Midwifery care for pregnant women with moderate anemia: a case study in Makassar

Asridawati Akib; Sriwahyuni Sriwahyuni

doi:10.61099/jih.v1i3.141

Authors

Asridawati Akib Departement of Midwifery, Politeknik Sandi Karsa, South Sulawesi, Indonesia https://orcid.org/0000-0003-2274-5663
Sriwahyuni Sriwahyuni Departement of Midwifery, Politeknik Sandi Karsa, South Sulawesi, Indonesia

DOI:

https://doi.org/10.61099/jih.v1i3.141

Keywords:

anemia, midwifery care, pregnancy

Abstract

Anemia in pregnancy remains a significant public health problem, particularly in developing countries such as Indonesia. This case study describes midwifery care for a 23-year-old woman at 38 weeks and 4 days of gestation diagnosed with moderate anemia (hemoglobin 8 g/dL) at PMB Suryanti, Makassar. According to the Ministry of Health standards, the study applied the midwifery care management process, including assessment, diagnosis, planning, implementation, evaluation, and documentation. Data were collected through interviews, physical examinations, and laboratory tests. The main complaints were fatigue and dizziness, with pale conjunctiva and lips as clinical findings. Midwifery interventions included providing health education about balanced nutrition, rest, and personal hygiene and administering iron supplements (Fe 200 mg), vitamin C, B-complex, and calcium lactate. After consistent care and follow-up, the hemoglobin level increased to 9.5 g/dL, and the pregnancy continued normally until term. This case demonstrates that comprehensive antenatal midwifery care, focusing on early detection, nutritional counseling, and compliance with iron supplementation, effectively improves maternal hemoglobin levels and prevents complications. The study emphasizes the importance of continuous monitoring and health education for pregnant women to reduce the incidence of anemia and ensure maternal and fetal well-being

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