This literature review explores holistic approaches during pregnancy and their implications for midwifery practice. Holistic care addresses physical, psychological, social, and spiritual dimensions of maternal health, aiming to promote overall well-being and positive pregnancy outcomes. By synthesizing evidence from studies published between 2020 and 2025, this review highlights the benefits of integrating holistic methods such as stress reduction techniques, nutritional support, psychosocial counseling, and culturally sensitive care within midwifery. The findings suggest that holistic care enhances emotional resilience, reduces anxiety and depression, and strengthens the mother infant bond. However, challenges remain in standardizing holistic practices, ensuring adequate training for midwives, and overcoming systemic barriers. The review underscores the need for midwives to adopt a comprehensive, woman centered approach supported by ongoing education and interdisciplinary collaboration. Future research should focus on evaluating holistic interventions’ effectiveness and developing scalable models to improve maternal and neonatal outcomes globally. Ultimately, holistic pregnancy care offers a promising framework to enrich midwifery practice and support maternal well-being throughout pregnancy.

This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates.
This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation.
Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.
 

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.

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.

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.
 

One indicator of the state’s health status is the decrease in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Central Java Province in 2020 the MMR is 98,60 per 100.000 live births and the IMR is 8,2 per 1000 live births. Cilacap Regency MMR and IMR in recent years are still quite high. AKI in 2019 reached 15 cases. With continuous midwifery care from pregnancy to the selection of contraceptives, it is hoped that it will be an effort to reduce MMR and IMR in Indonesia and achieve optimal maternal and child health. The writing of this final project is in the form of a case study using a midwifery process approach using 7 steps of Varney and SOAP. The results of this study were obtained by Mrs. N during her pregnancy, she was in good health, the delivery process was normal, the puerperium involution was running normally, the baby was not jaundiced and was walking normally, and on family planning counseling the mother chose a 3-month injectable contraceptive. The conclusion of this study the author has applied continuous midwifery care to Mrs. N which is marked by the mother having followed all the recommendations, the mother’s complaints during pregnancy are resolved, the mother gives birth at a health facility, the postpartum period is running normally, the baby’s condition is normal, and the mother chooses a shhort-term contraceptive method.

Pregnancy, childbirth, newborns, postpartum, and until the mother decides to use family planning which aims to provide continuity of care services by assisting pregnant women until the family planning period by all elements in the community, including students. Students are expected to be able to provide comprehensive midwifery care to mothers starting from pregnancy, childbirth, newborns, postpartum and family planning.
In this case study, the author uses descriptive research methods with data collection techniques in the form of primary data (anamnesis, physical examination) according to Varney's 7-step management and secondary data (MCH book, client's medical records). Documentation of research results using the Varney and SOAP methods.
Based on a comprehensive assessment of midwifery care for Mrs. W, starting from pregnancy, childbirth, postpartum and newborn, as well as family planning, there was no data that referred to an emergency or pathology, the mother and baby were in physiological condition.
From the results of this case study, it can be concluded that comprehensive midwifery care for Ny. W have been done starting from pregnancy, childbirth, postpartum, newborn and family planning there are some gaps between theory and practice but there are no complications