MIDWIFERY CARE FOR MRS. A, 27 YEARS OLD, WITH BREAST CANCER (CA MAMMAE) AT HAJI GENERAL HOSPITAL MEDAN IN 2025
Keywords:
Breast Cancer, Midwifery Care, PACER, Preoperative Anxiety, Modified Radical Mastectomy (MRM)Abstract
Background: Breast cancer (Carcinoma Mammae) is one of the most common malignancies
affecting women and remains a leading cause of cancer-related mortality worldwide. Patients
diagnosed with breast cancer often experience physical and psychological problems, especially
anxiety before undergoing surgical procedures. Comprehensive midwifery care is needed to
support patients physically and emotionally before surgery. Objective: This case study aimed
to describe the implementation of midwifery care for a 27-year-old woman with Carcinoma
Mammae through the application of the PACER principles (Professional, Accountable,
Collaborative, Empathy, and Reliability) in preparing the patient for Modified Radical
Mastectomy (MRM) surgery at RSU Haji Medan. Methods: This study used a descriptive case
study approach. Data were collected through interviews, observation, physical examination,
medical record review, and documentation using the Varney Midwifery Management Process
and SOAP documentation. The patient was observed during the preoperative period in the
Shafa Marwah ward of RSU Haji Medan in December 2025. Results: Assessment findings
revealed that the patient had a breast lump in the left breast and experienced anxiety related to
the upcoming MRM procedure. Vital signs were within normal limits, indicating stable
physical condition. Midwifery interventions included therapeutic communication,
psychological support, health education regarding the surgical procedure, monitoring of vital
signs, and collaboration with the multidisciplinary healthcare team. Following the
interventions, the patient demonstrated improved understanding of her condition, reduced
anxiety, increased confidence, and readiness to undergo surgery. Conclusion: The
implementation of comprehensive midwifery care based on the PACER approach effectively
supported the physical and psychological preparation of a patient with Carcinoma Mammae
before surgery. Professional, accountable, collaborative, empathetic, and reliable care
contributed to reducing anxiety and improving patient readiness for surgical treatment.
References
Belakang, I.L. et al. (2023) “BREAST CARE AND EARLY DETECTION OF CA MAMAE
IN WOMEN OF REPRODUCTIVE AGE IN HOUSING AREA
SUKOHARJO INDAH Berencana, D.A.N.K. (no date) Kesehatan reproduksi
dan keluarga berencana.
Di, M. et al. (2026) “Jurnal Kesehatan Unggul Gemilang,” 10(2), pp. 23–26.
Dokter, P.P. et al. (no date) “1 , 2 , 3 1,” 5(3), pp. 229–235.
Elsa Surya1, Y.S. (2024) “PENERAPAN SENAM HAMIL UNTUK MENGATASI NYERI
APPLICATION OF PREGNANCY EXERCISE TO OVERCOME BACK
PAIN IN,” 13(2), pp. 252–259.
Faktor, A. and Kanker, R. (2024) “Fakumi medical journal,” 04(06), pp. 473–484.
Fasya Amanda, V. et al. (2026) “Jurnal Inovasi Kesehatan Adaptif SAKIT UMUM HAJI
MEDAN PROVINSI SUMATERA UTARA,” 8, pp. 172–176.
Jamil, A.R., Hadi, J. and Munandar, I. (no date) “Tumor Mammae,” 3, pp. 398–409.
Khoiriyah, H. and Ismarwati (2023) “Masyarakat Faktor Kejadian Stunting pada Balita,”
Jurnal Ilmu Kesehatan, (November 2023), pp. 28–40.
Mamae, C. et al. (2026) “Jurnal Pembangunan Kesehatan dan Kesejahteraan Sosial
MANAJEMEN ASUHAN KEBIDANAN PADA NY . N DENGAN
MARWAH RUMAH SAKIT UMUM HAJI MEDAN PROVINSI
SUMATERA UTARA TAHUN 2025 Jurnal Pembangunan Kesehatan dan
Kesejahteraan Sosial,” 10(1), pp. 1–10.
