Janin,” Jurnal Kesehatan Siliwangi, 2(3), pp. 1054–1065.

Urizky, N. et al. (2024) “Asuhan Kebidanan Pada Kehamilan Dengan Letak Sungsang,” Jurnal

Ilmiah Kesehatan Ibu dan Anak, 4(1), pp. 1–10.