Abstrak
World Health Organization (WHO) data on national health status on the achievement of the Sustainable Development Goals (SDGs) stated that globally around 830 women die every day due to complications during pregnancy and childbirth, with a Maternal Mortality Rate (MMR) of 216 per 100,000 live births. (WHO, 2017) As many as 99 percent of maternal deaths due to pregnancy, childbirth or birth problems occur in developing countries. The high MMR and IMR is still a big problem for Indonesia, because it can provide an overview of the development of health status and is also used as an indicator in assessing the success of health services and health development programs. This problem can be overcome by carrying out comprehensive midwifery services which are continuous midwifery care starting from pregnancy, childbirth, childbirth and newborns, so as to improve the quality of services and the welfare of mothers and babies, and reduce the risk of complications to mothers and babies. The implementation of Comprehensive Midwifery Care began on November 15, 2019 at the Gunung Lingkas Tarakan Health Center with Mrs. R as the respondent for the implementation of care. Initial visits are carried out when the client enters 37-38 weeks of gestation and then repeated visits are carried out 2 times and carried out every 1 week 1 visit. Labor occurs at 39-40 weeks of gestation. Postpartum visits were carried out 3 times and simultaneously with visits to newborns. The implementation of pregnancy care uses the standard of normal delivery care (APN). The management of postpartum and newborn care adjusts to the needs of the puerperium and newborns. During comprehensive midwifery care, a problem with pregnancy was found, namely pre-eclampsia. In childbirth, there is a problem in labor, namely PEB because blood pressure increases on the way to delivery. During the postpartum visit and the baby did not find any problems, the mother and baby were in good condition, the care given was according to predetermined standards. Comprehensive midwifery care has been documented in the form of a SOAP.