Comprehensive pregnancy midwifery care (ANC) for Mrs. EM G2P1001, 9-10 weeks pregnant with chronic energy deficiency at Ngadiluwih Public Health Center, Kediri Regency

Abstract

Nausea and vomiting in the first trimester of pregnancy is a physiological complaint that can progress to Chronic Energy Deficiency (CED), thus posing a risk to the mother and fetus. This study aims to describe comprehensive midwifery care for pregnant women with nausea and vomiting and CED at the Ngadiluwih Community Health Center, Kediri Regency. The method used was a descriptive case study with the Varney midwifery management approach for Mrs. Em G2P1001 at 9 weeks of gestation. Data were obtained through interviews, observations, physical examinations, and documentation reviews. The assessment results showed that the mother experienced nausea and vomiting with findings of 23 cm MUAC, body weight 44.5 kg, height 158 cm, and BMI 17.5 kg/m², which confirmed the diagnosis of CED. Interventions included nutritional counseling, education on strategies to reduce nausea, vitamin B6 administration, aromatherapy, and collaboration with obstetricians and nutritionists. The evaluation showed a decrease in complaints of nausea and vomiting and an increase in the mother's understanding of the importance of nutritional intake and danger signs of pregnancy. In conclusion, comprehensive midwifery care with the Varney approach effectively supports the well-being of pregnant women with nausea and vomiting and CED.