Case study of comprehensive midwifery care for Mrs. R, 28 years old, G2P1A0 with anemia at Ketapang I Community Health Center, Ketapang Subdistrict, Kotawaringin Timur
Keywords:
comprehensive midwifery care, anemia, Community Health CenterAbstract
On February 17, during the second antenatal visit, it was found that Mrs. R was experiencing anemia. Anemia, one of the indirect causes of maternal mortality, remains a significant global health problem, particularly in developing countries. This condition frequently occurs due to an increase in blood volume of up to 50% during pregnancy, which gradually returns to normal as gestational age advances, provided the mother maintains a healthy lifestyle and adequate nutritional intake. However, if left untreated, anemia in pregnancy may lead to serious complications. The aim of this case study was to provide comprehensive midwifery care for Mrs. R, a 28-year-old pregnant woman with anemia, at Ketapang I Community Health Center, Ketapang Subdistrict, East Kotawaringin. This case study was conducted at the same facility from February to April 2025. The research subject was Mrs. R, aged 28 years, at 35 weeks of gestation with a live, singleton intrauterine fetus in cephalic presentation. The instruments used in this study included the comprehensive midwifery care format, observation sheets, screening forms, and partograph. Data collection techniques consisted of both primary and secondary data sources. The results indicated that the provision of comprehensive midwifery care proceeded smoothly. All clinical assessments were within normal limits. Based on the findings, no discrepancies were observed between theory and actual practice because the researcher implemented comprehensive midwifery care according to established service standards. All examination results were documented thoroughly using the seven-step Varney management approach and SOAP documentation. The comprehensive midwifery care provided to Mrs. R, a 28-year-old pregnant woman at Ketapang I Community Health Center, East Kotawaringin, was successfully implemented. All examination findings were within normal physiological limits, no complications were identified, and the care delivered adhered to professional midwifery standards.
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