Case Report of a Third-Trimester Primigravida Aged ≤16 Years at PMB “U” Kamal, Bangkalan Regency
DOI:
https://doi.org/10.70963/jkmp.v3i1.906Keywords:
Anxiety, Midwifery Care, Teenage PregnancyAbstract
before biological, psychological, and social maturity is fully established. In a third-trimester primigravida, this condition may be accompanied by physical discomfort, anemia, and childbirth-related anxiety, requiring care that extends beyond obstetric surveillance. This case report aimed to describe comprehensive biopsychosocial midwifery care for a 16-year-old third-trimester primigravida at Independent Midwifery Practice “U” in Kamal, Bangkalan Regency. A single-case design with four visits was implemented from March to June 2026. Assessment included history taking, physical and obstetric examinations, hemoglobin measurement, Poedji Rochjati risk scoring, and psychological screening using the Hamilton Anxiety Rating Scale and the Edinburgh Postnatal Depression Scale. At the initial visit, the pregnancy was classified as high risk with a KSPR score of 10, hemoglobin of 10.8 g/dL, moderate anxiety with a HARS score of 21, and a low risk of depression with an EPDS score of 5. Interventions comprised education on pregnancy changes and birth preparedness, iron supplementation and nutritional counseling, deep-breathing relaxation, hypnotherapy with lavender aromatherapy, prenatal yoga, and husband involvement. Throughout follow-up, maternal and fetal conditions remained stable; hemoglobin increased to 13.0 g/dL and anxiety gradually decreased until no anxiety was documented at the final visit, while EPDS remained in the low-risk category. In this case, comprehensive care was accompanied by improved physical and psychological readiness for childbirth.
References
Aisyah, R. D., Prafitri, L. D., & Abbas, H. H. (2025). Family-based anxiety detection in primigravida pregnant women. Window of Health: Jurnal Kesehatan, 8(3), 288–300. https://doi.org/10.33096/woh.vi.1635
Anugerahwati, A. A., Aji, A. S., Afifah, E., Lestari, P., & Lipoeto, N. I. (2024). The interaction between pre-pregnancy body mass index status and gestational weight gain on newborn anthropometry outcomes in West Sumatera, Indonesia. Amerta Nutrition, 8(3SP), 208–217. https://doi.org/10.20473/amnt.v8i3SP.2024.208-217
Ermiati, E., Widiasih, R., Aini, F. H. Q., & Srimurni, N. A. (2026). Future adaptations of psychosocial program for Indonesian pregnant adolescents: A research synthesis. International Journal of Women’s Health, 18, 1–12. https://doi.org/10.2147/IJWH.S580919
Fatimah. (2024). Pengaruh yoga prenatal dan hypnobirthing terhadap tingkat kecemasan ibu hamil trimester III. Jurnal Ilmu Kesehatan Masyarakat, 6(50), 1842–1848.
Gultom, K. E., Rahmawati, D. T., & Nurjanah, N. A. L. (2024). Hubungan kunjungan antenatal care (ANC), konsumsi tablet Fe dengan kejadian anemia pada ibu hamil di Puskesmas Betungan tahun 2024. Journal of Nursing and Public Health, 12(2), 496–504.
Irianti, S., Fuadi, M. F., Ningsih, S. R., Puspitasari, I., & Nugraheni, S. A. (2026). Skrining kesehatan mental dan intervensi non-farmakologis dalam pelayanan antenatal pada ibu hamil: Tinjauan sistematis. 13(1), 118–131.
Kuntari, T., & Supadmi, S. (2024). Anemia in young pregnant women: A cross-sectional study in Indonesia. Jurnal Kedokteran dan Kesehatan Indonesia, 147–161. https://doi.org/10.20885/jkki.vol15.iss2.art3
Leny Rauf, E., Aprianti Hiola, F. A., Dewi Angriani, F., & Muhammadiyah Gorontalo, U. (2024). Early detection of postpartum depression: The use of the Edinburgh Postnatal Depression Scale (EPDS). Jurnal Voice of Midwifery, 14(1), 1.
