Background: A public health problem that has significant health consequences, one of which is anemia in pregnant women. The condition of lack of iron or iron deficiency is the most common cause of the incidence of anemia. This is due to the increased need during pregnancy for both the mother and the fetus. The incidence of anemia in pregnant women during the covid 19 pandemic has increased, as a result of the lack of access to health services. Purpose: The objective of this study is to analyze the relationship between gestational age and the incidence of anemia Methods:The design in this research was analytic by using a cross-sectional approach. The population taken in this study was all pregnant women who checked up themselves at the Sampang Public Health Center during 2020. The sampling technique used was consecutive sampling. The researcher took data on pregnant women who checked up themselves, measured Hb levels and registered in the KIA register book at the Sampang Public Health Center during 2020, with a total of 578 respondents. The researcher used the KIA register book in 2020 as the main source of secondary data. Characteristics of respondents taken in this study included maternal age and the number of gravida. The descriptive data analysis was presented in the form of a frequency distribution table, while cross-tabulation and Chi-Square statistical test analysis SPSS program version 21 were used to analyze the relationship. Results: Most of the respondents were in the third trimester of pregnancy as many as 263 respondents (45.5%). Anemia occurred in 99 respondents out of a total of 578 respondents (17.1%). The analysis results with the chi-square test showed a pvalue of 0.000 which was greater than 0.05. Conclusion: There was a significant relationship between gestational age and the incidence of anemia in pregnant women

Midwives have an important role in strategies to reduce maternal mortality and infant mortality. Midwives are responsible for providing continuous and plenary services through health education, counseling, health promotion, and normal delivery assistance as well as early detection of referral cases by conducting comprehensive supervision, care and management of pregnant women, maternity, postpartum, BBL, neonates, and family planning.                 The author of this final project in the form of a case study using midwifery management approach using 7 steps varney and documented in the form of SOAP. The subjects of this case study were pregnant women in the third trimester, namely Mrs. D age 24 years gestational age 35+4 weeks followed by physiological pregnancy, maternity, puerperium, BBL, and family planning.                 The results of this case study obtained Ny. D diagnosis G2P0A1 gestational age 35+4 weeks with good circumstances, and physiological delivery. Physiological puerperium, physiological newborns, neonates upbringing and physiologically provided family planning.                 Comprehensive midwifery care in Ny. D found gaps in pregnancy that is less than 6x ANC examination, Tetanus Toxoid immunization is not complete. No gaps were found in the puerperium, BBL, and neonates.             The conclusion from the results of this case study is that comprehensive midwifery care has been given to Mrs. D of pregnant, maternity, puerperal, BBL, neonate and family planning with the result that all care is carried out and the mother and baby are in good condition.

Asuhan kebidanan dalam bentuk studi kasus pada Ny M Umur 31 Tahun di Wilayah Kerja Puskesmas Sampang Kota Cilacap Metode Penulisan Karya Tulis Ilmiah ini menggunakan pendekatan proses kebidanan 7 langkah varney dan SOAP. Pengkajian dilakukan dengan melihat hasil data subjektif dan objektif, dan observasi secara kunjungan rumah. Hasil diperoleh diagnosa GII PI A0 Usia Kehamilan 39+6 minggu fisiologis tidak ada keluhan,riwayat persalinan fisiologis yang diikuti masa nifas fisiologis, pada kasus tersebut mendapat penanganan dengan tindakan yang sesuai, Riwayat BBL bayi dilahirkan dengan BB: 2900 gr, PB: 49 cm, LD: 33 cm, LK :32 cm jenis kelamin perempuan ada laserasi derajat II pada jalan lahir. Hasil penelitian pada kehamilan asuhan yang diberikan telah sesuai dengan teori. Pada asuhan kehamilan terdapat kesenjangan yaitu kujrangnya mendapatkan imunisasi TT dan VT yang diperiksa kurang dari 4 jam, persalinan terdapat kesenjangan tidak pakai APD lengkap sepatu booots, pada asuhan BBL, nifas dan KB tidak terdapat kesenjangan. Pada penerapan asuhan kebidan kesenjangan antara teori dan praktek terdapat pada persalinan tidak memakai APD lengkap dalam proses melakukan tindakan asuhan.

Every single woman will pass a pregnancy process, maternity and childbirth, it‘s a Physiological process. During the process there might be a health problem who can increase the pain even death for a mother and the baby. therefore, solutions are needed to prevent nor solving the problem, One of them Continuity of Care. The purpose of this research is provide comprehensive care from the period of pregnancy to contraception.Writing this Final Project Report in the form of case studies who uses Varney's 7-step midwifery management approach and documented in SOAP form. The sample used is 1 sample, namely Mrs.H at Puskesmas Maos. The results of this study obtained a diagnosis of Mrs H age 24 years old G2P1A0 gestational age 42 weeks physiological , on February 22, 2022, at 13.30 o‘clock, obtained complaints of regular heartburn spreading from the lower abdomen to the waist. on February 22, at 16.30 o‘clock the baby is born normally. In the care of newborns and neonatal visits were not a problem. On post partum and during home visits there are no problems, Mother has chosen to be an acceptor birth control pill for 3 month. The research results can be concluded there are no gaps between theories and practice on the application of midwifery care, in the upbringing process and Physiological changes. Every individual has uniqueness so that the care provided is also adapted to the patient's condition.

During the Covid-19 pandemic, there was a decrease in the coverage of pregnancy services compared to the previous year. Especially during a pandemic like this sometimes pregnant women don't want to check themselves and their wombs for fear of being exposed to the Covid-19 virus. Continuity of Care (COC) or comprehensive midwifery care is a sustainable midwifery service and is one way to reduce MMR and IMR, especially those that occur at the Maos Health Center by providing care for pregnant women in the third trimester, childbirth, postpartum, neonates and family planning, at the Maos Health Center. With the provision of comprehensive midwifery care, it is hoped that every pregnant woman will get quality maternal health services so that mothers and babies remain healthy and can reduce maternal and infant mortality rates.