Continuity of Care Implementation for Mrs. R at Al Islam H.M. Mawardi Hospital

• Zahro Firdausa Rafi

  Program Studi Pendidikan Profesi Bidan

• Hesty Widowati

  Program Studi Pendidikan Profesi Bidan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Sidoarjo

• Yanik Purwanti

  Program Studi Pendidikan Profesi Bidan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Sidoarjo

The Maternal Mortality Rate (MMR) in East Java Province was significantly reduced in 2020 but is still far from the SDGs target. Continuity of Care is a healthcare approach continuously starting from pregnancy, childbirth, postpartum, newborns, and family planning. The purpose of this case study is to describe the implementation of CoC at Al Islam H.M. Mawardi Hospital during pregnancy to postpartum. Method : midwivery descriptive method, Mrs. R was given care from the third trimester of pregnancy up to family planning method. Result : The implementation of CoC on Mrs. R was in accordance with the standard of physiological midwivery care and the treatment went well without any pathological conditions. Low back pain is a frequent condition in pregnancy, Ny. R was given accupressur on hegu point to relieve the pain. Conclusion : The care provided to the research subjects has been adjusted to the standards of midwifery care and the condition of the mother and baby and it worked physiologically.

Highlights:  

1. Continuity of Care (CoC): The implementation of CoC from pregnancy to family planning at Al Islam H.M. Mawardi Hospital followed standard physiological midwifery practices.

2. Effective Pain Management: Mrs. R experienced low back pain during pregnancy, which was relieved through acupressure on the hegu point.

3. Physiological Care Success: The care provided aligned with midwifery standards, ensuring the well-being of both the mother and baby without complications.

Keywords:  Pregnancy, Childbirth, Postpartum, Newborn, Contraception

[1] Central Statistics Agency, Neonatal Mortality Rate (NAR) and Infant Mortality Rate per 1000 Births by Province. Jakarta, Indonesia: BPS, 2022.

[2] Bappenas, “3 Healthy and Prosperous Lives,” Sustainable Development Goals (SDGs) Indonesia, Oct. 22, 2024. [Online]. Available: https://sdgs.bappenas.go.id/17-goals/goal-3/

[3] S. Prawirohardjo, Midwifery, 4th ed. Jakarta, Indonesia: PT Bina Pustaka Sarwono Prawirohardjo, 2016.

[4] Y. Yanti, M. Claramita, O. Emilia, and M. Hakimi, "Students' Understanding of 'Women-Centred Care Philosophy' in Midwifery Care Through Continuity of Care (CoC) Learning Model: A Quasi-Experimental Study," BMC Nursing, vol. 14, no. 1, p. 22, Dec. 2015, doi: 10.1186/s12912-015-0072-z.

[5] S. Cibralic, M. Alderliesten, M. Caplice, A. Homer, M. Homer, and H. Sweet, “The Impact of Midwifery Continuity of Care on Maternal Mental Health: A Narrative Systematic Review,” Midwifery, vol. 116, p. 103546, Jan. 2023, doi: 10.1016/j.midw.2022.103546.

[6] C. Homer, P. Brodie, J. Sandall, and N. Leap, Midwifery Continuity of Care, 2nd ed. Sydney, Australia: Elsevier, 2019.

[7] Ministry of Health of the Republic of Indonesia, Guidelines for Antenatal, Childbirth, Postpartum, and Newborn Services in the Era of Adapting to New Habits. Jakarta, Indonesia: Ministry of Health of the Republic of Indonesia, 2020.

[8] C. Colla, LL Paiva, and RP Thomaz, “Therapeutic Exercise for Pregnancy Low Back and Pelvic Pain: A Systematic Review,” Fisiotherapy em Movimento, vol. 30, no. 2, pp. 399–411, Apr. 2017, doi: 10.1590/1980-5918.030.002.ar03.

[9] F. Rahimi, S. Goli, N. Soltani, H. Rezaei, and Z. Amouzeshi, “Effects of Complementary Therapies on Labor Pain: A Literature Review,” Modern Care Journal, vol. 15, no. 1, Jan. 2018, doi: 10.5812/modernc.69306.

[10] J. M. Thornton, B. Browne, and M. Ramphul, “Mechanisms and Management of Normal Labor,” Obstetrics, Gynecology & Reproductive Medicine, vol. 30, no. 3, pp. 84–90, March. 2020, doi: 10.1016/j.ogrm.2019.12.002.

[11] B. Shojaei, M. Loripoor, M. Sheikhfathollahi, and F. Aminzadeh, “The Effect of Walking During Late Pregnancy on the Outcomes of Labor and Delivery: A Randomized Clinical Trial,” Journal of Education and Health Promotion, vol. 10, no. 1, p. 277, 2021, doi: 10.4103/jehp.jehp_1437_20.

[12] Halimatussakdiah, “The First and Second Stage Duration of Mother Multipara's Delivery with Newborn Apgar Score,” Journal of Midwifery and Traditional Health, 2017.

[13] N. Azizah and R. Rosyidah, Textbook for Postpartum Midwifery Care and Breastfeeding Course. Sidoarjo, Indonesia: Umsida Press, 2019, doi: 10.21070/2019/978-602-5914-78-2.

[14] Ministry of Health of the Republic of Indonesia, Guidelines for Antenatal, Childbirth, Postpartum, and Newborn Services. Jakarta, Indonesia: Ministry of Health of the Republic of Indonesia, 2020.

[15] R. Savita, H. Heryani, C. Jayanti, S. Suciana, T. Mursiti, and DN Fatmawati, Postpartum Textbook for Diploma III Midwifery Volume II. Jakarta, Indonesia: PT Mahakarya Citra Utama Group, 2022. [Online]. Available: www.mahakarya.academy

[16] World Health Organization, “Infant and Young Child Feeding,” WHO Fact Sheets, Oct. 23, 2024. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding

[17] Neovita Study Group, et al. “Timing of Initiation, Patterns of Breastfeeding, and Infant Survival: Prospective Analysis of Pooled Data from Three Randomized Trials,” The Lancet Global Health, vol. 4, no. 4, pp. e266–e275, Apr. 2016, doi: 10.1016/S2214-109X(16)00040-1.

[18] Ministry of Health of the Republic of Indonesia, Indonesian Health Profile 2020. Jakarta, Indonesia: Ministry of Health of the Republic of Indonesia, 2021.

[19] S. Teal and A. Edelman, “Contraception Selection, Effectiveness, and Adverse Effects,” Journal of the American Medical Association (JAMA), vol. 326, no. 24, p. 2507, Dec. 2021, doi: 10.1001/jama.2021.21392.

[20] H. Mahdy, A.D. Shaeffer, and D.M. McNabb, Condoms. Treasure Island, FL: StatPearls Publishing, 2024. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK470385/