Rena Oki Alestari
Diploma III Midwifery, STIKES Eka Harap, Palangka Raya, Central Kalimantan, Indonesia

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Comprehensive Care for Patients with Low Back Pain in The Third Trimester of Pregnancy Rena Oki Alestari; Ivana Devitasari; Evy Kasanova; Lidia Widia
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.337

Abstract

Discomfort during the third trimester of pregnancy, such as back pain, is a common complaint experienced by pregnant women due to physiological changes in the body. This study aims to provide comprehensive midwifery care to patients with complaints of low back pain. This research is a case study conducted at the Pasir Putih Health Center from April to June 2024. The subject of the study is Mrs. AS, who is 34 weeks pregnant with a single live intrauterine fetus in cephalic presentation. Instruments include midwifery care formats, observation sheets, screening forms, and partographs—data collection techniques employed both primary and secondary approaches. The results showed that the comprehensive midwifery care proceeded smoothly, with all examination results within normal limits. No discrepancies were found between facts and theories, as the midwifery care was carried out according to established standards. Documentation of the examination results was recorded using the Varney 7-step management framework and SOAP format. In conclusion, the comprehensive midwifery care provided to the patient proceeded successfully without any complications or pathological conditions detected. This demonstrates that the application of standardized midwifery care can optimally support maternal health during the third trimester of pregnancy  
Comprehensive Midwifery Care on 34 Weeks Pregnancy with Hemorrhoid Evy Kasanova; Lidia Widia; Rena Oki Alestari
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.342

Abstract

Comprehensive midwifery care is important in providing services to mothers throughout the reproductive life cycle, from pregnancy to family planning. This case study aims to provide comprehensive midwifery care to Mrs. Y, aged 35, with hemorrhoids, using the Varney and SOAP management approaches. This research uses a case study design with the subject, Mrs. Y, who is undergoing midwifery care at the Cempaka Mulya Community Health Center, Cempaga District, East Kotawaringin Regency, Central Kalimantan. Care is carried out comprehensively, covering the third trimester of pregnancy (starting from 34 weeks of gestation), childbirth, newborns, the postpartum period, and family planning planning. Data was collected through observation, interviews, and physical examinations based on midwifery care standards. The research results showed that comprehensive midwifery care was successful. During the observation period, Mrs. Y made four prenatal visits, standard delivery, three newborn visits, four postpartum visits, and one family planning visit. The condition of the mother and baby remains within normal limits without any significant complications related to hemorrhoids. Varney and SOAP management approaches effectively identify and manage physiological conditions and ensure maternal and infant health. Comprehensive midwifery care with the Varney management approach and SOAP can support the handling of physiological cases such as Mrs. Y with hemorrhoids. The results of this study show that early detection and intervention, according to midwifery care standards, can prevent serious complications in mothers and babies. The patient's active participation also influences the success of this care in every stage of routine examinations and visits. Comprehensive midwifery care applied to Mrs. Y with hemorrhoids succeeded in maintaining the good condition of the mother and baby during the cycle of pregnancy, childbirth, postpartum, and family planning. Varney's management approach and SOAP have proven effective in providing holistic and quality midwifery services.