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During gravidity, back pain is a significant issue, especially due to changes in posture along with increasing physical load in the third trimester. Muscle relaxation and stretching exercises for pregnant women can help reduce back pain, one of which is the butterfly exercise. That study aims until determine the impact to the butterfly activity on gravidity in their third trimester at TPMB Amilia Intarti Klampisrejo, Pasuruan Regency. A quantitative method was used with a quasi-experimental approach employing a one-group pre-test also post-test design. The study involved 32 third-trimester gravidity as respondents. Data were collected using purposive sampling, before-and-after measurements, and assessed with the Numeric Rating Scale (NRS). The intervention be carried out over a period of four weeks. The findings show that the butterfly pregnancy exercise effectively reduces back pain in third-trimester gravid. Therefore, the butterfly exercise can serve as an alternative method to help alleviate back pain and enhance comfort during pregnancy.  

Sleep disturbances are a common problem during pregnancy, often resulting from physiological changes, hormonal fluctuations, and psychological stressors. Poor sleep quality in pregnant women can lead to fatigue, mood disorders, and adverse maternal and fetal outcomes. Mindfulness-based interventions, which emphasize present-moment awareness and non-judgmental acceptance, have been suggested as an effective strategy to improve sleep quality and reduce stress. This study aimed to analyze the effect of mindfulness on sleep quality among pregnant women in the Puskesmas Tosa catchment area. A quasi-experimental design with a pretest-posttest control group was employed. A total of 30 pregnant women in their second and third trimesters participated and were divided equally into intervention and control groups. The intervention group received weekly mindfulness sessions for four weeks, including guided breathing, body scan, and focused attention meditation, while the control group received routine antenatal care. Sleep quality was assessed before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics and paired and independent t-tests, with a significance level set at p<0.05. Results indicated that the intervention group experienced a significant improvement in sleep quality, with mean PSQI scores decreasing from 9.80 ± 2.10 to 5.60 ± 1.90 (p<0.001). In contrast, the control group showed no significant change (pretest 9.53 ± 2.30; posttest 9.27 ± 2.25; p=0.395). These findings demonstrate that mindfulness effectively reduces sleep disturbances among pregnant women by addressing both psychological and physiological contributors to insomnia. In conclusion, integrating mindfulness practices into routine antenatal care is a practical, low-risk, and non-pharmacological approach to enhancing maternal sleep quality, reducing stress, and promoting overall well-being during pregnancy. This study provides evidence to support the inclusion of complementary mind-body interventions in primary health care services.

Data from the World Health Organization (WHO) in 2020 shows that around 8-10% experi- ence anxiety during pregnancy and this increases to 13% when delivery ap- proaches. Midwives have a big role in overcoming this problem, one of which is by lavender aromatherapy and audio hypnosis. Research objective: to determine of giving lavender aromatherapy and audiohypnosis to reduce anxiety facing child- birth in third trimester pregnant women. Researchmethodology: Search for jour- nals using a database via Google Schoolar and Pubmed with keywords, then 10 journals were found that met the inclusion and exclusion criteria which were then reviewed. The research results from each journal show that the intervention of providing lavender aromatherapy and audio hypnosis has an effect on reducing anxiety facing childbirth in third trimester pregnant women. Conclusion: The intervention of providing lavender aromatherapy and audio hypnosis has an effect on reducing anxiety facing childbirth in third trimester pregnant women. Suggestion:Pregnant women who receive of lavender aromatherapy and audio hypnosis inter- vention are expected to be able to carry out the intervention correctly so that they can overcome stress and tension during pregnancy.

Pain is a prevalent issue frequently seen by pregnant women in their third trimester, attributable to physiological, biomechanical, and psychological alterations during gestation. Non-pharmacological pain management is essential as a secure alternative to enhance the comfort of pregnant women. Perinatal Yoga and Relaxation Techniques are two commonly endorsed non-pharmacological therapies; yet, comparative analyses of their efficacy remain scarce, particularly within primary health care settings. This study is to evaluate the efficacy of Perinatal Yoga against Relaxation Techniques in alleviating pain among pregnant women in their third trimester at the Bongo II Community Health Centre. The research employed a quasi-experimental design with a two-group pretest-posttest methodology. The sample comprised 38 pregnant women in their third trimester, categorized into two groups: 19 participants in the Perinatal Yoga group and 19 participants in the Relaxation Techniques group. The Numeric Rating Scale (NRS) was utilized to assess pain severity prior to and following the intervention. A paired t-test was utilized for intra-group differences, whereas an independent t-test was employed to assess inter-group efficacy.The findings indicated that both Perinatal Yoga and Relaxation Techniques markedly diminished pain intensity in pregnant women throughout their third trimester (p<0.001). The decrease in pain in the Perinatal Yoga group was statistically significant compared to the Relaxation Technique group (p<0.05). This study concludes that Perinatal Yoga is superior than Relaxation Techniques in alleviating pain in pregnant women during their third trimester. Perinatal Yoga is indicated as an effective and practical non-pharmacological technique in antenatal treatment inside primary health facilities.

