Model Konseptual Deteksi Dini Kegawatdaruratan Perdarahan Postpartum Berbasis Continuity of Care dalam Praktik Kebidanan

Abstrak

Postpartum hemorrhage is a leading cause of maternal mortality, requiring early detection and timely clinical response. However, current approaches to early detection tend to be partial and not integrated across phases of midwifery care. This study aims to develop a conceptual model for early detection of postpartum hemorrhage emergencies based on continuity of care in midwifery practice. This study used a qualitative approach with a theoretical or conceptual research design through literature analysis and synthesis. Data sources were obtained from PubMed, Scopus, ScienceDirect, and Google Scholar databases using relevant keywords. The selection process was carried out systematically based on inclusion and exclusion criteria, resulting in 15 articles for analysis. Data analysis was carried out through stages of conceptual analysis, thematic synthesis, and theoretical integration to develop a conceptual model. The results show that early detection of postpartum hemorrhage emergencies is a longitudinal process, involving the integration of risk factors, clinical indicators, and clinical decision-making within a continuity of care framework. The resulting model consists of three main components: input (risk factors), process (continuous monitoring and clinical decision-making), and output (timely clinical response). This model positions midwives as central actors in integrating information and determining necessary actions. The study concluded that the continuity of care-based early detection model provides a more comprehensive framework than previous episodic approaches. This model has important implications for improving the quality of midwifery care and reducing the risk of complications and maternal mortality due to postpartum hemorrhage.