Dwi Estuning Rahayu
Midwife Professional Education, Poltekkes Kemenkes Malang, Indonesia

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Midwifery Care for Over 35 Years Multigravida Mothers with Premature Rupture of Membranes at the Age of a Term Pregnancy Erica Diana Putri; Finta isti kundarti; Ririn Indriani; Dwi Estuning Rahayu
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.361

Abstract

Premature rupture of membranes (PROM) is a condition of rupture of the amniotic membrane after 37 weeks of gestation but before labor begins, which can increase the risk of intraamniotic infection, preterm labor, and operative measures such as cesarean section. This study aims to provide midwifery care for a case of PROM in a multigravida mother aged >35 years with a term pregnancy. This study used a case study design with an in-depth approach to the subject, Mrs. LN, age 40 years, G4P3003, gestational age 37 weeks, who came with complaints of discharge from the birth canal without adequate contractions. Data was collected through interviews, observation, physical examination, and documentation study. Examination using the Leopold palpation method, vaginal toucher, and examination with red litmus paper, which turns purple, indicating the presence of amniotic fluid. The diagnosis was the first stage of the labor latent phase with PROM. Obstetric interventions were carried out through observation, education, and referral to the hospital due to indications for postpartum MOW contraception. The study results showed that the mother and baby were born in good health, and the postpartum contraception plan could be implemented. This study emphasizes the importance of early detection of PROM and collaborative management in supporting maternal and infant safety.
Midwifery Care of Pregnancy in Pregnant Women with Anemia Miftaqul Jannah; Ira titisari; Dwi estuning rahayu; Finta isti kundarti; Rahajeng sisti nur rahmawati
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.372

Abstract

Pregnancy anemia is a condition where the hemoglobin level in the blood falls below normal due to a decrease in the number of erythrocytes or hemoglobin, thereby reducing the blood's ability to carry oxygen to the vital organs of the mother and fetus. The aim of this study is to determine the effectiveness of a combination of iron (Fe) tablets and dates in addressing anemia. This research uses a case study approach, which aims to explore a phenomenon in depth within clearly defined boundaries. Data were comprehensively collected from various sources and documented using the SOAP method (Subjective, Objective, Assessment, Plan), providing a complete understanding of the case involving the respondent. The main focus of this study is on the phenomena arising from complaints and examination results during the period of midwifery care. The study was conducted on Mrs. DN at 38 weeks of gestation with moderate anemia, and the intervention provided consisted of the consumption of Fe tablets and 7 dates per day for 14 days. The results of the 2-week intervention showed successful outcomes for moderate pregnancy anemia, with an increase in hemoglobin levels from 9.2 g% to 9.9 g%. The case analysis established is Mrs. DN at 38 weeks of gestation with moderate anemia. The conclusion of this study is that the combination of Fe tablets and 7 dates per day for 14 days is effective as an intervention for managing moderate pregnancy anemia.