CASE REPORT: PREGNANCY AT 29–30 WEEKS OF GESTATION IN A GRANDEMULTIPAROUS WOMAN WITH CHRONIC ENERGY DEFICIENCY AND ANEMIA
Abstract
Grandemultiparity, Chronic Energy Deficiency (CED), and anemia increase the risk of maternal and fetal complications and require comprehensive midwifery care. This case report aimed to describe the implementation of comprehensive midwifery care for a pregnant woman with grandemultiparity, CED, and anemia. Method: This report used a case report method with a midwifery care documentation approach using the SOAP format. The subject was Mrs. M (G4P30002) at 29–30 weeks of gestation at an Independent Midwifery Practice in Magetan Regency. Data were collected through history taking, physical examination, supporting examinations, documentation, and evaluation during three visits. Results and Discussion: The assessment showed that Mrs. M had grandemultiparity, CED, and anemia with a body weight of 45 kg, a body mass index of 17.9 kg/m², a mid-upper arm circumference of 21 cm, and a hemoglobin level of 9.5 g/dL. Midwifery care included nutrition education, iron supplementation and monitoring, maternal and fetal monitoring, education on pregnancy danger signs, and psychological support. After three visits, her condition improved, with body weight increasing to 48 kg, body mass index to 19.2 kg/m², mid-upper arm circumference to 21.5 cm, and hemoglobin level to 10 g/dL. Fatigue decreased, appetite improved, and both mother and fetus remained in good condition. Conclusion and Suggestion: Comprehensive midwifery care contributed to improving the mother's health condition. Pregnant women are encouraged to attend routine antenatal care, take iron supplements as recommended, maintain adequate nutrition, and adopt a healthy lifestyle to prevent pregnancy complications.Keywords
Case Report, Grand Multiparity, Pregnant Woman, Chronic Energy Deficiency, Anemia
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