PRENATAL YOGA INTERVENTION IN A VERY HIGH-RISK PREGNANCY WITH CHRONIC HYPERTENSION, A 16-YEAR PREGNANCY INTERVAL, AND AGE 41: A CASE REPORT
Abstract
Introduction: Pregnancy with chronic hypertension is considered a very high-risk pregnancy (VHRP), with a 16-year pregnancy interval and the mother being 41 years old, where VHRP is identified with KSPR ≤14. This condition triggers a high risk of complications that can occur in both the mother and the fetus. Purpose: This case study aims to describe a case report of a very high-risk pregnant woman at TPMB “L” Magetan. Method: Case report approach with SOAP steps. In pregnant women with KRST, at TPMB “L” Magetan, in one week 2x visits, as the implementer is a student accompanied by a midwife who owns TPMB. Results: According to the results of this care, Mrs. E G2P10001, 41 years old, UK 36-37 weeks, maternal condition is good, blood pressure 139/97 mmHg, pulse 86x/min, temperature 36.2oC, Respiration 19x/min with KRST due to chronic hypertension shows controlled blood pressure, no signs of superimposed preeclampsia, compliance with therapy, regular blood pressure measurements, and postpartum birth control. The presence of prenatal yoga intervention shows that the initial systolic blood pressure of 139 mmHg decreased to 137 mmHg, while the diastolic blood pressure decreased from 97 mmHg to 95 mmHg. Conclusion and Suggestion: Cases of pregnant women with KRST based on chronic hypertension, pregnancy interval, and maternal age with prenatal yoga intervention are effective in maintaining blood pressure even though yoga is combined with non - complementary therapy. Pregnant women with high-risk factors need to have regular pregnancy check-ups, comply with the given therapy, and adopt a healthy lifestyle. Healthcare workers are expected to continue improving education, monitoring, and support to prevent complications during pregnancy.Keywords
High-Risk Pregnancy, Hypertension, Prenatal Yoga
References
- Alvionita, R., Samidah, I., & Murwati. (2022). Faktor-faktor yang Berhubungan dengan Kejadian Hipertensi Kehamilan di RSUD Curup Tahun 2022. Journal of Nursing and Public Health, 10(2), 198–209. https://doi.org/10.37676/jnph.v10i2.3176
- Anita, A., Astuti, T., & Aprina, A. (2025). Faktor Usia, Paritas, Jarak Kehamilan, Obesitas dan Riwayat Hipertensi dengan Terjadinya Pre Eklampsia Ibu Hamil di Kota Agung Kabupaten Tanggamus. Malahayati Nursing Journal, 7(7), 2767–2780. https://doi.org/10.33024/mnj.v7i7.20894
- Astuti, E. R., & Claudia, J. G. (2024). Penatalaksanaan Hipertensi Pada Ibu Hamil. Jambura Journal of Health Sciences and Research, 6(2), 186–200. https://doi.org/10.35971/jjhsr.v6i2.24067
- Corrigan, L., Moran, P., McGrath, N., Eustace-Cook, J., & Daly, D. (2022). The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 22(1), 250. https:C//doi.org/10.1186/s12884-022-04474-9
- Dinkes Kabupaten Magetan. (2023). Profil Kesehatan Kabupaten Magetan 2023.
- Fitri, I. U., Kamsatun, K., Kusniasih, S., & Sakti, B. (2024). Aktivitas Fisik Ibu Hamil terhadap Kejadian Hipertensi pada Kehamilan. Jurnal Keperawatan Indonesia Florence Nightingale, 4(1), 42–48. https://doi.org/10.34011/jkifn.v4i1.2134
- Indriayani, I., Octavia, L., & Fadhilah, G. D. (2023). Pengaruh Senam Prenatal Yoga terhadap Pencegahan Preeklampsia pada Ibu Hamil di Puskesmas Jatimekar Kota Bekasi. Jurnal Bidang Ilmu Kesehatan, 13(3), 265–271. https://doi.org/10.52643/jbik.v13i3.3462
- Kemenkes, RI. (2021). Laporan Kinerja Tahunan.
- Lukitaningtyas, D., & Cahyono, E. A. (2023). Hipertensi. Pengembangan Ilmu Dan Praktik Kesehatan, 2(2), 100–117. https://doi.org/10.56586/pipk.v2i2.272
- O’Nan, S. L., Huang, R., Zhao, P., Garr Barry, V., Lawlor, M., Carter, E. B., Kelly, J. C., Frolova, A. I., England, S. K., & Raghuraman, N. (2024). Dietary Risk Factors for Hypertensive Disorders of Pregnancy. Pregnancy Hypertension, 36, 101120. https://doi.org/10.1016/j.preghy.2024.101120
- Profil Kesehatan Indonesia. (2024). Angka Kematian Ibu Tahun 2023. Jakarta: Kemenkes RI.
- Rachmawati, S., Meldawati, Laurensia, Y., & Sarkinah. (2025). Pengaruh Yoga Prenatal Terhadap Stabilitas Tekanan Darah pada Ibu Hamil dengan Hipertensi Ringan. Malang Journal of Midwifery (MAJORY), 7, 86–93.
- Rahayu, M., Fitria, R., & Mundari, R. (2024). Mengurangi Ketidaknyamanan Nyeri Pinggang pada Ibu Hamil Trimester III: Studi Kasus. Jurnal Ilmu Kedokteran Dan Kesehatan, 10(12), 3394–3400. https://doi.org/10.33024/jikk.v10i12.12643
- Rosidah, Fitriana, N., Meristika Rachman, S., Rachmawati, L., & Rica, A. S. (2025). Determinan Usia Maternal terhadap Kejadian Hipertensi dalam. SIMFISIS Jurnal Kebidanan Indonesia, 05, 2807–3762. https://doi.org/10.53801/sjki.v5i2.297
- Sadarang, R. A. I., Haerana, BS. T., & Bujawati, E. (2023). Determinan Kehamilan Risiko Tinggi Wanita Usia Subur di Indonesia. Jurnal Ilmu Kesehatan Masyarakat, 12(05), 352–364. https://doi.org/10.33221/jikm.v12i05.2124
- Sagita, P., Hutabarat, J., & Sitorus, S. (2024). Hubungan Lama Penggunaan Kontrasepsi Hormonal Terhadap Kejadian Hipertensi Pada Pasangan Usia Subur. Jurnal Sehat Indonesia (JUSINDO), 6(02), 661–670. https://doi.org/10.59141/jsi.v6i02.127
- Simanjuntak, M. K. (2022). Efektivitas Prenatal Yoga Terhadap Nyeri Punggung pada Ibu Hamil Trimester III. Journal of Advanced Nursing and Health Sciences, 3.
- Sitanggang, H. (2025). Determinan Kehamilan Resiko Tinggi: Systematic Review. Excellent Midwifery Journal, 8(1), 268–285.
- Sulistiani, A., & Azizah, Z. (2024). Hubungan Umur dan Paritas dengan Kejadian Hipertensi dalam Kehamilan di Puskesmas Tengaran Kabupaten Semarang Tahun 2022. Jurnal Kesehatan Tambusai, 5 (2), 3089–3097.
- World Health Organization (WHO). (2025). Maternal Mortality.