The Impact of Holistic Midwifery Care in Postpartum Anemia to Baby Growth (A Case Study in Ledug, Banyumas, Indonesia 2019)

DOI

10.2991/ahsr.k.200204.025How to use a DOI?

Keywords

postpartum, anemia, baby’s weight

Abstract

Background: Comprehensive care during the puerperium is needed because this period is a critical period for both mother and baby. The prevalence of anemia in postpartum mothers according to WHO, amounted to 41.8% while in Indonesia the incidence of anemia was relatively high at 63.5%. The incidence of anemia in postpartum mothers will not have an impact on the nutritional status of the breastfed babies, and can be a factor in stunting cases. Preliminary studies in Ledug Village, Banyumas Regency, January-April 2018 period showed that in addition to the incidence of 3 infant deaths and low birth weight infants, a high incidence of postnatal maternal anemia was still found, reaching 60%. The aim: purpose of this study was to study and understand holistic care midwifery care for postpartum mothers with anemia. Method: This qualitative research used a descriptive observational method with a case study approach. The case study subjects were 1 anemic puerperal woman in ledug village, Banyumas regency, Central Java. The data collected through in-depth interviews, direct observation, and document study. Data analysis was performed descriptively based on 7 steps of Varney and SOAP. The results showed that postpartum mothers with anemia who had a history of anemia during pregnancy (HB 10.2 grams / dL) gave birth to babies with low birth weight, and although mothers breastfeed their babies exclusively for 2 weeks but the baby’s weight gain was only 300 grams and height is the same as at birth, which means less than normal. After getting postnatal nutrition counselling and regular postpartum visits by the midwife, on the 4th postpartum visit it is known that maternal HB increases to 11.7 grams / dl or the mother no longer suffers from anemia as the baby’s weight rises according to her age which is up to 800 grams / month. Conclusion: So that proper comprehensive obstetric care for postpartum mothers with anemia was able to improve their condition which had an impact on improving the weight gain of the breastfed babies.

Copyright

© 2020, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Susilo Rini
AU  - Feti Kumala Dewi
PY  - 2020
DA  - 2020/02/10
TI  - The Impact of Holistic Midwifery Care in Postpartum Anemia to Baby Growth (A Case Study in Ledug, Banyumas, Indonesia 2019)
BT  - Proceedings of the 1st International Conference on Community Health (ICCH 2019)
PB  - Atlantis Press
SP  - 106
EP  - 109
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.200204.025
DO  - 10.2991/ahsr.k.200204.025
ID  - Rini2020
ER  -