CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KELUHAN NYERI PUNGGUNG DI TPMB RESKY AROSBAYA

AISYAH, AISYAH (2026) CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KELUHAN NYERI PUNGGUNG DI TPMB RESKY AROSBAYA. Diploma thesis, POLTEKKES KEMENKES SURABAYA.

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Abstract

CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KELUHAN NYERI PUNGGUNG DI TPMB RESKY AROSBAYA Pendahuluan: Nyeri punggung merupakan salah satu keluhan yang paling sering dialami ibu hamil pada trimester III akibat perubahan fisiologis, hormonal, dan biomekanik selama kehamilan. Keluhan ini dapat mengganggu aktivitas sehari-hari, menurunkan kualitas hidup, serta berisiko menimbulkan ketidaknyamanan yang berkepanjangan apabila tidak ditangani dengan tepat. Case report ini bertujuan memberikan asuhan kebidanan melalui intervensi nonfarmakologis terhadap penurunan nyeri punggung pada ibu hamil multigravida trimester III. Metode: Metode yang digunakan adalah case report dengan pendekatan manajemen asuhan kebidanan SOAP pada Ny. P G2P0A1 usia kehamilan trimester III dengan keluhan nyeri punggung di TPMB Resky Arosbaya. Data diperoleh melalui anamnesis, observasi, pemeriksaan fisik, pemeriksaan obstetri, pemeriksaan penunjang, pengukuran intensitas nyeri menggunakan Visual Analog Scale (VAS), serta dokumentasi. Asuhan dilakukan melalui tiga kali kunjungan dengan penerapan massage effleurage, kompres hangat, edukasi body mechanics, edukasi nutrisi, serta pemantauan kondisi ibu dan janin. Hasil Kasus: Asuhan kebidanan yang diberikan meliputi pengkajian, pemeriksaan fisik dan obstetri, edukasi body mechanics, pemberian massage effleurage, kompres hangat selama 15–20 menit, serta pemantauan perkembangan kondisi ibu dan janin. Hasil menunjukkan ibu patuh melakukan intervensi yang dianjurkan dan melanjutkan massage effleurage serta kompres hangat secara mandiri di rumah dengan bantuan keluarga. Intensitas nyeri punggung menurun dari skala VAS 6 (nyeri sedang) pada kunjungan pertama menjadi skala VAS 2 (nyeri ringan) pada kunjungan ketiga. Selain itu, ibu dapat melakukan aktivitas sehari-hari dengan lebih nyaman, sementara kondisi ibu dan janin tetap dalam batas normal selama masa pemantauan. Simpulan: Penerapan massage effleurage, kompres hangat, dan edukasi body mechanics sebagai bagian dari asuhan kebidanan efektif membantu menurunkan intensitas nyeri punggung pada ibu hamil multigravida trimester III serta meningkatkan kenyamanan selama kehamilan. Kata kunci: nyeri punggung; multigravida; trimester III; massage effleurage; kompres hangat; body mechanics. CASE REPORT OF A THIRD-TRIMESTER MULTIGRAVIDA WITH LOW BACK PAIN AT TPMB RESKY AROSBAYA Background: Low back pain is one of the most common complaints experienced by pregnant women during the third trimester due to physiological, hormonal, and biomechanical changes throughout pregnancy. This condition may interfere with daily activities, reduce the mother's quality of life, and lead to prolonged discomfort if not managed appropriately. This case report aimed to provide comprehensive midwifery care through non-pharmacological interventions to reduce low back pain in a third-trimester multigravida. Methods: This study employed a case report design using the SOAP midwifery management approach in Mrs. P, a third-trimester multigravida (G2P0A1) with low back pain at TPMB Resky Arosbaya. Data were collected through history taking, observation, physical examination, obstetric examination, supporting examinations, pain intensity assessment using the Visual Analog Scale (VAS), and documentation. Midwifery care was provided through three visits, including effleurage massage, warm compress therapy, body mechanics education, nutritional counseling, and monitoring of maternal and fetal conditions. Case Results: The provided midwifery care included assessment, physical and obstetric examinations, body mechanics education, effleurage massage, warm compress therapy for 15–20 minutes, and monitoring of maternal and fetal progress. The results showed that the mother adhered to all recommended interventions and continued effleurage massage and warm compress therapy independently at home with assistance from her family. The intensity of low back pain decreased from a VAS score of 6 (moderate pain) at the first visit to a VAS score of 2 (mild pain) at the third visit. In addition, the mother was able to perform daily activities more comfortably, while both maternal and fetal conditions remained within normal limits throughout the follow-up period. Conclusion: The implementation of effleurage massage, warm compress therapy, and body mechanics education as part of comprehensive midwifery care was effective in reducing low back pain intensity in a third-trimester multigravida and improving maternal comfort during pregnancy. Keywords: low back pain; multigravida; third trimester; effleurage massage; warm compress; body mechanics

Item Type: Thesis (Diploma)
Contributors:
Contribution
Contributor
NIDN/NIDK
UNSPECIFIED
Esyuananik, Esyuananik
NIDN4018067502
UNSPECIFIED
Siti, Anisak
NIDN4028068401
Additional Information: 7LTA20260014
Uncontrolled Keywords: Nyeri punggung; multigravida; trimester III; massage effleurage; kompres hangat; body mechanics.
Subjects: R Medicine > Midwifery
Divisions: Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan
Depositing User: Mesgimah
Date Deposited: 15 Oct 2026 00:56
Last Modified: 15 Oct 2026 00:56
URI: http://repo.poltekkes-surabaya.ac.id/id/eprint/12730

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