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Case Report pada Ibu Multigravida Trimester III dengan Nyeri Pinggang: Case Report on A Multigravida Woman In The Third Trimester With Lower Back Pain Hasjim, aushaffira Tabriza Rishardini; Esyuananik, Esyuananik; Suryaningsih, Suryaningsih; Wayanti, Sri
Jurnal Ilmiah Kebidanan dan Kesehatan (JIBI) Vol. 3 No. 2 (2025): Volume 3 Nomor 2 Desember 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jibi.v3i2.1746

Abstract

Nyeri pinggang merupakan keluhan umum yang sering dialami oleh ibu hamil, terutama pada trimester ketiga, yang dapat memengaruhi kenyamanan dan aktivitas sehari-hari. Asuhan ini bertujuan untuk mendeskripsikan asuhan kebidanan pada ibu hamil multigravida trimester III dengan nyeri pinggang di wilayah kerja Puskesmas Tanah Merah, Kabupaten Bangkalan. Metode Asuhan menggunakan pendekatan studi kasus kualitatif dengan pengumpulan data melalui wawancara, observasi (inspeksi dan palpasi), dan telaah dokumentasi. Subjek Asuhan adalah ibu hamil multigravida trimester III dengan usia kehamilan 37-40 minggu yang mengalami nyeri pinggang dan berdomisili di Tanah Merah. Hasil studi kasus menunjukkan bahwa penerapan asuhan kebidanan komprehensif, meliputi edukasi tentang penyebab nyeri pinggang, anjuran nutrisi seimbang (vitamin D, magnesium, omega-3, fosfor, kalsium), penggunaan kompres hangat, latihan yoga, pijatan, serta perbaikan mekanika tubuh dan posisi tidur, efektif dalam mengurangi intensitas nyeri pinggang dari tingkat sedang (skor 5) menjadi ringan (skor 2). Intervensi non-farmakologis terbukti meningkatkan kenyamanan dan kualitas hidup ibu hamil.
Aromaterapi Lavandula Angustifolia untuk Mempercepat Durasi Persalinan Kundarti, Finta Isti; Titisari, Ira; Yanuarini, Triatmi Andri; Nurlaili, Anis; Esyuananik, Esyuananik
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3030

Abstract

Background: Prolonged labor is one of the causes of maternal and neonatal mortality. Lavandula angustifolia aromatherapy has the potential to increase labor duration. Objective: This study aimed to analyze the effect of Lavandula angustifolia aromatherapy on the duration of the first stage of active labor. Methods: This type of research was quantitative with a posttest-only design with a control group, using simple random sampling. The study was conducted from May to July 2023 at Kediri City Hospital with a sample size of 60 participants giving birth in the active phase at Kediri City Hospital, with an intervention group of n = 30 and a control group of n = 30. In the intervention group, respondents were given Lavandula angustifolia aromatherapy through inhalation during the active phase of labor, accompanied by standard care according to hospital procedures. In the control group, respondents only received standard care. Duration assessment was carried out from 4-10 cm dilation. Results: The results were tested using a t-test, showing that the average duration of labor in the intervention group VS the control group was m = 292.50 (13,975) minutes versus m = 374.70 (16,572) minutes with a p value of 0.000. Conclusion: The results of this study indicate that the duration of the first stage of active labor in the intervention group was shorter than that of the control group after administration of Lavandula Angustifolia Aromatherapy. This study can be a recommendation for midwives to provide Lavandula Angustifolia Aromatherapy as a safe and effective intervention in accelerating the duration of labor.
Pengaruh Kematangan Emosi Terhadap Kesiapan Pernikahan Siswa Tingkat Akhir Poltekkes Kemenkes Surabaya: The Effect of Emotional Maturity on The Marriage Readiness of Final Year Students of the Ministry of Health Polytechnic of The Ministry of Health Surabaya Shela Putri; Tatarini Ika Pipitcahyani; Triana Septianti Purwanto; Esyuananik
Gema Bidan Indonesia Vol. 14 No. 1 (2025): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v14i1.218

