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Sunarto, Sunarto
Department Of Health, Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Case Report: Chronic Energy Deficiency and Its Impact on Pregnancy Outcomes Sri Murti Yanti; Sulikah Sulikah; Sunarto Sunarto; Nurweningtyas Wisnu
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Chronic Energy Deficiency (CED) in pregnancy may occur despite good appetite and regular eating habits when maternal nutritional reserves before pregnancy are low and energy expenditure is high. This case report aimed to describe midwifery care for a pregnant woman with CED and good appetite and to evaluate changes during follow-up. A descriptive case report was conducted in the working area of Panekan Public Health Center, Magetan Regency. The subject was Mrs. “N”, 22 years old, primigravida (G1P0000), at 20 weeks and 1 day of gestation, with pre-pregnancy BMI 16.4 kg/m² and MUAC 20 cm. Data were obtained through history taking, physical examination, anthropometric assessment, supporting examinations, and documentation. Follow-up consisted of four home visits on 31 January, 7 February, 14 February, and 21 February 2026. The participant reported good appetite and three meals daily without excessive nausea or vomiting. Her pre-pregnancy weight was 37 kg, previous recorded weight was 39.1 kg, and weight at the first case assessment was 41.0 kg. During follow-up, weight remained 41.0 kg at the second visit, increased to 41.2 kg at the third visit, and reached 41.3 kg at the fourth visit. MUAC remained 20 cm. The participant improved meal variety, added snacks, reduced heavy market activities, maintained MMS intake, and remained clinically stable. CED can occur despite good appetite. Objective assessment using pre-pregnancy BMI, MUAC, serial weight, dietary history, and activity assessment is important. Nutrition counselling, activity modification, family support, MMS adherence, and regular ANC monitoring should be continued, because the unchanged MUAC indicates that CED had not fully resolved during the one-month observation period.
Co-Authors Abdullah Al Mamun Alfi Rusdianti Alfi Rusdianti Ambo Dalle Ardela Reza Fernanda Arief Budiono Aries Prasetyo Astin Nur Hanifah Astuti Setiyani, Astuti Atik Badiah Baharuddin Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Cantika Puteri Apriliana Evi Irianti Fadia Meisyn Tassyabela Fajriansyah Fajriansyah Galuh Nirmala Gusman Arsyad Gusman Arsyad Handayani, Tinuk Esti Handoyo Handoyo Handoyo Handoyo Herlina, Tutiek Heru Santoso Wahito Nugroho I Ketut Sudiantara I Putu Suiraoka Ike Mutiarasari ilyas - ibrahim Intening, Vivi Retno Isfentiani, Dina Ismoyowati, Tri Wahyuni Joel Rey Ugsang Acob Kasiati, Klanting Khambali, Khambali Koekoeh Hardjito Koesmantoro, Hery Lapodi, Abd Rijali Lintang Dwi Ariyanty M. Fadly Kaliky Mariana Aprilasari Mastuti Handayani Meila Marindawati Melati, Nimsi Mercy Joice Kaparang Millatipuan, Meika Arifatull muhammad saleh Myrna A. Mercado N. Surtinah Nana Usnawati Naning Siswati Ngestiningrum, Ayesha Hendriana Nina Indriyawati Nurdin Rahman nurlailis saadah Nurul Zakinah Nurweningtyas Nurweningtyas Nuryani, Nuryani Pius Selasa Rafif Naufi Waskitha Hapsari Rahardjo, Sutio Rahayu Sumaningsih Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Riska Wahyu Utami Risky Ika Septiana Puspitasari Rizki Lestari Widia Larasati Rozan Asyrofi Rakyan Risang Aji Rusmiati Sahrir Sillehu Sainuddin Sainuddin Sanglar Polnok Santosa, Budi Joko Setiawan Sri Angriani Sri Murti Yanti Sri Nurbaeti Sri Wahyuni Pudjianti Subagyo, Subagyo Suharto, Agung Sulikah, Sulikah Sumaningsih, Rahayu Sumasto, Hery Suparji Suparji Suparji Suparji Surtinah, N Tanko Titus Auta Triana Septianti Tuhu Pinardi, Tuhu Vincentius Supriyono Vincentius Supriyono Vivi Putri Damayanti Wahyurianto, Yasin Wayanti, Sri Wisnu, Nurwening Tyas Wiwin Fajar Suryani Wiwin Martiningsih