Tingginya angka kematian ibu (aki) dan angka kematian neonatal (akn) di indonesia, khususnya kalimantan utara dan kota tarakan, menunjukkan urgensi peningkatan upaya kesehatan yang tidak hanya kuratif tetapi juga promotif dan preventif. berlatar belakang tantangan ini, dilakukan asuhan kebidanan komprehensif kepada ny. m di puskesmas sebengkok kota tarakan. bertujuan mengidentifikasi, mencegah risiko, serta memberikan edukasi kesehatan yang berkelanjutan dari masa kehamilan, persalinan, nifas, hingga bayi baru lahir, sejalan dengan landasan teori dan standar asuhan kebidanan yang berlaku. pengkajian pada ny. m g5p2a2, dimulai pada usia kehamilan 35 minggu 4 hari, menunjukkan kondisi kehamilan fisiologis, namun teridentifikasi adanya penurunan berat badan pada masa kehamilan yang memerlukan perhatian khusus pada nutrisi. seluruh tahapan asuhan antenatal telah dilakukan sesuai standar 10t. proses persalinan ny. m berlangsung fisiologis pada 16 maret 2025. kemajuan persalinan kala i berjalan optimal dengan durasi singkat sekitar 1 jam 55 menit, diikuti kelahiran bayi perempuan spontan dalam 12 menit di kala ii dengan kondisi baik. total durasi persalinan yang kurang dari 3 jam ini menunjukkan karakteristik partus presipitatus. kala iii dan iv juga berlangsung lancar tanpa komplikasi serius, meskipun terdapat laserasi perineum derajat i. asuhan masa nifas hari ke-6 postpartum serta asuhan bayi baru lahir menunjukkan kondisi ibu dan bayi dalam batas normal, dengan adaptasi yang baik tanpa keluhan. pembahasan dalam laporan ini mengidentifikasi kesenjangan antara perubahan berat badan ny. m dengan rekomendasi teori selama kehamilan, hal ini telah menjadi fokus edukasi nutrisi. asuhan persalinan, nifas, dan bayi baru lahir secara keseluruhan telah terlaksana sesuai standar asuhan kebidanan, tanpa ditemukan masalah atau komplikasi yang mengindikasikan faktor risiko. asuhan kebidanan komprehensif yang diberikan telah efektif dalam mendukung proses fisiologis ny. m dan bayinya. saran yang diberikan mencakup pentingnya pemantauan status gizi ibu hamil, dan edukasi berkelanjutan bagi klien demi tercapainya kesehatan ibu dan anak yang optimal.

The high maternal mortality rate (mmr) and neonatal mortality rate (nmr) in indonesia, particularly in north kalimantan and the city of tarakan, highlight the urgent need to strengthen health efforts that are not only curative but also promotive and preventive. in response to this challenge, comprehensive midwifery care was provided to mrs. m at sebengkok public health center, tarakan city. the care aimed to identify and prevent risks, as well as deliver continuous health education from pregnancy, childbirth, postpartum, to newborn care, in accordance with midwifery care theories and applicable standards. the assessment of mrs. m, g5p2a2, began at 35 weeks and 4 days of gestation, showing a physiological pregnancy condition. however, a decrease in maternal weight gain during pregnancy was identified, requiring special attention to nutritional intake. all stages of antenatal care were carried out according to the 10t standard. mrs. m's labor progressed physiologically on march 16, 2025. the first stage of labor progressed optimally with a short duration of approximately 1 hour and 55 minutes, followed by the spontaneous birth of a healthy baby girl within 12 minutes in the second stage. the total labor duration of less than 3 hours indicated characteristics of precipitate labor (partus presipitatus). the third and fourth stages also proceeded smoothly without serious complications, although a first-degree perineal laceration was noted. postpartum care on the sixth day, as well as newborn care, showed that both the mother and baby were within normal condition, with good adaptation and no complaints. the discussion in this report identifies a gap between mrs. m’s weight changes and theoretical recommendations during pregnancy, which became the focus of nutritional education. overall, labor, postpartum, and newborn care were conducted in accordance with midwifery care standards, with no problems or complications indicating risk factors. the comprehensive midwifery care provided proved effective in supporting the physiological process of both mother and baby. recommendations include the importance of monitoring the nutritional status of pregnant women and providing ongoing education to clients in order to achieve optimal maternal and child health.