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Helena Reka Fatricia
Poltekkes Kemenkes Malang
Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing

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MIDWIFERY CARE FOR MULTIGRAVIDA PREGNANT WOMEN WITH LOWER BACK PAIN Helena Reka Fatricia; Ririn Indriani; Alvi Nur Puspita Putri
Health and Scientific Journal Vol. 1 No. 1 (2026): Health and Scientific Journal
Publisher : Kampus 4 Prodi Kebidanan Kediri Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/hsj.v1i1.6241

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.
Midwifery Care For Pregnant Women Obesity And Hypertension : A Case Study Ririn Indriani; Sri Winarni; Dhea Putri Nurul Aini; Helena Reka Fatricia
Health Access Journal Vol. 3 No. 3 (2026): Vol. 3 No.3 (October, 2026)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v3i3.6276

Abstract

Obesity during pregnancy is defined as excessive weight gain exceeding 12–16 kg above the normal range. This condition can trigger metabolic and cardiovascular complications, including hyperglycemia, hypercholesterolemia, and hypertension. Gestational hypertension is characterized by an increase in blood pressure to 140/90 mmHg or higher after 20 weeks of gestation. Such conditions elevate the risk of complications and may potentially lead to mortality for both the mother and the infant. Objective: This study aims to examine the influence of obesity on hypertension in pregnant women and to identify preventive measures to reduce the risk of both conditions during pregnancy. Methods: A case study design was employed, focusing on a 36 year old pregnant woman (G2P1001) at 33–34 weeks of gestation with a single, viable intrauterine pregnancy, complicated by obesity and hypertension. Data were collected through interviews, physical examinations, observations, and documentation. The diagnosis was based on body mass index (BMI) assessment and blood pressure measurements. Interventions included pregnancy monitoring, nutritional counseling for a balanced diet, weight gain management, and health education. Results: The findings indicate a strong association between obesity and hypertension in pregnant women. Conclusion: Obesity influences the occurrence of hypertension in pregnant women
Co-Authors Alvi Nur Puspita Putri Dhea Putri Nurul Aini Ririn Indriani Sri Winarni