Pelayanan continuity of care diberikan secara menyeluruh mulai dari kehamilan, persalinan, masa nifas,dan bayi baru lahir. tujuan dari pelayanan kebidanan ini adalah untuk dapat mendeteksi apa yang terjadi pada seorang wanita mulai dari kehamilan, persalinan, lahirnya bayi hingga masa nifas serta melatih cara melakukan pengkajian, memberikan diagnosis yang akurat, mengantisipasi masalah yang mungkin timbul, menentukan tindakan segera, merencanakan dan bertindak sesuai kebutuhan ibu serta mampu mengevaluasi tindakan yang dilakukan. asuhan kebidanan komprehensif atau continuity of care yang dilakukan penulis dimulai pada kehamilan trimester iii, persalinan, nifas dan bayi baru lahir secara berkelanjutan dengan mengunakan standar asuhan kebidanan. asuhan yang diberikan mulai dari tanggal 9 mei 2025 - 19 mei 2025. kunjungan asuhan kebidanan dilakukan di puskesmas karang rejo. kunjungan hamil dilakukan sebanyak dua kali, kunjungan bersalin satu kali, kunjungan nifas dan bayi baru lahir satu kali. sehingga penulis melakukan kunjungan komprehensif sebanyak lima kali. asuhan kebidanan komprehensif pertama kali dilakukan pada saat kunjungan kehamilan trimester iii pada tanggal 9 mei 2025 dengan usia kehamilan 38 minggu 6 hari, didapatkan setelah pengkajian dilakukan dari kunjungan masa kehamilan dalam kondisi ibu mengalami anemia dan kek dan diberikan asuhan kebidanan kehamilan sesuai kondisi ibu. ibu melakukan kunjungan ulang kehamilan pada tanggal 16 mei 2025 usia kehamilan 39 minggu 6 hari didapatkan ibu masih mengalami kek dan diberikan asuhan sesuai kondisi ibu. asuhan persalinan diberikan pada tanggal 18 mei 2025 pada usia kehamilan 40 minggu 1 hari. asuhan yang diberikan sesuai dengan standar 60 langkah asuhan persalinan normal (apn), didapatkan kala 1 berlangsung 2 jam 30 menit, dan kala ii berlangsung selama 20 menit, dilakukan penilaian sepintas, bayi lahir cukup bulan, segera menangis, warna kulit kemerahan, dan tonus otot baik. kala iii berlangsung selama 5 menit setelah oksitosin disuntikan, plasenta lahir lengkap, tidak ada kelainan dan terdapat robekan derajat 2. asuhan kebidanan pada kala iv dilakukan selama 2 jam dengan memantau ttv ibu, dan didapatkan hasil dalam batas normal, perdarahan kurang lebih 100 cc, terdapat leserasi perineum derajat 2 dan telah dilakukan penjahitan tanpa anastesi. kunjungan nifas dan bayi baru lahir dilakukan pada tanggal 19 mei 2025, dengan hasil pemeriksaan fisik dan ttv ibu dan perdarahan masa nifas dalam batas normal, tfu ibu 2 jari dibawah pusat, terdapat pengeluaran lochea rubra dan bekas jahitan perineum masih basah dan tidak ada tanda-tanda infeksi. asuhan yang dilakukan pada bayi baru lahir berupa pengukuran antropometri didapatkan hasil bayi berjenis kelamin perempuan, berat badan 2.900 gram, panjang badan 47 cm, lingkar kepala 33 cm, dan lingkar dada 32 cm. telah dilakukan asuhan komprehensif pada ny. k selama masa kehamilan, persalinan, nifas, dan bayi baru lahir dengan didapatkan bahwa tidak ada penyulit dan berlangsung fisiologis. asuhan kebidanan yang berkelanjutan jika diberikan secara aktif dapat meningkatkan kesehatan ibu dan anak.

Continuity of care services are provided comprehensively, starting from pregnancy, childbirth, the postpartum period, and newborn care. the aim of this midwifery care is to detect conditions that may occur in a woman during pregnancy, labor, childbirth, and postpartum. it also aims to train midwives in conducting assessments, making accurate diagnoses, anticipating potential problems, determining immediate actions, planning and acting according to the mother's needs, and evaluating the care that has been provided. the comprehensive midwifery care, or continuity of care, conducted by the author began during the third trimester of pregnancy and continued through labor, postpartum, and newborn care, following midwifery care standards. the care was provided from may 9, 2025, to may 19, 2025. all visits were carried out at karang rejo health center. there were two antenatal care visits, one delivery care visit, and one postpartum and newborn care visit, making a total of five comprehensive visits. the first comprehensive midwifery care was carried out during the third-trimester antenatal visit on may 9, 2025, with a gestational age of 38 weeks and 6 days. the assessment showed that the mother was experiencing anemia and chronic energy deficiency (ced), and care was provided accordingly. the follow-up antenatal visit was conducted on may 16, 2025, at a gestational age of 39 weeks and 6 days, during which the mother was still experiencing ced, and care was again provided according to her condition. labor care was given on may 18, 2025, at a gestational age of 40 weeks and 1 day. the care followed the 60-step standard of normal delivery care. the first stage lasted 2 hours and 30 minutes, and the second stage lasted 20 minutes. a brief assessment showed that the baby was full-term, cried immediately after birth, had reddish skin, and good muscle tone. the third stage lasted 5 minutes after oxytocin injection, with complete placental delivery, no abnormalities, and a second-degree perineal tear. the fourth stage was observed for 2 hours by monitoring the mother’s vital signs, which were within normal limits. the estimated bleeding was about 100 cc, and the second-degree perineal laceration was sutured without anesthesia. the postpartum and newborn care visit was conducted on may 19, 2025. the mother's physical examination and vital signs were within normal limits, postpartum bleeding was normal, the uterine fundus was two fingers below the umbilicus, lochia rubra was present, and the perineal stitches were still moist with no signs of infection. newborn care included anthropometric measurements, showing a female baby weighing 2,900 grams, measuring 47 cm in length, with a head circumference of 33 cm and chest circumference of 32 cm. comprehensive midwifery care was successfully provided to mrs. k during pregnancy, childbirth, postpartum, and newborn periods. no complications were found, and the process occurred physiologically. continuity of care, when provided actively, can improve maternal and child health.