Asuhan Kebidanan Continuity of Care pada Ny. H dengan Nokturia di TPMB Farida Hajri Surabaya

Latar Belakang: Nokturia adalah sering buang air kecil pada malam hari yang dirasakan ibu hamil akibat penekanan kandung kemih dan perubahan hormonal. Berdasarkan data ANC trimester III di TPMB Farida Hajri Surabaya bulan Februari 2025 sebanyak 30 ibu hamil, masing-masing 6 ibu hamil sering kencing, nyeri punggung, kenceng-kenceng, sulit tidur serta 3 ibu hamil nyeri perut bagian bawah dan nyeri pinggang. Metode: Memberikan asuhan kebidanan berkelanjutan diterapkan pada Ny.H dengan nokturia. Metode studi kasus secara kualitatif melalui pendekatan asuhan deskriptif menggunakan SOAP pada Ny.H selama masa kehamilan, persalinan, nifas, dan bayi baru lahir. Hasil: Pada kunjungan pertama Ny.H G2P1A0 UK 34 minggu 5 hari dengan nokturia, peneliti memberi KIE pengaturan pola minum dengan cara pemberian cairan terstruktur, memperbanyak minum di siang hari, minum terakhir pada malam hari 2-3 jam sebelum tidur, tidak menahan saat ingin BAK. Pada kunjungan ketiga UK 39 minggu 5 hari keluhan nokturia sudah teratasi dan di hari yang sama proses persalinan dilakukan secara spontan presentasi kepala. Masa nifas mengalami nyeri luka jahitan. BBL dalam keadaan normal karena tidak ditemukan penyulit saat pengkajian. Analisis: Pemberian cairan terstruktur bertujuan mengatur waktu dan jumlah asupan cairan untuk mengurangi BAK pada malam hari. Pendekatan ini membantu menjaga keseimbangan cairan tanpa menyebabkan dehidrasi dan meningkatkan kualitas tidur. Kesimpulan: Dengan pengetahuan ibu tentang pemberian cairan terstruktur dapat mengurangi terjadinya nokturia.

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Background: Nocturia is frequent urination at night experienced by pregnant women due to bladder pressure and hormonal changes. Based on ANC data from the third trimester at TPMB Farida Hajri Surabaya in February 2025, there were 30 pregnant women, 6 of whom experienced frequent urination, back pain, cramps, and difficulty sleeping, while 3 experienced lower abdominal pain and back pain. Method: Midwifery Continuity of care was provided to Mrs. H with nocturia. A qualitative case study method was used through a descriptive care approach using SOAP for Mrs. H during pregnancy, childbirth, postpartum, and newborn care. Results: At the first visit, Mrs. H, G2P1A0, 34 weeks and 5 days pregnant with nocturia, the researcher provided health education on regulating drinking patterns by administering structured fluids, increasing drinking during the day, drinking last at night 2-3 hours before bedtime, and not holding back when wanting to urinate. At the third visit at 39 weeks and 5 days, the complaint of nocturia had been resolved, and on the same day, spontaneous delivery of a head presentation occurred. The postpartum period experienced pain from the stitches. The newborn was in normal condition as no complications were found during the assessment. Analysis: Structured fluid intake aims to regulate the timing and amount of fluid intake to reduce urination at night. This approach helps maintain fluid balance without causing dehydration and improves sleep quality. Conclusion: With the mother's knowledge of structured fluid intake, nocturia can be reduced.