Abstract

According to the World Health Organization (WHO) in 2015, 585,000 women died during pregnancy or childbirth. Because 99% of maternal deaths due to labor or birth problems occur in developing countries. The risk of maternal death in developing countries is the highest with 450 maternal deaths per 100 thousand live births when compared with the risk of maternal death in 9 developed countries and 51 developing countries. The incidence of hyperemesis gravidarum in Indonesia is starting from 1-3% of all pregnancies (Maruroh and Ikke, 2016). About 50% - 90% of all pregnancies are accompanied by nausea and vomiting. According to a study of more than 360 pregnant women, only 2% experience morning sickness whereas, 80% of persistent complaints throughout the day peak at around 9 weeks of gestation. Nausea and vomiting are common disorders in early pregnancy and are complained by 50-70% of pregnant women within the first 16 weeks. Approximately 60% of pregnant women in the first trimester experience nausea and 44% experience vomiting. In this nausea and vomiting, dehydration can occur if the nausea and vomiting are severe. The general objective of this study was to provide midwifery care for first trimester pregnant women with Grade I Hyperemesis Gravidarum using a midwifery management approach with 7 Varney. This type of research the writer uses in the case study is descriptive research. This case study the author takes the subject Mrs. H with Hyperemesis Gravudarum Grade I at the Hj. Hema Wati, Bambel District, Aceh Tenggara District.

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