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AloHA International Journal of Health Advancement (AIJHA)
Published by Alliance of Health Activists
ISSN : -     EISSN : 26218224     DOI : https://doi.org/10.33846/aijha
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Aloha International Journal of Health Advancement (AIJHA) is a media for the publication of articles on research, book review, literature review, commentary, opinion, case report, tips, scientific news and letter to editor in the areas of health science and practice such as public health, medicine, dentistry, nursing, midwifery, nutrition, pharmaceutical, environmental health, health technology, medical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 219 Documents
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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.
Empowering Women Through Menopause Counselling: Advancing Person-Centred Care for Better Health, Well-Being, and Quality of Life Rafif Naufi Waskitha Hapsari
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/aijha70801

Abstract

Not required.
Case Report: Midwifery Care with Local Food-Based Intervention Improves Nutritional Status in a Primigravida with Chronic Energy Deficiency and Emesis Gravidarum Novia Fitriani; Nana Usnawati; Nuryani Nuryani; Suparji Suparji
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/aijha70804

Abstract

Pregnancy is a critical period requiring adequate nutrition to maintain maternal and fetal health. Chronic Energy Deficiency (CED) remains a major maternal health problem in Indonesia, often worsened by emesis gravidarum. This case report describes midwifery care in a primigravida woman with CED and persistent emesis gravidarum during the second trimester. A descriptive case report was conducted at Plaosan Primary Health Center, Magetan District, Indonesia, from March 1–15, 2026. The subject was a 23-year-old primigravida at 21 weeks of gestation. Data were collected through interviews, physical examinations, supporting investigations, and documentation review using the SOAP approach. Interventions included nutritional counseling, recommendations for small frequent meals, monitoring of weight and Mid-Upper Arm Circumference (MUAC), supplementation with multiple micronutrients (MMS), and provision of 200 g/day of boiled purple sweet potato for 14 days as a locally sourced supplementary food. The patient’s MUAC was 20 cm, confirming CED, while hemoglobin levels were 12 g/dL, indicating no anemia. After two weeks of intervention with three follow-up visits, improvements were observed: reduced frequency of nausea and vomiting, increased appetite, improved dietary patterns, and enhanced nutritional adequacy. Maternal weight gain was achieved, serving as an indicator of improved nutritional status. CED in this case was influenced by irregular pre-pregnancy dietary habits and reduced intake due to prolonged emesis gravidarum. The management strategy was consistent with evidence-based practice, as purple sweet potato supplementation provided essential nutrients and antioxidants that improved maternal nutritional status. The success of care was supported by adherence to nutritional counseling, supplementation compliance, family support, and continuous midwifery monitoring. Comprehensive midwifery careintegrating nutritional education, supplementation, local food-based interventions, and ongoing monitoring-proved effective in managing CED and emesis gravidarum. This approach improved maternal nutritional status, reduced pregnancy-related complaints, and minimized the risk of complications, supporting maternal and fetal health.
Case Report: High-Risk Factors in an Elderly Primigravida with Dwarfism and Chronic Energy Deficiency at Ngariboyo Community Health Center Fauzia Prima Hadianita; Rahayu Sumaningsih; Triana Septianti Purwanto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

High-risk pregnancy in elderly primigravida with dwarfism and Chronic Energy Deficiency (CED) presents complex challenges due to anatomical constraints and nutritional insufficiency. This case report describes the midwifery care provided to a 36-year-old primigravida with dwarfism (height 136 cm) and CED at Ngariboyo Community Health Center, Magetan Regency. This study aims to comprehensively describe the clinical condition and midwifery management of a high-risk pregnancy involving advanced maternal age, dwarfism, and CED through the Continuity of Care approach. Mrs. K, a 36-year-old primigravida at 22 weeks gestation with G1P00000, presented with dwarfism (height 136 cm), pre-pregnancy BMI of 17.60 kg/m², and MUAC of 20 cm indicating CED. The KSPR score of 10 classified her as high-risk. Comprehensive antenatal care was delivered through five home visits from January to April 2026. Interventions: Midwifery management included nutritional education emphasizing high-calorie and high-protein foods, complementary therapies (lime water, acupressure, relaxation techniques, aromatherapy), family-centered care with husband involvement, interprofessional collaboration, and delivery planning through the P4K program. Over the monitoring period, the patient showed significant improvement evidenced by weight gain from 33.95 kg to 39 kg (total gain 6.5 kg), MUAC increase from 20 cm to 22 cm, resolution of dizziness, fatigue, and constipation complaints, improved appetite and dietary patterns, and stable maternal and fetal conditions. Fetal growth progressed with estimated fetal weight increasing from 465 grams to 2,323 grams. The Continuity of Care approach incorporating nutritional interventions, family support, complementary therapies, and comprehensive monitoring proved effective in improving maternal nutritional status and maintaining maternal-fetal well-being throughout pregnancy in this complex high-risk case.
Case Report: Comprehensive Midwifery Care for Pregnant Women with Mild Anemia and Chronic Energy Deficiency Supported by Date Extract Ayu Riningsih; Nana Usnawati; Nurweningtyas Wisnu; Astin Nur Hanifah
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/aijha70805

