<![CDATA[before biological, psychological, and social maturity is fully established. In a third-trimester primigravida, this condition may be accompanied by physical discomfort, anemia, and childbirth-related anxiety, requiring care that extends beyond obstetric surveillance. This case report aimed to describe comprehensive biopsychosocial midwifery care for a 16-year-old third-trimester primigravida at Independent Midwifery Practice “U” in Kamal, Bangkalan Regency. A single-case design with four visits was implemented from March to June 2026. Assessment included history taking, physical and obstetric examinations, hemoglobin measurement, Poedji Rochjati risk scoring, and psychological screening using the Hamilton Anxiety Rating Scale and the Edinburgh Postnatal Depression Scale. At the initial visit, the pregnancy was classified as high risk with a KSPR score of 10, hemoglobin of 10.8 g/dL, moderate anxiety with a HARS score of 21, and a low risk of depression with an EPDS score of 5. Interventions comprised education on pregnancy changes and birth preparedness, iron supplementation and nutritional counseling, deep-breathing relaxation, hypnotherapy with lavender aromatherapy, prenatal yoga, and husband involvement. Throughout follow-up, maternal and fetal conditions remained stable; hemoglobin increased to 13.0 g/dL and anxiety gradually decreased until no anxiety was documented at the final visit, while EPDS remained in the low-risk category. In this case, comprehensive care was accompanied by improved physical and psychological readiness for childbirth.]]>