Abstract

Introduction : The emotional maturity is crucial in maritial life as it enables individuals to approach marriage with a mature mindset and handle it effectively. Divorce is a common issue within households, emphasizing the significance of emotional readiness and maturity in forming a happy family. Both elements are pivotal in preparing for marriage, indicating readiness. A mature individual, having met these criteria, can be deemed ready for marriage. This study aims to investigate the influence of emotional maturity on marriage readiness among senior female students at the Surabaya Health Polytechnic. Methods : The research design employed an analytical survey with a cross-sectional design, involved 180 female students selected through proportionate stratified random sampling at the Surabaya Health Polytechnic. The independent variable is emotional maturity, on the other hand the dependent variable is marriage readiness. Primary data collection are conducted through the Emotional Maturity Scale and Marriage Readiness Scale’s questionnaires. Result : The analysis using chi-square, reveals a significant association between high levels of emotional maturity and marriage readiness, with a p-value of 0.04. High emotional maturity have significantly influences marriage readiness among senior female students at the Surabaya Health Polytechnic Disscusion : It is hoped that all female students recognize the importance of emotional maturity, particularly in preparing for marriage, thereby preventing divorce rates.
CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KELUHAN NYERI PINGGANG Suryani Suryani; Esyuananik; Suryaningsih; Deasy Irawati
Jurnal Bidan Pintar Vol. 7 No. 2 (2026): Agustus 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jubitar.v7i2.7897

Abstract

Abstrak Nyeri pinggang merupakan salah satu keluhan yang sering dialami ibu pada kehamilan trimester III dan dapat memengaruhi kenyamanan maupun aktivitas sehari-hari. Laporan kasus ini bertujuan untuk mendeskripsikan pelaksanaan asuhan kebidanan pada ibu hamil multigravida trimester III yang mengalami keluhan nyeri pinggang dengan menerapkan pendekatan nonfarmakologis. Metode yang digunakan berupa case report dengan pendokumentasian asuhan kebidanan melalui format SOAP. Subjek pada kasus ini adalah Ny. P, G3P2A0, yang mendapatkan pelayanan di Praktik Mandiri Bidan Ma'arif Jaddih, Kecamatan Socah, Kabupaten Bangkalan. Pengumpulan data dilakukan melalui anamnesis, pemeriksaan fisik dan obstetri, penilaian intensitas nyeri menggunakan Visual Analog Scale (VAS), serta dokumentasi hasil asuhan. Penatalaksanaan yang diberikan meliputi edukasi mengenai body mechanics, pelaksanaan prenatal yoga sebanyak dua kali dalam satu minggu, dan pemberian kompres hangat pada area pinggang selama kurang lebih 10 menit. Hasil evaluasi menunjukkan adanya penurunan intensitas nyeri dari skor VAS 6 pada kunjungan pertama menjadi VAS 4 pada kunjungan kedua. Pada kunjungan ketiga, ibu melaporkan bahwa keluhan nyeri pinggang telah menghilang. Selain itu, ibu menunjukkan kemampuan yang lebih baik dalam menerapkan prinsip body mechanics selama melakukan aktivitas sehari-hari. Pemberian intervensi nonfarmakologis secara terpadu pada kasus ini menunjukkan perkembangan kondisi yang baik selama masa pemantauan. Pendekatan tersebut dapat menjadi salah satu pilihan dalam pemberian asuhan kebidanan untuk membantu meningkatkan kenyamanan ibu hamil trimester III yang mengalami keluhan nyeri pinggang. . Kata kunci : Asuhan Kebidanan, Multigravida, Nyeri pinggang, Prenatal Yoga, Trimester III.
CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KELUHAN NYERI PUNGGUNG Aisyah Aisyah; Esyuananik; Siti Anisak; Suryaningsih
Jurnal Bidan Pintar Vol. 7 No. 2 (2026): Agustus 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jubitar.v7i2.7898

