Pregnant Woman with a 14-Month Interpregnancy Interval Due to Condom Failure at PMB Midwife ‘J’, Lembeyan, Magetan District
Abstract
Pregnancies that occur within a short interval are often the result of contraceptive failure. When the interpregnancy interval is less than 24 months, the pregnancy is classified as high-risk because it increases the likelihood of maternal and neonatal complications, including anemia, hemorrhage, preterm labor, and fetal growth restriction. This case report seeks to describe the comprehensive midwifery care provided to a woman experiencing a high-risk pregnancy with a 14-month interval following condom failure, with the aim of preventing maternal and neonatal complications. The report adopts a descriptive case study approach. The subject, Mrs. I (G3P2A0), was between 20 and 28 weeks of gestation and categorized as high-risk due to the short interpregnancy interval. Data were collected through history taking, observation, physical examination, supporting investigations, documentation, and literature review. Mrs. I’s pregnancy was considered high-risk because of the 14-month interval, yet during monitoring her condition remained stable. Vital signs were normal, hemoglobin levels were within the expected range, fetal growth corresponded to gestational age, and no complications were observed. Midwifery care included routine antenatal monitoring, nutritional assessment and counseling, hemoglobin evaluation and iron supplementation, education on balanced nutrition, early detection of risk factors, counseling on danger signs in pregnancy, and postpartum contraceptive counseling. Continuous and comprehensive care for high-risk pregnancies with short interpregnancy intervals such as Mrs. I’s case proved essential in maintaining maternal and fetal well-being. This approach not only supported the mother’s readiness for pregnancy but also helped prevent complications associated with closely spaced pregnancies and reduced the risk of repeated contraceptive failure.Keywords
high-risk pregnancy, short interpregnancy interval, condom failure, midwifery care, family planning
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