Low back pain is one of the most common musculoskeletal complaints experienced by pregnant women, particularly during the third trimester, due to biomechanical, postural, and hormonal changes during pregnancy. This condition may interfere with daily activities, sleep quality, and overall maternal comfort. One safe and potentially effective non-pharmacological approach to manage this complaint is prenatal yoga. This study aimed to analyze the effect of prenatal yoga on the intensity of low back pain in third-trimester pregnant women at UPT Puskesmas Mampuak. This study employed a quasi-experimental design using a one-group pretest–posttest approach. The sample consisted of 30 third-trimester pregnant women selected through purposive sampling. The prenatal yoga intervention was delivered in a structured manner, including stretching exercises, breathing techniques, and relaxation adapted to pregnancy conditions. Low back pain intensity was measured before and after the intervention using a standardized pain scale. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a reduction in low back pain intensity following the prenatal yoga intervention. The Wilcoxon test demonstrated a statistically significant difference between pain intensity before and after the intervention, with a p-value of 0.000 (p < 0.05). Descriptively, there was a decrease in the proportion of participants experiencing severe pain and an increase in those reporting moderate and mild pain. In conclusion, prenatal yoga has a significant effect on reducing the intensity of low back pain in third-trimester pregnant women. Prenatal yoga can be recommended as a safe, effective, and applicable non-pharmacological intervention to support antenatal care services at the primary healthcare level.

Sleep disorders are a common complaint among pregnant women, especially in the third trimester, and have the potential to negatively impact maternal well-being and pregnancy outcomes. Physiological, hormonal, and psychological changes during pregnancy increase the risk of decreased sleep quality, while pharmacological therapy options are limited due to safety considerations. Therefore, safe and easy-to-apply non-pharmacological interventions are needed. This study aimed to analyze the effectiveness of lavender aromatherapy in overcoming sleep disorders in third trimester pregnant women at the Bongo Nol Community Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 third trimester pregnant women selected purposively. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the administration of lavender aromatherapy through inhalation for seven consecutive days. Data analysis was performed using the Wilcoxon signed-rank test. The results showed a significant decrease in PSQI scores after the intervention, indicating an improvement in sleep quality among the respondents. Lavender aromatherapy proved to be effective as a non-pharmacological intervention in reducing sleep disturbances in pregnant women in their third trimester. In conclusion, lavender aromatherapy can be considered a safe, simple, and applicable complementary therapy to improve the sleep quality of pregnant women in primary health care.

Antenatal Care (ANC) is a health service provided to pregnant women during pregnancy by healthcare professionals in accordance with established standards, one of which is the implementation of the 10T ANC service components. The quality of ANC services plays an important role in determining pregnant women’s satisfaction, which in turn affects their compliance with antenatal visits and the effectiveness of pregnancy monitoring. Maternal satisfaction is an essential indicator for assessing the quality of healthcare services at primary healthcare facilities. This study aimed to examine the relationship between 10T Antenatal Care services and pregnant women’s satisfaction at Biru-Biru Public Health Center in 2025. This research employed a quantitative method with an analytical design using a cross-sectional approach. The sample was selected through purposive sampling, involving 48 third-trimester pregnant women. Data were collected using questionnaires that assessed the implementation of 10T ANC services and the level of maternal satisfaction. The collected data were analyzed statistically to determine the relationship between the variables. The findings of this study are expected to provide insights into the importance of optimal implementation of 10T ANC standards. Therefore, healthcare providers, particularly midwives, are encouraged to continuously improve the quality of ANC services to enhance pregnant women’s satisfaction and support efforts to improve maternal and child health outcomes.

Lower back pain is one of the most common discomforts experienced by third-trimester pregnant women due to increased uterine size, postural changes, and musculoskeletal strain. Complementary therapies such as effleurage massage offer a non-pharmacological, safe, and easily applicable technique to reduce pregnancy-related pain. This study aimed to examine the effect of effleurage massage on reducing lower back pain among third-trimester pregnant women at TPMB Lina Contesa. This research employed a quasi-experimental one-group pretest–posttest design. The study was conducted from October to November 2025 involving 32 third-trimester pregnant women selected through purposive sampling. Pain intensity was measured before and after the intervention using the Visual Analog Scale (VAS). Effleurage massage was administered for 15–20 minutes on the lower back region following standard midwifery procedures. Data were analyzed using the Wilcoxon test. The findings showed a significant reduction in lower back pain intensity after the intervention (p < 0.001). The proportion of respondents in the moderate-pain category decreased from 65.6% to 21.9%, while those in the mild-pain category increased from 34.4% to 78.1%. The mean VAS score dropped from 5.81 ± 1.12 before intervention to 2.47 ± 1.03 after effleurage massage. Effleurage massage is effective in reducing lower back pain among third-trimester pregnant women and can be recommended as a complementary therapy in midwifery care to improve maternal comfort.