Abstract

Abstrak Nyeri punggung merupakan salah satu keluhan yang sering dialami ibu hamil trimester III akibat perubahan fisiologis, hormonal, dan biomekanik selama kehamilan. Kondisi ini dapat mengganggu aktivitas sehari-hari dan menurunkan kenyamanan ibu. Laporan kasus ini bertujuan memberikan asuhan kebidanan melalui intervensi nonfarmakologis untuk mengurangi nyeri punggung pada ibu hamil multigravida trimester III. Metode yang digunakan adalah case report dengan pendekatan manajemen asuhan kebidanan SOAP pada Ny. P G2P0A1 usia kehamilan trimester III dengan keluhan nyeri punggung di TPMB Resky Arosbaya. Data diperoleh melalui anamnesis, observasi, pemeriksaan fisik dan obstetri, pengukuran intensitas nyeri menggunakan Visual Analog Scale (VAS), serta dokumentasi. Asuhan diberikan melalui tiga kali kunjungan dengan penerapan massage effleurage, kompres hangat, edukasi body mechanics, edukasi nutrisi, serta pemantauan kondisi ibu dan janin. Hasil menunjukkan penurunan intensitas nyeri dari VAS 6 pada kunjungan pertama menjadi VAS 2 pada kunjungan ketiga. Ibu juga mampu melakukan aktivitas sehari-hari dengan lebih nyaman. Penerapan massage effleurage, kompres hangat, dan edukasi body mechanics efektif membantu mengurangi nyeri punggung dan meningkatkan kenyamanan ibu selama kehamilan.   Kata kunci : nyeri punggung; multigravida; trimester III; massage effleurage; kompres hangat; body mechanics.
CASE REPORT PADA MULTIGRAVIDA TRIMESTER II USIA >35 TAHUN DENGAN ANEMIA SEDANG DI PMB “U” KAMAL BANGKALAN Anisa Intan Apriliya; Deasy Irawati; Rodiyatun; Esyuananik
JURNAL ILMIAH NUSANTARA Vol. 3 No. 6 (2026): Jurnal Ilmiah Nusantara November 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i6.12402

Abstract

Pregnancy with anemia is a condition in which a pregnant woman experiences low hemoglobin levels (generally <11 g/dL), reducing the blood’s ability to carry oxygen and potentially affecting maternal and fetal health. Moreover, maternal age >35 years is classified as a high risk group, making appropriate care essential to prevent complications and maintain health during pregnancy. This case report aims to describe midwifery care for a multigravida woman in the second trimester, aged over 35 years, with moderate anemia, conducted at the Independent Midwifery Practice U Kamal, Bangkalan, between March–June 2026, and at the home of Mrs. M. At the first visit, the mother presented with moderate anemia symptoms including pallor, weakness, easy fatigue, and shortness of breath. Risk factors included advanced maternal age, noncompliance with iron tablet intake, and limited nutritional intake. At the second visit, the mother reported back pain, which is a physiological condition in pregnancy. By the third visit, the mother was no longer anemia, supported by general examination findings of pink conjunctiva. Thus, the remaining risk factor was maternal age, as anemia was no longer present. Management consisted of nutritional counseling, administration of iron tablets, and recommendations to consume iron rich foods along with vitamin C. Comprehensive midwifery care combining supplementation, education, and family support is crucial to reduce the risk of complications and to minimize moderate anemia in multigravida pregnant women aged >35 years.
CASE REPORT EFEKTIVITAS PRENATAL YOGA UNTUK MENGURANGI NYERI PINGGANG PADA IBU HAMIL TRIMESTER DI PMB “S” KLAMPIS Adelia Nanda Dwi Erina; Anis Nur Laili; Esyuananik; Suryaningsih
JURNAL ILMIAH NUSANTARA Vol. 3 No. 6 (2026): Jurnal Ilmiah Nusantara November 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i6.12493

