SUCI, SARASWATI (2026) CASE REPORT PADA MULTIGRAVIDA TRIMESTER II DENGAN RISIKO SANGAT TINGGI DI PMB “N” GEGER BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
![[thumbnail of 1. Cover (Cover luar, cover dalam, lembar persyaratan gelar).pdf]](http://repo.poltekkes-surabaya.ac.id/style/images/fileicons/text.png) |
Text
1. Cover (Cover luar, cover dalam, lembar persyaratan gelar).pdf Download (1MB) |
|
Text
2. Halaman Pengesahan Pembimbing.pdf Restricted to Repository staff only Download (338kB) |
|
Text
3. Halaman Persetujuan Pembimbing.pdf Restricted to Repository staff only Download (358kB) |
|
Text
4. Lembar Orisinalitas.pdf Restricted to Repository staff only Download (315kB) |
|
Text
5. Abstrak dan Abstract.pdf Download (399kB) |
|
Text
6. Kata Pengantar.pdf Download (293kB) |
|
Text
7. Daftar Isi.pdf Download (73kB) |
|
Text
8. Daftar Tabel.pdf Download (10kB) |
|
Text
9. Daftar Gambar.pdf Download (164kB) |
|
Text
10. Daftar Singkatan dan Simbol.pdf Download (193kB) |
|
Text
11. Daftar Lampiran.pdf Download (173kB) |
|
Text
12. BAB 1.pdf Restricted to Repository staff only Download (316kB) |
|
Text
13. BAB 2.pdf Restricted to Repository staff only Download (422kB) |
|
Text
14. BAB 3.pdf Restricted to Repository staff only Download (246kB) |
|
Text
15. BAB 4.pdf Restricted to Repository staff only Download (642kB) |
|
Text
16. BAB 5.pdf Restricted to Repository staff only Download (347kB) |
|
Text
17. BAB 6.pdf Restricted to Repository staff only Download (305kB) |
|
Text
18. DAFTAR PUSTAKA.pdf Download (426kB) |
|
Text
19. LAMPIRAN.pdf Restricted to Repository staff only Download (2MB) |
Abstract
CASE REPORT PADA MULTIGRAVIDA TRIMESTER II DENGAN RISIKO SANGAT TINGGI DI PMB “N” GEGER BANGKALAN xvi + 89 halaman + 2 tabel + 6 lampiran Kehamilan risiko sangat tinggi membutuhkan pemantauan khusus karena dapat meningkatkan risiko komplikasi maternal dan perinatal. Jarak kehamilan yang terlalu dekat, riwayat Intra Uterine Fetal Death (IUFD), disertai anemia dan Kurang Energi Kronis (KEK) merupakan faktor risiko yang perlu ditangani secara tepat. Penelitian ini bertujuan menggambarkan asuhan kebidanan pada ibu multigravida trimester II dengan risiko sangat tinggi di PMB “N” Geger Bangkalan. Penelitian menggunakan metode deskriptif dengan pendekatan case report pada satu ibu hamil multigravida trimester II dengan kehamilan risiko sangat tinggi. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang dan didokumentasikan menggunakan SOAP. Pelaksanaan asuhan memperhatikan prinsip etik berupa informed consent, beneficience, non maleficence, anonymity, dan confidentiality. Ibu hamil usia kehamilan 23–24 minggu memiliki riwayat IUFD dan jarak kehamilan kurang dari dua tahun. Pemeriksaan menunjukkan tanda vital normal, kadar hemoglobin 10,9 g/dL, dan LILA 22,5 cm yang menunjukkan KEK. Denyut jantung janin dan tinggi fundus uteri sesuai usia kehamilan. Diagnosis ditegakkan sebagai G2P1A0 usia kehamilan 23–24 minggu, janin tunggal hidup intrauteri dengan masalah anemia ringan dan KEK. Asuhan meliputi kunjungan rumah, pemantauan kondisi ibu dan janin, kepatuhan konsumsi tablet Fe, asam folat, Multiple Micronutrient Supplement (MMS), dan Pemberian Makanan Tambahan (PMT) berupa risol, buah naga, dan susu full cream. Setelah intervensi, kadar hemoglobin dan berat badan meningkatkan, sedangkan LILA belum mencapai batas normal. Selama pemantauan tidak ditemukan tanda bahaya kehamilan dan kondisi ibu dan janin tetap baik. Asuhan kebidanan berkelanjutan membantu mendukung perbaikan kondisi anemia dan pemantauan kesejahteraan ibu dan janin, sedangkan penanganan KEK membutuhkan waktu dan intervensi berkelanjutan. Pemantauan antenatal secara intensif, edukasi gizi, kepatuhan suplementasi, dan kolaborasi dengan ahli gizi perlu ditingkatkan pada ibu hamil risiko sangat tinggi untuk mencegah komplikasi maternal dan perinatal. Kata kunci: Kehamilan Risiko Sangat Tinggi, Multigravida, Trimester II, Asuhan Kebidanan, Case Report ABSTRACT CASE REPORT OF A SECOND-TRIMESTER MULTIGRAVIDA WOMAN WITH A VERY HIGH-RISK PREGNANCY AT PMB “N” GEGER BANGKALAN xvi + 89 pages + 2 tables + 6 appendices Very high-risk pregnancies require special monitoring because they can increase the risk of maternal and perinatal complications. Too close a pregnancy spacing, a history of Intra Uterine Fetal Death (IUFD), accompanied by anemia and Chronic Energy Deficiency (CED) are risk factors that need to be addressed appropriately. This study aims to describe midwifery care for multigravida mothers in the second trimester with very high risk at PMB “N” Geger Bangkalan. The study used a descriptive method with a case report approach on one multigravida pregnant woman in the second trimester with a very high risk pregnancy. Data were obtained through interviews, observations, physical examinations, supporting examinations and documented using SOAP. The implementation of care took into account ethical principles such as informed consent, beneficence, non-maleficence, anonymity, and confidentiality. Pregnant women with gestational age of 23–24 weeks had a history of IUFD and a pregnancy spacing of less than two years. The examination showed normal vital signs, hemoglobin level of 10.9 g/dL, and MUAC 22.5 cm indicating CED. Fetal heart rate and uterine fundal height were appropriate for gestational age. The diagnosis was established as G2P1A0 gestational age 23–24 weeks, a single fetus living intrauterine with mild anemia and CED. Care included home visits, monitoring the condition of the mother and fetus, compliance with consumption of Fe tablets, folic acid, Multiple Micronutrient Supplement (MMS), and Supplemental Feeding (PMT) in the form of risol, dragon fruit, and full cream milk. After the intervention, hemoglobin levels and body weight increased, while the LILA had not reached the normal limit. During the monitoring, no signs of pregnancy danger were found and the condition of the mother and fetus remained good. Continuous midwifery care helps support the improvement of anemia conditions and monitoring the well-being of the mother and fetus, while the management of CED requires time and continuous intervention. Intensive antenatal monitoring, nutrition education, supplementation compliance, and collaboration with nutritionists need to be improved in very high-risk pregnant women to prevent maternal and perinatal complications. Keywords: Very High-Risk Pregnancy, Multigravida, Second Trimester, Midwifery Care, Case Report.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Suryaningsih, Suryaningsih NIDN4024057801 |
| Additional Information: | 7LTA20260010 |
| Uncontrolled Keywords: | Kehamilan Risiko Sangat Tinggi, Multigravida, Trimester II, Asuhan Kebidanan, Case Report |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 13 Oct 2026 03:53 |
| Last Modified: | 13 Oct 2026 03:53 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12663 |
Actions (login required)
 |
View Item |