OPTIMIZING MIDWIFERY CONTINUITY OF CARE SUPPORT FOR PRIMIGRAVIDA TO IMPROVE MATERNAL AND NEONATAL HEALTH

Abstract

Limited understanding among primigravida pregnant women, lack of experience in coping with pregnancy and childbirth, and the potential discontinuity of comprehensive midwifery care constitute the underlying problems addressed by this community service program. These conditions may increase maternal anxiety, reduce preparedness for childbirth, and hinder the early detection of maternal–neonatal complications. Therefore, an integrated service approach through Midwifery Continuity of Care (MCOC) is required. The objective of this program was to provide holistic and continuous assistance from the antenatal period through the postpartum phase, enhance maternal understanding of pregnancy, childbirth, and postnatal care, and evaluate the implementation of MCOC. The method employed was a MCOC approach delivered through home visits conducted in the working area of Mulyorejo Public Health Center, Surabaya, from June to November 2025. The subject was selected using purposive sampling and involved a primigravida pregnant woman (Mrs. S) with a last menstrual period dated February 18, 2025. Assistance was provided at 17 and 32 weeks of gestation and on the fourth day postpartum. Data were collected through structured interviews, direct observation, and review of maternal and child health records, and were analyzed descriptively. The results demonstrated improved maternal preparedness for childbirth, increased awareness of danger signs, and better adherence to postpartum and neonatal care practices. Although delivery was performed via cesarean section due to meconium-stained amniotic fluid, both maternal and neonatal conditions were favorable during the postpartum period. In conclusion, the implementation of Midwifery Continuity of Care effectively supports maternal–neonatal health and enhances maternal satisfaction with midwifery services.