Asuhan Kebidanan Continuity of Care (COC) pada Ny. YF dari Masa Hamil Sampai dengan Masa Interval
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Abstract
Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) di Indonesia masih tinggi, terutama disebabkan oleh perdarahan, infeksi, hipertensi dalam kehamilan, serta komplikasi persalinan dan nifas. Salah satu upaya untuk menurunkan AKI dan AKB adalah dengan menerapkan Continuity of Care (COC), yaitu pelayanan kebidanan yang berkesinambungan mulai dari masa kehamilan, persalinan, nifas, neonatus, hingga keluarga berencana. Tujuan laporan ini adalah untuk memberikan asuhan kebidanan berkelanjutan pada Ny. YF mulai dari masa kehamilan sampai masa interval. Penulisan menggunakan metode studi kasus di PMB Enik Murdyati, Kecamatan Grogol, Kabupaten Kediri dari November 2024 hingga Mei 2025 dengan pendekatan manajemen kebidanan berbasis SOAP. Pengumpulan data dilakukan melalui wawancara, observasi, dokumentasi, serta menerapkan etika asuhan. Pada masa kehamilan Ny. YF mulai dilakukan asuhan pada usia kehamilan 31-32 minggu. Persalinan spontan dilakukan di PMB Enik Murdyati karena ibu datang dengan pembukaan lengkap. Asuhan neonatus diberikan dengan perawatan metode kanguru dikarenakan bayi BBLR. Masa nifas berlangsung normal, dan ibu memilih metode kontrasepsi Implan. Asuhan kebidanan berkelanjutan efektif dalam mendeteksi dini komplikasi dan memastikan ibu menjalani masa kehamilan hingga KB dengan aman dan lancar.
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References
ACOG. (2020). Guidelines for Perinatal Care (8th ed.). American College of Obstetricians and Gynecologists.
Adnani, Q. E. S., Nurfitriyani, E., Merida, Y., Okinarum, G. Y., & Susanti, A. I. (2025). Ninety-one years of midwifery continuity of care in low and middle-income countries: a scoping review. BMC Health Services Research, 25, 463. https://doi.org/10.1186/s12913-025-12612-0
American College of Obstetricians and Gynecologists (ACOG). (2018). Optimizing Postpartum Care (Committee Opinion No. 736).
American Academy of Pediatrics & American College of Obstetricians and Gynecologists. (2016). Guidelines for Perinatal Care (8th ed.).
Bhutta, Z. A., et al. (2020). Essential interventions to reduce neonatal mortality and morbidity. Pediatrics, 146(1), e20201192. https://doi.org/10.1542/peds.2020-1192
Black, R. E., et al. (2022). Nutrition interventions to reduce maternal and child mortality: New evidence from global research. The Lancet Global Health, 10(9), e1234–e1245. https://doi.org/10.1016/S2214-109X(22)00240-4
Boundy, E.O., Dastjerdi, R., Spiegelman, D., et al. (2016). Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics, 137(1), e20152238. https://doi.org/10.1542/peds.2015-2238
Centers for Disease Control and Prevention (CDC). (2022). Contraceptive Methods. Retrieved from https://www.cdc.gov
Chalmers, B., et al. (2017). Effective care in normal labour and birth. BJOG: An International Journal of Obstetrics & Gynaecology, 124(5), e49–e60. https://doi.org/10.1111/1471-0528.14564
Cunningham, F.G., Leveno, K.J., Bloom, S.L., et al. (2022). Williams Obstetrics (26th ed.). McGraw-Hill Education.
Cleland, J., et al. (2021). "Integrated Care for Sexual and Reproductive Health." Lancet Global Health, 9(4), e536-e537.
Damayanti, I. P., Maita, L., Triana, A., & Afni, R. (2014). Buku 22 ajar: han kebidanan komprehensif pada ibu bersalin dan bayi baru lahir. Deepublish.
