ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. R USIA 33 TAHUN USIA KEHAMILAN 33 MINGGU G4P3A0 DENGAN KEHAMILAN RESIKO TINGGI DI PUSKESMAS CEMPAKA MULIA KABUPATEN KOTAWARINGIN TIMUR

Abstract

Comprehensive obstetric care is care provided by midwives starting from pregnancy, childbirth, newborns, neonates, postpartum periods, immunizations and the use of birth control. Pregnancy is accompanied by a high risk that can cause illness or death before. Purpose of Case. Implementing Comprehensive Midwifery Care for Mrs. R aged 33 years from pregnant women, childbirth, newborns, neonates, postpartum patients, immunizations and family planning services at the Cempaka Mulia Health Center, East Kotawaringin Regency. A type of case study writing using a 7-step varney obstetric care management approach and documented in the form of SOAP. The subject of the writing is Mrs. R, age 33 years, G4P3A0, 33 weeks gestation. High-risk Comprehensive Pregnancy Midwifery Care with High-Risk Pregnancy was carried out starting from the third trimester of pregnancy at 33 weeks gestational age with 4 pregnancies. Childbirth assistance was carried out normally vaginal gestation at 40 weeks, neonatal visits were carried out 3 times, postpartum visits were carried out 4 times, and family planning visits were carried out 1 time, with the results of the mother's and baby's healthy condition. Comprehensive obstetric care on Mrs. R G4P3A0 aged 33 years obtained results that there was a gap between theory and fact at the time of ANC the gestational distance was too close to 1.9 months and HB anemia was 8.9 gr/dl. In addition, the condition of the mother and baby is in good condition and the contraceptive device that the mother chooses is a birth control implant