Implementation of Continuity of Midwifery Care for Pregnant Women With Mild Anemia: A Case Study

Abstract

Anemia during pregnancy remains one of the most common nutritional and public health problems worldwide and is associated with increased maternal and neonatal morbidity. It is clinically defined as a hemoglobin (Hb) level below 11 g/dL during pregnancy, indicating an insufficient number of red blood cells to meet the oxygen demands of both the mother and the fetus. Based on hemoglobin concentration, anemia is classified into three categories: mild anemia (Hb 10.0–10.9 g/dL), moderate anemia (Hb 7.0–9.9 g/dL), and severe anemia (Hb <7.0 g/dL). Pregnant women with anemia are at greater risk of fatigue, dizziness, infection, postpartum hemorrhage, preterm birth, low birth weight, and other adverse pregnancy outcomes. According to the World Health Organization, anemia continues to affect a substantial proportion of pregnant women globally, making early detection and appropriate management essential. Continuity of Midwifery Care (CoMC) is a comprehensive, woman-centered approach that provides continuous and integrated care throughout pregnancy, childbirth, the postpartum period, newborn care, and family planning. This model promotes early identification of maternal health problems, timely interventions, and ongoing health education to improve maternal and neonatal outcomes. Therefore, implementing Continuity of Midwifery Care for pregnant women with mild anemia is expected to optimize maternal health status, reduce pregnancy-related complications, and ensure safe and high-quality maternity care.