ELEVATING STUDENT LEADERSHIP THROUGH EXCELLENT SERVICE IN THE OBSTETRIC CARE OF HYPERMESIS GRAVIDARUM IN MRS. N FOR  INDONESIA SDGs 2030

Fifin Umairoh; Febriana  Sari; Triwahyu Aulia; Novita Sari Eufrasia  Sitohang; Tia  Widianti; Rosdiani Ananda

Authors

Fifin Umairoh Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Febriana Sari Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Triwahyu Aulia Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Novita Sari Eufrasia Sitohang Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Tia Widianti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rosdiani Ananda Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Pregnant Women, Midwifery Care, Hyperemesis Gravidarum, Pathological Pregnancy, Varney Management

Abstract

ABSTRACT
Background: Hyperemesis gravidarum (HG) affects 12.5% of pregnancies globally and 14.8% in Indonesia, posing risks of severe dehydration and maternal-fetal complications. Integrating student leadership and service excellence in midwifery care is pivotal to address this clinical challenge. Objectives: This study aimed to implement comprehensive midwifery care management using Varney's seven-step method for Mrs. N, a 27-year-old G2P1A0 with Grade 2 Hyperemesis Gravidarum, while elevating student leadership to support 2030 SDGs. Methods: A descriptive case study approach was conducted at Prtek Mandiri Bidan (PMB) Pera in March 2024. Primary data were gathered through anamnesis and physical examinations, while secondary data were obtained from medical records. Results: The patient presented progressive nausea and vomiting (>5 times/day), extreme weakness, acetone in urine, and decreased skin turgor. Care management involved interprofessional collaboration for parenteral fluid rehydration (RL + Dextrose 5%), antiemetic therapy (Ondansetron, Ranitidine), communication therapy, and non-pharmacological ginger aromatherapy. Within short-term monitoring, the patient's turgor improved, and nausea decreased. Conclusions: Comprehensive management and early detection through clinical leadership effectively mitigated severe dehydration and complications. Responsive service excellence directly aligns with reducing maternal mortality rates under SDG targets.

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