CONTINUOUS MIDWIFERY CARE FOR MRS.R USING HYPNOBIRTHING

Background: Continuity of midwifery care is a comprehensive service provided from pregnancy, childbirth, postpartum, newborn care, to family planning (FP). This care is very important to enable early detection of problems, monitor development, and anticipate possible complications. Hypnobirthing is known to help reduce anxiety and improve mental preparedness. This report aims to implement continued obstetric care with the application of hypnobirthing for Mother R at the Rancaekek Community Health Center, Bandung Regency.Methods: The report is a case study using an evidence-based midwifery management approach, starting at 37 weeks of gestation and covering antenatal, intrapartum, postpartum, newborn, and FP care, conducted at the client's home and the Puskesmas. Care was provided from July to November 2024. Hypnobirthing was conducted directly by the author during pregnancy to reduce anxiety. During the active phase of labor, hypnobirthing was also provided by the author to reduce pain, with a duration of approximately 15 minutes for each session.Results: Results showed that all stages progressed normally. After hypnobirthing intervention, maternal anxiety decreased based on the Facial Anxiety Scale, and pain was reduced according to the Numeric Rating Scale. The postpartum period went well, marked by appropriate uterine involution, no signs of infection, and normal lochia. Lactation was optimal, as shown by effective breastfeeding, weight gain in the baby, and no breast problems. In the FP stage, the mother chose the 3-month injection and received complete counseling. Midwifery care was provided in accordance with service standards.Conclusion: In conclusion, comprehensive midwifery care and hypnobirthing were effective in reducing anxiety and pain, and in supporting successful postpartum recovery, breastfeeding, and family planning.