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Labor pain is a physiological response that occurs due to an increase in catecholamines that interfere with uterine contractions. Labor pain can be overcome with various alternatives. However, the lack of health promotion related to pain relief strategies causes the majority of pregnant women to lack information literacy on how to deal with pain relief during childbirth. This community service activity was carried out in conjunction with the KKN midwifery undergraduate students at STIKes Mitra Husada Medan in Desa Bangun Rejo, Tanjung Morawa District. The main activity program is to provide education to pregnant women who will give birth with counseling about pain relief strategies during childbirth. This community service method adopts action research steps. Evaluating the program using a questionnaire. The results of the community service which was attended by 10 third trimester pregnant women, it turned out that this activity received a good and positive response from pregnant women. Furthermore, the results of the evaluation of this counseling were obtained, 60% of pregnant women could understand and explain the definition of pain relief strategies and the goals of pain relief strategies, 70% of pregnant women could understand and explain the handling of pain relief strategies. It is hoped that village midwives can also provide health education to birth attendants about pain relief strategies that can be implemented.  

Back pain during pregnancy peaks at week 24 to week 28, when abdominal enlargement reaches its maximum. Pregnancy and childbirth are natural processes that can cause pain. However, many women feel the pain more severely than they should because they are affected by panic and stress. This is known as the fear-tension-pain concept, where fear triggers tension or panic which causes muscles to stiffen and ultimately increases pain. Overcoming this discomfort requires non-conventional therapy, one of which is pregnant gymnastics. Based on this, the community service team conducted the implementation of pregnant exercises for third-trimester pregnant women with the aim that pregnant women can do pregnant exercises independently at home and reduce complaints of back pain they experience. This training method is carried out using lectures and demonstrations of pregnant exercises. Implementation was carried out 1x / once a week for 1 month at Puskesmas Lembang Lego Village, Lembang Kec. Lembang, Polman Regency in January 2021 which 20 pregnant women attended. The care method used is qualitative with case research (CSR) by collecting pre- test and post-test data with pain scale observation using Numeric Rating Scale (NRS) measurement. Physical training of pregnant women to prepare for their labor through pregnancy exercises is considered effective as a preventive measure for pregnant women in preparing for their labor. It can reduce the intensity of back pain in Trimester III pregnancy.