Prolaps tali pusat merupakan kegawatdaruratan obstetri yang jarang dan tidak dapat diprediksi, dengan insiden 1–6 per 1000 kehamilan. Sectio Caesarea (SC) menjadi tindakan pilihan untuk menurunkan risiko komplikasi. Penelitian ini menggunakan pendekatan studi kasus deskriptif terhadap dua ibu nifas post SC dengan riwayat Prolaps tali pusat di ruang Mawar RSUD dr. H. Jusuf SK Tarakan. Asuhan keperawatan dilakukan melalui tahapan pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Kedua pasien mengalami nyeri luka operasi, keletihan, dan masalah menyusui akibat kurangnya edukasi dan suplai ASI. Intervensi mencakup manajemen nyeri, edukasi perawatan luka dan istirahat, promosi ASI eksklusif, serta kolaborasi pemberian obat dan konseling. Evaluasi menunjukkan nyeri dan keletihan menurun serta peningkatan keberhasilan menyusui. Terdapat perbedaan respons: pasien pertama menunjukkan pemulihan optimal, sedangkan pasien kedua memerlukan pendekatan edukatif dan psikologis tambahan. Asuhan keperawatan yang komprehensif dan berkelanjutan berperan penting dalam pemulihan ibu post SC. Pendekatan holistik dan keterlibatan aktif perawat meningkatkan mutu pelayanan dan mencegah komplikasi.

Kata Kunci: Asuhan Keperawatan Sectio Caesarea, Ansietas, Defisit Pengetahuan, Prolaps Tali Pusat, Nyeri Akut

Umbilical cord prolapse is a rare and unpredictable obstetric emergency, with an incidence of 1-6 per 1,000 pregnancies. Cesarean section (CS) is the preferred procedure to reduce the risk of complications. This study employed a descriptive case study approach on two postpartum women who underwent CS with a history of umbilical cord prolapse in Mawar Ward, Dr. H. Jusuf SK Tarakan Public Hospital. Nursing care was provided through the stages of assessment, diagnosis, intervention, implementation, and evaluation. Both patients experienced postoperative wound pain, fatigue, and breastfeeding issues due to insufficient education and breast milk supply. Interventions included pain management, wound care, rest education, promotion of exclusive breastfeeding, and collaboration in medication administration and counselling. Evaluation revealed a decrease in pain and fatigue, as well as improved breastfeeding success. There were differences in response: the first patient showed optimal recovery, while the second patient required additional educational and psychological approaches. Comprehensive and continuous nursing care plays a crucial role in the recovery of post-SC mothers, and a holistic approach and active nurse involvement enhance service quality and prevent complications. Keywords: Cesarean Section Nursing Care, Anxiety, Knowledge Deficit, Umbilical Cord Prolapse, Acute Pain