Low back pain is a common complaint among pregnant women in the second and third trimesters due to biomechanical and hormonal changes. Non-pharmacological interventions like prenatal exercise are believed to be effective, though evidence from controlled trials is limited. This study aimed to evaluate the effectiveness of prenatal exercise in reducing low back pain intensity. A quasi-experimental pretest–posttest control group design was used with 30 pregnant women (15 in the intervention group, 15 in the control group), selected by purposive sampling. The inclusion criteria were gestational age of 20–36 weeks, no medical contraindications, and willingness to participate. The intervention group performed prenatal exercises twice a week for 8 weeks (45 minutes per session), while the control group received health education without physical exercise. Pain intensity was measured using the Visual Analogue Scale (VAS). Data analysis was conducted using paired t-test, independent t-test/Mann–Whitney, and ANCOVA to control for age, parity, and BMI. Both groups had homogeneous baseline characteristics (p > 0.05). The intervention group’s pain score decreased from 6.9 ± 1.1 to 3.6 ± 1.0 (Δ = -3.3; p < 0.001), while the control group’s pain score decreased from 6.8 ± 1.2 to 6.3 ± 1.1 (Δ = -0.5; p = 0.09). The difference in pain reduction between groups was significant (p < 0.001). ANCOVA confirmed that prenatal exercise was significantly effective after adjusting for confounders (β = -2.8; p < 0.001). Prenatal exercise is an effective, safe, and affordable intervention for reducing low back pain in pregnant women.

Overview: Back pain during pregnancy is a common problem experienced by approximately 50–70% of pregnant women. Back pain during pregnancy is caused by an imbalance between the muscle activity in the lumbar region. Several maternal factors are known to play a role in the onset of back pain during pregnancy, including maternal age, body mass index (BMI), number of pregnancies (gravida), and physical activity. Research Method: This is a quantitative analytical study with a cross-sectional approach. The sample size was 33 pregnant women in their third trimester. The sampling technique used purposive sampling, and data analysis used the Chi-square test. Research Results: There was a relationship between BMI and back pain (p-value: 0.015), and there was no relationship between maternal age (p-value: 0.715), gravida (p-value: 0.442), and physical activity (p-value: 0.156) and back pain in pregnant women in their third trimester. Conclusion: There was a significant relationship between BMI and back pain in pregnant women in their third trimester, and there was no significant relationship between maternal age, gravida, and physical activity and back pain in pregnant women in their third trimester.

The birth facilities and birth attendants are directly linked to maternal mortality. It has been demonstrated that births attended by healthcare professionals help lower the risk of maternal mortality. Traditional birth attendants and non-health personnel have a very restricted understanding of physiology and pathology, which leads to issues with delivery help, which are the primary reasons for high rates of maternal and perinatal mortality and morbidity. The significance of family support for selecting a birth attendant. At the Benao Community Health Center, this research sought to determine the link between husband support and the choice of birthplace among pregnant women in their third trimester. This study employed a descriptive analytical design with a cross-sectional methodology, which is a study to establish the existence of two relationships or a number of variables. In the meantime, the sampling method employed complete sampling, which resulted in a sample size of 30 individuals. In this study, a questionnaire was employed as the instrument. The data was then analyzed with SPSS using Chi Square analysis. After using the chi-square statistical test, a P-value (asymp. Sig 2-tailed) of 0.000 < 0.05 was found, indicating a correlation between the location of delivery chosen by pregnant women in their third trimester and the support of their spouses. As a result, since H0 was disproved and H1 was proven, it may be inferred that there is a link between a pregnant woman's choice of delivery location in her third trimester and the support she receives from her spouse.

