Asuhan Kebidanan Ny “Y” G2P1A0 Hamil 17 Minggu dengan Hipermesis Gravidarum 2024

https://doi.org/10.35912/nersakademika.v3i2.5699
Published: Jun 8, 2025

Abstract:

Purpose: This case study aims to describe and analyze midwifery care in a case of hyperemesis gravidarum, a pregnancy complication that can significantly impact maternal and fetal health.

Method: The subjects of the study were taken by purposive sampling, namely 67 lecturers from midwifery institutions. Data were analyzed using descriptive and inferential statistics, namely the Chi Square test, Wilcoxon test and Mann Whitney test, Logistic Regression tesThe research subject was Mrs. Y, G2P1A0, with a gestational age of 17 weeks and 6 days, experiencing excessive nausea and vomiting. Data collection methods included interviews, physical examinations, and analysis of medical records.

Results: The results showed that Mrs. Y experienced a weight gain of 14 kg, normal blood pressure, and a MUAC of 39 cm. The management provided included education, pharmacological therapy, dietary modifications, and psychosocial support. Although some 10T examination data were incomplete, the care provided was in accordance with hyperemesis gravidarum management standards.

Conclusion: This study concludes the importance of a holistic and multidisciplinary approach in managing hyperemesis gravidarum to optimize maternal and fetal health.

Limitations: Incomplete documentation of some 10T examination data limited the comprehensiveness of case analysis.

Contribution: This study contributes to strengthening evidence-based midwifery care practices for hyperemesis gravidarum through integrated clinical, educational, and psychosocial interventions.

Keywords:
1. Holistic Approach
2. Hyperemesis Gravidarum
3. Midwifery Care
4. Nausea And Vomiting
5. Pregnancy
Authors:
1 . Rosmiarti Rosmiarti
2 . Matsna Berlianti
View PDF
How to Cite
Rosmiarti, R., & Berlianti, M. (2025). Asuhan Kebidanan Ny “Y” G2P1A0 Hamil 17 Minggu dengan Hipermesis Gravidarum 2024 . Ners Akademika, 3(2), 47–53. https://doi.org/10.35912/nersakademika.v3i2.5699
Download Citation
  1. Endnote/Zotero/Mendeley (RIS)
  2. BibTeX

Downloads

Download data is not yet available.
Issue & Section
Vol. 3 No. 2 (2025): Juni
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

References

    Adane, K. D., Zerga, A. A., Gebeyehu, F. B., & Ayele, F. Y. (2023). Proportion of hyperemesis gravidarum and associated factors among pregnant women admitted into the obstetrics ward at Akesta general hospital, North East Ethiopia. Plos one, 18(2), e0281433. doi:https://doi.org/10.1371/journal.pone.0281433

    Amahoru, R., Azrida, M., & Hamang, S. H. (2021). Manajemen Asuhan Kebidanan Antenatal Care pada Ny. A dengan Hiperemesis Gravidarum Tingkat II. Window of Midwifery Journal, 107-117. doi:https://doi.org/10.33096/wom.vi.773

    Asma, W. O. S. (2023). Identifikasi Ibu Hamil Yang Mengalami Hiperemesis Gravidarum Di Rsud Dr. H. L.M. Baharuddin, M.Kes Kabupaten Muna. Jurnal Kesehatan Tambusai, 4(4). doi:https://doi.org/10.31004/jkt.v4i4.22374

    Austin, K., Wilson, K., & Saha, S. (2019). Hyperemesis gravidarum. Nutrition in Clinical Practice, 34(2), 226-241. doi:https://doi.org/10.1002/ncp.10205

    Batubara, O. A., Nugroho, N. B., & Rezky, S. F. (2022). Sistem Pakar Mendiagnosa Penyakit Hiperemesis Gravidarum Menggunakan Teorema Bayes. Jurnal Sistem Informasi Triguna Dharma (JURSI TGD), 1(3), 172-181. doi:https://doi.org/10.53513/jursi.v1i3.5121

