Asuhan kebidanan yang komprehensif (continuity of care/coc) dapat mengoptimalkan deteksi dini risiko tinggi maternal dan neonatal. masa kehamilan, persalinan, nifas, dan bayi baru lahir merupakan proses fisiologis yang dapat menimbulkan komplikasi, bahkan dalam kondisi tertentu dapat mengancam keselamatan jiwa ibu dan bayi. berdasarkan data dari kementerian kesehatan ri tahun 2023, angka kematian ibu (aki) di kalimantan utara tercatat sebanyak 18 kasus, sedangkan angka kematian bayi (akb) sebanyak 150 kasus. data ini menunjukkan pentingnya penerapan pelayanan kebidanan yang menyeluruh dan berkesinambungan. pengkajian dilakukan terhadap ny. j g3p2a0, yang melakukan kunjungan kehamilan sebanyak 9 kali, dimulai dari trimester i, ii, dan iii. pemeriksaan kehamilan menunjukkan kondisi ibu dan janin dalam batas normal. persalinan terjadi pada tanggal 04 april 2025 pukul 15.10 wita dengan usia kehamilan 41 minggu 6 hari. proses persalinan berlangsung spontan, dengan kala i selama 9 jam, kala ii 10 menit, kala iii 5 menit, dan kala iv selama 2 jam. bayi lahir spontan dengan jenis kelamin laki-laki, berat badan 3140 gram, panjang badan 51 cm, kondisi bayi baik, dan tidak ditemukan kelainan bawaan. masa nifas ny. j berjalan normal, dilakukan pemantauan sejak 2 jam postpartum hingga kunjungan nifas akhir. bayi baru lahir mendapat pemeriksaan fisik, antropometri, imunisasi hb-0, serta vitamin k1, dan dilakukan penyuluhan kepada ibu mengenai perawatan bayi baru lahir dan pentingnya pemberian asi eksklusif. asuhan kebidanan komprehensif dari masa kehamilan, persalinan, nifas, hingga bayi baru lahir pada ny. j di puskesmas sebengkok telah dilaksanakan secara menyeluruh menggunakan pendekatan data subjektif, objektif, penegakan diagnosis, dan penatalaksanaan sesuai kebutuhan klien. diharapkan tenaga kesehatan dapat terus mempertahankan mutu pelayanan dan mengikuti perkembangan ilmu kebidanan dalam upaya menurunkan angka kematian ibu dan bayi.

Comprehensive midwifery care (continuity of care/coc) plays a crucial role in optimizing the early detection of maternal and neonatal risk factors. pregnancy, childbirth, postpartum, and newborn periods are physiological processes that can potentially lead to complications, and in certain cases, may pose life-threatening risks to both mother and baby. according to data from the indonesian ministry of health in 2023, north kalimantan recorded 18 cases of maternal mortality and 150 cases of infant mortality. these statistics highlight the importance of implementing continuous and comprehensive midwifery services. an assessment was conducted on mrs. j, g3p2a0, who attended nine antenatal care visits across the first, second, and third trimesters. the antenatal examinations showed that both maternal and fetal conditions were within normal limits. labor occurred on april 4, 2025, at 15:10 central indonesia time (wita) at a gestational age of 41 weeks and 6 days. the labor progressed spontaneously, with the first stage lasting 9 hours, the second stage 10 minutes, the third stage 5 minutes, and the fourth stage 2 hours. the baby was delivered spontaneously, male, weighing 3140 grams, measuring 51 cm in length, in good condition, and with no congenital abnormalities detected. mrs. j’s postpartum period proceeded normally and was monitored from 2 hours postpartum through to the final postnatal visit. the newborn received a physical examination, anthropometric measurements, the administration of the hb-0 vaccine and vitamin k1, along with maternal education regarding newborn care and the importance of exclusive breastfeeding. comprehensive midwifery care for mrs. j, from pregnancy to childbirth, postpartum, and newborn care, was carried out holistically at sebengkok public health center using a structured approach based on subjective and objective data, diagnosis formulation, and appropriate management tailored to the client’s needs. it is expected that healthcare providers continue to uphold the quality of care and stay informed of advancements in midwifery science as part of efforts to reduce maternal and infant mortality rates.