ASUHAN KEBIDANAN PADA NY. S MASA HAMIL, BERSALIN, NIFAS, BAYI BARU LAHIR, DAN KELUARGA BERENCANA DI PRAKTIK MANDIRI BIDAN R.H KOTA PEMATANGSIANTAR

Abstract

Background : Maternal mortality rate is an indicator to see the success of maternal health efforts. Another common problem during pregnancy is heartburn, also known as gastroesophageal reflux disease, where stomach acid flows back into the esophagus. Efforts to improve the continuity and quality of mothers and children are carried out with a sustainable approach (continuity of care) because it will have significant impact. Purpose : Providing midwifery care to Mrs. S Age 24 years with continuity of care starting from pregnant women, maternity, postpartum, newborns and family planning in accordance with midwifery care standards. Methods : Midwifery care secondary data and primary data with SOAP management (Subjective, Objective, Assessment, Planning). Result : Pregnancy examination Mrs. S GIP0A0 gestational age 32-34 weeks, HPHT 02-07-2020 TTP 09-04-2021. ANC on Mrs. S there is a stomach acid problems in pregnant women, but has been resolved by improving the nutritional pattern of pregnancy. The process of childbirth in the second stage of care, Ny. S had a grade II rupture. The baby was born crying, spontaneously on April 18, 2021 at 21.30 pm, with weight 3000 grams, body length 50 cm, head circumference 34 cm, chest size 32 cm, Apgar score 8/10, with female gender. In Mrs. S, the postpartum visit was carried out with perineal wound care, TFU examination, examination of lochea and signs of infection during the puerperium, and ensuring the mother to provide breast milk. The care for the newborn baby was done by taking care of the umbilical cord care and bathing the baby, and there were no signs of danger or complications in the baby. The family planning counseling has been informed about the use of contraception, the mother decides to become an acceptor of contraceptive MAL and will use birth control progestin pill. Conclusion : The care provided starting from pregnancy to becoming a family planning acceptor is in accordance with the standards of care and the authority of the midwife.