Continuity of Midwifery Care in a 35-Year-Old Multigravida at 40 Weeks of Gestation: A Case Study Approach
Main Article Content
Fahmi Fuadah
Sri Rejeki
Imelda Sianipar
Maternal and neonatal morbidity remain major public health concerns in developing countries. Continuity of care (CoC) in midwifery practice is recognized as an effective approach to improving maternal and neonatal outcomes. This study aimed to describe and analyze the implementation of continuity of midwifery care in a 35-year-old multigravida woman at 40 weeks of gestation in an independent midwifery practice. A case study design was applied. Care was provided from late pregnancy, childbirth, postpartum, neonatal care, and family planning counseling. Data were collected through clinical assessment, observation, documentation review, and standardized maternal examination instruments. The results showed that comprehensive and continuous monitoring enabled early detection of potential complications and ensured safe delivery without maternal or neonatal complications. Postpartum and neonatal examinations were within normal limits, and early breastfeeding initiation was successfully implemented. The findings support that continuity of midwifery care contributes to positive maternal and neonatal outcomes. Strengthening integrated and woman-centered care is recommended to enhance maternal health services.
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