Asuhan Berkesinambungan pada Pasien Hamil dengan Anemia Ringan

Abstract

Pregnancy is a normal physiological process. This case study reports the management of mild anemia in a pregnant woman (Mrs. E) through an evidence-based midwifery practice approach. Laboratory examination results showed an increase in hemoglobin levels from mild anemia to 11.1 g/dL, exceeding the WHO pregnancy anemia threshold (<11.0 g/dL). Interventions provided included a comprehensive assessment in the first, second, and third trimesters; provision of IEC on P4K; education on the impact of anemia on pregnancy; iron tablet supplementation; and recommendations for consuming foods high in animal protein, vegetable protein, green vegetables, and fruits rich in vitamin C. Although Mrs. E's hemoglobin level has reached the normal limit, ongoing monitoring is still recommended considering that a history of anemia increases the risk of postpartum hemorrhage, low birth weight (LBW), and premature birth. Holistic midwifery care that includes education on adherence to iron tablet consumption, nutritional monitoring, and routine hemoglobin examinations is the key to successful management of anemia during pregnancy until delivery. Midwifery care for Mrs. E's pregnancy has been carried out. E is running well, namely conducting subjective data assessments, objective data, determining assessments and carrying out management including intervention, implementation and evaluation.

Abstrak

Kehamilan adalah proses fisiologis normal. Studi kasus ini melaporkan penatalaksanaan anemia ringan pada ibu hamil (Ny. E) melalui pendekatan asuhan kebidanan berbasis bukti (evidence-based midwifery practice). Hasil pemeriksaan laboratorium menunjukkan peningkatan kadar hemoglobin dari kategori anemia ringan menjadi 11,1 g/dL, melampaui ambang batas anemia kehamilan WHO (< 11,0 g/dL). Intervensi yang diberikan mencakup pengkajian komprehensif pada trimester I, II, dan III; pemberian KIE tentang P4K; edukasi dampak anemia pada kehamilan; suplementasi tablet Fe; serta anjuran konsumsi makanan tinggi protein hewani, protein nabati, sayuran hijau, dan buah-buahan kaya vitamin C. Meskipun kadar Hb Ny. E telah mencapai batas normal, pemantauan berkelanjutan tetap direkomendasikan mengingat riwayat anemia meningkatkan risiko perdarahan pascapersalinan, BBLR, dan kelahiran prematur. Asuhan kebidanan holistik yang meliputi edukasi kepatuhan konsumsi tablet Fe, pemantauan nutrisi, dan pemeriksaan Hb rutin menjadi kunci keberhasilan penanganan anemia kehamilan hingga persalinan. Asuhan kebidanan kehamilan pada Ny. E berjalan dengan baik yaitu melakukan pengkajian data subyektif, data obyektif, menentukan assesment dan melakukan penatalaksanaan meliputi intervensi, implementasi dan evaluasi.