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All Journal AloHA International Journal of Health Advancement (AIJHA)
Astin Nur Hanifah
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Effectiveness of Roselle (Hibiscus sabdariffa) Tea for Gestational Hypertension in Grande Multigravida Pregnant Women Abidah Mulyanti; Astin Nur Hanifah; Tinuk Esti Handayani; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Grande multigravida complicated by gestational hypertension is considered a very high-risk pregnancy because it significantly increases the likelihood of preeclampsia, postpartum hemorrhage, and adverse maternal and perinatal outcomes. Roselle (Hibiscus sabdariffa) tea has been suggested as a complementary non-pharmacological intervention for blood pressure control. This case report describes comprehensive midwifery care provided to a 36-year-old woman (G10P90009) at 35–36 weeks of gestation with gestational hypertension at TPMB Ny. I. Midwifery management followed a comprehensive care approach, including assessment, diagnosis, planning, implementation, evaluation, and documentation using the SOAP format. Interventions consisted of health education, maternal and fetal monitoring, antihypertensive medication, a low-sodium diet, and daily consumption of roselle tea for seven consecutive days. The initial assessment identified multiple risk factors, including advanced maternal age, grande multigravidity, a short interpregnancy interval (
Non-Pharmacological Midwifery Care Improves Maternal Comfort Post Sectio Casearea Mariskha Aurelia Putri; Astin Nur Hanifah; Triana Septianti Purwanto; Sulikah Sulikah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Introduction: Postpartum women frequently experience musculoskeletal discomfort, particularly back pain, which may interfere with maternal comfort, mobility, rest, and infant care. Effective management strategies are essential to support recovery and improve quality of life. Objective: This case report aims to describe the midwifery care provided to a postpartum mother experiencing moderate back pain following cesarean section, and to evaluate the effectiveness of non-pharmacological interventions. Methods: A 43-year-old woman, P10001, on the 30th day of the postpartum period after cesarean section, presented with moderate back pain (NRS, VAS, VRS, CPS, Wong Baker = 6). Comprehensive midwifery care was delivered over four sessions, including back pain education, instruction on proper body mechanics, warm compresses, balanced nutrition, psychological support, and effleurage back massage as the primary non-pharmacological intervention. Results: Following the interventions, pain intensity decreased from NRS 6 to 3. Improvements were observed in lumbar muscle relaxation, posture, mobility, sleep quality, and maternal ability to perform daily activities, breastfeeding, and infant care with greater comfort. Conclusion: Comprehensive midwifery care, particularly the application of effleurage back massage combined with education and supportive measures, proved effective in reducing postpartum back pain and enhancing maternal well-being. Non-pharmacological interventions represent a valuable strategy to improve quality of life during the postpartum period. Keywords: Post Sectio Caesarea, back pain, effleurage massage.
Comprehensive Midwifery Care Improves Clinical and Nutritional Outcomes in a Primigravida Woman with Chronic Energy Deficiency Complicated by Hyperemesis Gravidarum Septi Mustika Ningrum; Triana Septianti Purwanto; Sunarto Sunarto; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
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) and Hyperemesis Gravidarum (HG) are common conditions that may coexist during pregnancy and increase the risk of adverse maternal and fetal outcomes, particularly among primigravida women. Persistent nausea and vomiting may worsen pre-existing nutritional deficiencies, making comprehensive midwifery care essential. This case report aimed to describe the implementation of comprehensive midwifery care for a primigravida woman with CED complicated by HG. A case report design was conducted on a 24-year-old primigravida at 20 weeks and 2 days of gestation with concurrent CED and HG. Midwifery care was provided at Taji Community Health Center, Magetan Regency, Indonesia, from March 30 to April 13, 2026, through one initial assessment and two home visits. Care was implemented using the Varney Midwifery Management Approach and documented using the SOAP format. Interventions included pharmacological antiemetic therapy, dietary and fluid counseling, Multiple Micronutrient Supplement (MMS) supplementation, health education, and continuous monitoring using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) score. Progressive clinical improvement was observed throughout the follow-up period. The PUQE score decreased from 13 (severe) at baseline to 10 at the first follow-up and 4 at the final visit. Maternal body weight increased from 48.0 kg to 48.4 kg and subsequently to 49.1 kg. The patient experienced complete resolution of nausea and vomiting, improved oral intake, resumed normal daily activities, and demonstrated good adherence to both pharmacological and non-pharmacological interventions. However, CED had not been completely resolved by the end of follow-up. Comprehensive midwifery care combining pharmacological treatment, nutritional counseling, MMS supplementation, health education, and continuous monitoring effectively improved clinical symptoms and maternal nutritional status in a primigravida woman with CED complicated by HG. Ongoing antenatal monitoring remains necessary until delivery to achieve optimal maternal nutritional recovery and prevent maternal and perinatal complications. Keywords: Chronic Energy Deficiency, Hyperemesis Gravidarum, Comprehensive Midwifery Care.
Co-Authors Abidah Mulyanti Handayani, Tinuk Esti Mariskha Aurelia Putri Septi Mustika Ningrum Sulikah Sulikah Sunarto Sunarto Triana Septianti Purwanto