MIDWIFERY MANAGEMENT OF A 45-YEAR-OLD WOMAN WITH UTERINE MYOMA: A CASE STUDY
Keywords:
uterine myoma, severe anemia, abnormal uterine bleeding, midwifery management, case studyAbstract
Uterine myoma is a benign tumor of the female reproductive system that may cause abnormal uterine bleeding and severe anemia. Persistent blood loss can result in hemodynamic instability and decreased quality of life. Objective: To describe the implementation of Helen Varney’s midwifery management in a patient with myoma-induced severe anemia at RSU Haji Medan. Methods: This study employed a descriptive case study design involving a 45-year-old woman diagnosed with uterine myoma complicated by severe anemia. Data were collected through anamnesis, physical examination, observation, laboratory investigations, and documentation review using Helen Varney’s seven-step management approach. Results: The patient presented with prolonged vaginal bleeding for one week, lower abdominal pain, weakness, nausea, and pallor. Physical examination revealed blood pressure of 91/62 mmHg, pulse rate of 105 beats/minute, respiratory rate of 24 breaths/minute, pain scale of 7/10, and hemoglobin level of 5.4 g/dL indicating severe anemia. Midwifery management included monitoring vital signs and bleeding, pain assessment, nutritional counseling, psychological support, patient education, and collaboration with obstetricians regarding blood transfusion and definitive treatment. Conclusion: Helen Varney’s midwifery management facilitated comprehensive assessment, early detection of complications, and collaborative interventions, contributing to stabilization of the patient's condition and prevention of further complication (Sarumpaet et al., 2025)
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