Midwifery care for a pregnant woman with moderate anemia
Keywords:
Pregnant, moderate anemia, midwifery careAbstract
Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain global health problems that require improvements in the quality of maternal and neonatal health services. One approach that can be implemented to improve the quality of maternal health services is through the application of Continuity of Care (CoC) in midwifery services, which refers to continuous care provided from pregnancy, childbirth, postpartum, to family planning services. One of the common health problems during pregnancy is anemia, which can increase the risk of complications for both the mother and the baby. This study aimed to describe the implementation of midwifery care using the Continuity of Care approach in pregnant women with moderate anemia. This study used a case study method conducted at Grogol Community Health Center from October 2025 to March 2026. The subject of this study was Mrs. N, a 23-year-old pregnant woman with obstetric status G1P0000 at 33 weeks of gestation who experienced moderate anemia with a hemoglobin level of 9.0 g/dL. Data were collected through interviews, direct observation, physical examinations, and documentation studies from the Maternal and Child Health (MCH) handbook and patient medical records. Midwifery care was provided continuously, including antenatal care, labor assistance, postpartum care, newborn care, and family planning services. The results showed an increase in maternal hemoglobin levels from 9.0 g/dL to 10.9 g/dL after receiving nutritional education, iron supplementation, and consumption of beetroot as an additional nutritional source. The delivery process occurred normally, and both mother and baby were in good health. The implementation of Continuity of Care midwifery services can help improve maternal and neonatal health conditions and prevent complications during pregnancy, childbirth, and the postpartum period.
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