ARDELIA, ZAIEN (2026) CASE REPORT ASUHAN KEBIDANAN MULTIGRAVIDA TRIMESTER III DI PMB SAYANG IBU KLAMPIS BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
![[thumbnail of 1. Cover ( cover luar, cover dalam, lembar persyaratan gelar).pdf]](http://repo.poltekkes-surabaya.ac.id/style/images/fileicons/text.png) |
Text
1. Cover ( cover luar, cover dalam, lembar persyaratan gelar).pdf Download (920kB) |
|
Text
2. Halaman pengesahan pembimbing.pdf Restricted to Repository staff only Download (215kB) |
|
Text
3. Halaman persetujuan pembimbing.pdf Restricted to Repository staff only Download (192kB) |
|
Text
4. Surat pernyataan orisinalitas.pdf Restricted to Repository staff only Download (172kB) |
|
Text
5. Abstrak dan Abstrac.pdf Download (159kB) |
|
Text
6. Kata pengantar.pdf Download (100kB) |
|
Text
7. Daftar isi.pdf Download (209kB) |
|
Text
8. Daftar Tabel.pdf Download (132kB) |
|
Text
9. Gambar Gambar.pdf Download (121kB) |
|
Text
10. Daftar Singkatan Dan Daftar Simbol.pdf Download (113kB) |
|
Text
11. Daftar Lampiran.pdf Download (133kB) |
|
Text
12. BAB 1.pdf Restricted to Repository staff only Download (199kB) |
|
Text
13. BAB 2.pdf Restricted to Repository staff only Download (361kB) |
|
Text
14. BAB 3.pdf Restricted to Repository staff only Download (312kB) |
|
Text
15. BAB 4.pdf Restricted to Repository staff only Download (222kB) |
|
Text
16. BAB 5.pdf Restricted to Repository staff only Download (181kB) |
|
Text
17. BAB 6.pdf Restricted to Repository staff only Download (112kB) |
|
Text
18. Daftar Pustaka.pdf Download (175kB) |
|
Text
19. Daftar Lampiran.pdf Restricted to Repository staff only Download (1MB) |
Abstract
CASE REPORT ASUHAN KEBIDANAN MULTIGRAVIDA TRIMESTER III DI PMB SAYANG IBU KLAMPIS BANGKALAN xiii + 12 Halaman + 10 Tabel + 9 Lampiran Nyeri pinggang, sering kencing, susah tidur merupakan salah satu ketidaknyamanan fisiologis yang paling sering dialami ibu hamil trimester III akibat perubahan anatomi, biomekanik, dan hormonal selama kehamilan. Pembesaran uterus, peningkatan berat badan, perubahan pusat gravitasi tubuh, serta pengaruh hormon relaksin menyebabkan peningkatan beban pada tulang belakang lumbal sehingga menimbulkan nyeri yang dapat mengganggu aktivitas sehari-hari, kualitas tidur, dan kualitas hidup ibu hamil. Penatalaksanaan nonfarmakologis menjadi pilihan yang aman, mudah diterapkan, dan efektif untuk mengurangi keluhan tersebut. Laporan kasus ini bertujuan mendeskripsikan secara komprehensif asuhan kebidanan pada ibu hamil multigravida trimester III dengan ketidak nyaman nyeri pinggang, sering kencing, susah tidur di PMB Sayang Ibu Klampis Bangkalan. Metode yang digunakan adalah studi kasus (case report) dengan pendekatan manajemen kebidanan yang meliputi pengkajian, analisa, perencanaan, implementasi, dan evaluasi. Pengkajian dilakukan melalui anamnesis, pemeriksaan fisik, pemeriksaan obstetri, dan pemeriksaan penunjang. Berdasarkan hasil pengkajian diperoleh bahwa Ny. M berusia 24 tahun, G2P1A0, usia kehamilan 35 minggu, mengalami nyeri pinggang dengan intensitas nyeri menggunakan Numerical Rating Scale (NRS) sebesar 6, disertai keluhan sering berkemih pada malam hari dan gangguan tidur. Asuhan kebidanan yang diberikan berupa kombinasi intervensi nonfarmakologis meliputi kompres hangat, massage effleurage, prenatal yoga, edukasi body mechanics, penggunaan korset lumbal (maternity support belt), pengaturan asupan cairan, posisi istirahat miring ke kiri, penerapan sleep hygiene, serta aromaterapi lavender. Evaluasi dilakukan melalui tiga kali kunjungan. Hasil evaluasi menunjukkan penurunan intensitas nyeri dari NRS 6 pada kunjungan pertama menjadi NRS 3 pada kunjungan kedua dan NRS 2 pada kunjungan ketiga, disertai berkurangnya frekuensi berkemih pada malam hari, meningkatnya kualitas tidur, serta