Antenatal Care Midwifery Care for NY. "L" G1P0A0 GRAVID 10 Weeks With Hyperemesis Gravidarum At Puskesmas Bungi

Abstract

Background: Hyperemesis gravidarum is a condition characterized by excessive nausea and vomiting during the first trimester of pregnancy. Although symptoms of nausea and vomiting are common in pregnancy, in excess they can have a serious impact on maternal health, resulting in a lack of energy and essential nutrients. Proper management is necessary to prevent further complications and ensure maternal and fetal health is maintained. Objectives: This paper aims to carry out antenatal midwifery care for Mrs. “L”, a 10-week pregnant woman experiencing hyperemesis gravidarum, at Puskesmas Bungi, Baubau City in 2023. Management using Varney's seven-step approach and SOAP documentation. Methods: This research is a descriptive case study that took place at Puskesmas Bungi, Baubau City, for three consecutive days in 2023. The subject was Mrs. “L”, a 10-week pregnant woman who experienced hyperemesis gravidarum. Data collection was done through physical examination, interview, observation, and medical record documents. Results: Midwifery care for Mrs. “L” included a psychological approach with emotional support, observation of vital signs (blood pressure, pulse, respiration, temperature), and advice to eat in small portions but often. Other suggestions were to get enough rest and maintain personal hygiene. This treatment also involved collaboration with doctors to administer appropriate antiemetics. After three days, Mrs. “L”'s condition improved with reduced frequency of nausea and vomiting, stable vital signs, and stable maternal condition. Conclusion: Based on Varney's seven steps and SOAP, the management of hyperemesis gravidarum in Mrs. “L” was successful. There was no gap between theory and practice, indicating that the intervention was effective.