Nurul Febrianti Bastian, Firdayanti, Sitti Saleha, Anieq Mumthi’ah Al Kautzar

Midwifery Care Management for Ms. “K” with Perimenopause at the Community Health Center

Introduction

Midwifery care management for ms. “k” with perimenopause at the community health center. Successful midwifery care for Ms. K with perimenopause, managing irregular menstruation & anxiety. Case study applies Varney's 7 steps & SOAP, resulting in patient acceptance.

Abstract

Introduction Perimenopause is a transition period between pre- menopause and post-menopause characterized by natural complaints such as irregular menstruation, hot flushes, and disturbances. Women with irregular menstruation require midwifery care to address the impact of irregular menstrual cycles, such as feelings of anxiety, worry, and varying levels of fear could disturbing activity day living. Therefore, the researcher aims to implement perimenopausal midwifery care management on Mrs “K” at palllangga Health Center, Gowa Regency, following the 7 steps of varney and SOAP. Result of the case study conducted on Mrs. “K” with perimenopause did not encounter any obstacles during giving the treatment on her. Monitoring was conducted six times over a period of approximately body heat during the night, and had difficulty in sleeping. However, after receiving care and understand about perimenopause, she no longer complained and became more accepting of her condition. Conclusion Based on that perimenopausal case study, it is concluded that the 7 steps og varney and SOAP used for the problem- solving process in midwifery care, have successfully provided care, and Mrs. “K” can accept her condition. The role of midwives in this care is essential in providing understanding and information about the preparation and symptoms that will arise during the perimenopausal period.

Review

This case study, titled "Midwifery Care Management for Ms. “K” with Perimenopause at the Community Health Center," addresses a clinically relevant area concerning women's health during the perimenopausal transition. The abstract clearly states the study's objective: to implement and evaluate midwifery care management for an individual patient, Ms. “K,” experiencing perimenopausal symptoms. Employing established midwifery frameworks—Varney's 7 steps and SOAP—provides a structured approach to care delivery. While inherently limited in its generalizability due to its single-case design, such studies are valuable for illustrating the practical application of care protocols in real-world community health settings and highlighting the potential for individualized patient improvement. The methodology describes the application of standard midwifery problem-solving processes, which is appropriate for a case study. The reported outcome for Ms. “K” is positive, indicating that after receiving care and gaining understanding about perimenopause, her initial complaints (body heat at night, difficulty sleeping) resolved, and she became more accepting of her condition. However, the abstract lacks specific details regarding the content of the "care and understand about perimenopause" provided, making it difficult to ascertain the exact interventions that led to these improvements. Furthermore, the sentence describing monitoring—"Monitoring was conducted six times over a period of approximately body heat during the night"—is unclear and grammatically awkward, requiring significant clarification to convey the duration and focus of the monitoring effectively. In conclusion, this case study successfully demonstrates the utility of a structured midwifery care approach for an individual woman navigating perimenopause, reaffirming the essential role of midwives in providing information, support, and problem-solving. The positive outcome for Ms. “K” underscores the potential for quality midwifery care to alleviate symptoms and enhance acceptance during this natural life stage. For future reporting, greater specificity on the intervention components and clearer articulation of monitoring details would enhance the study's contribution. While this case provides compelling anecdotal evidence, further research involving larger cohorts and more detailed descriptions of specific interventions would be beneficial to establish the broader efficacy and replicability of such midwifery care models.

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