Abstract

Mild anemia and chronic energy deficiency (CED) are maternal nutritional problems that may coexist during pregnancy and can increase the risk of adverse maternal and fetal outcomes. This case report describes comprehensive midwifery care for a pregnant woman with mild anemia and CED in the working area of Plaosan Public Health Center, Magetan, Indonesia. A descriptive case report was conducted from 9 to 24 March 2026. The participant was Mrs. A, 23 years old, G1P00000, at 21–22 weeks of gestation at the initial assessment. Data were collected through anamnesis, observation, physical and obstetric examinations, laboratory assessment, and review of the maternal health record. Care was documented using the SOAP framework and implemented through four visits over two weeks. The main outcomes monitored were symptoms, hemoglobin (Hb), body weight, mid-upper arm circumference (MUAC), vital signs, fundal height, and fetal heart rate. At the first visit, the participant reported dizziness, fatigue, and blurred vision. Hb was 10.7 g/dL and MUAC was 21.5 cm, supporting the assessment of mild anemia and CED. Management included education on correct and regular iron-tablet intake, nutritional counseling, encouragement of iron-rich foods and balanced energy-protein intake, supportive date extract, ANC adherence, rest and activity management, danger-sign education, and P4K counseling. After four visits, the complaints resolved, Hb increased to 11.1 g/dL, body weight increased from 44.05 kg to 46.20 kg, and MUAC increased from 21.5 cm to 22 cm. Maternal vital signs remained stable and fetal heart rate remained within the normal range. Comprehensive and continuous midwifery care integrating iron supplementation, nutritional improvement, supportive date extract, education, and serial monitoring was associated with improvement in maternal symptoms, Hb, body weight, and MUAC in this case. Because MUAC remained below 23.5 cm, continued nutritional monitoring and follow-up are still required.
Case Report: Comprehensive Midwifery Care in Very High-Risk Pregnancy with Hyperemesis Gravidarum Febriarti Putri Primanti Cahyaningtyas; Triana Septianti Purwanto; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Hyperemesis gravidarum (HG) is a multifactorial condition that may be complicated by high-risk pregnancy characteristics. This descriptive case report was conducted from January 27 to February 9, 2026, at Puskesmas P, Parang District, Magetan Regency, Indonesia, involving a 37-year-old grandemultigravida (G5P4A0H3) with a KSPR score of 22. Data were collected using the SOAP approach, direct observation, serial PUQE assessment, weight monitoring, and blood pressure measurement. The patient presented with recurrent nausea and vomiting, reduced oral intake, 7.14% weight loss, dehydration, and a moderate initial PUQE score of 12. Management included intravenous rehydration, antiemetic therapy, nutritional counseling, supportive counseling, and serial monitoring. PUQE scores decreased to 11 on January 29, 6 on February 3, and 3 on February 9, with cessation of vomiting, improved oral intake, and weight recovery to 53 kg. Discussion: The case demonstrates the need for a dynamic management strategy that progresses from acute stabilization of dehydration and nutritional compromise to continued surveillance of the underlying very high-risk pregnancy. Comprehensive midwifery care integrating medical collaboration, nutritional and supportive interventions, serial symptom assessment, and antenatal surveillance was associated with clinical resolution of HG and recovery of maternal intake and weight.
Case Report: Parental Refusal of Immunization in a 12-Month-Old Infant as a Midwifery Case Report on Knowledge Factors Heny Trisetyowati; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
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/aijha70806

