Asuhan Kebidanan Berkesinambungan Pada Kehamilan Dengan Nyeri Punggung Di Klinik Alfa Medika Kota Surabaya

Selama kehamilan terjadi perubahan fisik maupun psikologis yang dapat menimbulkan ketidaknyamanan, salah satunya berupa nyeri punggung. Ketidaknyamanan ini dapat mengganggu aktivitas dan kenyamanan ibu sehingga diperlukan asuhan kebidanan berkesinambungan. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus komprehensif atau pada Ny. A selama Februari-Juli 2026. Tujuan dari penelitian ini unuk memberikan asuhan kebidanan berkesinambungan pada Ny. A dengan keluhan nyeri punggung di Klinik Alfa Medika Kota Surabaya sejak kehamilan, persalinan, nifas, hingga bayi baru lahir. Data diperoleh melalui wawancara, pemeriksaan fisik, observasi, pengukuran Numeric Rating Scale (NRS), dan dokumentasi SOAP. Didapatkan hasil usia kehamilan 38 minggu dengan nyeri punggung skor awal NRS 6, setelah diberikan intervensi yoga dan pijat skor menjadi 3. Persalinan berlangsung secara spontan dan dilanjutkan dengan masa nifas tanpa komplikasi. Bayi neontatus aterm lahir 3.300 gram. Setelah 3 hari mengalami penurunan <10% dan proses adaptasi bayi berjalan normal. Pemberian asuhan kebidanan berkesinambungan dengan intervensi yoga dan pijat menunjukkan penurunan intensitas nyeri punggung pada ibu selama kehamilan. Yoga dapat membantu mengurangi ketegangan otot, meningkatkan fleksibilitas tubuh, serta memperbaiki keseimbangan postur, sedangkan pijat dapat mengurangi ketegangan otot, serta memberikan efek relaksasi melalui stimulasi serabut saraf A-beta yang mampu menghambat penghantaran impuls nyeri ke otak. Penurunan berat badan pada neonatus terjadi karena proses adaptasi dengan kehidupan di dunia. Berdasarkan asuhan berkesinambungan yang telah diberikan, dapat disimpulkan bahwa intervensi yoga dan pijat efektif dapat membantu menurunkan intensitas nyeri pada ibu hamil.

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During pregnancy, there are physical and psychological changes that can cause discomfort, one of which is back pain. This discomfort can interfere with the mother’s activities and comfort, necessitating continuous midwifery care. This study uses a qualitative method with a comprehensive case study approach on Mrs. A from February to July 2026. The objective of this research is to provide continuous midwifery care to Ms. A, who has been experiencing back pain at Alfa Medika Clinic in Surabaya City since pregnancy, childbirth, postpartum, and up to the newborn stage. Data were obtained through interviews, physical examinations, observations, Numeric Rating Scale (NRS) measurements, and SOAP documentation. The results showed a gestational age of 38 weeks with an initial NRS score of 6 for back pain, which decreased to 3 after yoga and massage interventions. The delivery occurred spontaneously and was followed by a postpartum period without complications. The term neonate was born weighing 3,300 grams. After 3 days of experiencing a decrease of <10, the baby's adaptation process was normal. Continuous midwifery care with yoga and massage interventions shows a reduction in the intensity of back pain in mothers during pregnancy. Yoga can help reduce muscle tension, improve body flexibility, and enhance postural balance. In contrast, massage can reduce muscle tension and provide a relaxation effect through the stimulation of A-beta nerve fibers that can inhibit the transmission of pain impulses to the brain. Weight loss in neonates occurs due to the process of adapting to life in the world. Based on the continuous care provided, it can be concluded that effective yoga and massage interventions can help reduce the intensity of pain in pregnant women.