DIKE, FEBRI RISTIANTI (2026) CASE REPORT PADA PRIMIMUDA TRIMESTER II DENGAN KEHAMILAN RESIKO TINGGIDI TPMB “H” AROSBAYA KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA PRIMIMUDA TRIMESTER II DENGAN KEHAMILAN RESIKO TINGGI DI TPMB “H” AROSBAYA KABUPATEN BANGKALAN Latar belakang: Kehamilan pada usia ≤16 tahun merupakan salah satu kehamilan risiko tinggi karena organ reproduksi dan kondisi psikologis ibu belum berkembang secara optimal. Kondisi tersebut meningkatkan risiko terjadinya berbagai komplikasi, salah satunya anemia pada kehamilan. Anemia dapat menyebabkan gangguan kesehatan pada ibu maupun janin apabila tidak ditangani secara tepat. Tujuan: Mendeskripsikan dan melaksanakan asuhan kebidanan secara Komprehensif (Case report) pada Ny. I, Ibu hamil trimester II dengan kehamilan risiko tinggi usia ≤16 tahun disertai anemia sedang di TPMB Husnul Hosi’ah, Arosbaya, bangkalan. Metode: Penelitian ini mengguakan desain laporan kasus tunggal ( single case report). Subjek penelitian adalah Ny. I (15 tahun, G1P0A0) dengan kehamilan risiko tinggi usia ≤16 tahun disertai anemia sedang menggunakan pendekatan manajemen kebidanan yang meliputi pengkajian data subjektif, objektif, Analisa data, dan penatalaksanaan asuhan yang berlangsung dari april hingga juni 2026 melalui 3 kali kunjungan rumah. Hasil Kasus: Pada kunjungan pertama, Ny I Didiagnosis G1P0A0 usia kehamilan 26-27 minggu Berdasarkan Kartu Skor Poedji Rochjati (KSPR), ibu memperoleh skor 6 sehingga termasuk kategori kehamilan risiko tinggi. Pemeriksaan laboratorium pada kunjungan kedua menunjukkan kadar hemoglobin sebesar 7,8 g/dL yang mengarah pada diagnosis anemia sedang. Asuhan kebidanan yang diberikan meliputi edukasi mengenai kehamilan risiko tinggi dan anemia, konseling gizi seimbang, anjuran mengonsumsi tablet tambah darah (Fe) dua kali sehari dengan cara konsumsi yang benar, pemberian pendidikan kesehatan mengenai tanda bahaya kehamilan, pemantauan kepatuhan terapi, serta perencanaan rujukan ke rumah sakit untuk memperoleh penanganan lebih lanjut. Selama proses asuhan, ibu bersikap kooperatif, memahami seluruh edukasi yang diberikan, dan bersedia mengikuti anjuran tenaga kesehatan. Kesimpulan: studi kasus ini menunjukkan bahwa asuhan kebidanan yang diberikan sesuai dengan kebutuhan ibu hamil usia ≤16 tahun yang mengalami anemia sedang. Deteksi dini, edukasi kesehatan, pemenuhan nutrisi, kepatuhan konsumsi tablet tambah darah, pemantauan antenatal secara rutin, dan rujukan yang tepat merupakan upaya penting untuk mencegah komplikasi serta meningkatkan kesehatan ibu dan janin. Kata Kunci: kehamilan usia dini, kehamilan risiko tinggi, anemia sedang, ibu hamil trimester II, asuhan kebidanan. CASE REPORT OF A YOUNG PRIMIGRAVIDA IN THE SECOND TRIMESTER WITH A HIGH-RISK PREGNANCY AT TPMB “H”, AROSBAYA, BANGKALAN REGENCY Background: Pregnancy at the age of ≤16 years is considered a high-risk pregnancy because the reproductive organs and psychological condition of the mother have not yet developed optimally. This condition increases the risk of various complications, one of which is anemia during pregnancy. Anemia can cause health problems for both the mother and fetus if not properly managed. Objective: To describe and implement comprehensive midwifery care through a case report for Mrs. I, a second-trimester pregnant woman aged ≤16 years with a high-risk pregnancy complicated by moderate anemia at TPMB Husnul Hosi’ah, Arosbaya, Bangkalan. Methods: This study used a single case report design. The subject was Mrs. I, a 15-year-old primigravida (G1P0A0) with a high-risk pregnancy due to maternal age ≤16 years and moderate anemia. The study employed a midwifery management approach consisting of subjective and objective data assessment, data analysis, and implementation of midwifery care. The care was provided from April to June 2026 through three home visits. Case Results: At the first visit, Mrs. I was diagnosed with G1P0A0 at 26–27 weeks of gestation. Based on the Poedji Rochjati Pregnancy Risk Score (KSPR), she obtained a score of 6, indicating a high-risk pregnancy. Laboratory examination at the second visit showed a hemoglobin level of 7.8 g/dL, indicating moderate anemia. The midwifery care provided included education regarding high-risk pregnancy and anemia, balanced nutrition counseling, recommendations to take iron (Fe) tablets twice daily with proper administration, health education regarding danger signs during pregnancy, monitoring of treatment adherence, and referral planning to a hospital for further management. Throughout the care process, the mother was cooperative, understood all the education provided, and was willing to follow the recommendations of the healthcare provider. Conclusion: This case study demonstrates that the midwifery care provided was appropriate to the needs of a pregnant woman aged ≤16 years with moderate anemia. Early detection, health education, adequate nutritional intake, adherence to iron tablet consumption, regular antenatal monitoring, and appropriate referral are important efforts to prevent complications and improve maternal and fetal health. Keywords: young maternal age pregnancy, high-risk pregnancy, moderate anemia, second-trimester pregnant woman, midwifery care.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Deasy, Irawati NIDN4008127902 UNSPECIFIED Anis, Nur Laili NIDN4027027601 |
| Additional Information: | 7LTA20260024 |
| Uncontrolled Keywords: | kehamilan usia dini, kehamilan risiko tinggi, anemia sedang, ibu hamil trimester II, asuhan kebidanan. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 16 Oct 2026 03:21 |
| Last Modified: | 16 Oct 2026 03:21 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12785 |
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