AZIZAH, NURIYAH SALSABILA (2025) CASE REPORT PADA MULTIGRAVIDA TRIMESTER II DENGAN RISIKO SANGAT TINGGI DI PUSKESMAS TANAH MERAH KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
Kehamilan pada ibu multigravida di trimester kedua dengan risiko sangat tinggi memerlukan perhatian ekstra, mengingat potensinya untuk memicu komplikasi bagi ibu dan janin. Risiko tersebut sering kali dipengaruhi oleh faktor-faktor seperti usia ibu yang melebihi 35 tahun, interval kehamilan lebih dari 10 tahun, serta riwayat keguguran sebelumnya. Penelitian ini dimaksudkan untuk menggambarkan secara mendalam asuhan kebidanan komprehensif bagi ibu multigravida trimester kedua berisiko tinggi di area kerja Puskesmas Tanah Merah, Kabupaten Bangkalan. Metode yang diterapkan adalah kualitatif dengan pendekatan studi kasus pada satu subjek ibu hamil. Pengumpulan data dilakukan melalui wawancara mendalam, observasi langsung, dan dokumentasi terkait. Temuan penelitian mengungkapkan bahwa ibu hamil tersebut mengalami berbagai keluhan, termasuk kelelahan yang sering terjadi, pusing, nyeri di bagian punggung, serta frekuensi buang air kecil yang meningkat. Berdasarkan hasil screening Pregnancy Early Warning Score System (PEWS), ibu termasuk dalam kategori risiko tinggi. Asuhan kebidanan diberikan secara komprehensif mencakup pengkajian, penegakan diagnosa, perencanaan, pelaksanaan, serta evaluasi dengan tetap memperhatikan kebutuhan dan kondisi ibu. Kesimpulan dari studi kasus ini adalah pentingnya identifikasi dini dan pemberian asuhan kebidanan yang tepat pada ibu multigravida dengan risiko sangat tinggi untuk mencegah komplikasi yang dapat membahayakan keselamatan ibu dan janin. Kata Kunci: Multigravida, Risiko Kehamilan Tinggi, Trimester II, Asuhan Kebidanan, Studi Kasus Pregnancy in multigravid mothers during the second trimester with very high risk requires extra attention, given its potential to trigger complications for both the mother and the fetus. This risk is often influenced by factors such as maternal age exceeding 35 years, pregnancy intervals greater than 10 years, and a history of previous miscarriages. This study aims to describe in depth the comprehensive midwifery care for high-risk second-trimester multigravid mothers in the working area of Tanah Merah Community Health Center, Bangkalan Regency. The method applied is qualitative with a case study approach on one pregnant subject. Data collection was conducted through in-depth interviews, direct observation, and related documentation. The research findings reveal that the pregnant mother experienced various complaints, including frequent fatigue, dizziness, back pain, and increased frequency of urination. Based on the screening results of the Pregnancy Early Warning Score System (PEWS), the mother falls into the high- risk category. Comprehensive midwifery care was provided, encompassing assessment, diagnosis establishment, planning, implementation, and evaluation while still considering the mother's needs and condition. The conclusion of this case study is the importance of early identification and appropriate midwifery care for very high-risk multigravid mothers to prevent complications that could endanger the safety of both mother and fetus. Keywords: Multigravida, High-Risk Pregnancy, Second Trimester, Midwifery Care, Case Report
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED DEASY, IRAWATI nidn4008127902 UNSPECIFIED SITI, ANISAK nidn4028068401 |
| Additional Information: | 7LTA20250027 |
| Uncontrolled Keywords: | Multigravida, Risiko Kehamilan Tinggi, Trimester II, Asuhan Kebidanan, Studi Kasus |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 27 Jan 2026 01:42 |
| Last Modified: | 27 Jan 2026 01:42 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/11038 |
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