Successful Pregnancy and Vaginal Delivery after Oxytocin Massage for Nulliparous Women with Anemia and Undetected Foetal Congenital Anomaly: An Indonesian Case Report

Abstract

Background: A factor that contributes to the poor health of both the mother and the fetus is Anemia. Pregnant women must therefore receive prenatal care that includes the identification and management of Anemia properly. Case Presentation: This case report provides an analysis of the pregnancy circumstances of Mrs. R, a 22-year-old housewife from a middle-class socioeconomic background, who is anticipating her first child. From the pregnancy data obtained, Mrs. R experienced anemia, supported by supporting examinations of hemoglobin levels. The management provided included iron supplementation and the consumption of beetroot, which has been proven to be an effective food to increase hemoglobin levels. At 40 weeks of pregnancy with no signs of labor, it was recommended to engage in sexual intercourse to stimulate contractions and undergo oxytocin massage at 40 weeks and 4 days of pregnancy. The parturition process ultimately took place at 40 weeks 5 days of gestation, spontaneously. The total duration of the first stage of labor was 22 hours, the second stage was 2 hours, the third stage was 11 minutes, and the fourth stage was 2 hours. The baby was born spontaneously, cried loudly, weighed 3,600 grams, and showed a cranial deformity, specifically asymmetric head shape. There were no complications during labor and the postpartum period. Although Mrs. R is deeply committed to maintaining a healthy pregnancy, managing the Anemia that was detected in the early stages of the pregnancy presents a formidable challenge. Through her scrupulous observance of monthly prenatal examinations and regular administration of blood supplement tablets and additional multivitamins, Mrs. R effectively controlled her Anemia, thereby facilitating the successful culmination of the delivery procedure. Conclusion: Accurate evaluation of anemia during pregnancy is crucial for the proper treatment of anemia. In Indonesia, the effective treatment of severe anemia necessitates ......