ANISA’, HUSNIA RAHMAWATI (2026) CASE REPORT PADA PRIMIGRAVIDA TRIMESTER III DENGAN KURANG ENERGI KRONIK DI PMB “S” KLAMPIS KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA PRIMIGRAVIDA TRIMESTER III DENGAN KURANG ENERGI KRONIK DI PMB Latar Belakang: Defisiensi energi jangka panjang (KEK) pada masa gestasi merupakan gangguan nutrisi yang memperbesar kemungkinan anemia, kelahiran sebelum cukup bulan, bayi dengan bobot lahir rendah (BBLR), serta hambatan tumbuh kembang janin. Kondisi tersebut memerlukan pelayanan kebidanan menyeluruh berupa penyuluhan nutrisi, suplementasi, dan program pangan tambahan (PMT) agar kondisi gizi maternal membaik. Tujuan: Menguraikan pelaksanaan pelayanan kebidanan terpadu bagi perempuan pada trimester III yang mengalami defisiensi energi jangka panjang (KEK) melalui pendokumentasian manajemen kebidanan dengan format SOAP. Metode: Kajian berbentuk laporan kasus ini melibatkan Ny. L, 28 tahun, G1P0A0, dengan umur gestasi 26-29 minggu dan diagnosis KEK di PMB Sayang Ibu Klampis. Informasi dihimpun melalui anamnesis, evaluasi fisik dan laboratorium, telaah dokumentasi, serta penelusuran literatur. Pelayanan dicatat mengikuti SOAP yang mencakup asesmen, analisis, tatalaksana, dan evaluasi. Hasil: Asesmen awal menemukan frekuensi miksi malam yang meningkat disertai KEK dan LiLA 21,5 cm; parameter vital serta laboratorium tetap fisiologis. Pendampingan mencakup edukasi KEK, konseling nutrisi, PMT lokal, Fe, MMS, kalsium, dukungan psikologis, dan pengawasan gizi. Parestesia tangan dan kaki kiri pada kunjungan kedua ditangani melalui wrist stretching, tendon gliding exercise, serta nerve gliding exercise. Pada pertemuan ketiga, keluhan mereda; bobot awal 42 kg telah mencapai 45,5 kg, LiLA 22 cm, Hb 11,4 g/dL, dan keadaan maternal-fetal tetap baik. Kesimpulan: Pelayanan kebidanan menyeluruh yang menggabungkan penyuluhan nutrisi, PMT berbahan pangan lokal, suplementasi Fe, MMS, dan kalsium, serta pengawasan berkelanjutan berhasil menambah bobot tubuh, menekan keluhan gestasional, dan mempertahankan kesejahteraan maternal-fetal. Rangkaian tindakan tersebut diharapkan mampu mengurangi kemungkinan komplikasi yang berkaitan dengan KEK sepanjang masa gestasi. Kata kunci: Pelayanan kebidanan, gestasi trimester III, KEK, PMT, SOAP. CASE REPORT PADA PRIMIGRAVIDA TRIMESTER III DENGAN KURANG ENERGI KRONIK DI PMB Introduction: A chronic maternal energy deficit, hereafter abbreviated as CED, is a nutritional disorder during pregnancy associated with anemia, preterm delivery, low birth weight (LBW), and restricted fetal growth. Integrated midwifery support combining dietary education, supplementation, and supplementary food intervention (PMT) is therefore needed to improve maternal nutrition. Objective: To outline integrated midwifery management for a woman in the third trimester with CED by using SOAP documentation. Methods: A case-report design was applied to Mrs. L, aged 28 years, G1P0A0, at 26-29 weeks of gestation, who was managed at Sayang Ibu Independent Midwifery Practice in Klampis. Information was gathered through history taking, physical and laboratory assessment, document review, and literature review. The care process was recorded through subjective and objective assessment, analysis, management, and evaluation. Results: The initial assessment identified frequent nocturnal urination and CED, with a mid-upper arm circumference (MUAC) of 21.5 cm; vital parameters and laboratory findings remained within physiological limits. Management consisted of CED education, nutrition counseling, locally prepared supplementary food (PMT), iron, MMS, and calcium supplementation, psychological support, and nutritional surveillance. Tingling of the left hand and foot at the second visit was managed with wrist stretching, tendon gliding exercises, and nerve gliding exercises. At the third visit, the symptoms had diminished, body weight had risen from 42 kg to 45.5 kg, MUAC reached 22 cm, hemoglobin was 11.4 g/dL, and maternal and fetal conditions remained satisfactory. Conclusion: Integrated midwifery management consisting of nutrition education, locally sourced supplementary food, iron, MMS, and calcium supplementation, and continuous surveillance improved maternal body weight, reduced pregnancy-related discomfort, and preserved maternal-fetal well-being. This management strategy is expected to lessen complications linked to CED during gestation. Keywords: Midwifery services, third-trimester gestation, CED, supplementary food
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Suryaningsih, Suryaningsih NIDN4024057801 |
| Additional Information: | 7LTA20260019 |
| Uncontrolled Keywords: | Pelayanan kebidanan, gestasi trimester III, KEK, PMT, SOAP. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 15 Oct 2026 02:48 |
| Last Modified: | 15 Oct 2026 02:48 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12748 |
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