Nurfaizah Alza, Selvi Mohamad, Endah Yulianingsih, Fatmawati Ibrahim, Salsabila Putri Aprilda Abdul

Comprehensive Obstetric Care for Mrs. F.D at The Dumbo Raya Health Center, Gorontalo City

Introduction

Comprehensive obstetric care for mrs. F.d at the dumbo raya health center, gorontalo city . Comprehensive obstetric care for Mrs. F.D at Dumbo Raya Health Center, Gorontalo. Optimal services from pregnancy to postpartum prevented complications, improving maternal and infant health.

Abstract

Introduction Maternal Mortality Rate (MMR) and Infant Mortality Rate (AKB) are still national health problems. Based on data from the Dumbo Raya Health Center in 2022–2024, there was an increase in AKI cases from 0 to 2 cases, and AKB from 5 to 11 cases, caused by IUFD, congenital disorders, diarrhea, and leaky heart. Comprehensive obstetric care aims to provide continuous services from pregnancy to birth control. Method This research method uses a descriptive method through a case study approach. The subject used in this study was Mrs. F.D, aged 24 years, who was accompanied from 30 weeks of gestation. Results During pregnancy, mothers complain of back pain and frequent urination, which is successfully overcome through education, light massage, warm compresses, and changes in fluid consumption patterns. Labor takes place through sectio caesarea due to macrosomy indications. During the postpartum period, SC wound monitoring, uterine involution, lochea, breastfeeding education, personal hygiene, and family planning counseling are carried out. The mother chooses to use MAL contraceptives and plans to use an IUD. Neonatal visits are carried out three times, the baby is in normal condition. Conclusion The results of care from pregnancy to postpartum show that services take place optimally, characterized by the absence of complications. This comprehensive midwifery care is expected to increase maternal awareness in implementing good health practices and support maternal and infant health as a whole and sustainable.

Review

This paper presents a timely and relevant case study on comprehensive obstetric care, addressing the critical national health issues of Maternal Mortality Rate (MMR) and Infant Mortality Rate (AKB). The authors appropriately identify an alarming increase in AKI and AKB cases at the Dumbo Raya Health Center, providing a strong contextual justification for exploring optimal care strategies. The decision to document comprehensive care for Mrs. F.D offers valuable insights into the practical application of continuous maternal and neonatal health services, from pregnancy through postpartum, within a community health setting, which is particularly vital for local health centers tackling specific mortality challenges. Utilizing a descriptive case study methodology, the research meticulously follows Mrs. F.D's journey from 30 weeks gestation through the postpartum and neonatal periods. The abstract highlights specific interventions for pregnancy-related discomforts, the rationale for a Caesarean section due to macrosomia, and the multi-faceted postpartum care including wound monitoring, breastfeeding education, and family planning counseling. The absence of complications throughout this comprehensive care trajectory is a significant positive outcome, effectively demonstrating the effectiveness of the interventions applied. While this single case study provides rich, detailed qualitative data, it inherently limits the generalizability of findings to the broader population or its direct impact on the overall reduction of MMR/AKB statistics at the health center level. The conclusion that services were optimal, leading to an absence of complications, strongly supports the value of comprehensive midwifery care. The paper effectively argues that such continuous and holistic support can foster increased maternal awareness regarding health practices, ultimately contributing to improved maternal and infant health outcomes. While this specific case underscores successful implementation, future research could explore the feasibility and impact of scaling such comprehensive care across a larger cohort or examining its correlation with the broader MMR/AKB trends at the Dumbo Raya Health Center. Nevertheless, this detailed account serves as an excellent reference for local health practitioners striving to enhance the quality and continuity of obstetric services.

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