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JOURNAL OF NONCOMMUNICABLE DISEASES
Volume 1 (1), 1-9
http://dx.doi.org/10.52365/jond.v1i1.220 http://jurnal.poltekkesgorontalo.ac.id/
Comprehensive Midwifery Care Case Study in NY. N.I at
Puskesmas Toto Utara, Bone Bolango
Magdalena M. Tompunuh
1
and Nur Inayah Adam
1
*
1
Jurusan Kebidanan, Politeknik Kemenkes Gorontalo;
*Corresponding Author :
Nur Inayah Adam
Jurusan Kebidanan Poltekkes Kemenkes Gorontalo
nuradam@poltekkesgorontalo.ac.id
Abstract: World Health Organization (WHO) stated that in 2017 the number of maternal deaths in the
world was around 295,000, with the mortality of young mothers being around one in 190 people. The
Maternal Mortality Rate (MMR) in Indonesia in ASEAN countries is in the second highest position
after Laos, namely 305 per 100,000 live births. In order to reduce the impact of these deaths, the
government seeks to create programs with comprehensive services that include the provision of
integrated services for mothers and babies from pregnancy to delivery, newborns and the post-natal
period. In addition, one of the efforts to reduce MMR and IMR and also produce quality health
services is to provide comprehensive care for pregnancy, childbirth, newborns and childbirth. The
purpose of this case study is to provide comprehensive midwifery services to mothers from
pregnancy to childbirth using a 7-step Varney approach and documentation through SOAP. Case
Study Method with Case Study at North Toto Health Center, Bone Bolango District, at Mrs. NI, aged
22 years, from December 2019 to February 2020, using primary and secondary data, data collection
techniques from interviews, observation, examination and documentation studies, data analysis in
accordance with midwifery management. Case Report and Discussion The results of this case study
obtained a diagnosis of G1P0A0 gestational age 37-38 weeks physiologically with physiological
delivery, physiological puerperium, and physiological newborn babies.
Keywords: : Maternity Care; Pregnancy; Childbirth; Newborn and Postpartum
1. Introduction
World Health Organization (WHO) stated that in 2017 the number of maternal deaths
in the world was around 295,000, with the mortality of young mothers being around one
in 190 people. Every day an estimated 810 women in the world die due to pregnancy and
childbirth. 94% of them occur in developing countries. The Maternal Mortality Rate
(MMR) in Indonesia in ASEAN countries is in the second highest position after Laos,
namely 305 per 100,000 live births (WHO, 2018).
Case Reports
Received : February 13, 2021 Accepted : March 14, 2021 ePublished : April, 17, 2021