ASUHAN KEBIDANAN KEHAMILAN PADA NY.D DI PRAKTEK MANDIRI BIDAN T.H DAN ASUHAN KEBIDANAN PADA NY. M MASA BERSALIN, NIFAS, BAYI BARU LAHIR DAN KB DI PRAKTEK MANDIRI BIDAN G.S KOTA PEMATANGSIANTAR

Abstract

Background: The number of maternal deaths recorded in the family health program at the Indonesian Ministry of Health in 2020 was 4,627, an increase compared to 2019 reaching 4,221 deaths. Most of the maternal deaths in 2020 caused by bleeding were 1,330 cases, hypertension in pregnancy were 1,110 cases, and circulatory system disorders were 230 cases. Purpose : To provide midwifery care to Mrs. D, 27 years old and Mrs. M, 32 years with continuity of care starting from pregnancy, childbirth, postpartum, newborns and acceptors of family planning programs that meet midwifery care and management standards. Methods: The method used is continuous midwifery care and Varney's labor management and documentation using the SOAP method. Result : During pregnancy, through ANC it was found that the mother was anemic, but at the end of pregnancy anemia and pain in the lower abdomen could be managed properly. The baby girl was born spontaneously and immediately cried, weight 3400 g, length 50 cm, Apgar score 9/10, no congenital abnormalities were found. During delivery, the mother experienced retained placenta and manual placenta was performed. Mrs. M runs normally, without complications. In newborn care, no problems were found. At the end of the postpartum visit, the mother was given counseling on a family planning program and chose to become an acceptor of the implant method as a means of pregnancy control. Conclusion: The midwifery care provided, starting from pregnancy to becoming an acceptor of the family planning program, meets the standards of midwifery care and the authority of a midwife