TARIZHA, DECY AMILYA PUTRI (2026) CASE REPORT PADA MULTIGRAVIDA TRIMESTER II DENGAN EKSIM DIPMB UMI FATAH AROSBAYA BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
Latar Belakang : Eksim atau dermatitis atopik merupakan penyakit inflamasi kronis pada kulit yang ditandai dengan pruritus, kulit kering, eritema, dan lesi inflamasi akibat gangguan fungsi sawar kulit. Selama kehamilan, perubahan hormonal dan imunologis dapat memperberat gejala eksim sehingga mengganggu kualitas tidur, aktivitas sehari-hari, serta kualitas hidup ibu hamil. Tujuan : Case Report ini bertujuan untuk mendeskripsikan dan melaksanakan asuhan kebidanan secara komprehensif (Case Report) pada Ny. H, multigravida trimester II dengan eksim di PMB Umi Fatah Arogbaya Kabupaten Bangkalan. Metode : Penelitian ini menggunakan desain laporan kasus tunggal (single case report). Subjek penelitian adalah Ny. H, ibu hamil multigravida trimester II (G3P2A0) usia kehamilan 23–24 minggu yang mengalami eksim. Pengumpulan data dilakukan melalui pengkajian data subjektif, objektif, analisis, pemeriksaan penunjang, serta penatalaksanaan asuhan kebidanan selama tiga kali kunjungan di PMB Umi Fatah Arosbaya dan kunjungan rumah pada bulan Juni 2026. Penelitian dilaksanakan dengan menerapkan prinsip etik yang meliputi menghormati orang (respect for persons), menghormati privasi pasien dan kerahasiaan subjek penelitian, memegang prinsip keadilan dan kesetaraan (justice), dan memperhitungkan dampak positif maupun negatif dari penelitian. Hasil Kasus : Pada kunjungan pertama, Ny. H didiagnosis G3P2A0 usia kehamilan 23–24 minggu dengan eksim yang ditandai pruritus pada lipatan siku, leher, dan lipatan lutut disertai kulit kering serta kemerahan yang mengganggu kualitas tidur. Pemeriksaan menunjukkan keadaan umum dan tanda-tanda vital dalam batas normal serta denyut jantung janin normal. Asuhan kebidanan meliputi edukasi perawatan kulit, penggunaan pelembap, mandi menggunakan air hangat suam-suam kuku, menghindari faktor pencetus, kompres dingin pada area gatal, menjaga kelembapan kulit, relaksasi sebelum tidur, pemenuhan gizi seimbang, konsumsi tablet Fe, serta pemantauan kehamilan secara rutin. Setelah dilakukan asuhan selama tiga kali kunjungan, keluhan gatal berkurang, kualitas tidur ibu membaik, ibu mampu mengendalikan faktor pencetus eksim, dan kondisi ibu maupun janin tetap dalam keadaan baik. Kesimpulan : Asuhan kebidanan komprehensif melalui edukasi, perawatan kulit, pengendalian faktor pencetus, penggunaan pelembap, serta intervensi nonfarmakologis efektif membantu mengurangi keluhan eksim, meningkatkan kualitas tidur ibu, serta mempertahankan kesehatan ibu dan janin selama kehamilan. Kata kunci : Eksim, Dermatitis Atopik, Multigravida, Kehamilan Trimester II, Asuhan Kebidanan. CASE REPORT OF A SECOND TRIMESTER MULTIGRAVIDA PREGNANT WOMAN WITH ECZEMA AT PMB UMI FATAH AROSBAYA BANGKALAN Background: Eczema, also known as atopic dermatitis, is a chronic inflammatory skin disease characterized by pruritus, dry skin, erythema, and inflammatory lesions resulting from impaired skin barrier function. During pregnancy, hormonal and immunological changes may exacerbate eczema symptoms, thereby affecting sleep quality, daily activities, and the overall quality of life of pregnant women. Objective: This case report aimed to describe and implement comprehensive midwifery care for Mrs. H, a second-trimester multigravida pregnant woman with eczema, at PMB Umi Fatah, Arosbaya, Bangkalan Regency. Methods: This study employed a single case report design. The subject was Mrs. H, a second-trimester multigravida pregnant woman (G3P2A0) at 23–24 weeks of gestation who presented with eczema. Data were collected through subjective and objective assessments, clinical analysis, supporting examinations, and the implementation of midwifery care over three visits at PMB Umi Fatah Arosbaya and home visits conducted in June 2026. Ethical principles were applied throughout the study, including respect for persons, protection of patient privacy and confidentiality, justice and equity, and consideration of the potential benefits and risks of the study. Case Results: At the first visit, Mrs. H was diagnosed as G3P2A0 at 23–24 weeks of gestation with eczema, characterized by pruritus affecting the flexural areas of the elbows, neck, and knees, accompanied by dry skin and erythema that interfered with sleep quality. Physical examination revealed normal general condition, stable vital signs, and a normal fetal heart rate. Comprehensive midwifery care included education on skin care, regular use of moisturizers, bathing with lukewarm water, avoidance of triggering factors, cold compresses on itchy areas, maintenance of skin hydration, relaxation techniques before bedtime, adequate nutritional intake, routine iron (Fe) supplementation, and regular antenatal care. Following three visits, the patient's itching decreased, sleep quality improved, triggering factors were successfully managed, and both maternal and fetal conditions remained stable. Conclusion: Comprehensive midwifery care consisting of health education, appropriate skin care, trigger avoidance, regular moisturizer application, and non-pharmacological interventions was effective in reducing eczema symptoms, improving maternal sleep quality, and maintaining maternal and fetal well-being throughout pregnancy. Keywords: Eczema, Atopic Dermatitis, Multigravida, Second-Trimester Pregnancy, Midwifery Care.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Suryaninghsih, Suryaninghsih NIDN4024057801 UNSPECIFIED Siti, Anisak NIDN4028068401 |
| Additional Information: | 7LTA20260007 |
| Uncontrolled Keywords: | Eksim, Dermatitis Atopik, Multigravida, Kehamilan Trimester II, Asuhan Kebidanan. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 13 Oct 2026 02:52 |
| Last Modified: | 13 Oct 2026 02:52 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12654 |
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