Dewi, R., & Sari, K. (2022). Hubungan Kunjungan Masa Nifas Terhadap Percepatan Pemulihan Luka Post Sectio Caesarea. Jurnal Bidan Cerdas, 5(1), 45–50.
Dewi Gita, P., & Widowati, H. (2023). Continuous Midwifery Care Reduces Mortality in Indonesia: Asuhan Kebidanan Berkesinambungan Menurunkan Angka Kematian di Indonesia. Indonesian Journal on Health Science and Medicine, 1(1). https://doi.org/10.21070/ijhsm.v1i1.1
Foranci, Y., Nontji, W., & Arifuddin, S. (2023). Pengaruh Model Continuity of Care dalam Asuhan Kehamilan dan Persalinan terhadap Luaran Bayi Baru Lahir. Journal of Telenursing (JOTING), 5(2). https://doi.org/10.31539/joting.v5i2.7470
Graham, W. J., Woodd, S. L., Byass, P., Filippi, V., Gon, G., Virgo, S., Chou, D., Hounton, S., Lozano, R., Pattinson, R., Paul, V. K., & Singh, S. (2022). The Continuum of Care in Maternal, Newborn and Child Health: A Call for Action. The Lancet, 397(10288), 132–146. https://doi.org/10.1016/S0140-6736(21)00625-5
Griebeler, M. L., et al. (2023). Antenatal care quality and pregnancy outcomes: A global review. BMJ Global Health, 8(1), e010278. https://doi.org/10.1136/bmjgh-2022-010278
Gutteridge, K., Reynolds, J., & Parker, L. (2023). Psychosocial benefits of midwifery continuity of care: Reducing postpartum depression and anxiety. British Journal of Midwifery, 31(1), 22–28.
Gutteridge, K., Whittaker, K., & Marshall, J. (2023). Women’s experiences of continuity of midwifery care: A qualitative evidence synthesis. Midwifery, 125, 103653. https://doi.org/10.1016/j.midw.2023.103653
Guttmacher Institute. (2020). Adding It Up: Investing in Contraception and Maternal and Newborn Health.
Homer, C. S. E. (2016). Models of maternity care: evidence for midwifery continuity of care. The Medical Journal of Australia, 205(8). https://doi.org/10.5694/mja16.00844
Homer, C., et al. (2017). "Effectiveness of Continuity of Midwifery Care in Improving Maternal Outcomes." Lancet, 389(10058), 133-142.
International Confederation of Midwives (ICM). (2020). Essential Competencies for Midwifery Practice. https://www.internationalmidwives.org
Kemenkes RI. (2020). Buku Kia Kesehatan Ibu Dan Anak. Dinas Kesehatan Kabupaten Banyumas.
Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia 2023: Indikator Kesehatan Ibu dan Anak. Jakarta: Pusat Data dan Informasi Kemenkes RI.
Kenner, C., & Lott, J. W. (2014). Comprehensive Neonatal Nursing Care (5th ed.). Springer Publishing Company.
Lawn, J. E., et al. (2014). Every Newborn: Progress, priorities, and potential beyond survival. The Lancet, 384(9938), 189–205. https://doi.org/10.1016/S0140-6736(14)60496-7
Lawn, J. E., Kinney, M. V., Belizan, J. M., Mason, E. M., McDougall, L., Larson, J., & Cousens, S. (2021). Accelerate progress—sexual, reproductive, maternal, newborn, child and adolescent health: For everyone, everywhere, and at every age. BMJ, 372, n478. https://doi.org/10.1136/bmj.n478
Lopez-Carpintero, N., Verdejo, C., & Dafopoulos, K. (2022). Clinical classification, diagnosis and treatment of first-trimester miscarriage: An evidence-based approach. Best Practice & Research Clinical Obstetrics & Gynaecology, 78, 56-69.
Mahmoud, M. A.-D., Khames, M. A., Al-Sayed, A. M., & Mohamed, M. A. (2024). Effect of Health Educational Package on Reducing Postpartum Discomforts. The Malaysian Journal of Nursing, 10(4), 01–10.