Abstract

Introduction: Routine childhood immunization is an essential public-health intervention for preventing vaccine-preventable diseases. Despite high reported immunization coverage in Magetan Regency in 2025, delayed or incomplete vaccination can still occur when parents have limited knowledge, safety concerns, or conflicting family information. Objective: To describe midwifery care for a 12-month-old infant whose routine immunization was incomplete because of parental knowledge-related hesitancy. Methods: A descriptive case report was conducted at a private midwifery practice in Magetan, East Java, from 2 to 21 February 2026. The case was managed using the SOAP framework. Data were collected through maternal interviews, review of the child’s immunization record, physical examination, growth and developmental assessment, observation of parental responses, and four follow-up visits. Counseling used therapeutic communication and a leaflet covering immunization benefits, vaccine-preventable diseases, routine schedules, and common adverse events following immunization (AEFI). Results: The 12-month-old male infant had received only a birth dose of hepatitis B vaccine, with no subsequent routine immunizations documented. At the first visit, the mother reported limited knowledge and fear of adverse effects and was influenced by information from neighbors and social media. The infant had mild cough and coryza but was otherwise clinically well, with normal growth and development. Across four visits, maternal understanding improved after structured counseling and leaflet-based education. By the final visit, the mother could explain the benefits of immunization and expressed willingness to vaccinate her child, but implementation had not yet occurred because the decision still required discussion with her husband. Conclusion: Individualized counseling, empathetic communication, and accessible written information improved maternal knowledge and vaccine acceptance in this case. Family involvement and continued follow-up are important when parental decision-making is shared.
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 (
Midwifery Care for a Primigravida in the Second Trimester with Chronic Energy Deficiency Through Nutritional Intervention revana kurnia ekawati
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) in pregnant women is a condition resulting from prolonged inadequate energy intake that may affect maternal nutritional status and pregnancy outcomes. One indicator used to identify the risk of CED is an Upper Arm Circumference (MUAC) of less than 23.5 cm. This article aims to describe the implementation of midwifery care for a second-trimester primigravida with CED through nutritional intervention and monitoring of maternal and fetal conditions. A descriptive method with a case study approach was used involving Mrs. H, a second-trimester primigravida diagnosed with CED, who received midwifery care through home visits in the working area of Taji Public Health Center, Magetan Regency, from April to May 2026. Data were collected through interviews, observations, physical and obstetric examinations, anthropometric measurements, available laboratory examinations, and documentation. The care provided included counseling on adequate energy and protein intake, implementation of a high-calorie and high-protein diet, provision of supplementary food, intake of supplements as recommended, and monitoring of maternal weight, MUAC, and fetal growth and condition. At the initial assessment at 25 weeks of gestation, the mother had a MUAC of 21 cm, a pre-pregnancy BMI of 18.1 kg/m², and a body weight of 45 kg. After three visits, her body weight increased to 45.8 kg, accompanied by improvements in appetite and dietary patterns, while complaints of fatigue and dizziness decreased. However, her MUAC remained at 21 cm, indicating that CED still required continued monitoring and further nutritional intervention. In conclusion, continuous midwifery care combined with nutritional intervention showed positive progress in maternal weight, dietary patterns, appetite, and maternal complaints. Nevertheless, continued monitoring of nutritional status is necessary to support maternal health and fetal well-being. Keywords: Chronic Energy Deficiency; Primigravida; Midwifery Care.
Case Report on Weight and Blood Pressure Monitoring in a Pregnant Mother with Grade I Obesity in the Third Trimester with Gestational Hypertension Shinta Aprillya Nugraheni; Sulikah Sulikah; Sunarto Sunarto; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Pregnancy with obesity has become a pathological condition that carries the risk of triggering complications such as gestational hypertension. Hypertension still remains a complication that leads to high morbidity and mortality rates for both the mother and the fetus. In this case, the mother had grade I obesity even before pregnancy. Gestational hypertension occurred after 20 weeks of pregnancy, associated with low physical activity and a diet that was not in line with balanced nutrition. The uniqueness of this case lies in the use of a 24-hour food recall as a method for monitoring adherence to a low-salt and low-fat diet. The aim of this case report is to evaluate diet adherence, blood pressure, and body weight in a pregnant woman with grade I obesity and gestational hypertension. The case report was conducted on Mrs. “T”, 29 years old, G1P00000, 35–36 weeks pregnant, pre-pregnancy BMI of 30.92 kg/m², and a blood pressure of 130/85 mmHg, using a case report method through a midwifery care approach with SOAP over two weeks. Care was provided by Midwife “D” and Student “S” in the working area of Puskesmas “P”. Interventions included education on a low-salt and low-fat diet, monitoring 24-hour food recall, blood pressure, body weight, and recommendations for light physical activity. The patient's body weight decreased from 89.7 kg to 89.0 kg, and blood pressure improved from 135/92 mmHg to 124/80 mmHg. Dietary patterns also improved based on the 24-hour food recall, with no complications observed during the follow-up period. Monitoring using a 24-hour food recall, combined with nutritional education and dietary counseling, improved adherence to the prescribed diet and contributed to better control of blood pressure and body weight. The mother's condition remained stable, and the pregnancy progressed without complications.

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