ANISA, INTAN APRILIYA (2026) CASE REPORT PADA MULTIGRAVIDA TRIMESTER II USIA >35 TAHUN DENGAN ANEMIA SEDANG DI PMB “U” KAMAL BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA MULTIGRAVIDA TRIMESTER II USIA >35 TAHUN DENGAN ANEMIA SEDANG DI PMB “U” KAMAL BANGKALAN Kehamilan dengan anemia adalah kondisi ketika ibu hamil mengalami kadar hemoglobin rendah (umumnya <11 g/dL), sehingga kemampuan darah membawa oksigen berkurang sehingga bisa berdampak pada kesehatan ibu maupun janin. Apalagi ditambah dengan usia ibu >35 tahun yang termasuk golongan Risiko Tinggi sehingga perlukan asuhan yang tepat membantu mencegah komplikasi dan menjaga kesehatan selama kehamilan. Asuhan ini bertujuan untuk menggambarkan laporan kasus asuhan kebidanan pada ibu hamil multigravida trimester II berusia lebih dari 35 tahun dengan anemia sedang, di lokasi Praktik Mandiri Bidan U Kamal, Bangkalan, pada Maret–Juni 2026, dan di rumah Ny. M. Hasil pengkajian pada kunjungan pertama ibu mengalami gejala anemia sedang berupa pucat, lemah, mudah lelah, dan sesak. Faktor risiko meliputi usia lanjut, ketidakpatuhan dalam mengonsumsi tablet tambah darah, serta keterbatasan asupan gizi. Pada kunjungan kedua ibu merasakan nyeri pinggang yang merupakan kondisi fisiologis pada ibu hamil, dan pada kunjungan ketiga ibu sudah tidak anemia lagi didukung dengan pemeriksaan umum pada mata conjungtiva merah muda. Sehingga resiko pada ibu hamil hanya pada usianya saja, dikarenakan sudah tidak terdapat anemia. Penatalaksanaan dilakukan dengan edukasi gizi, pemberian tablet Fe, serta anjuran konsumsi makanan kaya zat besi dan vitamin C. Asuhan kebidanan yang komprehensif dengan kombinasi suplementasi, edukasi, dan dukungan keluarga penting untuk menurunkan resiko komplikasi dan dapat menekan risiko anemia sedang pada ibu hamil multigravida usia >35 tahun. Kata kunci: Asuhan Kebidanan; Anemia Sedang; Ibu Hamil; Multigravida; Usia >35 tahun; Suplementasi zat besi. ABSTRACT Anisa Intan ApriliyaP27824323010 CASE REPORT ON A MULTIGRAVIDA WOMAN IN THE SECOND TRIMESTER, AGED >35 YEARS, WITH MODERATE ANEMIA AT INDEPENDENT MIDWIFERY PRACTICE ‘U’ KAMAL BANGKALAN Pregnancy with anemia is a condition in which a pregnant woman experiences low hemoglobin levels (generally <11 g/dL), reducing the blood’s ability to carry oxygen and potentially affecting maternal and fetal health. Moreover, maternal age >35 years is classified as a high risk group, making appropriate care essential to prevent complications and maintain health during pregnancy. This case report aims to describe midwifery care for a multigravida woman in the second trimester, aged over 35 years, with moderate anemia, conducted at the Independent Midwifery Practice U Kamal, Bangkalan, between March–June 2026, and at the home of Mrs. M. At the first visit, the mother presented with moderate anemia symptoms including pallor, weakness, easy fatigue, and shortness of breath. Risk factors included advanced maternal age, noncompliance with iron tablet intake, and limited nutritional intake. At the second visit, the mother reported back pain, which is a physiological condition in pregnancy. By the third visit, the mother was no longer anemia, supported by general examination findings of pink conjunctiva. Thus, the remaining risk factor was maternal age, as anemia was no longer present. Management consisted of nutritional counseling, administration of iron tablets, and recommendations to consume iron rich foods along with vitamin C. Comprehensive midwifery care combining supplementation, education, and family support is crucial to reduce the risk of complications and to minimize moderate anemia in multigravida pregnant women aged >35 years. Keywords: Midwifery Care; Moderate Anemia; Pregnant Woman; Multigravida; Age >35 years; Iron Supplementation.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Deasy, Irawati NIDN4008127902 UNSPECIFIED Rodiyatun, Rodiyatun NIDN4010026601 |
| Additional Information: | 7LTA20260020 |
| Uncontrolled Keywords: | Anemia Sedang; Ibu Hamil; Multigravida; Usia >35 tahun; Suplementasi zat besi. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 15 Oct 2026 03:27 |
| Last Modified: | 15 Oct 2026 03:27 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12749 |
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