meningkatnya kenyamanan ibu dalam melakukan aktivitas sehari-hari. Hasil asuhan kebidanan menunjukkan bahwa efektif menurunkan intensitas nyeri pinggang fisiologis pada ibu hamil trimester III. Asuhan kebidanan yang diberikan secara komprehensif dan berkesinambungan mampu meningkatkan kenyamanan ibu, memperbaiki kualitas tidur, serta membantu ibu beradaptasi dengan perubahan fisiologis selama kehamilan. Kata kunci : kehamilan trimester III, multigravida, nyeri pinggang, massage effleurage, prenatal yoga, korset lumbal, sleep hygiene, aromaterapi lavender, studi kasus. CASE REPORT ON MIDWIFERY CARE MULTIGRAVIDA TRIMESTER III AT PMB SAYANG IBU KLAMPIS BANGKALAN Low back pain, frequent urination, and insomnia are among the most common physiological discomforts experienced by pregnant women in the third trimester due to anatomical, biomechanical, and hormonal changes during pregnancy. Uterine enlargement, weight gain, changes in the body's center of gravity, and the influence of relaxant hormones cause an increase in the load on the lumbar spine, causing pain that can interfere with daily activities, sleep quality, and quality of life for pregnant women. Non-pharmacological management is a safe, easy-to-implement, and effective option to reduce these complaints. This case report aims to comprehensively describe obstetric care for pregnant women in the third trimester with discomfort, low back pain, frequent urination, and difficulty sleeping at PMB Sayang Ibu Klampis Bangkalan. The method used is a case study (case report) with an obstetric management approach which includes study, analysis, planning, implementation, and evaluation. The assessment was carried out through anamnesis, physical examination, obstetric examination, and supporting examination. Based on the results of the study, it was obtained that Mrs. M was 24 years old, G2P1A0, 35 weeks pregnant, experienced low back pain with pain intensity using a Numerical Rating Scale (NRS) of 6, accompanied by complaints of frequent urination at night and sleep disturbances. The obstetric care provided is in the form of a combination of non-pharmacological interventions including warm compresses, massage effleurage, prenatal yoga, body mechanics education, the use of a lumbar corset (maternity support belt), fluid intake regulation, resting position tilted to the left, application of sleep hygiene, and lavender aromatherapy. The evaluation was carried out through three visits. The results of the evaluation showed a decrease in pain intensity from NRS 6 at the first visit to NRS 3 at the second visit and NRS 2 at the third visit, accompanied by a reduction in the frequency of urination at night, an increase in sleep quality, and an increase in maternal comfort in carrying out daily activities. The results of obstetric care show that it is effective in reducing the intensity of physiological low back pain in pregnant women in the third trimester. Comprehensive and continuous obstetric care is able to improve maternal comfort, improve sleep quality, and help mothers adapt to physiological changes during pregnancy. Kata kunci : third trimester pregnancy, multigravida, low back pain, massage effleurage, prenatal yoga, lumbar corset, sleep hygiene, lavender aromatherapy, case study.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Rodiyatun, Rodiyatun NIDN4010026601 |
| Additional Information: | 7LTA20260021 |
| Uncontrolled Keywords: | kehamilan trimester III, multigravida, nyeri pinggang, massage effleurage, prenatal yoga, korset lumbal, sleep hygiene, aromaterapi lavender, studi kasus. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 15 Oct 2026 06:26 |
| Last Modified: | 15 Oct 2026 06:26 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12755 |
Actions (login required)
 |
View Item |