Asuhan Kebidanan Berkelanjutan (Continuity of care) pada Ny R dengan Laserasi Jalan lahir Derajat 1 Di PMB Sumiati Kecamatan Kuala Hulu Kota Aek Kanopan Provinsi Sumatra Utara Tahun 2025

Continuity of Care (COC) is a comprehensive service starting from pregnancy, childbirth, postpartum, newborn care, to family planning. Lacerations of the birth canal often occur during vaginal delivery and can lead to bleeding and infection if not addressed. The aim of this case study is to describe the implementation of COC in Mrs. R, 28 years old, with a degree I laceration at PMB Sumiati, Kuala Hulu District, Aek Kanopan City in 2025. The method used is a descriptive case study with Varney's seven-step nursing management and SOAP documentation. The results showed spontaneous delivery, a live birth weight of 3500 grams, length of 49 cm, Apgar score of 10, and gestational age of 39 weeks. The mother experienced a degree I laceration, managed with local anesthesia and simple mattress suturing. The postpartum period was stable, the perineal wound healed well, the baby was healthy and received exclusive breastfeeding. The mother received family planning counseling and agreed to use contraception. In conclusion, the implementation of COC effectively prevents complications and improves the quality of holistic midwifery services.
Keywords: Pregnancy, childbirth, birth canal laceration, birth weight, comprehensive