SITI, NUR ELISA (2025) CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN PLASENTA PREVIA TOTALIS DAN DISFUNGSI SIMFISIS PUBIS DI PUSKESMAS TANAH MERAH KABUPATEN BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN PLASENTA PREVIA TOTALIS DAN DISFUNGSI SIMFISIS PUBIS DI PUSKESMAS TANAH MERAH KABUPATEN BANGKALAN + 92 Halaman + 2 Tabel + 6 Lampiran Kehamilan pada wanita yang sudah hamil beberapa kali Pada multigravida seringkali menyebabkan ketidaknyamanan, salah satunya Disfungsi Simfisis Pubis (SPD), SPD ditandai dengan nyeri pada sendi panggul. Prevalensinya SPD secara global antara 20%-35%, di seluruh dunia, di Puskesmas Tanah Merah prevalensi SPD pada bulan Maret 2025 sebanyak 50% dari 30 ibu hamil, SPD meningkat pada trimester ketiga. Faktor risiko utama SPD antara lain penambahan berat badan dan peningkatan hormon relaksin. Tujuan asuhan ini untuk menggambarkan asuhan kebidanan pada ibu hamil trimester III dengan SPD. Desain ini menggunakan Case Report dengan subjek Ny. S, 33 tahun, G3P2A0 yang mengalami SPD, dengan menggunakan informed Consent. Hasil pada pemeriksaan palpasi simfisis pubis menunjukkan nyeri sedang skala nyeri (skor 5). Analisis mengindikasikan bahwa SPD ibu ini disebabkan oleh peningkatan hormon relaksin yang melunakan ligamen, usia kehamilan yang lanjut, jumlah kehamilan (multigravida), serta kurangnya pemenuhan kebutuhan kalsium. Meskipun ibu telah melakukan kompres hangat dan yoga secara rutin, hanya dapat mengurangi tingkat nyeri dari nyeri sedang menjadi ringan (skor 2), pada kunjungan kedua berdasarkan hasil USG terdapat komplikasi Plasenta Previa Totalis sehingga tidak dilakukan yoga hanya kompres hangat saja dan dianjurkan untuk control ke RS (Rujukan Dini Berencana) dan klien bersedia. Hasil diagnosa yang diperoleh pada kunjungan kedua G3P2A0 dengan Syphysis Pubis Disfungtion dan Plasenta Previa Totalis. Kompres hangat terbukti efektif untuk mengatasi nyeri perut bagian bawah (SPD). Kata kunci: Disfungsi Simpisis Pubis, Multigravida, Trimester III CASE REPORT ON MULTIGRAVIDA TRIMESTER III WITH PLACENTA PREVIA TOTALIS AND PUBIC DYSFUNCTION SYMPHYSIS PUBIC AT THE TANAH MERSH HEALTH CENTER, BANGKALAN REGENCY +92 Page + 2 Tables + 6 Appendices Pregnancy in women who have been pregnant several times In multigravida often causes discomfort, one of which is Pubic Symphysis Dysfunction (SPD), SPD is characterized by pain in the pelvic joint. The prevalence of SPD globally is between 20%-35%, worldwide, in the Tanah Merah Health Center the prevalence of SPD in March 2025 is 50% of 30 pregnant women, SPD increases in the third trimester. The main risk factors for SPD include weight gain and increased relaxation hormones. The purpose of this care is to describe obstetric care in pregnant women in the third trimester with SPD. This design uses a Case Report with the subject Mrs. S, 33 years old, G3P2A0 who experienced SPD, using informed consent. The results of the palpation examination of the pubic symphysis showed moderate pain on the pain scale (score 5). Analysis indicates that this maternal SPD is caused by an increase in the hormone relaxant that softens the ligaments, advanced gestational age, the number of pregnancies (multigravida), and the lack of fulfillment of calcium needs. Although the mother had done warm compresses and yoga regularly, it could only reduce the level of pain from moderate to mild pain (score 2), at the second visit based on the ultrasound results there were complications of Placenta Previa Totalis so that yoga was not done only warm compresses and it was recommended to control to the hospital (Early Planning Referral) and the client was willing. Diagnosis results obtained at the second visit of G3P2A0 with Syphysis Pubis Disfungtion and Placenta Previa Totalis. Warm compresses have been shown to be effective for lower abdominal pain (SPD). Keywords: Symphysis Pubis Disfuncstion, Multigravida, Third Trimester
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED ESYUANANIK, ESYUANANIK nidn4018067502 UNSPECIFIED ANIS, NUR LAILI nidn4008227902 |
| Additional Information: | 7LTA20250002 |
| Uncontrolled Keywords: | Disfungsi Simpisis Pubis, Multigravida, Trimester III |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi Sarjana Terapan Kebidanan |
| Depositing User: | Mesgimah |
| Date Deposited: | 09 Mar 2026 01:39 |
| Last Modified: | 09 Mar 2026 01:39 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/10758 |
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