Asuhan Kebidanan Berkelanjutan(Continuity Of Care) Pada Ibu Inpartu Ny.Z Dengan Rupture Perineum Derajat Ii Di Klinik Pratama Fatimah Ali Ii Kec.Deli Tua Kota Medan Provinsi Sumatera Utara Tahun 2026

Background:The Continuity Of Care (Coc) Approach Plays A Vital Role In The Early Detection Of Childbirth Complications To Reduce The Maternal Mortality Rate (MMR) And Infant Mortality Rate (IMR). Objective: To Provide Comprehensive And Continuous Midwifery Care For Mrs. Z (23 Years Old) At Pratama Fatimah Ali II Clinic, Deli Tua, From
The Third Trimester Of Pregnancy Through Family Planning Services.Methods: This Case Study Applied Varney’s Midwifery Management And SOAP Documentation, Conducted From September 2025 To January 2026.Results: Antenatal Care Was Provided 3 Times; Physiological Complaints Such As Back Pain And Sleep Disturbances Were Managed Through Sleep Hygiene Education And Body Mechanics. During Labor, An Episiotomy WasPerformed Due To A Rigid Perineum, Resulting In A Second-Degree Perineal Tear Which Was Repaired With 6 Stitches Under Aseptic Techniques. A Baby Boy Was Born Spontaneously, Cried Immediately, Weighing 3,200 Grams With An Apgar Score Of 10. The Third And Fourth Stages Of Labor Progressed Normally With Stable Maternal Hemodynamics. Postnatal Care (4 Visits) Showed Optimal Uterine Involution, Well-Healed Perineal Tears, And Smooth Lactation. Neonatal Care (3 Visits) Ensured Normal Infant Growth With The Umbilical Cord Separating On Day 14. For Family Planning, Mrs. Z Opted For The Lactational Amenorrhea Method (LAM).Conclusion: Continuous Midwifery Care For Mrs. Z Was Safely And Comprehensively Implemented According To Professional
Standards, With No Significant Gaps Identified Between Clinical Theory And Practice.
Keywords: Continuity Of Care, Episiotomy, Perineal Tear, Postpartum, Lactational Amenorrhea Method.