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SINAGA, ROSMANI
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
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Continuous Midwifery Care (Continuity Of Care) For A Pregnant Woman With Grade Ii Hyperemesis Gravidarum: A Case Study At An Independent Midwifery Practice In Medan Amplas, North Sumatra, Indonesia, 2026 Abel Amanda; Rosmani Sinaga; Ribur Sinaga; Kamelia Sinaga; Juniarsih Juniarsih
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61296

Abstract

Hyperemesis gravidarum is characterized by severe and persistent nausea and vomiting during pregnancy, which may lead to fluid and electrolyte imbalance and adversely affect maternal and fetal health if not managed appropriately. Continuity of Midwifery Care (CoMC) is a comprehensive and continuous care approach that aims to ensure optimal maternal and neonatal health outcomes throughout pregnancy, childbirth, the postpartum period, neonatal care, and family planning. Objective this case study aimed to implement Continuity of Midwifery Care for a pregnant woman with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan Amplas, North Sumatra, Indonesia. Methods a descriptive case study design was employed using Helen Varney’s seven-step midwifery management approach and SOAP documentation. Data were collected through interviews, direct observation, physical examination, and review of clinical documentation. Results the participant was a 22-year-old primigravida (G1P0A0) at 26 weeks of gestation who presented with excessive nausea and vomiting occurring approximately eight times daily, accompanied by weakness, dizziness, weight loss, hypotension (90/70 mmHg), sunken eyes, and pale lips. These clinical findings supported the diagnosis of Grade II hyperemesis gravidarum. Continuous midwifery care, including comprehensive assessment, health education, nutritional counseling, symptom management, and regular follow-up, resulted in improvement of maternal condition throughout pregnancy and continuity of care until the postpartum and family planning periods. Conclusion the implementation of Continuity of Midwifery Care effectively improved maternal monitoring and the quality of healthcare services for women with Grade II hyperemesis gravidarum. This approach facilitated comprehensive, continuous, and individualized care throughout the maternal continuum. ring pregnancy, which may lead to fluid and electrolyte imbalance and adversely affect maternal and fetal health if not managed appropriately. Continuity of Midwifery Care (CoMC) is a comprehensive and continuous care approach that aims to ensure optimal maternal and neonatal health outcomes throughout pregnancy, childbirth, the postpartum period, neonatal care, and family planning. Objective: This case study aimed to implement Continuity of Midwifery Care for a pregnant woman with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan Amplas, North Sumatra, Indonesia. Methods: A descriptive case study design was employed using Helen Varney’s seven-step midwifery management approach and SOAP documentation. Data were collected through interviews, direct observation, physical examination, and review of clinical documentation. Results: The participant was a 22-year-old primigravida (G1P0A0) at 26 weeks of gestation who presented with excessive nausea and vomiting occurring approximately eight times daily, accompanied by weakness, dizziness, weight loss, hypotension (90/70 mmHg), sunken eyes, and pale lips. These clinical findings supported the diagnosis of Grade II hyperemesis gravidarum. Continuous midwifery care, including comprehensive assessment, health education, nutritional counseling, symptom management, and regular follow-up, resulted in improvement of maternal condition throughout pregnancy and continuity of care until the postpartum and family planning periods. Conclusion: The implementation of Continuity of Midwifery Care effectively improved maternal monitoring and the quality of healthcare services for women with Grade II hyperemesis gravidarum. This approach facilitated comprehensive, continuous, and individualized care throughout the maternal continuum.
Co-Authors Abel Amanda Adelina Sembiring Agussamad, Indra Agustina Tumanggor Amalia Fajrika Anna Waris Nainggolan Aritonang, Ribur Asnika Asnika Asnita Sinaga Asrida Julianti Hutagalung Aufa Risna Ayumahara Ayumahara Berutu, Lilis Bintang Tobing Bui, Thanh Loan Damanik, Lisa Putri Damayanty S Debora Debora Deby Chuntya Yun Devita Purnama Devita Purnamasari Dewi Sartika Hutabarat Dewi, Eva Ratna Diah Pitaloka Tarigan Dina Putriati Elika Fitri Endang Panjaitan Endang Susanti Erin Padilah Ester Simanullang Estika Sianipar, Priska Eva Ratna Dewi Evalilis Br Munthe Fatiyah Fatiyah Fau, Yentiria Fauzianty, Ariska Febriana Sari Febriana Sari Febriana Sari, Febriana Feny Febrianti Friza Novita Sari Situmorang Furie Estie Honez Gulo, Fransiska Gurning, Lisbet Hadisyah, Hadisyah Hasanah, Dwi Herna Rinayanti Manurung Herna Rinayanti Manurung Hia, Lidia Widarni Husen Saeful Insan Ika Damayanti Sipayung Imarina Tarigan Imran Saputra Surbakti Ingka K Pangaribuan Ingka Kristina Pangaribuan Isyos Sari Sembiring Juliana Munthe Juniarsih Juniarsih Junida Laia Jusnita Kamelia Sinaga KAMELIA SINAGA Kamelia Sinaga Khairani Munthe Khairunnisa Situmorang Kismiasih Adethia Leni Sinaga Lia Wandari Lidya Natalia Br Sinuhaji Lisa Putri Damanik Lubis, Adi Raja Brando Lusiatun magdalena Barus Manurung, Herna Rinayanti Manurung, Indra Septiady Maria Magdalena Marliani Marliani Marliani Marliani Marliani Marlina Lamawati Simbolon Marsa Adelia Mediyana Sembiring Mirna Sari Nduru, Sri Wahyu Netty Herawaty Br Sembiring Nilan Sari Niska Wati Waruw Noni Handayani Br Tarigan Nopalina Damanik Nur Azizah Nur Azizah Nur Azizah Nur Azizah Lubis Nurhamida Siregar Nurmalina Hutahaean Painem, Painem Pangaribuan, Ingka Kristina Pasaribu, Riska Susanti Pitaloka, Diah Purba, Edy Marjuang Putri Yani Siahaan Putri, Syke Sheila Rachmat, Ade Rajagukguk, Kristina Ribur Sinaga Rinayanti Manurung, Herna Riyanti Tampubolon Rohdearni, Hotna Rosmala dewi Rumondang Sitorus Sibarani, Lisa Sibarani, Lisa Erawati Silalahi, Roulina Simamora, Lasria Simanjuntak, Emma Dosriamaya Noni Br. Simanjuntak, Lisdayanti SIMANJUNTAK, PARNINGOTAN Simanullang, Ester Simbolon, Marlina Lasmawati Sinaga, Siti Nurmawan Sindi Cantika Sianturi Sinuhaji, Lidya Natalia Siregar, Nurhamida Siska Suci Triana Ginting situmorang, tetti seriati Sonia Novita Sari Sri Nikmah Sri Wahyu Nduru Srilina Br Pinem Sukriyah Sukriyah Surbakti, Imran Saputra Sutaryat Trisnamansyah Tama Rangkuti, Wirda Dwi Tantri, Salda May Ulina Lompohta Pinem, Eva Warta, Waska Y.N, Cindy Yasrida Nadeak Yenni Fransiska B Yesica Geovany Sianipar Yuli Andarina zhalukhu, roswita