Volume 3 Issue 1 | 2026 | View PDF
Paper Id:IJMSM-V3I1P125
doi: 10.71141/30485037/V3I1P125

Implementation of Continuity of Care in Integrated Midwifery Services with Video-Based HIV Counseling in Primary Care: A Case Report

Fahmi Fuadah, Sri Rejeki, Imelda Sianipar

Citation:
Fahmi Fuadah, Sri Rejeki, Imelda Sianipar, "Implementation of Continuity of Care in Integrated Midwifery Services with Video-Based HIV Counseling in Primary Care: A Case Report" International Journal of Multidisciplinary on Science and Management, Vol. 3, No. 1, pp. 269-272, 2026.

Abstract:
Continuity of Care (CoC) in midwifery is recognized as an effective approach to improving maternal and neonatal outcomes through comprehensive and sustained monitoring. Strengthening maternal health literacy, particularly regarding HIV prevention, remains essential in primary care settings. This case report aims to describe the implementation of Continuity of Care from the third trimester through the neonatal period integrated with video-based HIV counseling as a digital educational innovation. A descriptive case report design was applied to a 35-year-old multigravida woman receiving comprehensive care in a primary midwifery clinic in Bandung, Indonesia. Standard antenatal, intrapartum, postpartum, and neonatal care protocols were implemented. HIV counseling was delivered using a structured educational video, and maternal knowledge was evaluated using pre- and post-counseling questions. The pregnancy progressed physiologically with stable vital signs (blood pressure 110/70 mmHg; hemoglobin 11.8 g/dL). Spontaneous vaginal delivery occurred at 40 weeks of gestation with a newborn weight of 3,200 grams and Apgar scores of 8 and 9. Postpartum recovery and neonatal adaptation were normal. Maternal knowledge improved from 2/5 correct responses before counseling to 5/5 after the intervention. The integration of Continuity of Care and video-based HIV counseling supported optimal clinical outcomes while enhancing maternal understanding of HIV prevention in primary midwifery practice.

Keywords: Continuity of Care, Midwifery, HIV Counseling, Video Education, Primary Care.

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