THE ROLE OF CONTINUITY OF CARE-BASED ASSISTANCE IN PREGNANCY WITH PRE-GESTATIONAL DIABETES MELLITUS AND TUBERCULOSIS: CASE REPORT

Abstrak

Background: Pre-gestational diabetes mellitus and Tuberculosis (TB) are conditions that can increase the risk of complications during pregnancy and contribute to higher maternal mortality rates. Pregnant women with pre-gestational diabetes mellitus have a higher risk of developing preeclampsia, infections, and delivery complications, while Tuberculosis (TB) can cause anemia, preterm birth, low birth weight, fetal growth restriction, neonatal asphyxia, and even increase the risk of maternal and infant death if not properly managed. Therefore, continuous support is required to minimize these risks. Continuity of Care (CoC) support has significant advantages compared to conventional support because it is continuous, comprehensive, and patient-centered, thereby improving the quality of care and enhancing health outcomes for mothers and babies. The purpose of this study is to demonstrate the role of Continuity of Care (CoC) support for pregnant women with pre-gestational diabetes mellitus and Tuberculosis (TB). Case Report: Continuity of Care (CoC)-based assistance was provided to a 29-year-old mother starting from 8–9 weeks of pregnancy during the 4th month of Tuberculosis (TB) treatment. The mother had a KSPR score of 14, which included being pregnant with pregestational diabetes mellitus, Tuberculosis (TB), height less than 145 cm, and a family history of Tuberculosis (TB). Since receiving assistance in the form of routine check-ups and monitoring at the community health center, referral assistance to the hospital, provision of IEC (Information, Education, and Communication), psychological support, and utilization of telehealth, the mother has shown increased knowledge, compliance with Antenatal Care (ANC) examinations, and improvements in health-related behavior. Conclusion: Continuity of Care (CoC) assistance plays a role in improving the health quality of pregnant women with high risks such as pregestational diabetes mellitus and Tuberculosis (TB), as well as helping to prevent complications during pregnancy.