    Beirne, E. R., Andrews, L. B., Murtagh, L. P., Browne, S., Curran, S. B., & O’Brien, E. C. (2023). The far-reaching burden of Hyperemesis Gravidarum–an exploration of women’s experiences and perceptions of healthcare support. Women & Health, 63(7), 485-494. doi:https://doi.org/10.1080/03630242.2023.2219749

    Cécile, B., Potter, B. J., Lewin, A., Healy?Profitós, J., Brousseau, É., & Auger, N. (2023). Risk of cardiovascular disease in women with a history of hyperemesis gravidarum, with and without preeclampsia. Journal of the American Heart Association, 12(11), e029298. doi:https://doi.org/10.1161/JAHA.122.029298

    Damayanti, I., Sugesti, R., & Sari, A. (2023). Hubungan Pengetahuan, Dukungan Suami, Dan Sikap Ibu Hamil Dengan Hiperemesis Gravidarum Di Pmb Bidan Irna Dewi Megawati Tahun 2023. SENTRI: Jurnal Riset Ilmiah, 2(7), 2596-2611. doi:https://doi.org/10.55681/sentri.v2i7.1174

    Daru, J., Cooper, N. A., & Khan, K. S. (2016). Systematic review of randomized trials of the effect of iron supplementation on iron stores and oxygen carrying capacity in pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 95(3), 270-279. doi:https://doi.org/10.1111/aogs.12812

    Dewianti, Haira, S., & Nurfadilah. (2023). Asuhan Kebidanan pada Nyi‘’N’’ dengan Hiperemesis Gravidarum Tingkat I di Rumah Sakit Umum Daerah Majene. Delima: Jurnal Kajian Kebidanan, 1(1). doi:https://doi.org/10.56467/delima.v1i1.73

    Endi, A. C., Fanggidae, R. E., & Ndoen, W. M. (2023). The effect of religiosity and spirituality on financial behavior district. Journal of Multidisciplinary Academic and Practice Studies, 1(1), 45-53. doi:https://doi.org/10.35912/jomaps.v1i1.1455

    Fitriani, N., Suswati, S., Nasution, E. M., & Lestari, D. K. (2023). Senam Hamil Untuk Kelancaran Proses Persalinan Pada Ibu Bersalin. Jambura Health and Sport Journal, 5(2), 122-130. doi:https://doi.org/10.37311/jhsj.v5i2.20052

    Gusmadewi, G., DIELSA, M. F., & REFLIANTO, R. (2022). Pengaruh Antenatal Care, Tingkat Kecemasan, Kehamilan Beresiko Dan Jenis Persalinan Terhadap Kesiapan Fisiologis Persalinan. J-KESMAS: Jurnal Kesehatan Masyarakat, 8(1), 34-48. doi:http://dx.doi.org/10.35329/jkesmas.v8i1.1799

    Handayani, S., & Indah, E. R. (2015). Efektifitas pemberian minuman jahe ekstrak terhadap hiperemesis gravidarum ringan. Jurnal Ilmiah Kesehatan Media Husada, 3(2), 97-104. doi:https://doi.org/10.33475/jikmh.v3i2.154

    Indrianingrum, I. (2020). Ketidaknyamanan Keluhan Pusing Pada Ibu Hamil Di Wilayah Kerja Puskesmas Gribig Kabupaten Kudus. Jurnal Ilmu Keperawatan Dan Kebidanan, 11(2), 265-271. doi:https://doi.org/10.26751/jikk.v11i2.844

    Julaecha, J., & Wuryandari, A. G. (2022). Efektifitas Akupresur Mengurangi Mual Muntah pada Ibu Hamil. Paper presented at the Prosiding Seminar Kesehatan Nasional.

