EFFECTIVENESS OF CONTINUITY MIDWIFERY CARE COMBINED WITH GINGER THERAPY AND NUTRITIONAL EDUCATION IN IMPROVING HYPEREMESIS GRAVIDARUM SYMPTOMS:  A COMMUNITY-BASED CASE STUDY IN INDONESIA

Oktaviani Zebua; Isyos Sari Sembiring; Imran Saputra  Surbakti; Herna Rinayanti  Manurung; Meriatul Akmal  Daulay

Authors

Oktaviani Zebua Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Isyos Sari Sembiring Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Imran Saputra Surbakti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Herna Rinayanti Manurung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Meriatul Akmal Daulay Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Hyperemesis gravidarum, Midwifery care, Ginger therapy, Nutritional education, Continuity of care

Abstract

Background:Hyperemesis gravidarum is a severe pregnancy-related condition characterized by persistent nausea and vomiting that may lead to dehydration, nutritional imbalance, reduced maternal well-being, and adverse pregnancy outcomes. Effective and continuous midwifery management is essential to prevent disease progression and improve maternal health. Objectives:This study aimed to describe the effectiveness of continuity midwifery care combined with ginger therapy and nutritional education in improving symptoms of hyperemesis gravidarum in a pregnant woman.Methods: A community-based case study was conducted on a 21-year-old primigravida woman diagnosed with Grade I hyperemesis gravidarum in Bangun Rejo Village, Deli Serdang Regency, Indonesia. Midwifery care was implemented through four home visits using the Helen Varney midwifery management approach. Interventions included nutritional counseling, hydration education, lifestyle modification, monitoring of maternal condition, and complementary ginger therapy. Clinical outcomes were assessed through symptom progression, maternal condition, hydration status, appetite, and frequency of nausea and vomiting. Results: The patient initially presented with persistent nausea and vomiting, reduced appetite, fatigue, mild dehydration, decreased urinary frequency, and difficulty maintaining adequate food intake. Following four continuity-of-care visits, gradual clinical improvement was observed. The frequency of nausea and vomiting decreased, appetite improved, oral intake increased, urinary frequency normalized, oral mucosa became moist, and maternal general condition improved. The patient reported that ginger consumption contributed to symptom reduction and increased eating tolerance. Conclusions: Continuity midwifery care integrating nutritional education, hydration management, and ginger therapy contributed to the gradual improvement of Grade I hyperemesis gravidarum symptoms and supported maternal well-being during pregnancy.

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