USWATUN, HASANAH RAMADHANI (2026) CASE REPORT ASUHAN KEBIDANAN MULTI GRAVIDA TM III DENGAN ANEMIA RINGAN TPMB NANIK IRAWATI GEGER KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
Uswatun Hasanah Ramadhani CASE REPORT ASUHAN KEBIDANAN MULTIGRAVIDA TRIMESTER III DENGAN ANEMIA RINGAN DI PMB NANIK IRAWATI GEGER Trimester III kehamilan ditandai dengan peningkatan kebutuhan zat besi akibat hemodilusi, sehingga ibu hamil rentan mengalami anemia. Jika tidak ditangani, anemia dapat menimbulkan komplikasi serius seperti perdarahan postpartum, preeklamsia, kelahiran prematur, dan bayi dengan berat badan lahir rendah. Kasus ini bertujuan memberikan asuhan kebidanan pada Ny. J, usia 29 tahun, G3P2A0, dengan anemia ringan akibat ketidakpatuhan mengonsumsi tablet Fe. Asuhan dilakukan dengan pendekatan manajemen kebidanan metode SOAP melalui tiga kali kunjungan (26 Juni–8 Juli 2026) di PMB Nanik Irawati. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, laboratorium, dokumentasi, dan studi kepustakaan. Hasil pengkajian menunjukkan ibu G3P2A0 usia kehamilan 32–33 minggu mengalami anemia ringan dengan kadar hemoglobin 10,0 g/dL menandakan anemia ringan. Ibu mengeluh pusing berkunang-kunang, keadaan umum dan tanda vital normal, DJJ 134–140 kali/menit, kondisi janin normal dan pertumbuhan janin sesuai usia kehamilan. Penatalaksanaan meliputi edukasi mengenai anemia ringan dan risikonya, anjuran nutrisi seimbang kaya zat besi dan vitamin C, kepatuhan konsumsi tablet Fe setiap malam, serta istirahat cukup. Ibu dianjurkan menghindari aktivitas fisik berat, memilih posisi tidur miring ke kiri dengan bantal untuk kenyamanan, serta tetap melakukan ANC rutin. Edukasi tanda bahaya diberikan, seperti perdarahan, nyeri perut hebat. pada kunjungan ke dua pusing mulai berkurang dengan pemeriksaan Hb 11,1 g/dl, pada kunjungan ketiga di lakukan pemeriksaan Hb Kembali dan hasilnya 11,1 g/dl. Pada akhir kunjungan, ibu menunjukkan pemahaman terhadap seluruh edukasi, kepatuhan konsumsi tablet Fe meningkat, pola nutrisi membaik, dan keluhan pusing berkurang. Kesimpulan: Asuhan kebidanan komprehensif sesuai standar antenatal terbukti meningkatkan pengetahuan ibu mengenai anemia ringan, mengurangi keluhan fisiologis, memperbaiki kepatuhan konsumsi tablet Fe, serta meningkatkan kesiapan ibu dan keluarga menghadapi persalinan. Kata kunci: anemia ringan, trimester III, multigravida, asuhan kebidanan, tablet Fe. Uswatun Hasanah Ramadhani CASE REPORT OF MIDWIFERY CARE FOR A MULTIGRAVIDA IN THE THIRD TRIMESTER WITH MILD ANEMIA AT PMB NANIK IRAWATI GEGER The third trimester of pregnancy is characterized by an increased need for iron due to hemodilution, making pregnant women susceptible to anemia. If left untreated, anemia can lead to serious complications such as postpartum hemorrhage, preeclampsia, preterm birth, and low birth weight. This case study aims to provide midwifery care to Mrs. J (29 years old, G3P2A0), who presented with mild anemia resulting from non-compliance with iron (Fe) supplementation. Care was delivered using the SOAP midwifery management approach over three visits (June 26–July 8, 2026) at the Nanik Irawati Independent Midwifery Practice (PMB). Data were collected through interviews, observation, physical examinations, laboratory tests, documentation review, and literature study. Assessment results indicated that the patient (G3P2A0, 32–33 weeks pregnant) had mild anemia, with a hemoglobin level of 10.0 g/dL. She complained of dizziness and visual disturbances (seeing stars); however, her general condition and vital signs were normal. Fetal heart rate (FHR) was 134–140 beats per minute, and fetal condition and growth were appropriate for gestational age. Management included education on mild anemia and its risks, recommendations for a balanced diet rich in iron and vitamin C, instructions on consistent nightly iron supplementation, and advice on adequate rest. The patient was advised to avoid strenuous physical activity, sleep in a left-lateral position with pillows for comfort, and continue routine Antenatal Care (ANC). Education regarding danger signs—such as bleeding and severe abdominal pain—was also provided. By the second visit, the dizziness had begun to subside, and her hemoglobin level measured 11.1 g/dL; a follow-up hemoglobin check during the third visit confirmed a level of 11.1 g/dL. By the end of the visits, the patient demonstrated an understanding of all educational information, showed improved compliance with iron supplementation and nutritional habits, and reported a reduction in dizziness. Conclusion: Comprehensive midwifery care aligned with antenatal standards has been shown to increase maternal knowledge regarding mild anemia, reduce physiological complaints, improve adherence to iron (Fe) supplementation, and enhance the preparedness of mothers and their families for childbirth. Keywords: mild anemia, third trimester, multigravida, midwifery care, iron (Fe) tablets.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Deasy, Irawati NIDN4008127902 UNSPECIFIED Siti, Anisak NIDN4028068401 |
| Additional Information: | 7LTA20260001 |
| Uncontrolled Keywords: | Anemia ringan, trimester III, multigravida, asuhan kebidanan, tablet Fe. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 13 Oct 2026 00:45 |
| Last Modified: | 13 Oct 2026 00:45 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12643 |
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