MIDWIFERY CARE MANAGEMENT FOR Mrs. A WITH FETAL DEATH AT 20 WEEKS OF PREGNANCY AT PMB RIMENDA TARIGAN

Cinta Tri Nadya Aritonang; Retno Wahyuni; Dhea Rajwa Afani; Hanna Dea Emilda Silalahi; Rimenda Tarigan

Authors

Cinta Tri Nadya Aritonang Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Retno Wahyuni Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Dhea Rajwa Afani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Hanna Dea Emilda Silalahi Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rimenda Tarigan PMB Rimenda Tarigan

Keywords:

Intrauterine Fetal Death, Midwifery Care, Case Study, Pregnancy Complications, Maternal Health

Abstract

Background: Intrauterine Fetal Death (IUFD) or Kematian Janin Dalam Kandungan (KJDK) remains one of the major contributors to perinatal mortality worldwide. This condition not only increases maternal morbidity but also causes significant psychological distress for mothers and families. Various maternal, fetal, placental, and environmental factors may contribute to fetal death during pregnancy. Therefore, appropriate and comprehensive midwifery management is essential to prevent complications and support maternal recovery. Objective: To describe the management of midwifery care in a pregnant woman diagnosed with Intrauterine Fetal Death at Klinik Rimenda Tarigan in 2026. Methods: This study employed a descriptive case study approach. Data were collected through anamnesis, direct observation, physical examination, obstetric examination, supporting examinations, documentation review, and the implementation of midwifery care management based on the management approach. The collected data were analyzed descriptively to illustrate the process of providing comprehensive midwifery care to the patient. Results: The subject of this study was Ny. A, a 30-year-old woman, G1P1A0, with a gestational age of 20 weeks diagnosed with Intrauterine Fetal Death. Assessment findings included complaints of absent fetal movement, no fetal heart sounds on examination, and confirmation of fetal death through clinical and supporting examinations. Midwifery care was provided comprehensively, including assessment, diagnosis establishment, monitoring of maternal physical condition, emotional and psychological support, counseling regarding the condition, preparation for pregnancy termination, collaboration with other health professionals, and postpartum evaluation. The implementation of care was carried out according to midwifery standards and successfully prevented maternal complications. Conclusion: Comprehensive and timely midwifery management plays an important role in preventing complications and supporting maternal physical and psychological recovery following IUFD. (Sinaga dkk., 2024)

References

Adethia, K. dan Sapna, M. (2026) “The effect of giving ginger to reducing hyperemesis gravidarum in pregnant women in the Nana Diana’s Clinic Medan City.” Mitra Husada Health International Conference (MIHHICo), STIKes Mitra Husada Medan, hlm. 27–30. Tersedia pada: https://prosidingmhm.mitrahusada.ac.id/index.php/mihhico/article/view/21.

Atkins, B. dkk. (2023) “Stillbirth : prevention and supportive bereavement care.” Tersedia pada: https://doi.org/10.1136/bmjmed-2022-000262.

Bakara, S.M. dkk. (2026) “The relationship between gravity and nutritional status with hyperemesis gravidarum.” Mitra Husada Health International Conference (MIHHICo), STIKes Mitra Husada Medan, hlm. 183–189. Tersedia pada: https://prosidingmhm.mitrahusada.ac.id/index.php/mihhico/article/view/251.

Cassidy, P.R. (2022) “Beyond emotional support : predictors of satisfaction and perceived care quality following the death of a baby during pregnancy,” 50(6), hlm. 832–843.

David, A.L. dan Spencer, R.N. (2022) “Clinical Assessment of Fetal Well-Being and Fetal Safety Indicators,” 62(May). Tersedia pada: https://doi.org/10.1002/jcph.2126.

Kartika (2023) “Volume 13 Nomor 1 Mei 2023 FAKTOR RESIKO KEJADIAN INTRAUTERINE FETAL DEATH ( IUFD ) DI RUMAH SAKIT Nama Asal Institusi : STIKES Panca Bhakti Pontianak Email Korespondensi : akbidpbpontianak@gmail.com Jurnal Kebidanan-ISSN 2252-8121 Volume 13 Nomor 1 Mei 2,” 13.

Kasa, G.A. dkk. (2023) “The factors associated with stillbirths among sub ‑ saharan African deliveries : a systematic review and meta ‑ analysis,” BMC Pregnancy and Childbirth, hlm. 1–18. Tersedia pada: https://doi.org/10.1186/s12884-023-06148-6.

Khatri, R.B., Mengistu, T.S. dan Assefa, Y. (2022) “Input , process , and output factors contributing to quality of antenatal care services : a scoping review of evidence,” BMC Pregnancy and Childbirth, hlm. 1–15. Tersedia pada: https://doi.org/10.1186/s12884-022-05331-5.

Mills, T.A. dkk. (2022) “Better maternity care pathways in pregnancies after stillbirth or neonatal death : a feasibility study,” BMC Pregnancy and Childbirth, hlm. 1–14. Tersedia pada: https://doi.org/10.1186/s12884-022-04925-3.

Peira, N., Silverstein, R.A. dan Sveen, J. (2023) “Care and support when a baby is stillborn : A systematic review and an interpretive meta- synthesis of qualitative studies in high-income countries,” hlm. 1–28. Tersedia pada: https://doi.org/10.1371/journal.pone.0289617.

Sinaga, A. dkk. (2024) “Penyuluhan Dan Safari Keluarga Berencana Dalam Meningkatakan Penggunaan KB Implan Dan Iud Di Klinik Pratama Elvi Diana Kecamatan Medan Johor , Kota Medan Tahun 2024

Ssegujja, E., Ddumba, I. dan Andipatin, M. (2023) “An exploration of health workers ’ experiences in providing bereavement care to mothers following a stillbirth : results from a subnational level health system in Uganda,” hlm. 1–13.

Tsakiridis, I. dkk. (2022) “Investigation and management of stillbirth : a descriptive review of major guidelines,” 50(6), hlm. 796–813.

Wang, S.J., Lin, L.L. dan Chen, W.C. (2022) “Placental mesenchymal dysplasia complicated with sudden fetal demise and amniotic fluid embolism : a case report,” BMC Pregnancy and Childbirth, hlm. 1–7. Tersedia pada: https://doi.org/10.1186/s12884-022-05261-2.

Westby, C.L. dkk. (2021) “Depression , anxiety , PTSD , and OCD after stillbirth : a systematic review,” BMC Pregnancy and Childbirth, hlm. 1–17. Tersedia pada: https://doi.org/10.1186/s12884-021-04254-x.