Continuity of midwifery care for a patient (G2P1001, 40 years old, and 26 weeks of gestation) with a single viable intrauterine fetus

Abstract

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia are still relatively high, so continuous efforts are needed to improve the quality of maternal and child health services. One effective strategy is the implementation of Continuity of Care (CoC). This study aims to provide a comprehensive overview of the implementation of CoC midwifery care for Mrs. NN, 40 years old with a single intrauterine pregnancy, from the third trimester of pregnancy to contraceptive services. The method used is a descriptive case study conducted at TPMB Muhartik, S.Tr., Bd. in Kandangan Village, Kediri Regency, from November 11, 2024, to March 22, 2025. This midwifery care shows that all stages, from antenatal care (ANC), delivery, postpartum, newborn care, to contraceptive counseling have been carried out according to midwifery service standards. The interventions provided can accurately identify pregnancy risks, such as maternal age >35 years, and address postpartum issues such as sore nipples and low breast milk production through oxytocin massage. The implementation of CoC in midwifery care has proven effective in improving the overall health status of mothers and babies and supporting the achievement of national health targets.