    Kardiyudiani, N. K., Afrida, M., Rahayu, N. W., Indriyani, S., & Quiambao, B. D. (2024). Pengaruh Profil Pasien Kanker yang Mendapat Kemoterapi dengan Chemotherapy Induced Nausea and Vomiting (CINV). Ners Akademika, 3(1), 15-22. doi:https://doi.org/10.35912/nersakademika.v3i1.3905

    Kurniasih, N. I. D., Marwati, T. A., & Makiyah, S. N. (2020). Evaluasi Penerapan Standar Layanan 10t Antenatal Care (ANC). Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 12(2), 429-444. doi:https://doi.org/10.34011/juriskesbdg.v12i2.1795

    London, V., Grube, S., Sherer, D. M., & Abulafia, O. (2017). Hyperemesis gravidarum: a review of recent literature. Pharmacology, 100(3-4), 161-171. doi:https://doi.org/10.1159/000477853

    Malita, M., Dekawaty, A., & Suzanna, S. (2024). Pengaruh Terapi Bermain Dengan Media Scrapbook Terhadap Kecemasan Anak Usia Prasekolah Yang Mengalami Hospitalisasi. Ners Akademika, 3(1), 7-13. doi:https://doi.org/10.35912/nersakademika.v3i1.3906

    Masnilawati, A., & Abeng, A. T. (2022). Manajemen Asuhan Kebidanan Antenatal pada Ny. A dengan Hiperemesis Gravidarum Tingkat I. Window of Midwifery Journal, 136-145. doi:https://doi.org/10.33096/wom.vi.452

    Nuraisya, W. (2023). Implementasi pada Kehamilan dengan Hipertensi Kronis Superimposed Preeklampsia. Jurnal Vokasi Kesehatan, 2(2), 57-64. doi:https://doi.org/10.58222/juvokes.v2i2.161

    Okuyan, E., Karabay Akgul, O., Tureyici, L., Atac, H., Cetin, M., Günakan, E., & Karakaya, F. (2023). The relationship between maternal thyroid volume, TSH levels, and Healthy Eating Index scores in BMI-matched pregnant women with hyperemesis gravidarum. The Journal of Maternal-Fetal & Neonatal Medicine, 36(2), 2236270. doi:https://doi.org/10.1080/14767058.2023.2236270

    Puspitasari, N. A., Yuliani, A., & Assidik, Q. N. R. (2024). Analisis Pemenuhan Kebutuhan Holistik Pada Ibu Hamil Dengan Hiperemesis Gravidarum. Jurnal Asuhan Ibu dan Anak, 9(1), 9-16. doi:https://doi.org/10.33867/jaia.v9i1.470

    Putra, M. F., Ahadiyat, A., & Keumalahayati, K. (2023). The influence of leadership style on performance with motivation as mediation (study on employees of Metro City Trade Services during pandemi). Journal of Multidisciplinary Academic and Practice Studies, 1(1), 15-27. doi:https://doi.org/10.35912/jomaps.v1i1.1536

    Rosmiarti, R. (2024). Manfaat Massage Effluarge dalam Mengurangi Nyeri Punggung pada Ibu Hamil Trimester III: Sebuah Tinjauan Asuhan Kebidanan Komprehensif. Ners Akademika, 2(2), 51-55. doi:https://doi.org/10.35912/nersakademika.v2i2.3414

    Rosmiarti, R., & Lestari, S. (2024). Penerapan Pijat Oksitosin untuk Meningkatkan Produksi Asi Ibu Menyusui pada Masa Nifas. Ners Akademika, 3(1), 1-6. doi:https://doi.org/10.35912/nersakademika.v3i1.3901

    Rosmiarti, R., & Salsabila, D. P. (2024). Asuhan Kebidanan Komprehensif pada Ny “N” dengan Penerapan Kompres Dingin untuk Mengurangi Nyeri Persalinan Kala 1 Fase Aktif. Ners Akademika, 2(2), 45-49. doi:https://doi.org/10.35912/nersakademika.v2i2.3415

