MIDWIFERY CARE MANAGEMENT FOR MRS. H G2P0A1 AT 11 WEEKS OF PREGNANCY WITH HIPERMESIS GRAVIDARUM LEVEL II AT SAM CLINIC IN 2025
Keywords:
Midwifery Care, helenvarney, Hyperemesis Gravidarum, First TrimesterAbstract
Background: Hyperemesis gravidarum (HG) is a complication of excessive nausea and vomiting in early pregnancy that can lead to dehydration, weight loss, and even threaten the safety of both mother and fetus. In North Sumatra Province, particularly in Medan city, the maternal mortality rate (MMR) is still a major health challenge and remains above the national target as well as the Sustainable Development Goals (SDGs) 2030. Objectives: To carry out structured and evidence-based midwifery care management for Mrs. H with Level II hyperemesis gravidarum at SAM Primary Clinic in 2025. Methods: This care uses a descriptive case study design by applying Helen Varney's 7-step midwifery management framework. Conclusions: Initial assessment showed Mrs. H experienced severe nausea and vomiting (5-7 times per day) for 10 days, which impacted her tolerance for nutritional intake. Interventions were carried out collaboratively, including intravenous rehydration with Ringer's lactate fluid, administration of antiemetics, nutrition counseling, and therapy Ginger. After 48 hours of intervention, the clinical evaluation showed significant improvement with the frequency of nausea and vomiting reduced to 2-3 times per day.
References
Adiputra, I. made S., Trisnadewi, N. W., Oktaviani, N. P. W., & Munthe, S. A. (2021). Metodologi Penelitian Kesehatan 2. Yayasan Kita Menulis.
Dinkes. (2023). PROFIL DINKES MEDAN 2023.
Kemenkes. (2023). Profil Kesehatan Indonesia Tahun 2023.
Manurung, H. R. (2022). Buku Ajar Asuhan Kebidanan Berkesinambungan Continuity of Care.
Manurung, H. R., Sarah, W., & Suryani, I. (2025). Implementasi Best Pelayanan Kebidanan Komprehensif (1st ed). CV.AA Rizky.
Munthe, J., Sinuhaji, L. N., Sinaga, M., Ginting, S., Ginting, A. B., & Egatamara4, U. (2022). The Correlation Between Breast Care With The Incidance Of Breastmilk Dams At Ns Baby Spa And Mom Care Clinic Medan Johor District Medan City In 2019. International Journal of Midwifery Research, 1(3), 52–60.
Nainggolan, A. W., Tarigan, I., Riezky, M., Sinaga, S. N., & Sinaga, E. E. (2026). Room of Civil Society Development Family Empowerment Based on Mambosuri Cultural Values to Support Exclusive Breastfeeding in the Gunung Tinggi Primary Health Care Area Pemberdayaan Keluarga Berbasis Budaya Mambosuri dalam Mendukung ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi. 5(1), 113–123.
Organization, world H. (2024). World health statistics 2024. Worrld Health Organization.
Quenard, F., Edouard, P., Drancourt, M., & Brouqui, P. (2022). International Journal of Antimicrobial Agents Role of second-line injectable antituberculosis drugs in the treatment of MDR / XDR tuberculosis. International Journal of Antimicrobial Agents, 50(2), 252–254. https://doi.org/10.1016/j.ijantimicag.2017.01.042
Rorrong, J. F., Wantania, J. J. E., & Lumentut, A. M. (2021). Hubungan Psikologis Ibu Hamil dengan Kejadian Hiperemesis Gravidarum. 9(28), 218–223.
Sari, S. N., Fauzianty, A., Novita, F., & Situmorang, S. (2022). Hubungan Pengetahuan Ibu Hamil Dengan Kejadian Hiperemesis Gravidarum Di Praktek Bidan Fina Sembiring Sari Rejo Kecamatan Medan Polonia Kota Medan Tahun 2022. Jurnal Sains dan Kesehatan ( Jusika ), 6(2).
SDKI. (2023). Survei Demografi dan Kesehatan Indonesia (SDKI) 2023/2024 bertujuan untuk mengumpulkan data tentang tingkat kelahiran, kematian, prevalensi keluarga berencana, dan kesehatan reproduksi.
Seni Prihatini, Ernita Prima Novita, H. H. (2024). Hubungan Pengetahuan, Kecemasan ibu hamil dan dukungan suami dengan kejadian hipermesis gravidarum trimester I. Jurnal Riset Ilmiah, 3(1), 399–409.
Simanjuntak, L. (2019). 1. gambaran pengetahuan keluarga (2019). darma agung.
Simanullang, E., & Sari, F. (2024). Hubungan Status Nutrisi terhadap Hiperemesis Gravidarum pada Ibu Hamil di Puskesmas Langsa Lama Kota Langsa Tahun 2023. 2(4).
Sinaga, S. N., & Sembiring, I. S. (2022). Mutu Layanan Kebidanan dan Kebijakan Kesehatan (1st ed). CV.AA Rizky.
Siti Nurmawan Sinaga, F. sari. (2025). Hipermesis Gravidarum Kontinuitas, Inovasi, dan Praktek Profesional.
United Nations Department of Economic and Social Affairs. (2025). The Sustainable Development Goals Report. United Nations, 1–51. https://unstats.un.org/sdgs/report/2025/The-Sustainable-Development-Goals-Report-2025.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Irma Suryani, Herna Rinayanti Manurung, Novita Sari S , Naila Kamila, Nurul Aisyah
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
