CONTINUITY OF CARE IN MRS. R WITH MILD ANEMIA AT SARFINA INPATIENT PRIMARY CLINIC, MEDAN POLONIA DISTRICT  MEDAN CITY, NORTH  SUMATRA  PROVINCE IN 2025

Mitra Essensial Gulo; Ribur Sinaga; Ingka K Pangaribuan; Deli Putriani Nst; Rahma Putri Wulandari; Yus Chatarina Br Ginting; Rayani Sinaga

Authors

Mitra Essensial Gulo Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Ribur Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Ingka K Pangaribuan Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Deli Putriani Nst Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rahma Putri Wulandari Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Yus Chatarina Br Ginting Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rayani Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Anemia in Pregnancy, Continuity of Care, Hemoglobin, Iron Tablets, Beetroot Juice, Maternal Health

Abstract

Anemia during pregnancy, particularly in the third trimester, remains a significant contributor to maternal and infant mortality due to the risk of postpartum hemorrhage and low birth weight. In Indonesia, despite a decline in prevalence, integrated monitoring remains crucial to ensure hemoglobin stability before delivery. This study aimed to evaluate the effectiveness of the Continuity of Care (CoC) model in managing mild anemia in a pregnant woman through combined pharmacological and nutritional interventions.This research employed a longitudinal case study approach following a 30-year-old multigravida (G4P3A0) patient, Mrs. R, at the Sarfina Inpatient Primary Clinic, Medan. The midwifery care was conducted over three antenatal visits in the third trimester, adhering to the national standard of at least six ANC visits. Interventions included the administration of 90 iron (Fe) tablets, intensive health education (KIE), and the incorporation of natural iron boosters, specifically dragon fruit and beetroot juice. At the second visit, the patient presented with symptoms of dizziness and fatigue, with a laboratory-confirmed hemoglobin (Hb) level of 8.9 g/dL, indicating mild anemia. Following the implementation of the CoC model and nutritional therapy, the patient showed significant clinical improvement. By the third visit, the hemoglobin level increased to 12.8 g/dL, reaching a normal range. Furthermore, physiological discomforts such as frequent urination and sleep disturbances were successfully managed through fluid regulation and hygiene education. The Continuity of Care (CoC) model is highly effective in stabilizing hemoglobin levels and preventing pregnancy complications. The synergy between iron supplementation and superfood-based nutrition (beetroot and dragon fruit) provides a robust framework for improving maternal health outcomes. This study suggests that healthcare providers should integrate holistic nutritional counseling into standard antenatal care to optimize maternal well-being

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