MATERNITY CARE FOR PRIMIGRAVIDA WOMEN WITH OBESITY IN THE THIRD TRIMESTER OF PREGNANCY: A CASE STUDY

Abstract

Obesity during pregnancy is one of the risk factors that can increase the incidence of maternal and perinatal complications, especially in the third trimester. This condition is influenced by lifestyle changes, an unbalanced diet, and a lack of physical activity during pregnancy. This case study aims to provide midwifery care for pregnant women in their third trimester who are obese. The method used was a case study with a Continuity of Care (COC) approach on Mrs. R, aged 30 years, primigravida, 31 weeks pregnant, with a body mass index ≥30 kg/m². Data collection was carried out through interviews, observations, physical examinations, anthropometric measurements, and review of midwifery documentation. The results of the assessment showed that the mother was obese without any pregnancy complications. Midwifery care was provided through several visits, which included routine pregnancy monitoring, weight gain control, balanced nutrition education, recommendations for safe physical activity, and antenatal classes. During the support period, the condition of the mother and fetus was monitored within normal limits without signs of complications. The conclusion of this study shows that continuous midwifery care through the COC approach plays an important role in pregnancy monitoring and prevention of complications in pregnant women with obesity, as well as increasing mothers' awareness of the importance of a healthy lifestyle during pregnancy.