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

Yuniar, Silfi (2025) Midwifery Continuity of Care (COC) for Mrs. “R” at Midwife “L” Independent Practice in Palembang. Undergraduate thesis, Universitas Katolik Musi Charitas Palembang.

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Abstract

The World Health Organization (WHO) reported that the maternal mortality ratio (MMR) in 2023 was recorded at 197 per 100,000 live births, while the infant mortality rate (IMR) in 2022 reached 2.3 million infants. In Indonesia, the MMR in 2023 was reported at 4,129 cases, and the IMR was reported as 34,226 cases. Specifically, in South Sumatra, the MMR in 2023 stood at 105 cases, with an IMR of 370 cases. Efforts to reduce maternal and infant mortality rates are being implemented by midwives through the delivery of continuous midwifery care. This final report aims at providing a midwifery COC for Mrs. “R” at Midwife “L” Independent Practice in Palembang, utilizing subjective and objective data, assessment, planning, and implementation methods. A case study approach using midwifery management was employed for Mrs. “R” (G1P0A0), commencing from pregnancy, labor, and continuing through the newborn, neonatal, and postpartum periods at Midwife “L” Independent Practice from August 4, 2024, to January 14, 2025. Data collection techniques involved both primary and secondary sources, as well as SOAP (subjective, objective, assessment, and plan) instruments. Findings indicated that Mrs. “R” did not experience any complications during her pregnancy and postpartum period. However, labor occurred at 32–33 weeks of gestation, resulting in a preterm birth with both the newborn and the neonate classified as large for gestational age but preterm. The conclusion drawn from this case study is that Mrs. “R” exhibited a physiological pregnancy, underwent preterm vaginal delivery, delivered a preterm and large-for-gestational-age neonate, experienced a normal postpartum course, and had a healthy neonatal period. It is recommended that the independent practice continues to provide midwifery COC to minimize the risk of complications and facilitate early detection of danger signs during pregnancy, labor, birth, and the postpartum period.

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