Maternity Care Management for Third Trimester Pregnant Women with Anemia: A Case Study

Aulia  Salsavira Syifa; Ririn Indriani; Deffania Putri  Ramadhani

doi:10.31290/haj.v3i2.6278

Authors

Aulia Salsavira Syifa Poltekkes Kemenkes Malang
Ririn Indriani Poltekkes Kemenkes Malang
Deffania Putri Ramadhani Poltekkes Kemenkes Malang

DOI:

https://doi.org/10.31290/haj.v3i2.6278

Keywords:

Anemia, hemoglobin , pregnant women, third trimester, midwifery care

Abstract

Anemia in pregnancy is a common complication, particularly in the third trimester, and may raise the risk of adverse outcomes for both mother and fetus. It is associated with physiological changes in pregnancy, maternal age, and adherence to nutritional intake. This case study aimed to provide continuous midwifery care for a third-trimester pregnant woman with anemia. The method used was a case study approach involving comprehensive care for Mrs. F, 38 years old, G2P1001, at 36–37 weeks of gestation, who reported weakness and dizziness. Data were collected through interviews, observation, physical examination, hemoglobin testing, and documentation review. Initial findings showed a hemoglobin level of 10.3 g/dL, indicating mild anemia, with pale conjunctiva. Care was delivered over three visits, including condition monitoring, nutritional counseling, encouragement of regular iron tablet intake, and complementary therapy using dates and pure honey. At the second visit, hemoglobin increased to 10.8 g/dL, although mild symptoms persisted. The study concludes that continuous midwifery care is essential for early detection, monitoring, and management of anemia, while improving maternal awareness and adherence to iron supplementation and adequate nutrition during pregnancy.

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