<![CDATA[Pregnancy at the age of ≤16 years is considered a high-risk pregnancy because the reproductive organs and psychological condition of the mother have not yet developed optimally. This condition increases the risk of various complications, one of which is anemia during pregnancy. Anemia can cause health problems for both the mother and fetus if not properly managed. Methods: This study used a single case report design. The subject was Mrs. I, a 15-year-old primigravida (G1P0A0) with a high-risk pregnancy due to maternal age ≤16 years and moderate anemia. The study employed a midwifery management approach consisting of subjective and objective data assessment, data analysis, and implementation of midwifery care. The care was provided from April to June 2026 through three home visits. At the first visit, Mrs. I was diagnosed with G1P0A0 at 26–27 weeks of gestation. Based on the Poedji Rochjati Pregnancy Risk Score (KSPR), she obtained a score of 6, indicating a high-risk pregnancy. Laboratory examination at the second visit showed a hemoglobin level of 7.8 g/dL, indicating moderate anemia. The midwifery care provided included education regarding high-risk pregnancy and anemia, balanced nutrition counseling, recommendations to take iron (Fe) tablets twice daily with proper administration, health education regarding danger signs during pregnancy, monitoring of treatment adherence, and referral planning to a hospital for further management. Throughout the care process, the mother was cooperative, understood all the education provided, and was willing to follow the recommendations of the healthcare provider. This case study demonstrates that the midwifery care provided was appropriate to the needs of a pregnant woman aged ≤16 years with moderate anemia. Early detection, health education, adequate nutritional intake, adherence to iron tablet consumption, regular antenatal monitoring, and appropriate referral are important efforts to prevent complications and improve maternal and fetal health.]]>
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