MIDWIFERY CARE FOR MULTIGRAVIDA PREGNANT WOMEN WITH LOWER BACK PAIN

Abstract

Lower back pain is one of the discomforts often experienced by pregnant women, especially in the third trimester, and can interfere with the mother's activities and quality of life. The problem in this report is how to implement comprehensive midwifery care for a 24-year-old G3P1A1 pregnant woman with a gestational age of 32–33 weeks who experiences lower back pain. The method used was a case study with a Varney midwifery care management approach, which includes assessment, data interpretation, problem identification and potential diagnosis, planning, implementation, and evaluation of care. Data collection was carried out through anamnesis, physical examination, and supporting examinations at the Ngadiluwih Community Health Center in Kediri Regency. The findings showed that the lower back pain experienced by the mother was related to physiological changes during pregnancy, weight gain, and changes in posture. The midwifery care provided included education, warm compresses, gym ball exercises, pregnancy exercises, the use of kinesio taping, and acupressure. The evaluation showed a decrease in back pain complaints and an increase in maternal comfort after continuous care was provided. The conclusion of this report is that the application of comprehensive midwifery care in accordance with Varney's management is effective in helping to reduce lower back pain in pregnant women in the third trimester and improving maternal well-being during pregnancy.