ALYA, WIDA SABRINA (2026) CASE REPORT PADA PRIMI TUA SEKUNDER TRIMESTER II DENGAN KEK DI PMB SAYANG IBU, KLAMPIS. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA PRIMI TUA SEKUNDER TRIMESTER II DENGAN KEK DI PMB SAYANG IBU, KLAMPIS Kekurangan Energi Kronik (KEK) merupakan salah satu masalah gizi maternal yang berdampak negatif terhadap kesehatan masyarakat, sehingga upaya pencegahan preventif harus dilaksanakan secara tepat dan menyeluruh sesuai standar untuk mencegah komplikasi kehamilan serta meningkatkan status kesehatan ibu. Data prevalensi Kekurangan Energi Kronis (KEK) pada ibu hamil di Jawa Timur mengalami peningkatan yang signifikan, yakni tercatat sebesar 19,6%, angka ini lebih tinggi daripada rata – rata nasional yakni sebesar 16,9% serta jauh melampaui batas maksimal target Kementerian Kesehatan RI tahun 2024 sebesar 10%. Penanganan dari penyakit penyerta kehamilan dan risiko KEK pada primi tua sekunder (jarak kehamilan ≥10 tahun) salah satunya adalah dengan pemberian makanan tambahan pemulihan (PMT) berbasis pangan lokal atau nutrisi yang adekuat, serta memberikan asuhan kebidanan sesuai waktu yang telah ditetapkan. Pendekatan studi kasus manajemen asuhan kebidanan yang terdiri atas manajemen kebidanan SOAP yaitu : pengkajian data subjektif dan data objektif, melakukan analisa untuk menentukan diagnosa, dan melakukan penatalaksanaan sesuai kebutuhan serta melakukan evaluasi. Sesuai hasil pengamatan ini adalah ibu hamil dengan Kekurangan Energi Kronik (KEK) dan kehamilan risiko tinggi primi tua sekunder yang dapat ditatalaksana dengan memberikan intervensi PMT Lokal (kombinasi telur rebus, risoles ayam, pisang, dan susu) serta konseling gizi seimbang. Dari catatan pengkajian yang dilakukan, ibu mengalami kondisi KEK dengan ukuran LiLA 22 cm, IMT pra-kehamilan 16,1 kg/m² (kurus berat), serta sempat mengeluhkan batuk akibat penurunan imunitas. Dalam memberikan asuhan kebidanan pada ibu hamil hendaknya dapat meningkatkan keterampilan untuk mencegah terjadinya komplikasi obstetri seperti anemia fungsional, BBLR, dan IUGR setelah pemberian intervensi kebidanan yang didasarkan pada langkah manajemen SOAP yaitu pengkajian data dan penatalaksanaan. Mendeskripsikan pengkajian data dan penatalaksanaan ibu terhadap risiko KEK dan primi tua sekunder. Semua langkah ini dilakukan dengan cepat dan tepat sehinga masalah kekurangan gizi dapat teratasi, ditandai dengan kenaikan berat badan ibu yang stabil (meningkat menjadi 43 kg pada kunjungan ketiga) dan kondisi janin terpantau sehat. Kata kunci : Studi kasus ibu hamil, KEK, Primi Tua Sekunder, PMT Lokal CASE REPORT ON A PRIMI OLD SECONDARY TRIMESTER II WITH KEK AT PMB SAYANG IBU, KLAMPIS Chronic Energy Deficiency (CED) is a maternal nutritional issue with negative public health impacts; therefore, preventive measures must be implemented accurately and comprehensively in accordance with standards to prevent pregnancy complications and improve maternal health status. Data indicates a significant rise in the prevalence of CED among pregnant women in East Java, recorded at 19.6%—a figure exceeding the national average of 16.9% and far surpassing the Indonesian Ministry of Health’s 2024 target limit of 10%. Management strategies for pregnancy comorbidities and CED risks in cases of secondary elderly primiparity (pregnancy interval ≥10 years) include the provision of local food-based supplementary feeding (PMT) or adequate nutrition, alongside timely midwifery care. The study employs a midwifery care management case study approach utilizing the SOAP framework: assessment of subjective and objective data, analysis to determine the diagnosis, implementation of management based on needs, and evaluation. This case involves a pregnant woman with CED and a high-risk pregnancy (secondary elderly primiparity) managed through interventions comprising local food-based supplementary feeding (a combination of boiled eggs, chicken *risoles*, bananas, and milk) and balanced nutrition counseling. Assessment records revealed a CED condition characterized by a Mid-Upper Arm Circumference (MUAC) of 22 cm and a pre-pregnancy BMI of 16.1 kg/m² (severe underweight); the patient also complained of a cough resulting from lowered immunity. Providing midwifery care in this context aims to enhance skills in preventing obstetric complications—such as functional anemia, low birth weight (LBW), and intrauterine growth restriction (IUGR)—through interventions grounded in the SOAP management steps of data assessment and clinical management. This study describes the data assessment and management of the patient regarding the risks of CED and secondary elderly primiparity. All these steps were carried out swiftly and accurately, effectively resolving the issue of malnutrition; this was evidenced by the mother's steady weight gain (increasing to 43 kg by the third visit) and the fetus's healthy condition. Keywords: Case study of pregnant women, KEK, Secondary Older Primary, Local PMT
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Deasy, Irawati NIDN4008127902 UNSPECIFIED Rodiyatun, Rodiyatun NIDN4010026601 |
| Additional Information: | 7LTA20260017 |
| Uncontrolled Keywords: | Studi kasus ibu hamil, KEK, Primi Tua Sekunder, PMT Lokal |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 15 Oct 2026 02:25 |
| Last Modified: | 15 Oct 2026 02:25 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12746 |
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