Pain in the back during pregnancy is often felt by most pregnant women who are entering the third trimester of pregnancy. Complaints of back pain causedbecause the enlargement of the uterus causes a strain on the muscles causing back pain. The purpose of this study was to carry out midwifery care through a comprehensive Varney midwifery care management mindset approach to pregnant women with complaints of back pain.The method used is a case study to explore the problem. The research subject is Mrs.N G1P0A0. This research was conducted in May 2021, at the Nana Diana clinic, Jl. Veteran, Pasar VIII, Medan City. Data collection techniques include primary data in the form of physical examination, interviews, observations, and secondary data in the form of literature and documentation studies. Data analysis was carried out by compiling a resume from interviews and examinations using Varney's 7-step management format, as well as development data in the form of SOAP. Midwifery care in Mrs. N's case, namely the third trimester pregnant woman with complaints of back pain used the Varney management principle and the care provided discussed the differences and gaps between theory and practice
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