CINTA, ANUGERAH ILAHI (2026) CASE REPORT PADA PRIMIGRAVIDA TRIMESTER III DENGAN USIA IBU ≤16 TAHUN DI PMB “U’’ KAMAL KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA PRIMIGRAVIDA TRIMESTER III DENGAN USIA IBU ≤16 TAHUN DI PMB “U” KAMAL, KABUPATEN BANGKALAN Pendahuluan: Kehamilan pada usia ≤16 tahun merupakan kehamilan risiko tinggi yang tidak hanya meningkatkan risiko komplikasi obstetri, tetapi juga berdampak terhadap kondisi psikologis ibu akibat ketidakmatangan biologis, psikologis, dan sosial. Primigravida trimester III pada usia remaja lebih rentan mengalami kecemasan dalam menghadapi persalinan yang dapat memengaruhi kesehatan ibu dan janin apabila tidak ditangani secara tepat. Laporan kasus ini penting untuk menggambarkan penerapan asuhan kebidanan komprehensif dengan pendekatan bio-psiko-sosial pada primigravida trimester III usia ≤16 tahun. Metode: Laporan tugas akhir ini menggunakan metode case report yang dilaksanakan di PMB “U’’ Kamal, Kabupaten Bangkalan pada bulan Maret–Juni 2026. Subjek kasus adalah seorang primigravida trimester III berusia 16 tahun dengan diagnosis kehamilan risiko tinggi karena usia muda disertai kecemasan sedang dan anemia ringan. Asuhan kebidanan dilakukan secara komprehensif melalui empat kali kunjungan menggunakan pendekatan manajemen kebidanan SOAP yang meliputi pengkajian, pemeriksaan fisik, skrining psikologis menggunakan Edinburgh Postnatal Depression Scale (EPDS) dan Hamilton Anxiety Rating Scale (HARS), penegakan diagnosis, perencanaan, pelaksanaan intervensi, serta evaluasi. Hasil dan Pembahasan: Intervensi yang diberikan meliputi edukasi mengenai perubahan fisiologis kehamilan dan persiapan persalinan, pemberian tablet Fe dan konseling pemenuhan nutrisi untuk mengatasi anemia ringan, teknik relaksasi napas dalam, hipnoterapi dengan aromaterapi lavender, prenatal yoga, serta pelibatan suami dalam pemberian dukungan emosional. Hasil asuhan menunjukkan kondisi ibu dan janin tetap baik selama masa pendampingan. Tingkat kecemasan menurun secara bertahap dari kategori sedang menjadi ringan hingga tidak ditemukan kecemasan pada kunjungan terakhir, sedangkan hasil skrining EPDS tetap berada pada kategori risiko rendah. Pendekatan asuhan yang komprehensif memberikan dampak positif terhadap kesiapan fisik dan psikologis ibu menjelang persalinan. Simpulan dan Saran: Asuhan kebidanan komprehensif dengan pendekatan bio-psiko-sosial melalui manajemen kebidanan SOAP efektif meningkatkan kesiapan fisik dan psikologis primigravida trimester III usia ≤16 tahun serta menurunkan tingkat kecemasan menjelang persalinan. Bidan diharapkan melakukan deteksi dini kondisi psikologis menggunakan instrumen skrining yang sesuai serta memberikan intervensi nonfarmakologis dan melibatkan keluarga sebagai bagian dari asuhan antenatal yang berkesinambungan. Kata kunci : Asuhan kebidanan, primigravida, usia ≤16 tahun, kecemasan, trimester III CASE REPORT ON PRIMIGRAVIDIANS IN THE THIRTY-TRIMESTER WITH A MOTHER'S AGE ≤16 YEARS AT PMB ULUMIYAH KAMAL, BANGKALAN REGENCY Introduction: Pregnancy at age ≤16 is considered high-risk; it not only increases the risk of obstetric complications but also impacts the mother's psychological state due to biological, psychological, and social immaturity. Adolescent primigravidas in the third trimester are particularly prone to anxiety regarding childbirth, which—if not properly managed—can affect the health of both mother and fetus. This case report illustrates the application of comprehensive midwifery care using a biopsychosocial approach for a primigravida in her third trimester, aged ≤16 years. Methods: This final project employs a case report method, conducted at the Independent Midwifery Practice (PMB) "U" in Kamal, Bangkalan Regency, between March and June 2026. The subject was a 16-year-old primigravida in her third trimester, diagnosed with a high-risk pregnancy due to young age, accompanied by moderate anxiety and mild anemia. Comprehensive midwifery care was delivered over four visits using the SOAP management approach, comprising assessment, physical examination, psychological screening (using the Edinburgh Postnatal Depression Scale [EPDS] and Hamilton Anxiety Rating Scale [HARS]), diagnosis, planning, intervention implementation, and evaluation. Results and Discussion: Interventions included education on physiological pregnancy changes and birth preparation; iron (Fe) supplementation and nutritional counseling to address mild anemia; deep breathing relaxation techniques; hypnotherapy combined with lavender aromatherapy; prenatal yoga; and husband involvement for emotional support. Care outcomes indicated that the condition of both mother and fetus remained stable throughout the support period. Anxiety levels gradually decreased from moderate to mild, eventually resolving completely by the final visit, while EPDS screening results consistently remained in the low-risk category. This comprehensive care approach positively impacted the mother's physical and psychological well-being leading up to childbirth. Conclusions and Recommendations: Comprehensive midwifery care using a biopsychosocial approach—implemented through SOAP midwifery management—is effective in enhancing the physical and psychological readiness of third-trimester primigravidae aged ≤16 years and reducing pre-delivery anxiety levels. Midwives are encouraged to conduct early detection of psychological conditions using appropriate screening instruments, provide non-pharmacological interventions, and involve the family as part of continuous antenatal care. Keywords: midwifery care, primigravida, age ≤16 years, anxiety, third trimester
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Rodiyatun, Rodiyatun NIDN4010026601 |
| Additional Information: | 7LTA20260022 |
| Uncontrolled Keywords: | Asuhan kebidanan, primigravida, usia ≤16 tahun, kecemasan, trimester III |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 16 Oct 2026 02:04 |
| Last Modified: | 16 Oct 2026 02:04 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12776 |
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