<![CDATA[MMR increased in 2020 to 98.6/100,000 KH (416 cases) and in 2021 to 199/100,000 KH (1,011 cases). This is due to the Covid 19 pandemic so that there have been major changes in health and community facility services (Central Java Provincial Health Office, 2022). The most identifiable causes of maternal death were hypertension (36.45%), bleeding (19.91%), circulatory disorders (8.10%), Covid (4.40%) and metabolic system disorders (1.62%). As many as 24.07% of other causes such as tuberculosis, amniotic fluid embolism, cancer, heart, asthma, and others. The Infant Mortality Rate (AKB) per 1,000 live births in 2022 is 7.02/1,000 KH (4,027 cases).. Causes of infant death (neonatal aged 0-28 days) that can be identified include: Low Birth Weight (BBLR) (38%), asphyxia (27%), congenital abnormalities 16%, sepsis (3%) and others 14% (respiratory disorders, digestive disorders, cardiovascular disorders, nervous disorders and accidents). The causes of infant death (29 days-11 months) are: diarrhea (13%), pneumonia (9%), gastrointestinal disorders (6%), neurological disorders (6%), covid (3%) and others (63%) namely: respiratory disorders (18%), congenital disorders (18%), cardiovascular (15%), febrile seizures (10%), cancer and accidents. Descriptive and the type of descriptive research used is a case study (Case Study), which is by examining a problem through a case consisting of a single unit. A single unit here can contain one person, a group of residents affected by a problem. Monitoring of pregnant women was carried out by the author 2 times, namely 1 time in the second trimester and 1 time in the third trimester, the monitoring results obtained were maternal complaints in the third trimester of pregnancy the mother often urinated, complaints experienced by the mother were physiological. On October 6, 2023, the mother gave birth normally at Banyumanik Hospital, on October 6, 2023 at 12.18 WIB, the baby was born spontaneously, male gender, healthy baby condition and in normal condition. Care for KF 1- KF 4 in mothers went well and there were no problems. The mother used injectable birth control for 3 months and no problems were found. Upbringing has been provided comprehensively. Thereis no gap between theory and case in Comprehensive Midwifery Care in Mrs. D and By. Mrs. D at PMB Siwi Indriatni. Abstrak AKI mengalami peningkatan pada tahun 2020 menjadi 98,6/100.000 KH (416 kasus) dan tahun 2021 menjadi 199/100.000 KH (1.011 kasus). Hal ini disebabkan adanya pandemi Covid 19 sehingga terjadi perubahan besar di pelayanan fasilitas kesehatan dan masyarakat (Dinas Kesehatan Provinsi Jawa Tengah, 2022). Penyebab kematian ibu yang dapat diidentifikasi, paling banyak adalah hipertensi (36,45%), perdarahan (19,91%), gangguan peredaran darah (8,10%), Covid (4,40%) dan gangguan system metabolism (1,62%). Sebanyak 24,07% penyebab lain-lain seperti TBC, emboli air ketuban, cancer, jantung, asma, dan lain-lain. Angka Kematian Bayi (AKB) per 1.000 kelahiran hidup tahun 2022 sebesar 7,02/1.000 KH (4.027 kasus). Penyebab kematian bayi (neonatal umur 0-28 hari) yang dapat diidentifikasi antara lain: Berat Badan Lahir Rendah (BBLR) (38%), asfiksia (27%) kelainan congenital 16%, sepsis (3%) dan lain-lain 14% (gangguan nafas, gangguan pencernaan, gangguan kardiovaskuler gangguan saraf dan kecelakaan). Penyebab kematian bayi (29 hari-11 bulan) yaitu: diare (13%), pneumonia (9%), kelainan saluran cerna (6%), kelainan saraf (6%), covid (3%) dan lain-lain (63%) yaitu: gangguan nafas (18%), kelainan congenital (18%), kardiovaskuler (15%), kejang demam (10%), cancer dan kecelakaan.Deskriptif dan jenis penelitian deskriptif yang digunakan adalah studi penelaahan kasus (Case Study), yakni dengan cara meneliti suatu permasalahan melalui suatu kasus yang terdiri dari unit tunggal. Unit tunggal disini dapat berisi satu orang, sekelompok penduduk yang terkena suatu masalah. Pemantauan ibu hamil dilakukan penulis sebanyak 2 kali yaitu 1 kali pada trimester II dan 1 kali pada trimester III, hasil pemantauan yang didapatkan ialah keluhan ibu pada kehamilan trimester III ibu sering buang air kecil, keluhan yang di alami ibu merupakan fisiologis. Pada tanggal 06 Oktober 2023 Ibu melahirkan secara normal di RS Banyumanik, pada tanggal 06 Oktober 2023 pukul 12.18 WIB bayi dilahirkan secara spontan, jenis kelamin laki-laki, keadaan bayi sehat dan dalam keadaan normal. Asuhan pada KF 1- KF 4 pada ibu berjalan dengan baik dan tidak terdapat masalah. Ibu menggunakan KB suntik 3 bulan dan tidak ditemukan masalah. Asuhan telah diberikan secara komprehensif. Tidak terdapat kesenjagan antara teori dan kasus pada Asuhan Komprehensif kebidanan pada Ny. D dan By. Ny. D di PMB Siwi Indriatni.]]>
