Asuhan Kebidanan Berkesinambungan Pada Ibu Hamil Dengan Nokturia di TPMB Sri Wahyuni Surabaya

Pendahuluan: Nokturia merupakan ketidaknyamanan pada kehamilan trimester III yang ditandai dengan meningkatnya frekuensi berkemih pada malam hari sehingga dapat mengganggu kualitas tidur dan kenyamanan ibu. Tujuan: Memberikan asuhan kebidanan berkesinambungan pada Ny. N dengan keluhan nokturia sejak kehamilan, persalinan, nifas, hingga bayi baru lahir. Metode: Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus pada Ny. N, ibu hamil usia kehamilan 36 minggu 6 hari dengan keluhan nokturia, yang diikuti secara berkesinambungan sejak masa kehamilan, persalinan, nifas, hingga bayi baru lahir. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi dengan menggunakan instrumen berupa form pengkajian data, Lembar KSPR, Buku KIA, lembar partograf, lembar observasi, dan lembar penapisan 18. Hasil: Ny. N G1P0000 usia kehamilan 36 minggu 6 hari mengalami nokturia. Penanganan nokturia melalui edukasi pengaturan cairan, pengosongan kandung kemih sebelum tidur, dan senam kegel. Pada kasus Ny. N ditemukan anemia ringan dengan Hb 10,7 g/dL, diberikan edukasi nutrisi dan kepatuhan konsumsi tablet Fe. Pada 21 Juli 2026 Hb meningkat menjadi 11 g/dL dan nokturia berkurang menjadi 1–2 kali per malam. Persalinan berlangsung spontan tanpa komplikasi, nifas fisiologis, dan bayi lahir perempuan dengan BB 3.600 gram serta PB 50 cm. Kesimpulan: Asuhan kebidanan berkesinambungan pada Ny. N terlaksana dengan baik. Penatalaksanaan nokturia membantu mengurangi frekuensi berkemih malam hari dan meningkatkan kualitas tidur ibu, sedangkan asuhan berkelanjutan mendukung proses persalinan, nifas, dan adaptasi bayi tanpa komplikasi berkelanjutan.

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Introduction: Nocturia is a discomfort during the third trimester of pregnancy characterized by increased urination frequency at night, which can disrupt the mother’s sleep quality and comfort. Objective: To provide continuity of midwifery care to Mrs. N with complaints of nocturia from pregnancy, childbirth, postpartum, to newborn. Method: This study uses a descriptive method with a case study approach on Mrs. N, a pregnant woman at 36 weeks and 6 days of gestation with complaints of nocturia, who was followed continuously from the pregnancy period, childbirth, postpartum, to the newborn stage. Data were obtained through interviews, observations, physical examinations, and documentation using instruments such as data assessment forms, KSPR sheets, KIA books, partograph sheets, observation sheets, and screening sheets. Results: Ms. N, G1P0000, at 36 weeks and 6 days of gestation, experienced nocturia; management included education on fluid regulation, emptying the bladder before sleep, and Kegel exercises. In Ms. N’s case, mild anemia was found (Hb 10.7 g/dL), and she received nutritional education and was advised to adhere to iron tablet use. On July 21, 2026, her Hb increased to 11 g/dL, and her nocturia decreased to 1-2 times per night. The delivery was spontaneous without complications, with physiological postpartum recovery, and a baby girl was born weighing 3,600 grams and measuring 50 cm. Conclusion: Continuity of midwifery care for Ms. N was successfully implemented. Managing nocturia reduces nighttime urination and improves the mother’s sleep quality, while continuous care supports labor, the postpartum period, and the baby’s adaptation without ongoing complications.