Midwifery Continuity of Care (CoC) for Mrs. "R" at Midwife “L” Independent Practice Palembang

Andriani, Tiara (2025) Midwifery Continuity of Care (CoC) for Mrs. "R" at Midwife “L” Independent Practice Palembang. Undergraduate thesis, Universitas Katolik Musi Charitas Palembang.

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Abstract

According to the World Health Organization (WHO), the global maternal mortality rate in 2023 was 260,000 deaths. In Indonesia, the maternal mortality rate in 2023 reached 4,482 deaths, while in South Sumatra province, there were 105 deaths. In 2023, Palembang city recorded 16 maternal deaths and 152 neonatal deaths. The purpose of this report is to contribute to the reduction of maternal and neonatal mortality rates through the provision of Continuity of Care midwifery services for Mrs. "R," based on the spiritual values of charity. This report was written between August 8, 2024, and March 9, 2025, at PMB "L" Palembang, covering the first trimester of pregnancy, labor, newborn care, postnatal care, and neonatal care. The report uses a case study method with primary and secondary data collection techniques, utilizing the SOAP (Subjective, Objective, Analysis and Planning) format. The results show that Mrs. "R" had a physiological pregnancy; however, in the third trimester, the fetal head had not entered the pelvic inlet, leading to a caesarean section on March 3, 2025. Postpartum and neonatal conditions were physiological. The author concludes that the Continuity of Care midwifery care provided to Mrs. "R" during pregnancy, postpartum, and neonatal care was physiological, but the labor required a caesarean section due to the fetal head not engaging the pelvic inlet, even though the expected delivery date was approaching. The author recommends that midwifery practices continue to maintain and improve the quality of services provided to clients.

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