    Siallagan, D., & Lestari, D. (2018). Tingkat Kecemasan Menghadapi Persalinan Berdasarkan Status Kesehatan, Graviditas dan Usia di Wilayah Keja Puskesmas Jombang. Indonesian Journal of Midwifery (IJM), 1(2). doi:https://doi.org/10.35473/ijm.v1i2.101

    Sulalah, A. A., Wassalwa, S. M. M., & Susanti, D. (2024). Penguatan Pemahaman Ibu Hamil dalam Pencegahan dan Penanganan Resiko Tinggi Kehamilan. Salwatuna: Jurnal Pengabdian Masyarakat, 4(1), 52-63. doi:https://doi.org/10.59106/salwatuna.v4i1.244

    Yulianti, A. (2023). Faktor yang Berhubungan dengan Hiperemesis Gravidarum pada Ibu Hamil Trimester I Di PMB Alicia Bogor Tahun 2022: Factors Associated with Hyperemesis Gravidarum for First Trimester Pregnant Women at PMB Alicia Bogor in 2022. Open Access Jakarta Journal of Health Sciences, 2(1), 517-522. doi:https://doi.org/10.53801/oajjhs.v2i1.95

  1. Adane, K. D., Zerga, A. A., Gebeyehu, F. B., & Ayele, F. Y. (2023). Proportion of hyperemesis gravidarum and associated factors among pregnant women admitted into the obstetrics ward at Akesta general hospital, North East Ethiopia. Plos one, 18(2), e0281433. doi:https://doi.org/10.1371/journal.pone.0281433
  2. Amahoru, R., Azrida, M., & Hamang, S. H. (2021). Manajemen Asuhan Kebidanan Antenatal Care pada Ny. A dengan Hiperemesis Gravidarum Tingkat II. Window of Midwifery Journal, 107-117. doi:https://doi.org/10.33096/wom.vi.773
  3. Asma, W. O. S. (2023). Identifikasi Ibu Hamil Yang Mengalami Hiperemesis Gravidarum Di Rsud Dr. H. L.M. Baharuddin, M.Kes Kabupaten Muna. Jurnal Kesehatan Tambusai, 4(4). doi:https://doi.org/10.31004/jkt.v4i4.22374
  4. Austin, K., Wilson, K., & Saha, S. (2019). Hyperemesis gravidarum. Nutrition in Clinical Practice, 34(2), 226-241. doi:https://doi.org/10.1002/ncp.10205
  5. Batubara, O. A., Nugroho, N. B., & Rezky, S. F. (2022). Sistem Pakar Mendiagnosa Penyakit Hiperemesis Gravidarum Menggunakan Teorema Bayes. Jurnal Sistem Informasi Triguna Dharma (JURSI TGD), 1(3), 172-181. doi:https://doi.org/10.53513/jursi.v1i3.5121
  6. Beirne, E. R., Andrews, L. B., Murtagh, L. P., Browne, S., Curran, S. B., & O’Brien, E. C. (2023). The far-reaching burden of Hyperemesis Gravidarum–an exploration of women’s experiences and perceptions of healthcare support. Women & Health, 63(7), 485-494. doi:https://doi.org/10.1080/03630242.2023.2219749
  7. Cécile, B., Potter, B. J., Lewin, A., Healy?Profitós, J., Brousseau, É., & Auger, N. (2023). Risk of cardiovascular disease in women with a history of hyperemesis gravidarum, with and without preeclampsia. Journal of the American Heart Association, 12(11), e029298. doi:https://doi.org/10.1161/JAHA.122.029298
  8. Damayanti, I., Sugesti, R., & Sari, A. (2023). Hubungan Pengetahuan, Dukungan Suami, Dan Sikap Ibu Hamil Dengan Hiperemesis Gravidarum Di Pmb Bidan Irna Dewi Megawati Tahun 2023. SENTRI: Jurnal Riset Ilmiah, 2(7), 2596-2611. doi:https://doi.org/10.55681/sentri.v2i7.1174
