ALISA, SYAFIRA ADIMIARTI (2026) CASE REPORT PADA IBU MULTIGRAVIDA TRIMESTER III DENGAN ANEMIA DI PMB "V" TANAH MERAH BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA IBU MULTIGRAVIDA TRIMESTER III DENGAN ANEMIA DI PMB V TANAH MERAH BANGKALAN Anemia pada masa gestasi merupakan gangguan hematologis maternal yang dapat memberikan konsekuensi terhadap kondisi perempuan hamil maupun perkembangan fetus. Kerentanan pada multigravida menjelang akhir kehamilan cenderung lebih besar karena kebutuhan Fe meningkat, sedangkan simpanan besi tubuh berpotensi menurun akibat gestasi sebelumnya. Karya akhir ini memaparkan pelaksanaan pelayanan kebidanan terhadap seorang multigravida pada trimester ketiga yang mengalami anemia di PMB V Tanah Merah, Kabupaten Bangkalan. Penyusunan kasus menggunakan desain deskriptif berbentuk laporan kasus individual. Pemantauan dilakukan selama Mei hingga Juli 2026 terhadap seorang multigravida pada akhir gestasi dengan anemia derajat ringan. Pendampingan kebidanan dilaksanakan secara menyeluruh melalui tiga kunjungan ke rumah, sedangkan catatan klinis disusun mengikuti kerangka SOAP (Subjective, Objective, Assessment, Planning). Informasi diperoleh melalui anamnesis, pengamatan langsung, evaluasi klinis, penelusuran hasil pemeriksaan penunjang, serta telaah dokumen. Evaluasi pertama memperoleh kadar hemoglobin sebesar 10,8 g/dL. Intervensi mencakup pemberian suplementasi Fe, konseling pemilihan pangan kaya besi dan sumber asam askorbat, pengawasan keteraturan penggunaan suplemen, serta penguatan peran keluarga. Sesudah tiga kali kunjungan rumah, kedisiplinan ibu terhadap terapi semakin baik, pilihan makanan lebih beragam, keluhan berkurang, dan kadar hemoglobin mencapai 11,6 g/dL sehingga kondisi hematologis menunjukkan perbaikan. Pelayanan kebidanan yang dilaksanakan secara menyeluruh dengan pencatatan berbasis SOAP memberikan respons positif terhadap keteraturan terapi, pemulihan kadar hemoglobin, serta pemeliharaan kondisi maternal dan fetal. Praktik kebidanan perlu terus memperkuat konseling individual, mengevaluasi keteraturan penggunaan suplementasi Fe, serta mengoptimalkan dukungan keluarga sebagai bagian dari upaya pencegahan dan penanganan anemia selama gestasi. Kata kunci: anemia kehamilan; multigravida; trimester III; asuhan kebidanan; SOAP. CASE REPORT OF A MULTIGRAVIDA WOMAN IN THE THIRD TRIMESTER WITH ANEMIA AT PMB V TANAH MERAH, BANGKALAN Gestational anemia is a maternal hematological disorder that may adversely influence maternal condition and fetal well-being. Women with previous pregnancies may face greater vulnerability near the end of gestation because iron demand rises while maternal iron reserves may have been depleted by earlier pregnancies. This case report describes midwifery management for a multigravida woman in late pregnancy diagnosed with anemia at PMB V Tanah Merah, Bangkalan Regency. A descriptive single-patient case-report design was applied. The client was followed from May to July 2026 and was identified as having mild anemia during late gestation. Comprehensive midwifery management was delivered during three home visits, while clinical records were organized according to the SOAP framework (Subjective, Objective, Assessment, and Planning). Case information was obtained through history taking, direct clinical observation, physical assessment, review of supporting examination results, and evaluation of relevant medical records. At the first assessment, the maternal hemoglobin level was 10.8 g/dL. Management consisted of oral iron supplementation, nutritional counseling emphasizing iron-rich foods and dietary sources of ascorbate, assessment of treatment consistency, and active family participation. By the third home visit, adherence and dietary practices had improved, complaints became less pronounced, and hemoglobin reached 11.6 g/dL, placing the value outside the anemic range. Integrated midwifery management documented through the SOAP framework was associated with improved treatment adherence, restoration of maternal hemoglobin levels, and maintenance of favorable maternal and fetal conditions. Midwives should reinforce individualized nutritional counseling, regularly evaluate compliance with oral iron therapy, and strengthen family participation throughout the prevention and management of gestational anemia. Keywords: anemia in pregnancy; multigravida; third trimester; midwifery care; SOAP.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Deasy, Irawati NIDN4008127902 |
| Additional Information: | 7LTA20260015 |
| Uncontrolled Keywords: | Anemia kehamilan; multigravida; trimester III; asuhan kebidanan; SOAP. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 15 Oct 2026 02:09 |
| Last Modified: | 15 Oct 2026 02:09 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12740 |
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