Komplikasi merupakan penyebab utama kematian ibu di Kota Depok. Continuum of Care (CoC) memiliki peranan untuk mendeteksi dini risiko komplikasi dan mencegah kematian ibu. Penelitian ini bertujuan untuk mengetahui dampak CoC pada ibu hamil, bersalin dan nifas terhadap Adverse Pregnancy Outcomes (APOs) pada ibu bersalin dan nifas di 6 Puskesmas mampu PONED Kota Depok dengan desain studi kohort retrospektif. Data dikumpulkan pada Maret sampai Mei 2024. Data sekunder yang digunakan bersumber dari data register kohort ibu (dari masa kehamilan-nifas). Data dianalisis menggunakan chi square, dilanjutkan Regresi Logistik dan dikoreksi dengan OR corrected. Hasil Analisis multivariat menunjukkan pada populasi ibu multipara dan Grande multipara yang melaksanakan CoC adekuat berisiko lebih rendah untuk mengalami APOs (RRcorrected= 1,46, 95%CI: 0,96-1,86). Sedangkan, Ibu hamil dengan kondisi primipara yang melaksanakan CoC adekuat memiliki risiko lebih rendah untuk mengalami APOs (RRcorrected 1,41, 95%CI: 1,00-1,67). APOs dapat dicegah sebesar 39,81% dan 40,11% masing-masing pada populasi umum dan populasi ibu primipara apabila layanan CoC di optimalkan. Asuhan ANC dan PNC yang dilaksanakan adekuat dapat menurunkan APOs sebesar 21,97% dan 19,51%. CoC perlu dilaksanakan secara adekuat untuk mencegah APOs. CoC yang dilaksanakan sesuai rekomendasi akan memberikan manfaat yang baik bagi ibu maupun bayi nya.

Keywords: Antenatal Care; Continuum of Care; Maternal Mortality; Postnatal Care; Pregnancy Complication

Complications are the main cause of maternal mortality in Depok City. Continuum of Care (CoC) has a role in detecting early risk of complications and preventing maternal mortality. This study aimed to determine the impact of CoC on Adverse Pregnancy Outcomes (APOs) in pregnant, delivery, and postpartum women at 6 PONED capable health centers in Depok City with a retrospective cohort study design. Data were collected from March to May 2024. Secondary data were sourced from maternal cohort register data (from pregnancy to postpartum). Data were analyzed using chi-square, followed by Logistic Regression, and corrected with OR corrected. Results Multivariate analysis showed in the population of multiparous and Grande multiparous mothers who implemented adequate CoC had a lower risk of experiencing APOs (RRcorrected = 1.46, 95%CI: 0.96-1.86). Meanwhile, pregnant women with primiparous conditions who carry out adequate CoC have a lower risk of experiencing APOs (RRcorrected 1.41, 95%CI: 1.00-1.67). APOs could be prevented by 39.81% and 40.11% in the general population and primipara population respectively if CoC services were optimized. Adequately implemented ANC and PNC care can reduce APOs by 21.97% and 19.51%. CoC needs to be implemented adequately to prevent APOs. CoC implemented according to recommendations will benefit both mothers and their babies. Keywords: Antenatal Care; Continuum of Care; Maternal Mortality; Postnatal Care; Pregnancy Complication