Abstract

Low back pain is one of the most common complaints experienced during the third trimester of pregnancy as a result of anatomical, hormonal, and biomechanical changes that occur throughout pregnancy. Increased maternal body weight and uterine enlargement place greater pressure on the lumbar region, which may reduce comfort, interfere with daily activities, and affect the mother's quality of rest. One of the non-pharmacological interventions that can be applied to manage this complaint is prenatal yoga. This final project aimed to provide midwifery care for a third-trimester pregnant woman experiencing low back pain through the implementation of prenatal yoga. This report employed a case study design using a midwifery care management approach, including assessment, diagnosis, planning, implementation, and evaluation. The subject of the case study was Mrs. L, a 26-year-old G2P1A0 woman at 33 weeks of gestation, whose primary complaint was low back pain. Midwifery care was provided over three visits from June to July 2026. The interventions included health education, prenatal yoga performed 2–3 times per week for 30–60 minutes per session, warm compresses using a hot water bag, the use of a maternity support belt, advice to sleep in the left lateral position, postural correction, restriction of strenuous activities, adequate nutritional intake, sufficient rest, and continuous monitoring of both maternal and fetal conditions. Following the interventions, both the mother and the fetus remained in good condition. Assessment of pain intensity using the Numeric Rating Scale (NRS) demonstrated a decrease from a score of 5 at the first visit to 3 at the second visit and 2 at the third visit. In addition, the mother reported greater comfort in performing daily activities and was compliant with all recommendations provided. Regular prenatal yoga combined with education on daily activity modification, proper body posture, adequate rest, and a healthy lifestyle was shown to reduce the intensity of low back pain in third-trimester pregnant women. Therefore, prenatal yoga can be considered a safe and effective non-pharmacological intervention in midwifery care for pregnant women experiencing low back pain.
Empowering Adolescent Girls in Anemia Prevention to Prepare Healthy Brides in Pamorah Village, Tragah, Bangkalan, Indonesia Anis Nur Laili; Esyuananik; Uswatun Khasanah; Lailatul Fadliyah
Frontiers in Community Service and Empowerment Vol. 5 No. 3 (2026): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Anemia remains a major public health problem among adolescent girls, affecting the quality of future generations. This community service program aimed to improve adolescent girls’ knowledge of anemia, reproductive health, and early marriage prevention as part of preparing healthy brides. The methods included health education, interactive discussions, hemoglobin (Hb) examination, and iron supplementation (iron tablets). The participants consisted of 30 adolescent girls, including prospective brides and engaged adolescents in Pamorah Village, Tragah District, Bangkalan. The pre-test results showed that 36.7% of participants had moderate knowledge, while 63.3% had poor knowledge. Following the educational intervention, knowledge improved significantly, with 70% categorized as good and 30% as moderate. Hemoglobin examination results indicated that 36.7% of participants had normal Hb levels, while 63.3% were below normal. All participants actively participated in the iron supplementation program. This activity demonstrates that structured assistance effectively improves adolescent girls’ knowledge and raises awareness of the importance of anemia prevention in preparing for healthy marriage.
Case Report pada Multigravida Trimester II dengan Emesis Gravidarum di TPMB Nanik Irawati Amna Geger Hanifia Samha; Deasy Irawati; Anis Nur laili; Esyuananik Esyuananik
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 3 (2026): September: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i3.3448

Abstract

Emesis gravidarum is a common pregnancy condition characterized by nausea and vomiting caused by hormonal changes. Persistent symptoms, particularly when continuing into the second trimester, may result in decreased appetite, weight loss, weakness, nutritional problems, and disruption of daily maternal activities. This case report aimed to describe comprehensive midwifery care for a multigravida woman in the second trimester with emesis gravidarum at TPMB Nanik Irawati Amna, Geger. This study used a case report design with a midwifery care management approach and SOAP documentation. The subject was a 31-year-old multigravida woman (G2P1A0) at 23–24 weeks of gestation. Data were collected through interviews, observation, physical examination, supporting examinations, and documentation during three visits from June to July 2026. The initial assessment showed nausea and vomiting 4–5 times daily, reduced appetite, weakness, and weight loss. The mother had a stable general condition, normal vital signs, fetal heart rate of 143–148 beats/minute, and hemoglobin level of 9.5 g/dL. The interventions included health education about emesis gravidarum, nutritional counseling with small frequent meals, avoidance of nausea-triggering foods, adequate rest, compliance with Multiple Micronutrient Supplements (MMS) and iron (Fe) tablets, and warm ginger infusion for seven days. After care, vomiting frequency decreased to 2–3 times daily, appetite improved, body weight increased to 56 kg, fluid intake became adequate, and daily activities improved. Comprehensive midwifery care combining education, nutritional management, pharmacological treatment, and complementary ginger therapy contributed to reducing emesis gravidarum symptoms and improving maternal conditions. Continuous monitoring and antenatal care are recommended to support maternal and fetal well-being.
CASE REPORT ASUHAN KEBIDANAN PADA BALITA USIA 12 BULAN DENGAN GANGGUAN PERTUMBUHAN DI PMB “S” BURNEH BANGKALAN Nazma Hayulista Tri Handayani; Sri Wayanti; Esyuananik; Deasy Irawati
Medis: Jurnal Inovasi Kesehatan dan Medika Nusantara Vol. 1 No. 3 (2026): September: Medis: Jurnal Inovasi Kesehatan dan Medika Nusantara
Publisher : Lembaga Penerbit Penelitian Multidisipliner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67096/medis.v1i3.418

