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All Journal AloHA International Journal of Health Advancement (AIJHA)
Triana Septianti Purwanto
Poltekkes Kemenkes Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Case Report: Comprehensive Midwifery Care in Very High-Risk Pregnancy with Hyperemesis Gravidarum Febriarti Putri Primanti Cahyaningtyas; Triana Septianti Purwanto; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Hyperemesis gravidarum (HG) is a multifactorial condition that may be complicated by high-risk pregnancy characteristics. This descriptive case report was conducted from January 27 to February 9, 2026, at Puskesmas P, Parang District, Magetan Regency, Indonesia, involving a 37-year-old grandemultigravida (G5P4A0H3) with a KSPR score of 22. Data were collected using the SOAP approach, direct observation, serial PUQE assessment, weight monitoring, and blood pressure measurement. The patient presented with recurrent nausea and vomiting, reduced oral intake, 7.14% weight loss, dehydration, and a moderate initial PUQE score of 12. Management included intravenous rehydration, antiemetic therapy, nutritional counseling, supportive counseling, and serial monitoring. PUQE scores decreased to 11 on January 29, 6 on February 3, and 3 on February 9, with cessation of vomiting, improved oral intake, and weight recovery to 53 kg. Discussion: The case demonstrates the need for a dynamic management strategy that progresses from acute stabilization of dehydration and nutritional compromise to continued surveillance of the underlying very high-risk pregnancy. Comprehensive midwifery care integrating medical collaboration, nutritional and supportive interventions, serial symptom assessment, and antenatal surveillance was associated with clinical resolution of HG and recovery of maternal intake and weight.
Case Report: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity Rheinanda Inez Syagita Cinantya; Triana Septianti Purwanto; Sulikah Sulikah; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Wound dehiscence is a complication of cesarean section that can delay wound healing and increase the risk of infection. Obesity is an important risk factor because impaired tissue perfusion may slow the healing process. This case report aimed to describe the provision of comprehensive midwifery care for a postpartum woman with obesity who experienced wound dehiscence following cesarean section. A descriptive case report design was used involving a 41-year-old postpartum woman, P20002, with grade II obesity and cesarean wound dehiscence on postpartum day 20. Care was provided at Taji Public Health Center, Magetan Regency, from January 31 to February 9, 2026, consisting of an initial assessment and three home visits. Midwifery care was provided using the Varney management approach and documented in the SOAP format. Interventions included aseptic wound care, education on self-care, adequate high-protein nutrition, gradual mobilization, proper body mechanics, non-pharmacological pain management, breastfeeding-position education, and regular wound monitoring using the REEDA scale and Numeric Rating Scale (NRS). The wound condition gradually improved, with the REEDA score decreasing from 4 to 0 and pain intensity decreasing from NRS 4 to 0. The wound healed completely without signs of infection, accompanied by improved adherence to wound care, nutritional recommendations, and other advised measures. Comprehensive midwifery care supported wound healing through appropriate wound management, continuous education, nutritional support, gradual mobilization, and regular monitoring.
Co-Authors Astin Nur Hanifah Febriarti Putri Primanti Cahyaningtyas Rheinanda Inez Syagita Cinantya Sulikah, Sulikah Sunarto Sunarto