Manajemen Asuhan Kebidanan Continuity of Care (CoC) Pada Ny.N Kehamilan, Bersalin, Nifas dengan Bendungan ASI, Bayi Baru Lahir dan Keluarga Berencana di Klinik Pratama Rawat Inap Santi Meliala Kecamatan Medan Polonia Kota Medan Tahun 2025

Background: Breast engorgement is a condition in which the breasts become swollen due to blockage in the lactiferous ducts or because the glands in the breasts are not emptied optimally, as well as abnormalities in the mother’s nipples. Breast engorgement, or caked breast, can occur on the 3rd to 5th day postpartum and may cause pain, as well as sometimes lead to an increase in body temperature.
The purpose of this study: is to carry out comprehensive continuous midwifery care for pregnant women, giving birth, postpartum with breast engorgement, BBL, and KB. The research method: descriptive study with a case study approach was conducted to provide a comprehensive description of the midwifery care given to Mrs. N continuously, using the seven-step midwifery management by Helen Varney and the SOAP method. The research was carried out from May 2024 to February 2025 at Santi Meliala Primary Inpatient Clinic. Data were collected through observation, physical examination, and documentation study of the MCH handbook. The data were presented in a descriptive narrative form. The subject of this case: is Mrs. N G1P0A0, aged 28, is willing to be given continuous care starting from pregnancy, childbirth, BBL, postpartum, until the
acceptor of family planning.
The Results: During her pregnancy, Mrs. N experienced physiological complaints such as nausea and vomiting in the first trimester, low back pain in the second trimester, and frequent urination in the third trimester. Labor occurred spontaneously, with all four stages of labor (stages I–IV) within normal limits. During the postpartum period, at the second postpartum visit (KF 2), Mrs. N experienced breast engorgement. Warm compresses, perform breast care, oxytocin massage, and education on correct breastfeeding positions and techniques. By the seventh day, the breast engorgement had resolved. The newborn was delivered spontaneously with an APGAR score within normal limits (score of 10). Mrs. N chose progestin-only pills as her contraceptive method.
The Conclusion: The implementation of the CoC midwifery care management for Mrs. N at Santi Meliala Primary Inpatient Clinic in 2025 was carried out effectively.
Keywords: Midwifery Care, Continuity of Care, Breast Engorgement, Puerperium