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Optical Bloch Equations (OBE) describe the coherent exchange of energy between a quantum bit (qubit) and a quasi-resonant driving field in the presence of a thermal bath. Despite it being an ubiquitous process in quantum technologies, a sound thermodynamic analysis is still missing. We hereby provide such an analysis, by deriving the relevant framework from first principles. Building on a microscopic model of the bath, we first express heat, work and entropy production for the closed qubit-bath system where these definitions are unambiguous. We coarse-grain the obtained expressions, using a methodology similar to the derivation of the dynamical master equation and giving rise to consistent expressions of the First and Second Law. We verify that long coarse graining times yield the Floquet Master Equation and its already known thermodynamic description. Conversely, short coarse-graining times yield the OBE and its consistent thermodynamic framework, whose variables explicitly depend on the quantum coherences in the qubit's energy basis. These quantum signatures in the heat and in the entropy production flows allow us to characterize a genuinely quantum non-equilibrium situation, where the coherences created by the driving field are continuously erased by the bath. Our findings can be readily extended to larger open quantum systems. They carry the seeds for future thermodynamic analyses of quantum gates and the design of quantum engines in the strong coherent driving regime.