Marudju. (2024). Faktor-faktor yang mempengaruhi kecemasan pada ibu hamil trimester III: Scoping review. Jurnal Medika Nusantara, 2(4), 165–171. https://doi.org/10.59680/medika.v2i4.1710
Moniz, M. D. F., Astuti, A. W., & Hakimi, M. (2024). Psychological impact of adolescent pregnancy in developing countries: A scoping review. 4(2), 1–13.
Nia Aprilia, & Fathiyatur Rohmah. (2024). Hubungan kecemasan dan pengetahuan dengan kesiapan menghadapi persalinan pada ibu hamil trimester III. Jurnal Riset Rumpun Ilmu Kesehatan, 3(1), 45–57. https://doi.org/10.55606/jurrikes.v3i1.2631
Nugraha, N. D., & Dewinataningtyas, C. (2024). The correlation of family support with the level of anxiety of primigravida pregnant women in facing labor. 8(2), 193–202. https://doi.org/10.20473/imhsj.v8i2.2024.193-201
Pietras, J., Jarząbek-Bielecka, G., Mizgier, M., & Markowska, A. (2024). Adolescent pregnancy—medical, legal and social issues. Journal of Maternal-Fetal and Neonatal Medicine, 37(1). https://doi.org/10.1080/14767058.2024.2391490
Roslianti, I., Susaldi, & Darmi, S. (2023). Hubungan pengetahuan kesehatan reproduksi, stigmasi sosial dan dukungan keluarga dengan risiko komplikasi kehamilan pada ibu hamil usia remaja di Puskesmas Karangpawitan Kabupaten Garut tahun 2023. SAINTEKES: Jurnal Sains, Teknologi dan Kesehatan, 2(4), 476–485.
Sari, D. N., Diatri, H., Siregar, K., & Pratomo, H. (2021). Adaptation of the Edinburgh postnatal depression scale in the Indonesian version: Self-reported anxiety and depression symptoms in pregnant women. Open Access Macedonian Journal of Medical Sciences, 9, 1654–1659. https://doi.org/10.3889/oamjms.2021.7783
Sipayung, R., & Wijaya, P. (2023). Pengaruh prenatal gentle yoga terhadap tingkat kecemasan ibu hamil trimester III di PMB M Bogor tahun 2022. 6, 45–53.
Stefanicia, & Indriani. (2024). Studi kasus sering buang air kecil pada ibu hamil trimester III dengan terapi nonfarmakologi di Daerah Aliran Sungai Kota Palangka Raya tahun 2024. Jurnal Surya Medika, 10, 300–308.
Sugiharti. (2025). The effect of lavender aromatherapy on anxiety in pregnancy. 14(1), 151–154.
Tinah, T., & Wahyuni, N. I. (2023). Efektivitas diaphragm breathing exercise terhadap tingkat kecemasan ibu hamil trimester III di Puskesmas Guning Kaler tahun 2023. Health Information: Jurnal Penelitian, 15(3), 1–7.
Viana, Z., Retnoningrum, D., & Patimah, S. (2024). Comparison of reduction in physical discomfort score for pregnant women who attended prenatal yoga for 30, 45 and 60 minutes. Indonesian Journal of Global Health Research, 2(4), 4047–4056. https://doi.org/10.37287/ijghr.v2i4.250
Wafiroh, R., Martini, D. E., & Utomo, D. T. P. (2025). Dukungan keluarga berhubungan dengan kecemasan dan keteraturan antenatal care (ANC) pada ibu hamil risiko tinggi. Nursing News: Jurnal Ilmiah Keperawatan, 9(2), 214–225. https://doi.org/10.33366/nn.v9i2.3408
Yelsa Dianaurelia. (2024). Case study: Intervensi teknik relaksasi nafas dalam untuk menurunkan tingkat ansietas ibu hamil di trimester III. Jurnal Keperawatan Cikini, 5(2), 304.
Yusmiati, Wahyuni, I. S., & Bangaran, A. (2025). Menghadapi persalinan pada ibu hamil primigravida. Indonesian Journal of Midwifery Scientific, 4, 33–42.
Zahro, A. N. F. A., & Wahyuntari, E. (2026). Hubungan dukungan suami dengan tingkat kecemasan ibu hamil. 17(1), 6–17.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Cinta Anugerah Ilahi, Suryaningsih Suryaningsih, Sri Wayanti, Rodiyatun Rodiyatun
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