  9. Daru, J., Cooper, N. A., & Khan, K. S. (2016). Systematic review of randomized trials of the effect of iron supplementation on iron stores and oxygen carrying capacity in pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 95(3), 270-279. doi:https://doi.org/10.1111/aogs.12812
  10. Dewianti, Haira, S., & Nurfadilah. (2023). Asuhan Kebidanan pada Nyi‘’N’’ dengan Hiperemesis Gravidarum Tingkat I di Rumah Sakit Umum Daerah Majene. Delima: Jurnal Kajian Kebidanan, 1(1). doi:https://doi.org/10.56467/delima.v1i1.73
  11. Endi, A. C., Fanggidae, R. E., & Ndoen, W. M. (2023). The effect of religiosity and spirituality on financial behavior district. Journal of Multidisciplinary Academic and Practice Studies, 1(1), 45-53. doi:https://doi.org/10.35912/jomaps.v1i1.1455
  12. Fitriani, N., Suswati, S., Nasution, E. M., & Lestari, D. K. (2023). Senam Hamil Untuk Kelancaran Proses Persalinan Pada Ibu Bersalin. Jambura Health and Sport Journal, 5(2), 122-130. doi:https://doi.org/10.37311/jhsj.v5i2.20052
  13. Gusmadewi, G., DIELSA, M. F., & REFLIANTO, R. (2022). Pengaruh Antenatal Care, Tingkat Kecemasan, Kehamilan Beresiko Dan Jenis Persalinan Terhadap Kesiapan Fisiologis Persalinan. J-KESMAS: Jurnal Kesehatan Masyarakat, 8(1), 34-48. doi:http://dx.doi.org/10.35329/jkesmas.v8i1.1799
  14. Handayani, S., & Indah, E. R. (2015). Efektifitas pemberian minuman jahe ekstrak terhadap hiperemesis gravidarum ringan. Jurnal Ilmiah Kesehatan Media Husada, 3(2), 97-104. doi:https://doi.org/10.33475/jikmh.v3i2.154
  15. Indrianingrum, I. (2020). Ketidaknyamanan Keluhan Pusing Pada Ibu Hamil Di Wilayah Kerja Puskesmas Gribig Kabupaten Kudus. Jurnal Ilmu Keperawatan Dan Kebidanan, 11(2), 265-271. doi:https://doi.org/10.26751/jikk.v11i2.844
  16. Julaecha, J., & Wuryandari, A. G. (2022). Efektifitas Akupresur Mengurangi Mual Muntah pada Ibu Hamil. Paper presented at the Prosiding Seminar Kesehatan Nasional.
  17. Kardiyudiani, N. K., Afrida, M., Rahayu, N. W., Indriyani, S., & Quiambao, B. D. (2024). Pengaruh Profil Pasien Kanker yang Mendapat Kemoterapi dengan Chemotherapy Induced Nausea and Vomiting (CINV). Ners Akademika, 3(1), 15-22. doi:https://doi.org/10.35912/nersakademika.v3i1.3905
  18. Kurniasih, N. I. D., Marwati, T. A., & Makiyah, S. N. (2020). Evaluasi Penerapan Standar Layanan 10t Antenatal Care (ANC). Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 12(2), 429-444. doi:https://doi.org/10.34011/juriskesbdg.v12i2.1795
  19. London, V., Grube, S., Sherer, D. M., & Abulafia, O. (2017). Hyperemesis gravidarum: a review of recent literature. Pharmacology, 100(3-4), 161-171. doi:https://doi.org/10.1159/000477853
  20. Malita, M., Dekawaty, A., & Suzanna, S. (2024). Pengaruh Terapi Bermain Dengan Media Scrapbook Terhadap Kecemasan Anak Usia Prasekolah Yang Mengalami Hospitalisasi. Ners Akademika, 3(1), 7-13. doi:https://doi.org/10.35912/nersakademika.v3i1.3906
