SURYANI, SURYANI (2026) CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KELUHAN NYERI PINGGANG DI PMB “M” JADDIH, SOCAH, BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
Case Report Pada Multigravida Trimester III Dengan Keluhan Nyeri Pinggang di PMB M. Jaddih, Socah, Bangkalan Pendahuluan: Saat memasuki tiga bulan terakhir kehamilan, ibu hamil paling sering Mengalami nyeri punggung bawah akibat perubahan hormonal dan postur selama kehamila. Gangguan ini tidak hanya membatasi pergerakan dan menurunkan kenyamanan hidup, tetapi juga berpotensi berlanjut ke masa nifas jika tidak ditangani dengan tepatTujuan dari laporan kasus ini adalah untuk menunjukkan bagaimana pengasuhan kebidanan komprehensif berbasis intervensi nonfarmakologis Membantu mengurangi nyeri pinggang pada ibu hamil multigravida trimester III. Metode: Di PMB Ma'arif Jaddih, Kecamatan Socah, Kabupaten Bangkalan, Ny. P G3P2A0, yang mengalami nyeri pinggang selama trimester ketiga kehamilan, digunakan pendekatan manajemen SOAP sebagai studi case report. Data dikumpulkan melalui anamnesis, observasi, pemeriksaan fisik dan obstetri, penunjang, serta pengukuran skala nyeri. Asuhan diberikan dalam tiga kali kunjungan yang mencakup edukasi body mechanic, latihan prenatal yoga dua kali seminggu, dan kompres hangat selama 10 menit. Hasil Kasus: Intervensi yang diberikan meliputi pengkajian, pemeriksaan fisik dan obstetri, edukasi body mechanic, prenatal yoga, kompres hangat, serta pemantauan kondisi ibu dan janin. Ibu menunjukkan kepatuhan penuh terhadap seluruh anjuran. Skala nyeri menurun dari 6 (nyeri sedang) pada kunjungan pertama menjadi 4 pada kunjungan kedua, dan keluhan hilang pada kunjungan ketiga. Ibu juga mampu mempraktikkan body mechanic dengan benar, menjalani aktivitas harian lebih nyaman, dan hanya merasakan kontraksi fisiologis menjelang persalinan. Ketiga intervensi yang terintegrasi dalam asuhan kebidanan komprehensif terbukti berhasil meredakan nyeri pinggang dan meningkatkan kenyamanan ibu selama trimester III. Simpulan: Pada trimester ketiga kehamilan, nyeri pinggang lebih sering terjadi pada ibu hamil yang memiliki lebih dari satu anak. Asuhan kebidanan komprehensif, yang mencakup instruksi tentang mekanik tubuh, yoga prenatal, dan kompres hangat, membantu ibu hamil mengurangi nyeri pinggang. Ibu hamil disarankan mengikuti seluruh anjuran untuk meningkatkan kenyamanan dan kualitas hidup. Kata kunci: Case Report, nyeri punggung bawah, multigravida, prenatal yoga, terapi hangat, kehamilan trimester III. Case Report On Multigravida Trimester III With Complaints Of Low Back Pain In PMB M, Jaddih, Socah, Bangkalan Introduction: During the third trimester of pregnancy, pregnant women commonly experience lower back pain due to hormonal and postural changes. This discomfort may limit mobility and reduce quality of life and may persist into the postpartum period if not managed appropriately. This case report aimed to demonstrate how comprehensive midwifery care using non-pharmacological interventions can help reduce lower back pain in a third-trimester multigravida. Methods: A case report was conducted at PMB Ma'arif Jaddih, Socah District, Bangkalan Regency, involving Mrs. P, G3P2A0, who experienced lower back pain during the third trimester of pregnancy. The SOAP management approach was used. Data were collected through anamnesis, observation, physical and obstetric examinations, supporting examinations, and pain-scale assessment. Care was provided through three visits, including body mechanics education, prenatal yoga twice a week, and warm compresses for 10 minutes. Case Results: The interventions included assessment, physical and obstetric examinations, body mechanics education, prenatal yoga, warm compresses, and monitoring of maternal and fetal conditions. The mother demonstrated full adherence to all recommendations. Her pain score decreased from 6 (moderate pain) at the first visit to 4 at the second visit, and the pain resolved by the third visit. She was also able to perform body mechanics correctly, carry out daily activities more comfortably, and experienced only physiological contractions approaching labor. The three integrated interventions within comprehensive midwifery care effectively reduced lower back pain and improved maternal comfort during the third trimester. Conclusion: Lower back pain is more common during the third trimester, particularly among multigravida women. Comprehensive midwifery care involving body mechanics education, prenatal yoga, and warm compresses can help reduce lower back pain. Pregnant women are encouraged to follow the recommended interventions to improve comfort and quality of life. Keywords: Case Report, lower back pain, multigravida, prenatal yoga, warm therapy, third-trimester pregnancy.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Esyuananik, Esyuananik NIDN4018067502 UNSPECIFIED Suryaningsih, Suryaningsih NIDN4024057801 |
| Additional Information: | 7LTA20260009 |
| Uncontrolled Keywords: | Case Report, nyeri punggung bawah, multigravida, prenatal yoga, terapi hangat, kehamilan trimester III. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 13 Oct 2026 03:43 |
| Last Modified: | 13 Oct 2026 03:43 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12660 |
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