MIDWIFERY CARE MANAGEMENT FOR MRS.U A CASE OF HYPEREMESIS GRAVIDARUM,HALL VII,BANGUN REJO VILLAGE,DISTRICT TANJUNG MORAWA,DELI SERDANG REGENCY YEAR 2026
Keywords:
Retained placenta, Midwifery care, Postpartum hemorrhage, Obstetric emergencyAbstract
Background: Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during pregnancy that can significantly affect maternal and fetal health. It often leads to dehydration, weight loss, and electrolyte imbalances in pregnant women, especially in the first trimester. Managing HG effectively remains a challenge in community midwifery care due to limited resources and awareness. Objectives: To deliver professional and innovative comprehensive midwifery care to pregnant women with hyperemesis gravidarum during the first trimester, to improve maternal and fetal health outcomes.Methods: A case study approach was employed involving Mrs. Uci Lestari, a 32-year-old pregnant woman diagnosed with grade I hyperemesis gravidarum at 8 weeks gestation. The study utilized comprehensive data collection through anamnesis, physical examination, and supportive assessments. Care management was conducted following Varney’s midwifery care steps: assessment, diagnosis, immediate action, planning, implementation, and evaluation. Collaboration with healthcare professionals and family involvement were integral components of care. Results: Following eight days of midwifery care and family support, Mrs. Uci showed significant clinical improvement. Nausea and vomiting frequency decreased from more than ten times daily to 1–2 times per day, appetite and general condition improved, and signs of dehydration resolved. Both the patient and her family gained understanding and confidence in managing HG at home, including awareness of danger signs requiring medical attention. Conclusions: Comprehensive family-based midwifery care incorporating psychological support, education, and evidence-based management can effectively alleviate symptoms of hyperemesis gravidarum and improve maternal well-being during the first trimester. This case underscores the importance of integrated community midwifery interventions and family engagement to support high-risk pregnancies.
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