  21. Masnilawati, A., & Abeng, A. T. (2022). Manajemen Asuhan Kebidanan Antenatal pada Ny. A dengan Hiperemesis Gravidarum Tingkat I. Window of Midwifery Journal, 136-145. doi:https://doi.org/10.33096/wom.vi.452
  22. Nuraisya, W. (2023). Implementasi pada Kehamilan dengan Hipertensi Kronis Superimposed Preeklampsia. Jurnal Vokasi Kesehatan, 2(2), 57-64. doi:https://doi.org/10.58222/juvokes.v2i2.161
  23. Okuyan, E., Karabay Akgul, O., Tureyici, L., Atac, H., Cetin, M., Günakan, E., & Karakaya, F. (2023). The relationship between maternal thyroid volume, TSH levels, and Healthy Eating Index scores in BMI-matched pregnant women with hyperemesis gravidarum. The Journal of Maternal-Fetal & Neonatal Medicine, 36(2), 2236270. doi:https://doi.org/10.1080/14767058.2023.2236270
  24. Puspitasari, N. A., Yuliani, A., & Assidik, Q. N. R. (2024). Analisis Pemenuhan Kebutuhan Holistik Pada Ibu Hamil Dengan Hiperemesis Gravidarum. Jurnal Asuhan Ibu dan Anak, 9(1), 9-16. doi:https://doi.org/10.33867/jaia.v9i1.470
  25. Putra, M. F., Ahadiyat, A., & Keumalahayati, K. (2023). The influence of leadership style on performance with motivation as mediation (study on employees of Metro City Trade Services during pandemi). Journal of Multidisciplinary Academic and Practice Studies, 1(1), 15-27. doi:https://doi.org/10.35912/jomaps.v1i1.1536
  26. Rosmiarti, R. (2024). Manfaat Massage Effluarge dalam Mengurangi Nyeri Punggung pada Ibu Hamil Trimester III: Sebuah Tinjauan Asuhan Kebidanan Komprehensif. Ners Akademika, 2(2), 51-55. doi:https://doi.org/10.35912/nersakademika.v2i2.3414
  27. Rosmiarti, R., & Lestari, S. (2024). Penerapan Pijat Oksitosin untuk Meningkatkan Produksi Asi Ibu Menyusui pada Masa Nifas. Ners Akademika, 3(1), 1-6. doi:https://doi.org/10.35912/nersakademika.v3i1.3901
  28. Rosmiarti, R., & Salsabila, D. P. (2024). Asuhan Kebidanan Komprehensif pada Ny “N” dengan Penerapan Kompres Dingin untuk Mengurangi Nyeri Persalinan Kala 1 Fase Aktif. Ners Akademika, 2(2), 45-49. doi:https://doi.org/10.35912/nersakademika.v2i2.3415
  29. Siallagan, D., & Lestari, D. (2018). Tingkat Kecemasan Menghadapi Persalinan Berdasarkan Status Kesehatan, Graviditas dan Usia di Wilayah Keja Puskesmas Jombang. Indonesian Journal of Midwifery (IJM), 1(2). doi:https://doi.org/10.35473/ijm.v1i2.101
  30. Sulalah, A. A., Wassalwa, S. M. M., & Susanti, D. (2024). Penguatan Pemahaman Ibu Hamil dalam Pencegahan dan Penanganan Resiko Tinggi Kehamilan. Salwatuna: Jurnal Pengabdian Masyarakat, 4(1), 52-63. doi:https://doi.org/10.59106/salwatuna.v4i1.244
  31. Yulianti, A. (2023). Faktor yang Berhubungan dengan Hiperemesis Gravidarum pada Ibu Hamil Trimester I Di PMB Alicia Bogor Tahun 2022: Factors Associated with Hyperemesis Gravidarum for First Trimester Pregnant Women at PMB Alicia Bogor in 2022. Open Access Jakarta Journal of Health Sciences, 2(1), 517-522. doi:https://doi.org/10.53801/oajjhs.v2i1.95