<![CDATA[Pregnancy causes physiological changes that increase the risk of back pain due to postural changes, weight gain, and a shift in the body’s center of gravity. Back pain among pregnant women is common and may affect quality of life and daily activities. Pregnancy exercise is considered a non-pharmacological intervention to reduce back pain during pregnancy. Methods: This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. A total of 35 pregnant women were selected using purposive sampling at the Ziandta Maternity Clinic, Ogan Komering Ulu Regency, in 2025. Data were collected using a back pain intensity questionnaire before and after pregnancy exercise intervention and analyzed using the Wilcoxon test with a significance level of α = 0.05. Results: The mean back pain score before the intervention was 8.06 (SD 1.35) and decreased to 2.71 (SD 1.02) after pregnancy exercise. Statistical analysis showed a p-value of 0.001 (<0.05), indicating a significant effect of pregnancy exercise on reducing back pain in pregnant women. Conclusion: Pregnancy exercise is effective in reducing back pain among pregnant women and can be recommended as a non-pharmacological intervention in antenatal care services.]]>
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