Ners Akademika

Peran Asuhan Kebidanan dalam Pencegahan Anemia di Trimester Kedua Kehamilan

Rosmiarti Rosmiarti, Sherly Deas Sagita — Mon, 02 Jun 2025 00:00:00 +0700

Purpose: Providing comprehensive midwifery care for Mrs. “N” during pregnancy and delivering education about the anemia she is experiencing.

Method: This case study used a descriptive observational method with a case study approach and progress notes in the form of SOAP. The subject was Mrs. “N” in her second trimester.

Results: From the objective data obtained, Mrs. “N” was 20 weeks pregnant with mild anemia (Hb: 10.3 g/dl). She reported complaints such as dizziness and fatigue.

Conclusions: A second-trimester pregnant woman with hemoglobin level of 10.3 g/dL is experiencing mild anemia, which poses a risk to fetal growth. Iron supplementation and nutritional education initiated during the second trimester are effective in increasing hemoglobin levels and preventing complications such as low birth weight and preterm labor.

Limitations: This study was limited to a single case in one midwifery practice, which restricts the generalization of findings to a broader population. Laboratory follow-up to measure hemoglobin improvement after intervention was not conducted, so the long-term effect of education and supplementation could not be quantitatively evaluated.

Contribution: This study provides practical insights into the implementation of comprehensive midwifery care using the SOAP approach for managing mild anemia in the second trimester. It emphasizes the importance of early iron supplementation and nutritional education as preventive measures to reduce pregnancy complications and improve maternal health outcomes.

Asuhan Kebidanan Terintegrasi pada Ibu Hamil dengan Anemia untuk Mencegah Komplikasi Kehamilan

Rosmiarti Rosmiarti, Indah Apriliani — Thu, 05 Jun 2025 00:00:00 +0700

Purpose: Anemia in pregnancy is a significant health problem, with a prevalence reaching 37.1% in Indonesia. This case study aims to analyze midwifery care for pregnant women with anemia, focusing on Mrs. A, aged 30, at 28 weeks gestation.

Method: This study used a descriptive case study approach involving interviews, observation, physical examination, and laboratory tests to collect comprehensive data on maternal condition and care interventions.

Results: The findings show that Mrs. A experienced moderate anemia with hemoglobin levels of 8 g/dL, low blood pressure (90/60 mmHg), and suboptimal weight gain. Management included nutritional education, iron supplementation, and lifestyle modification.

Conclusions: Holistic and evidence-based midwifery care is crucial in managing anemia during pregnancy, focusing on prevention and early treatment to improve maternal and fetal outcomes.

Limitations: This study was limited to a single case and lacked long-term follow-up to evaluate changes in hemoglobin levels and pregnancy outcomes after intervention, limiting generalizability.

Contribution: This study contributes to midwifery practice by demonstrating the importance of comprehensive, evidence-based care for managing anemia in pregnancy and underscores the need for continuous monitoring and nutritional education to prevent adverse outcomes.

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

Rosmiarti Rosmiarti, Matsna Berlianti — Sun, 08 Jun 2025 00:00:00 +0700

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.

Penerapan Terapi Isometric Handgrip Exercise terhadap Gangguan Mobilitas Fisik Pasien Stroke

Meisy Ananda Saputri, Renny Triwijayanti — Sun, 08 Jun 2025 00:00:00 +0700

Purpose: This study aims to analyze the effectiveness of Isometric Handgrip Exercise therapy in improving physical mobility among stroke patients who experience muscle weakness and motor impairment. The research was motivated by the increasing incidence of non-hemorrhagic stroke cases recorded at Siti Fatimah Az-Zahra Regional Hospital in South Sumatra Province.

Method: This research employed a descriptive method. Data were collected through structured interviews, direct observations, and physical examinations. Muscle strength was measured using a handgrip dynamometer before and after the application of Isometric Handgrip Exercise therapy to evaluate changes in mobility and strength.

Result: The findings indicated a significant improvement in the patients’ physical mobility after the implementation of Isometric Handgrip Exercise therapy. Both observed patients showed increased muscle strength and better control of extremity movement, suggesting the therapy’s positive impact on functional recovery.

Conclusions: Isometric Handgrip Exercise therapy is effective in addressing impaired physical mobility in stroke patients. The intervention enhances muscle performance and contributes to restoring motor function in affected limbs.

Limitation: The study involved only two participants and used a descriptive design, which limits the generalizability of the findings. Future research with larger samples and experimental methods is required to validate the results.

Contribution: This study contributes to the development of rehabilitation nursing practices by providing evidence that simple, low-cost, and non-invasive exercises such as Isometric Handgrip therapy can effectively support stroke recovery and improve patients’ quality of life.