Asuhan komprehensif atau Continuity of Care merupakan manajemen kebidanan yang dilakukan sejak kehamilan, persalinan, periode postpartum, dan bayi baru lahir. Asuhan komprehensif mencakup pemeriksaan fisik yang sistematis dan lengkap untuk mendeteksi masalah atau kelainan yang mungkin terjadi selama kehamilan, persalinan, bayi baru lahir, dan selama masa nifas, agar dapat dideteksi dan ditangani lebih awal untuk menghindari risiko yang lebih tinggi.
Asuhan kebidanan komprehensif yang diberikan pada Ny.E dilakukan dari tanggal 28 April 2025 hingga 05 Mei 2025 di Puskesmas Juata Kota Tarakan. Pelayanan Asuhan kehamilan dilakukan tanggal 28 April 2025 pada Ny.E dengan usia kehamilan ibu 37 minggu 2 hari. Pada kunjungan tersebut ditemukan adanya masalah yaitu ibu mengeluh sakit pinggang, hal ini fisiologis bagi ibu hamil trimester III. Penatalaksanaan yang diberikan berupa konseling bahwa keluhan yang dirasakan wajar bagi ibu hamil trimester III karena disebabkan oleh peregangan tulang-tulang akibat bertambahnya usia kehamilan sehingga menekan belakang pinggang dan juga dipengaruhi oleh hormon estrogen dan progesteron, yang membuat persendian, ikatan tulang, dan otot di area pinggul menjadi lebih lunak, cara untuk mengurangi nyeri pinggang tersebut adalah dengan endorphin massage, kompres hangat, senam untuk ibu hamil, dan yoga.
Persalinan Ny.E berlangsung pada tanggal 05 Mei 2025 pukul 21.22 WITA dengan usia kehamilan 38 minggu 1 hari dan menggunakan standar 60 langkah Asuhan Persalinan Normal (APN). Lama kala I yaitu 2 jam 43 menit, kala II selama 33 menit, dan kala III berlangsung 8 menit, setelah plasenta lahir didapatkan laserasi perineum derajat I dan dilakukan penjahitan dengan anastesi. Kala IV berlangsung selama 2 jam untuk pemantauan tanda-tanda vital ibu, hasil pemeriksaan dalam batas normal dan bekas jahitan perineum dalam keadaan baik. Persalinan Ny.E berlangsung normal meskipun terdapat laserasi perineum derajat I.
Asuhan nifas dilakukan kunjungan 6 jam setelah melahirkan pada tanggal 05 Mei 2025 dan berjalan normal, hasil pemeriksaan dalam batas normal serta kondisi bekas jahitan perineum baik dan tidak ditemukan adanya tanda-tanda infeksi seperti pengeluaran cairan yang abnormal. Asuhan bayi baru lahir usia 8 jam dilakukan pada tanggal 05 Mei 2025, dari pemeriksaan fisik didapatkan hasil normal, bayi laki-laki memiliki berat badan 2.900 gram, panjang 49 cm, lingkar kepala 33 cm, lingkar dada 32 cm, bayi bergerak aktif dan tidak ada kelainan. Asuhan komprehensif telah diberikan pada Ny.E dan tidak didapatkan adanya masalah.
Berdasarkan asuhan kebidanan komprehensif yang telah dilakukan pada Ny.E dari kehamilan, persalinan, masa nifas, hingga bayi baru lahir, ditemukan adanya masalah berupa nyeri pinggang, kenaikan BB selama kehamilan 10 kg, TFU 28 cm, namun tidak ditemukan adanya komplikasi serta berlangsung dengan normal. Asuhan komprehensif (Continuity Of Care) penting dilakukan untuk mengurangi angka kematian ibu dan bayi melalui implementasi program pelayanan antenatal yang dimulai sejak awal kehamilan, proses melahirkan, masa nifas, dan bayi yang baru lahir.

Comprehensive care or Continuity of Care is maternity management conducted from pregnancy, childbirth, postpartum period, and newborns. Comprehensive care includes a systematic and complete physical examination to detect problems or abnormalities that may occur during pregnancy, childbirth, newborn stage, and during the postpartum period, in order to detect and address them early to avoid higher risks. Comprehensive midwifery care provided to Mrs. E was conducted from April 28, 2025 to May 5, 2025 at the Juata Health Center in Tarakan City. Pregnancy care services were carried out on April 28, 2025 for Mrs. E, who was 37 weeks and 2 days pregnant. During this visit, a problem was found; the mother complained of waist pain, which is physiological for pregnant women in the third trimester. The management provided consisted of counseling that the complaints experienced are normal for pregnant women in the third trimester due to the stretching of the bones as the pregnancy progresses, which puts pressure on the lower waist and is also influenced by the hormones estrogen and progesterone, causing the joints, bone connections, and muscles in the pelvic area to become softer. Ways to reduce this waist pain include endorphin massage, warm compresses, exercise for pregnant women, and yoga. Ms. E's delivery took place on May 5, 2025, at 21:22 WITA, with a gestational age of 38 weeks and 1 day, following the standard 60 steps of Normal Delivery Care (APN). The duration of the first stage was 2 hours and 43 minutes, the second stage lasted 33 minutes, and the third stage took 8 minutes. After the placenta was delivered, a first-degree perineal laceration was found and sutured with anesthesia. The fourth stage lasted 2 hours to monitor the mother's vital signs, with examination results within normal limits and the sutured perineum in good condition. Ms. E's delivery was normal, although there was a first-degree perineal laceration. Postpartum care was conducted with a visit 6 hours after delivery on May 5, 2025, and it went normally, with examination results within normal limits and the condition of the perineal sutures being good, showing no signs of infection such as abnormal discharge. Newborn care for an 8-hour-old baby was performed on May 5, 2025, and the physical examination showed normal results; the baby boy weighed 2,900 grams, measured 49 cm in length, had a head circumference of 33 cm, and a chest circumference of 32 cm. The baby was active with no abnormalities. Comprehensive care has been provided to Mrs. E, and no issues were found. Based on the comprehensive midwifery care provided to Mrs. E from pregnancy, childbirth, postpartum, to the newborn, issues were found such as back pain, a weight gain of 10 kg during pregnancy, and a fundal height of 28 cm, but no complications were found and everything proceeded normally. Comprehensive care (Continuity Of Care) is important to reduce maternal and infant mortality rates through the implementation of antenatal care programs that begin from the early stages of pregnancy, the childbirth process, postpartum, and for the newborn.