Midwifery Care For Family Planning In Mrs. “Y”, A Depo Medroxyprogesterone Acetate (Dmpa) Acceptor With Hypertension

Abstract

Background: Low Birth Weight (LBW) is one of the causes of high neonatal morbidity and mortality rates. A baby is categorized as having LBW if born weighing less than 2,500 grams regardless of gestational age. In this case, Mrs. “M” delivered a baby girl at the Kanapa-Napa Public Health Center with a gestational age of 38 weeks and 3 days and a birth weight of 2,400 grams. During pregnancy, the mother experienced Chronic Energy Deficiency (CED), indicated by a Mid-Upper Arm Circumference (MUAC) of 21.3 cm and inadequate maternal weight gain during pregnancy, which became one of the contributing factors to LBW in the infant. Kangaroo Mother Care was applied as an intervention to maintain the baby’s body temperature stability, increase body weight, and strengthen the emotional bond between mother and baby.

Objective: To provide midwifery care for newborns with LBW using Varney’s seven-step midwifery management approach and SOAP documentation.

Method: This study used a descriptive observational case study method on Mrs. “M”’s baby with LBW. Data were obtained through interviews, observations, physical examinations, and medical record documentation. The care provided included monitoring vital signs, exclusive breastfeeding, prevention of hypothermia, maintaining umbilical cord hygiene, changing wet or dirty baby clothes, educating mothers on proper breastfeeding techniques, and implementing Kangaroo Mother Care.

Results: The evaluation showed that the baby’s condition was good, with vital signs within normal limits. The mother was able to independently perform Kangaroo Mother Care, provide exclusive breastfeeding, and understand the proper care for LBW infants. During the treatment period, the baby’s weight increased and no complications were found.

Conclusion: Comprehensive midwifery care using the kangaroo method in LBW infants was effective in maintaining body temperature stability, increasing infant weight, and supporting the success of exclusive breastfeeding.