Fita Dian Lestari (1), Sri Mukhodim Farida Hanum (2)
Background: Maternal and infant mortality remain critical public health challenges worldwide and in Indonesia, requiring continuous and integrated healthcare services. Specific Background: Comprehensive midwifery care from pregnancy through postpartum and family planning is essential to reduce risks of maternal and neonatal complications. Knowledge Gap: Despite the recognition of Continuity of Care (CoC) as a standard approach, limited case-based documentation from Indonesian hospital settings exists, particularly in managing high-risk conditions such as positive HBsAg. Aim: This study aims to describe the implementation of continuity midwifery care provided to a pregnant woman at Rahman Rahim Hospital, Sidoarjo. Results: Using a descriptive case study from May to July 2024, midwifery care included pregnancy management, spontaneous delivery using 60 APN steps, newborn care with immediate immunization, postpartum monitoring, and contraceptive counseling. The client, diagnosed with positive HBsAg, underwent safe delivery, and her newborn received HBIG and Hepatitis B vaccination to prevent vertical transmission. Novelty: This study highlights the application of structured continuity care in a clinical setting while addressing infectious disease concerns. Implications: Findings confirm that continuous and comprehensive midwifery care can reduce maternal and infant risks, strengthen clinical practice, and support national health goals to lower maternal and neonatal mortality rates.
Highlights:
Keywords: Continuity of Care, Midwifery, Pregnancy, Postpartum, Newborn
[1] S. Mas’udah, T. Tumilah, and M. L. N. Z. Windyarti, Asuhan Kebidanan Berkelanjutan (Continuity of Care) pada Ny. “A” G1P0A0 di Puskesmas Kedung I Jepara, PubHealth J. Kesehat. Masy., vol. 2, no. 2, pp. 67–72, 2023, doi: 10.56211/pubhealth.v2i2.361.
[2] L. Agustin Tjondro and N. Azizah, The Comprehensive Midwifery Care with Ny. R in Dependent Midwifery Practice Nuril’s Sidoarjo, Indones. Midwifery Heal. Sci. J., vol. 8, no. 1, pp. 1–11, 2024, doi: 10.20473/imhsj.v8i1.2024.1-11.
[3] S. Susiana, Faktor Penyebab dan Upaya Penanganan AKI, pp. 1–6, 2020.
[4] L. Ratnawati and D. Diansari, Asuhan Kebidanan Berkelanjutan pada Ny. “N” GIP0A0 di Praktik Mandiri Bidan Muhartik Continuity of Care to Mrs. “N” GIP0A0 at Private Maternity Clinic Muhartik Regency, J. Ilm. Kesehat. Ar-Rum Salatiga, vol. 4, no. 2, pp. 74–83, 2020.
[5] N. Faizah, N. Yulistin, and M. L. N. Z. Windyarti, Asuhan Kebidanan Berkelanjutan (Continuity of Care) Kehamilan, Bersalin, Bayi Baru Lahir dan Nifas, J. Pengabdi. Masy. Bangsa, vol. 1, no. 7, pp. 1137–1146, 2023, doi: 10.59837/jpmba.v1i7.321.
[6] Dinkes Sidoarjo, Profil Kesehatan Sidoarjo 2021, 2022.
[7] S. W. Rhomadona and E. Leberina, Asuhan Kebidanan Continuity of Care pada Ny. “A” Usia 24 Tahun GIP0000 dari Masa Kehamilan hingga Masa Nifas di PMB Any Iswahyuni, Surabaya, J. Kebidanan, vol. 10, no. 1, pp. 10–20, 2021, doi: 10.47560/keb.v10i1.273.
[8] S. Rusmida, S. Afritasari, I. Purnama Sari, and S. Ridha Agfiany, Asuhan Kebidanan Komprehensif pada Ny. S dengan Hipertensi Ringan, pp. 982–989, 2022.
[9] K. M. Saragih and R. S. Siagian, Studi Kasus: Terapi Rendam Air Hangat untuk Edema Tungkai pada Ibu Hamil Trimester III, J. Kebidanan, vol. 1, no. 1, pp. 50–58, 2021.
[10] S. S. Lintang and N. Nurseha, Gambaran Karakteristik Ibu Hamil dengan HBsAg Positif di Wilayah Kerja Puskesmas Kramatwatu, J. Midwifery, vol. 10, no. 1, pp. 58–64, 2022, doi: 10.37676/jm.v10i1.2320.
[11] N. A. Nurul Azizah, Buku Ajar Mata Kuliah Asuhan Kebidanan Nifas dan Menyusui. 2019, doi: 10.21070/2019/978-602-5914-78-2.
[12] D. Wijayanti, E. Dewi, S. I. Sandhi, and S. A. Nani, Analisis Implementasi Continuity of Care, J. Ilm. Multidisipline, vol. 2, no. 1, p. 2024, 2024, doi: 10.5281/zenodo.10610799.
[13] F. Fadilah, Studi Kasus Asuhan Kebidanan Berkelanjutan pada Ny. “U” Usia 30 Tahun Sekundigravida di Klinik Pratama Widuri Sleman, J. Kesehat. Madani Yogyakarta, 2021.
[14] Z. Chen, M. Zeng, D. Liu, L. Wu, and L. Zhang, Antenatal Administration of Hepatitis B Immunoglobulin and Hepatitis B Vaccine to Prevent Mother to Child Transmission in Hepatitis B Virus Surface Antigen Positive Pregnant Women: A Systematic Review and Meta-Analysis, Med. (United States), vol. 99, no. 16, p. e19886, 2020, doi: 10.1097/md.0000000000019886.
[15] Y. Ima, Asuhan Kebidanan Berkelanjutan pada Ny. N, Ny. H, Ny. S di PMB Yalimah, S.Tr., Keb, J. Matern. Aisyah (Jaman Aisyah), vol. 5, no. 2, pp. 132–144, 2024, doi: 10.30604/jaman.v5i2.1593.