Profil kesehatan tahun 2023 mengatakan sebenarnya terjadi penurunan angka kematian ibu yaitu 194 per 100.000 kelahiran hidup. penurunan aki dan akb saat ini masih merupakan program kesehatan prioritas di indonesia. bidan sebagai pemberi asuhan kebidanan memiliki posisi stategis untuk berperan dalam upaya percepatan penurunan aki dan akb. tujuan penyusunan lta ini untuk memberikan asuhan kebidanan pada ibu hamil trimester iii yang fisiologis dengan menggunakan pendekatan manajemen asuhan kebidanan. asuhan kebidanan komprehensif pada ny. s g2p0a1 dilakukan di puskesmas pantai amal jl. amal lama, kecamatan tarakan timur kota tarakan, kalimantan utara. pertemuan pertama dilakukan asuhan kehamilan pada ny. s pada tanggal 9 maret 2024. usia kehamilan ibu 41 minggu. dilakukan pemeriksaan berat badan dan tinggi badan pada ibu, tekanan darah, pengukuran lila, pengukuran tinggi fundus uteri, pengukuran presentasi janin dan denyut jantung janin, dan pemeriksaan lab (hb, protein urin, pemeriksaan reduksi urine), temu wicara dan tatalaksana. persalinan pada ny. s dilakukan pada tanggal 10 maret 2024 saat ibu datang pemeriksaan dalam dilakukan pembukaan 1. pada kala 1 fase laten lamanya 5 jam dan fase aktif lamanya 2 jam. kala 2 dimulai saat pembukaan telah lengkap dan saat bayi telah lahir, lama pada kala 2 adalah 10 menit. setelah bayi lahir dilakukan manajemen kala 3 yaitu melahirkan plasenta, lama pada kala 3 adalah 9 menit. kala 4 dilakukan pemantauan 2 jam post partum untuk memantau ttv, kontraksi uterus dan perdarahan. asuhan neonatus dilakukan 6 jam post partum. bayi ny. s berjenis kelamin laki-laki, berat padan 2.800 gram, panjangan badan 49 cm, lingkar kepala 30 cm, lingkar dada 31 cm, apgar skor 8/9 tidak ada cacat bawaan, telah diberi salep mata, pemberian injeksi vitamin k dan imunisasi hb0. kunjungan ke 2 neonatus pada tanggal 13 maret 2024 pemeriksaan baik, warna kulit kemerahan, tali pusat mulai mengering, dan tidak ada tanda-tanda infeksi. kunjungan ke 3 dilakukan pada tanggal 2 april 2024 bayi aktif menyusui, tali pusat telah lepas, keadaan bayi baik. kunjungan nifas dilakukan pada tanggal 10 maret 2024 setelah 6 jam persalinan ttv ibu baik, tfu 2 jari bawah pusat, ada pengeluaran kolostrum. kunjungan nifas ke 2 dilakukan pada tanggal 13 maret 2024. pemeriksaan ttv ibu baik, tfu 2 jari bawah pusat, luka jahit bersih dan mulai mengering. kunjungan nifas ke 3 dilakukan pada tanggal 2 april 2024, pemeriksaan ttv baik, tfu sudah tidak teraba, luka jahit sudah kering. asuhan kebidanan komprehensif pada ny. s yang telah diberikan, tidak ditemukan adanya masalah atau komplikasi pada ibu dan bayi. saran bagi mahasiswa yang selanjutnya yang akan melalui asuhan komprehensif sebaiknya mempersiapkan pengetahuan dan melatih sikap yang sesuai dengan profesi bidan yang telah terstandar di indonesia.

The 2023 health profile states that there has actually been a decrease in the maternal mortality rate, which is 194 per 100,000 live births. reducing mmr and imr is currently still a priority health program in indonesia. midwives as providers of midwifery care have a strategic position to play a role in efforts to accelerate the reduction of mmr and imr. the purpose of compiling this lta is to provide midwifery care to pregnant women in the third trimester who are physiological using a midwifery care management approach. comprehensive midwifery care for mrs. s g2p0a1 was carried out at the pantai amal health center, jl. amal lama, east tarakan district, tarakan city, north kalimantan. the first meeting was carried out for pregnancy care for mrs. s on march 9, 2024. the mother's gestational age was 41 weeks. the mother's weight and height were checked, blood pressure, lila measurements, uterine fundus height measurements, fetal presentation and fetal heart rate measurements, and lab examinations (hb, urine protein, urine reduction examination), talk shows and management. mrs. s's delivery was carried out on march 10, 2024 when the mother came for an internal examination, dilation 1 was carried out. in the first stage, the latent phase lasted 5 hours and the active phase lasted 2 hours. stage 2 began when the dilation was complete and when the baby was born, the duration of stage 2 was 10 minutes. after the baby was born, stage 3 management was carried out, namely delivering the placenta, the duration of stage 3 was 9 minutes. stage 4 was monitored 2 hours postpartum to monitor ttv, uterine contractions and bleeding. neonatal care was carried out 6 hours postpartum. mrs. s's baby is male, birth weight 2,800 grams, body length 49 cm, head circumference 30 cm, chest circumference 31 cm, apgar score 8/9 no congenital defects, has been given eye ointment, vitamin k injection and hb0 immunization. the second visit to the neonate on march 13, 2024, the examination was good, the skin color was reddish, the umbilical cord was starting to dry, and there were no signs of infection. the 3rd visit was conducted on april 2, 2024, the baby was actively breastfeeding, the umbilical cord had fallen off, the baby's condition was good. the postpartum visit was conducted on march 10, 2024 after 6 hours of labor, the mother's ttv was good, tfu 2 fingers below the center, there was colostrum discharge. the 2nd postpartum visit was conducted on march 13, 2024. the mother's ttv examination was good, tfu 2 fingers below the center, the stitches were clean and starting to dry. the 3rd postpartum visit was conducted on april 2, 2024, the ttv examination was good, tfu was no longer palpable, the stitches were dry. comprehensive midwifery care for mrs. s that has been given, no problems or complications were found in the mother and baby. suggestions for students who will go through comprehensive care are to prepare knowledge and practice attitudes that are in accordance with the midwife profession that has been standardized in indonesia.