Mammae, C. et al. (2023) “Hubungan dukungan keluarga dengan tingkat kecemasan pada
pasien ca mammae.”
Medan, K. et al. (2025) “Gambaran Quality of Life Wanita dengan Kanker Payudara,” 8(2),
pp. 63–70.
Merawat, Y., Kanker, P. and Studi, P. (2025) “Journal of Language and Health,” 6(2), pp. 9
Murniati,
C.
(2024) “Kata kunci :PERKEMBANGAN MOTORIK, BAHASA,
PSIKOSOSIAL BALITA STUNTING,” 7(01), pp. 11–21.
Nauli, S. et al. (2026) “Jurnal Pembangunan Kesehatan dan Kesejahteraan Sosial LAPORAN
KASUS MANAJEMEN ASUHAN KEBIDANAN PADA NY . M DENGAN
CA MAMMAE DI RUANG THAIF DI RSU . HAJI MEDAN PROVINSI
SUMATERA UTARA TAHUN 2025 Jurnal Pembangunan Kesehatan dan
Kesejahteraan Sosial,” 10(1), pp. 41–45.
Neny Yuli Susanti1, N.K.P. and Prodi (2019) “PENGEMBANGAN SENAM HAMIL DAN
PENGARUHNYA TERHADAP PENGURANGAN KELUHAN NYERI
PINGGANG PADA IBU HAMIL TRIMESTER III DEVELOPMENT,” VI(1),
pp. 45–49.
Nomor, V. (2024) “Jurnal Penelitian Perawat Profesional,” 6(April), pp. 493–502.
Nur, B., Afriani, S. and Pratiwi, D. (2025) “KARAKTERISTIK PASIEN CA MAMMAE
DENGAN KEJADIAN METASTASIS : LITERATURE REVIEW,” 9, pp.
–7323.
Nurul, H. et al. (2024) “Manajemen asuhan kebidanan pada ny. l 42 tahun dengan ca mammae
di rsu ruang an-nisa haji medan tahun 2024,” (42), pp. 434–439.
Payudara, K. et al. (2020) “ASUHAN KEPERAWATAN ANSIETAS PADA PASIEN PRE
OPERASI WANITA RSUP Dr . M . DJAMIL PADANG.”
Putri, R. and Nuzuliana, R. (2020) “Penatalaksanaan Efektif dalam Rangka Peningkatan
Pertumbuhan Anak pada Kasus Stunting,” Jurnal Kesehatan Vokasional, 5(2),
p. 110. Available at: https://doi.org/10.22146/jkesvo.54930.
Rizka, A., Akbar, M.K. and Putri, N.A. (2022) “CARCINOMA MAMMAE SINISTRA T4 b
N 2 M 1 METASTASIS PLEURA
Sikaping, L. (no date) “Imunopatogenesis Karsinoma Mamae,” pp. 363–370.
Sipayung, I.D., Lumbanraja, S. and Fitria, A. (2022) “Analisa Faktor-Faktor yang
Berhubungan dengan Kanker Payudara ( Ca Mammae ) di RSUD dr Pirngadi
Medan Tahun 2020 Analysis of Associated with Breast Cancer ( Ca Mammae )
at dr Pirngadi Hospital Medan in 2020,” 8(1), pp. 468–476.
Sitompul, J.S. et al. (2024) “No Title.”
Sri, T. et al. (2025) “CA MAMAE DI RUANGAN IGD RSU HAJI MEDAN SUMATRA
UTARA TAHUN 2025 Tira, D.S. et al. (2025) “Penyuluhan Kesehatan Tentang
Kanker Payudara dan Pemeriksaan Payudara Sendiri pada Wanita di RT 13B
Kelurahan Penfui Timur,” 3(2), pp. 375–379.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Fasya Amanda, Isyos Sari Sembiring, Eka Purnama Sari, Dewi Fatimatuzzahro, Rini Larasati Hasugian
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
