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COUNSELING CONVERSATION BETWEEN A MIDWIFER AND A PREGNANT WOMAN

TRIMESTER I

Patient and Husband: Assalamu'alaikum, Good morning midwife

Midwife: Wa'alaikussalam, good morning sir ma'am, please come in

Patient and Husband: OK, thank you ma'am

Midwife: OK, first let me introduce you, ma'am, my name is Bella midwife, if I may ask, what
is your ma'am's name?

Patient: my name is Mrs. Amber and this is my husband, ma'am

Midwife: Oh yes, Mrs. Amber. Can I help you, ma'am?

Patient: like this ma'am, I am now 2 months pregnant, every day I feel nauseous and want to
vomit, my appetite has decreased, my body feels unwell and I am annoyed because wearing
clothes is not neat

Midwife: oh... so you're pregnant, you feel nauseous and you're irritated by your physical
changes, right?

Patient: yes ma'am midwife

Midwife: How long have you and your father been married? and do you and your father want
to have children?

Husband: My wife and I have been married for 1 year and really want to have children

Midwife: oh... so father and mother want to have children, right?

Patient and Husband: yes ma'am midwife

Midwife: Wait a minute, sir ma'am, I'll measure your blood pressure. Excuse me, ma'am
(while rolling up the sleeves of the pregnant woman's clothes). How does the mother feel
about this pregnancy (while measuring the mother's blood pressure)

Patient: I'm very happy ma'am, especially since this is my first child (smiling)

Midwife: Surely your family will be happy too, ma'am (smiling). Mother's blood is normal

Patient: how much, ma'am midwife?

Midwife: 120/80 mmHg ma'am

Husband: being a midwife, how is my wife's pregnancy?

Midwife: Well, sir ma'am, mother's pregnancy is a process from fertilization (conception) to
birth of the fetus, usually 9 months and 7 days and also mother's pregnancy is a natural
(normal) process and not an abnormal process (not normal) but normal conditions can
become abnormal.

Patient: what about my current gestational age, ma'am?

Midwife: in general, pregnant women at 2 months of pregnancy will experience physical

changes as you said earlier, nausea and wanting to vomit, later the mother will also be
reluctant to eat and have cravings, and there will also be changes in the mother's breasts,
such as breasts being bigger than usual, feels full, heavy, painful when pressed, the mother
will also feel tired and sleepy and will urinate frequently.

Patient: So, what things should I do, midwife, to help reduce the problems or physical
changes I am experiencing?

Midwife: Yes ma'am... if you feel nauseous and want to vomit, you can take action such as
eating enough foods rich in protein and carbohydrates such as white rice, but if you don't
have an appetite for white rice, you can replace it with porridge, and also mother eat meat or
chicken eggs and the mother also has to drink a lot, and the drink that the mother wants to
drink depends on the mother's taste, it can be soup, milk, cocktails and so on which can
reduce the mother's nausea and vomiting. However, if the mother feels more nauseous by
consuming the liquid, she can replace it with solid food with a higher water content such as
fruit and vegetables. And mothers must avoid the sight, smell and taste of food that makes
them feel nauseous. Mothers can eat more often even if they don't feel hungry because if
the stomach is empty, stomach acid will cause irritation. Brush your teeth with a toothpaste
that doesn't cause nausea. If you are reluctant to eat, you need to replace food with
something you like. And changes in the mother's breasts occur in all pregnant women
because they aim to prepare the mother to breastfeed after the baby is born. Therefore,
mothers must use a bra that supports the breasts so as to reduce the tendency for them to
sag. If you feel tired, you need to rest a lot or not work as much. And about the mother who
urinates frequently. It's normal for pregnant women, but you can reduce it by tilting your body
forward when you urinate and also limit drinking from 4 pm but don't exceed the mother's
needs.

Patient: ohh... like that, ma'am midwife

Midwife: yes, ma'am. Apart from that, you have to maintain personal hygiene, get enough
rest, don't work too hard, take care of your breasts and don't wear too heavy clothes.

Patient: Why should I do breast care, ma'am midwife?

Midwife: it's like this, ma'am... most pregnant women don't have prominent nipples, so when
the mother gives birth, the baby finds it difficult to drink the mother's breast milk. Therefore,
breast care must be carried out so that the mother's nipples stand out and can produce
breast milk later
Patient: OK, midwife

Husband: and what about me, ma'am?

Midwife: For fathers, just support, give love and give mother attention, sir, because pregnant
women need full attention and affection from the family, especially from their husbands, the
mother and fetus will definitely be happy.

Husband: Oh, I see, ma'am, okay, midwife, thank you for the explanation

Midwife: You're welcome sir, I hope you are always healthy and if you have any complaints
or problems, don't forget to have her checked, OK?

Patient: yes ma'am midwife, I will carry out ma'am's advice because this concerns my and
my baby's health. I will do anything for my first child

Midwife: good ma'am, I'm glad to hear that, remember ma'am, you have to get lots of rest
and eat nutritious food

Patient: OK, ma'am, excuse me, midwife

Midwife: be careful, ma'am