MIDWIFERY CARE MANAGEMENT OF MORNING SICKNESS IN FIRST TRIMESTER PREGNANCY

Abstract

Morning sickness or emesis gravidarum is one of the most common complaints experienced during the first trimester of pregnancy, affecting approximately 70–80% of pregnant women worldwide. Although generally considered a physiological condition, persistent nausea and vomiting can interfere with nutritional intake, daily activities, and maternal quality of life. If not managed appropriately, the condition may progress to hyperemesis gravidarum, which can lead to dehydration, electrolyte imbalance, and weight loss. Therefore, appropriate and evidence-based midwifery care is needed to reduce symptoms and prevent complications. According to Ervin Hariyani and Rizka Esty Safriana (2024), non-pharmacological management such as ginger and mint leaves can effectively reduce emesis gravidarum in first-trimester pregnant women. The purpose of this case report was to provide midwifery care management for Mrs. S, G1P0A0, at 11 weeks and 4 days of gestation with morning sickness at Niar Maternity Clinic in 2026. The method used was a case study approach based on the 7 steps of Varney’s midwifery management, including assessment, identification of diagnosis and problems, identification of immediate needs, planning, implementation, and evaluation. The assessment results showed that the patient experienced nausea and vomiting 2–3 times in the morning without signs of dehydration, with good general condition and normal vital signs. The midwifery care provided included education about morning sickness, recommendations for small frequent meals, adequate rest, nutritional fulfillment, administration of vitamin B complex and vitamin B6, and counseling regarding danger signs during pregnancy. In addition, non-pharmacological therapy such as consuming ginger drinks was recommended because previous studies reported that ginger is effective in reducing emesis gravidarum among first-trimester pregnant women. After the implementation of midwifery care, the patient understood how to manage nausea and vomiting and was willing to attend follow-up visits if complaints worsened. The conclusion of this case report is that appropriate midwifery care management can help reduce discomfort caused by morning sickness and prevent complications in first-trimester pregnant women.