Molzan Turan, J., et al. (2020). Postnatal care for mothers and newborns: WHO evidence-based recommendations. Reproductive Health, 17(1), 143. https://doi.org/10.1186/s12978-020-00963-9
Nurdiana, & Indra, R. (2020). Kualitas Antenatal Care dan Pengaruhnya Terhadap Kesiapan Ibu Menghadapi Persalinan. Jurnal Ilmiah Kebidanan, 11(1), 33–39.
O’Hara, M. W., & Wisner, K. L. (2014). Perinatal mental illness: Definition, description and aetiology. Best Practice & Research Clinical Obstetrics & Gynaecology, 28(1), 3–12. https://doi.org/10.1016/j.bpobgyn.2013.09.002
Permatasari, H., Sari, N.P., & Ningsih, N. (2020). Pengaruh metode kanguru terhadap kenaikan berat badan bayi BBLR. Jurnal Kebidanan Indonesia, 11(2), 89–94.
Racicot, K., & Mor, G. (2017). Risks associated with viral infections during pregnancy. The Journal of Clinical Investigation, 127(5), 1591–1599. https://doi.org/10.1172/JCI87490
Rukiyah, A., & Rahmah, N. (2018). Asuhan Kebidanan Masa Nifas. Jakarta: Trans Info Media.
Romero, R., Dey, S. K., & Fisher, S. J. (2014). Preterm labor: One syndrome, many causes. Science, 345(6198), 760–765. https://doi.org/10.1126/science.1251816
Saifuddin, A.B. (2020). Buku Panduan Praktis Pelayanan Kesehatan Maternal dan Neonatal. Jakarta: Yayasan Bina Pustaka.
Sandall, J., et al. (2016). "Midwife-Led Continuity Models of Care Compared with Other Models of Care for Women during Pregnancy, Birth and Early Parenting." Cochrane Database of Systematic Reviews, (4).
Sulistyawati, A. I. (2019). Asuhan Kebidanan pada Masa Kehamilan, Persalinan, Nifas, dan Neonatus. Jakarta: Salemba Medika.
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife‐led continuity models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews, (4). https://doi.org/10.1002/14651858.CD004667.pub5
Say, L., et al. (2017). Maternal morbidity: Time for reflection, recognition, and action. International Journal of Gynecology & Obstetrics, 137(3), 269–274. https://doi.org/10.1002/ijgo.12106
Sedgh, G., et al. (2016). Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in Family Planning, 47(3), 241–250. https://doi.org/10.1111/j.1728-4465.2016.00165.x
Speroff, L., & Mishell, D. R. (2020). "Reproductive Endocrinology and Infertility." Williams Gynecology.
Trussell, J. (2011). Contraceptive failure in the United States. Contraception, 83(5), 397–404. https://doi.org/10.1016/j.contraception.2011.01.021
Varney, H. (2018). Varney's Midwifery. 5th ed. Jones & Bartlett Learning.
Villar, J., et al. (2021). Maternal and neonatal outcomes of COVID-19 in pregnancy: Results of the INTERCOVID Multinational Cohort Study. JAMA Pediatrics, 175(8), 817–826. https://doi.org/10.1001/jamapediatrics.2021.1050
World Health Organization. (2014). WHO Recommendations on Postnatal Care of the Mother and Newborn. Geneva: WHO Press.
World Health Organization (WHO). (2016). Standards for improving quality of maternal and newborn care in health facilities. Geneva: WHO.
World Health Organization. (2017). Managing Newborn Problems: A Guide for Doctors, Nurses, and Midwives. Geneva: WHO Press.
World Health Organization. (2018). Family Planning: A Global Handbook for Providers (2018 update). WHO Press.
World Health Organization. (2018). WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience. Geneva: WHO.
World Health Organization. (2020). "Continuity of Care in Maternal Health: A Critical Review." WHO Technical Report.