RICBA, NABILA DEWI (2026) CASE REPORT ASUHAN KEBIDANAN PRIMIGRAVIDA TRIMESTER III DENGAN NYERI PINGGANG DI PMB ARINI AGUSTININGRUM KLAMPIS BANGKALAN. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
Pendahuluan: Kehamilan trimester III sering menimbulkan ketidaknyamanan berupa nyeri pinggang akibat perubahan hormonal, biomekanik, dan postural. Kondisi ini dapat mengganggu aktivitas sehari-hari, menurunkan kualitas tidur, serta meningkatkan kecemasan. Pada primigravida, keluhan lebih kompleks karena merupakan pengalaman pertama dalam beradaptasi terhadap perubahan fisiologis kehamilan. Studi kasus ini mendeskripsikan asuhan kebidanan pada primigravida trimester III dengan keluhan nyeri pinggang di PMB A Klampis, meliputi data subjektif, objektif, analisa, diagnosa, serta penatalaksanaan. Metode: Metode yang di gunakan adalah case report dengan pendekatan menajemen asuhan kebidanan SOAP pada Ny. L G1P0A0 usia kehamilan trimester III dengan keluhan nyeri pinggang di PMB A Klampis, Kecamatan klampis, Kabupateb Bangkalan. Data diperoleh melalui anamnesis, observasi, pemeriksaan fisik, pemeriksaan fisik, pemeriksaan fisik, pemeriksaan obsteri, pemeriksaan penunjang, pengukuran intensitas nyeri menggunakan Visual Analog Scale (VAS), serta dokumentasi rekam medis. Asuhan dilakukan secara komprehensif melalui tiga kali kunjungan dengan penerapan prenatal yoga, body mechanic, dan pemakaian korset lumbal. Hasil Kasus: Ny. L G1P0A0 UK 35 Minggu Trimester III mengeluhkan nyeri pinggang, dan di lakukan penilaian skala nyeri menggunakan VAS (Visual Analog Scale) dengan skor 6, Asuhan kebidanan meliputi penerapan prenatal yoga 1–4 kali per minggu, edukasi body mechanic, pemakaian korset lumbal, serta pemantauan kondisi ibu dan janin. Ibu patuh menjalani seluruh intervensi, sehingga intensitas nyeri pinggang menurun dari skala 6 pada kunjungan pertama, menjadi skala 4 pada kunjungan ke 2, lalu skala 2 pada kunjungan ketiga. Selain itu, ibu mampu menerapkan body mechanic dengan benar, lebih nyaman beraktivitas, dan hanya merasakan kontraksi fisiologis menjelang persalinan. Penerapan prenatal yoga, body mechanic, dan korset lumbal terbukti membantu menurunkan nyeri pinggang serta meningkatkan kenyamanan ibu trimester III. Kesimpulan: Asuhan kebidanan komprehensif melalui prenatal yoga, edukasi body mechanic, dan penggunaan korset lumbal terbukti efektif menurunkan intensitas nyeri pinggang pada ibu hamil primigravida trimester III. Tenaga kebidanan diharapkan terus meningkatkan edukasi serta penerapan intervensi nonfarmakologis guna upaya kenyamanan dan kualitas hidup ibu hamil, sementara ibu diharapkan konsisten dan mengikuti anjuran yang diberikan. Kata Kunci: Primigravida; nyeri Pinggang; yoga prenatal; body mechanic; korset. ABSTRACT Introduction: Third-trimester pregnancy often causes discomfort, such as lower back pain, resulting from hormonal, biomechanical, and postural changes. This condition can interfere with daily activities, reduce sleep quality, and increase anxiety. For primigravidae, these complaints are more complex as it is their first experience adapting to the physiological changes of pregnancy. This case study describes midwifery care for a third-trimester primigravida complaining of lower back pain at PMB A Klampis, covering subjective and objective data, analysis, diagnosis, and management. Method: A case report method was used, employing the SOAP midwifery management approach for Mrs. L (G1P0A0, third trimester) who presented with lower back pain at PMB A Klampis, Klampis District, Bangkalan Regency. Data were obtained through anamnesis, observation, physical and obstetric examinations, supplementary tests, pain intensity measurement using the Visual Analog Scale (VAS), and medical record documentation. Comprehensive care was provided over three visits, incorporating prenatal yoga, body mechanics education, and the use of a lumbar support brace. Case Results: Mrs. L G1P0A0, 35 weeks gestation/third trimester) complained of lower back pain; a pain assessment using the VAS yielded a score of 6. Midwifery care included prenatal yoga sessions (1–4 times per week), education on body mechanics, the use of a lumbar support brace, and monitoring of maternal and fetal conditions. The patient adhered to all interventions, resulting in a decrease in lower back pain intensity from a score of 6 at the first visit to 4 at the second visit, and finally to 2 at the third visit. Furthermore, the mother was able to apply proper body mechanics, experienced greater comfort during activities, and felt only physiological contractions as labor approached. The use of prenatal yoga, body mechanics, and a lumbar corset proved effective in reducing lower back pain and enhancing comfort for mothers in the third trimester. Conclusion: Comprehensive midwifery care incorporating prenatal yoga, body mechanics education, and the use of a lumbar corset effectively reduced lower back pain intensity in primigravid women during the third trimester. Midwives are encouraged to continue providing education and implementing non-pharmacological interventions to improve the comfort and quality of life of pregnant women, while mothers are expected to remain consistent and adhere to the recommendations provided. Keywords: Primigravida; lower back pain; prenatal yoga; body mechanics; corset
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Sri, Wayanti NIDN4011045401 UNSPECIFIED Esyuananik, Esyuananik NIDN4018067502 |
| Additional Information: | 7LTA20260002 |
| Uncontrolled Keywords: | Primigravida; nyeri Pinggang; yoga prenatal; body mechanic; korset. |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 13 Oct 2026 01:15 |
| Last Modified: | 13 Oct 2026 01:15 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12644 |
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