MIDWIFERY CARE FOR FIRST TRIMESTER PREGNANT WOMEN WITH PAINFUL EATING DUE TO GASTRIC ACID
Keywords: Gestational GERD, First Trimester, Midwifery Care, Progesterone, Dietary Intolerance.
Keywords:
Gestational GERD, First Trimester, Midwifery Care, Progesterone, Dietary IntoleranceAbstract
Background: Gastroesophageal reflux disease (GERD) and acute gastritis affect up to 80% of pregnancies, predominantly escalating during the first trimester due to profound endocrine shifts. If left unmanaged, severe dietary intolerance leads to maternal malnutrition, dehydration, and fetal growth restriction (FGR). Objective: This study aims to criticaly analyze evidence-based midwifery clinical management for a first-trimester primigravida presenting with severe odynophagia and rice-induced dyspepsia driven by gestational acid dysregulation. Methods: A comprehensive, single-case clinical study was conducted utilizing the synchronized 7-step Helen Varney framework integrated with Basic Midwifery Sciences (Genetics, Microbiology, Biophysics, and Pharmacology). Results: Advanced pathophysiological profiling revealed that progesterone-induced lower esophageal sphincter (LES) hypotonia combined with mechanical intragastric pressure shifts precipitated severe mucosal irritation. Microbiological screening ruled out Helicobacter pylori exacerbations. Implementation of micro-portion texturized dietary substitution (replacing solid rice with thermal-stabilized soft porridge), postural anti-reflux dynamics, and cautious, calibrated administration of non-systemic antacids synchronized with Vitamin B6 successfully eradicated epigastric burning and restored optimal nutritional kinetics. Conclusion: Synergistic midwifery models combining biomolecular clinical awareness with customized non-pharmacological dietary physics demonstrate high efficacy in preventing gestational cachexia and ensuring excellent maternal-fetal outcomes.
References
Hernawati, Y., & Sumiati, E. (2025). Pengaruh Pemberian Jahe Merah Terhadap Hiper Emesis Gravidarum Pada Ibu Hamil. Jurnal Penelitian Kesehatan STIKes Dharma Husada, 19(1), 68–77.
Care, A., Care, M. and Ny, F.O.R. (2025) “Antenatal care midwifery care for ny. ‘l’ g1p0a0 gravid 10 weeks with hyperemesis gravidarum at health center bungi 1,2,3,” 1(3), pp. 33–38.
Dshutabarat et al. (2025) “pg. 322,” 2(2), pp. 322–326.
Febrianasari et al. (2025) hiperemesis gravidarum, Al-Hasib: Manajemen Pendidikan Islam.
Surbakti, I.S. et al. (2026) “Optimalisasi Karakter Generasi Emas , Maturitas melalui Core Value PACER ( Profesional , Akuntabel , Collaboration , Empaty and Reliable ) Rejo Kecamatan Tanjung Morawa,” 5(1), pp. 1021–1030.
Khalya Maya Amalia, S., & Khairina Tambunan. (2023). 3 1,2,3. 2(2), 157–164. file:///C:/Users/user/Downloads/7.+jurnal+maya-sudah+bayar-fauzul.pdf
Nathasya, H. (2024). No TitleΕΛΕΝΗ. Edu Research Indonesian Institute For Corporate Learning And Studies (IICLS), 5(1), 70–80.
Retnonongtias, R. D. sura, & Dewi, R. K. (2021). Pengaruh Hormon Human Chorionic Dan Usia Pada Ibu Hamil Terhadapa Emsesis Gravidarum Trimester Pertama. Jurnal Tadris IPA Indonesia, 1(3), 99–107.
Sari, S. N., Fauzianty, A., Novita, F., & Situmorang, S. (2022) Kejadian Hiperemesis Gravidarum. Jurnal Sains Dan Kesehatan (JUSIKA), 6(2), 70–76.
Sirait, A., Sinaga, S. N., Inryani, A., Purba, R. M., Reva, A., Kunci, K., Catin, K., Catin, P. K.
M. S., & Kesehatan, P. (2024). PERAK KABUPATEN DELI SERDANG PROVINSI SUMATERA UTARA TAHUN 2024 Keywords : Prospective Couple Satisfaction ;
Prospective Couple KMS Services ; Quality of Health Services ; PENDAHULUAN Masalah kesehatan telah menjadi kebutuhan pokok bagi masyarakat , demi .
Sutra Warni, & Basaria Manurung. (2023). Pengaruh Pemberian Jahe Hangat Dalam Mengurangi Emesis Gravidarum Pada Ibu Hamil Trimester I di PBM HJ Hotma Deli Siregar Tahun 2022. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 1(1), 138–144. https://doi.org/10.55606/termometer.v1i1.1113
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 listisari panjaitan listisari, Nazla al husnah, Nessy Supianti Manik, Dewi sartika hutabarat, Mesrida Simarmata
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
