Asuhan Keperawatan Maternitas yang Service Excellent Pada Ny.H Dengan Hiperemesis Gravidarum Trimester I di Klinik Pratama Rawat Inap Santi Meliala Kec.Medan Polonia Provinsi Sumatera Utara Tahun 2025

Hyperemesis gravidarum is a pregnancy complication characterized by excessive nausea and vomiting, causing dehydration, electrolyte disturbances, and weight loss of more than 5% before pregnancy. This condition is different from normal pregnancy nausea and vomiting because the symptoms are more severe and can harm the mother and fetus. Objective Implementing excellent service-oriented maternity nursing care management for Mrs. H with first trimester hyperemesis gravidarum at the Santi Meliala Clinic, Medan Polonia Regency, North Sumatra Province in 2025. Method This was a case study using a qualitative descriptive approach. Subjects were pregnant women in their first trimester (3 weeks) G2P1A0 with a diagnosis of hyperemesis gravidarum. Data were collected through interviews, observations, and physical examinations, presented narratively. Results
The assessment revealed three diagnoses: nausea related to pregnancy, sleep disturbance related to nocturnal nausea and vomiting, and hypovolemia related to active fluid loss. Nursing interventions included nausea and vomiting management, fluid replacement, sleep support, and education regarding diet and rest. Implementation over three days showed improvement in the patient's condition. Evaluation revealed a decrease in vomiting frequency, improved sleep patterns, and stabilization of body fluid balance.Conclusion The implementation of excellent service maternity nursing care management has been proven effective in improving
the condition of patients with first trimester hyperemesis gravidarum. A comprehensive, empathetic, and professional approach can improve the quality of service and the safety of pregnant women.
Keywords : Management, Maternity Nursing Care, Excellent Service,
Hyperemesis Gravidarum