Abstract

Masa balita, khususnya 1.000 Hari Pertama Kehidupan (HPK), merupakan periode emas yang sangat menentukan kualitas tumbuh kembang anak. Gangguan pertumbuhan pada balita, seperti underweight dan stunting, masih menjadi masalah kesehatan masyarakat di Indonesia, termasuk di Kabupaten Bangkalan dengan prevalensi underweight sebesar 13,5% (SSGI, 2024). Case report ini bertujuan mendeskripsikan asuhan kebidanan pada balita usia 12 bulan dengan gangguan pertumbuhan di PMB “S” Burneh Bangkalan. Metode yang digunakan adalah case report dengan pendekatan manajemen kebidanan pada An. S usia 12 bulan dengan jenis kelamin perempuan di PMB “S” Burneh, Bangkalan. Asuhan yang diberikan meliputi pengkajian subjektif, objektif, analisa, serta penatalaksanaan. Keunikan kasus ini terletak pada penggunaan intervensi nonfarmakologis berupa pijat Tui Na yang dikombinasikan dengan edukasi kepada orang tua pemberian MPASI. Pengkajian ini dilakukan selama bulan Juni hingga Juli 2026 dengan intervensi kurang lebih 2 minggu. Balita usia 12 bulan dengan berat badan 5,8 kg menunjukkan berat badan sangat kurang dan balita usia 12 bulan dengan panjang badan 60 cm menunjukkan panjang badan sangat pendek merupakan balita dengan kategori gangguan pertumbuhan yang dilihat dari grafik berat badan dan panjang badan menurut usia pada buku KIA. Pemberian PMT berupa puding susu yang diberikan selama 1 minggu dengan 1 puding perhari, suplemen penambah nafsu makan, dan pijat Tui Na selama 30 menit, 3–4 kali dalam seminggu, terbukti dapat meningkatkan nafsu makan melalui stimulasi saraf vagus dan memperbaiki fungsi pencernaan, sehingga mendukung perbaikan status gizi. Selain itu, memberikan edukasi terhadap pemenuhan gizi yang tepat serta pola asuh yang benar bagi balita usia 12 bulan. Hasil intervensi menunjukkan adanya peningkatan nafsu makan yang semula 2 kali menjadi 3 kali makan perhari, perbaikan berat badan hingga 0,4 kilogram, serta keterlibatan aktif keluarga dalam pemenuhan kebutuhan gizi untuk mendukung tumbuh kembang anak. Laporan ini menegaskan pentingnya pendekatan komprehensif yang melibatkan keluarga dan terapi komplementer dalam penanganan gangguan pertumbuhan balita, sehingga diharapkan dapat menjadi alternatif intervensi kebidanan yang efektif dan berkelanjutan.
Co-Authors ., Rodiyatun Adelia Nanda Dwi Erina Aisyah Aisyah Akmalia, Nabila Amalia, Yashinta Shafa Animmunifah Anis Nur Laili Anis Nur Laili Anis Nur laili Anis Nur Laili Anis Nur Laili Anis Nur Laili Anis Nur Laili Anis Nurlaili Anisa Intan Apriliya Anisak, Siti Badriyah Chamdani, Salwa Nur Choirin Moch. Deasy Irawati Dwi Wahyu Wulan Elisa, Siti Nur Fitriah Fitriah Hanifia Samha Hasjim, aushaffira Tabriza Rishardini Hendriyani, Feftin Ira Titisari Irawati, Deasy Izzati, Soffi Nur Kundarti, Finta Isti Lailatul Fadliyah Laili, Anis Nur Laili, Anis Nur Laili Madinah, Ali Melyana Nurul W. Mudinillah, Adam Nazma Hayulista Tri Handayani Nur Laili, Anis Nur Lailis Saadah Nurlaili, Anis nurlailis saadah Nurshabrina, Rhenata Patcharanee Pavadhgul Purwanto, Triana Septianti Puspita Zella Wigati Raden Mohamad Herdian Bhakti Rahardjo, Sutio Rodiyatun Rodiyatun RR. Ella Evrita Hestiandari Salwa Nur Chamdani Shela Putri Sri Wayanti Sri Wayanti, Sri Sulistiyowati, Nur Indah Suryani Suryani suryaningsih Suryaningsih Suryaningsih Suryaningsih Suryaningsih Suryaningsih Tatarini Ika Pipitcahyani Uswatun Khasanah USWATUN KHASANAH Wayanti Sri Wayanti Sri Wayanti, Sri Yanuarini, Triatmi Andri Zilal Sabitah Roja