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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Rahmi Suci Ramadhani
Universitas Syekh Yusuf Al Makassari Gowa
Health Professions Public Health

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A Case Study Approach to Families Risk of Hyperemesis Gravidarum: Community Midwifery Care Sumaifa Sumaifa; Isnaeny Isnaeny; Rahmi Suci Ramadhani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28227

Abstract

Hyperemesis gravidarum (HG) is a pregnancy complication characterized by excessive nausea and vomiting, which may lead to dehydration, electrolyte imbalance, weight loss, and adverse health problems for both mother and fetus. Effective management of HG requires not only clinical intervention but also comprehensive family support and community-based midwifery care. This case study describes the application of community midwifery care for families at risk of HG and  identifies family-related factors influencing the success of case management. A qualitative exploratory case study approach was employed to examine family perspectives on health services in depth, focusing comprehensively on a single case. Informants were selected purposively, with inclusion criteria targeting pregnant women at risk of HG. Data were collected through  observation, interviews, physical examinations, and home visits. The findings revealed that the pregnant woman, Mrs. R, experienced severe nausea and vomiting, which reduced her appetite and daily functioning. Risk factors  included her fourth pregnancy and limited family support, especially from her husband. Community midwifery interventions comprised education about HG, nutritional counseling, maternal condition monitoring, and family involvement in her care. Following these interventions, the mother's condition improved, as evidenced by reduced nausea and vomiting and enhanced family capacity to support her pregnancy. In conclusion, family-centered community midwifery care plays a crucial role in managing hyperemesis gravidarum. Ongoing education and family involvement  can mitigate  complications and promote  maternal and fetal health during pregnancy Keyword: Case Study, Midwifery Care, Community, Hyperemesis Gravidarum
Co-Authors Isnaeny Isnaeny Sumaifa Sumaifa