Background: Anemia in pregnancy increases the risk of maternal and fetal morbidity and mortality, with a higher incidence in the third trimester. Although Fe tablets serve as the main therapy, non-pharmacological alternatives such as beetroot and lemon juice also have the potential to raise hemoglobin levels. Objective: To determine the effect of consuming beetroot-lemon juice combined with Fe tablets on hemoglobin levels in third-trimester pregnant women in Semarang. Method: This study applied a quasi-experimental design with a two-group pre-test post-test approach, allowing the measurement of hemoglobin level changes before and after the intervention. The study population consisted of all pregnant women in their third trimester, with gestational ages between 32 and 38 weeks, registered at two community health centers: PMB Puji Widiastuti, Amd.Keb, with 16 anemic respondents, and PMB Ika Febri Setyaning Astuti, Str.Keb, with 15 anemic respondents. A total of 31 respondents were obtained using total sampling. Data collection was conducted through observation sheets, and analysis was performed using the Mann Whitney statistical test. Results: The intervention group, which consumed beetroot and lemon juice along with Fe tablets, achieved a Mean Rank of 13.41, whereas the control group recorded a Mean Rank of 18.77, with an effectiveness difference of 5.36. Statistical analysis yielded a p-value of 0.048, indicating a significant difference between the groups. In conclusion, the combination of beetroot and lemon juice with Fe tablets effectively increased hemoglobin levels among third-trimester pregnant women with anemia. This finding suggests that such combination therapy can serve as a valuable alternative in the management of anemia during pregnancy.

The third trimester of pregnancy is a phase prone to anxiety due to physical and psychological changes and preparation for childbirth. Knowledge of pregnant women plays an important role in shaping mental readiness and reducing anxiety. This study aims to determine the relationship between knowledge levels and anxiety levels of pregnant women in the third trimester. The study used a quantitative correlational approach with 24 respondents selected through accidental sampling technique at Jatirogo Community Health Center, Central Kalimantan. Data were collected using a closed questionnaire and analyzed univariately and bivariately using the Chi-Square test. The results showed that 41.7 % of respondents had good knowledge and 66.7% did not experience anxiety. The Chi-Square test produced a significance value of p = 0.018, indicating a significant relationship between knowledge levels and anxiety of pregnant women. In conclusion, the higher the level of knowledge, the lower the anxiety experienced by pregnant women in the third trimester.

In order to guarantee the best possible maternal health and fetal growth throughout pregnancy, complementary services for expectant mothers are required. These services include nutrition, mental health, and supplementary medical treatment. According to data, 70% of pregnant women have low back discomfort. According to a different poll, eight out of ten third-trimester pregnant women report having back pain. Doing Childpose (Balasana) exercises is one more way to lessen this problem. This study sought to ascertain if Childpose (Balasana) exercises were beneficial in lowering low back pain complaints among pregnant women in their third trimester at the South Bolango City Health Center. This study employed a quasi-experimental pretest-posttest approach with a sample of 34 pregnant women in the third trimester. There were twenty participants in the study's sample. Childpose or balasana exercises are beneficial in relieving back discomfort in third trimester pregnant women at the South Bolango Health Center, according to the data, which indicated a P-value of 0.000 <0.05.

Edema is a common physiological complaint experienced by pregnant women, particularly during the third trimester, which may affect maternal comfort and daily activities. Prenatal exercise is considered a safe, non-pharmacological intervention that can improve maternal circulation and reduce fluid retention. This study aimed to analyze the relationship between the frequency of prenatal exercise and the incidence of edema in third trimester pregnant women in the working area of Benoa Public Health Center. A cross-sectional analytical design was employed, involving 30 pregnant women selected using purposive sampling. Data were collected through structured questionnaires and physical examination to assess the presence of edema, while the frequency of prenatal exercise was categorized into regular (≥3 sessions per week) and irregular (<3 sessions per week). Descriptive statistics summarized participant characteristics, and the Chi-square test was used to evaluate the association between prenatal exercise frequency and edema, with a significance level of p < 0.05. The results indicated that 26.7% of women who exercised regularly experienced edema, compared to 66.7% of those who exercised irregularly. Statistical analysis confirmed a significant relationship between exercise frequency and edema occurrence (χ² = 5.33, p = 0.021). These findings suggest that consistent participation in prenatal exercise is associated with a lower incidence of edema among third trimester pregnant women. Integrating structured exercise programs into routine antenatal care is recommended to enhance maternal well-being, prevent pregnancy-related discomforts, and support overall health during late pregnancy.

Maternal mental health is an important aspect during pregnancy and postpartum, which has a significant impact on both mother and baby. There are various psychological problem that may occur during pregnancy and the postpartum stage due to the physical and psychological changes that occur. In addition, a woman also adapt as her new role as s new parent. The purpose of this community service is an effort to increase the knowledge of pregnant and postpartum woman to minimize the occurrence of mental health disorders. This community activity method with socialization on mental health education for pregnant women and postpartum was held on May 15, 2023, at the Melati Posyandu Gunungjati Village, this program is aimed at pregnant women in first and third trimesters, the number of participants who attended was 16 people. Assessment of mother’s knowledge about mental health with pre-test and post-test. The result of socialization were analyzed by approaching descriptively, proving that with the educational provisions that have been provided, new knowledge can be added.

Maternal mental health is an important aspect during pregnancy and postpartum, which has a significant impact on both mother and baby. There are various psychological problem that may occur during pregnancy and the postpartum stage due to the physical and psychological changes that occur. In addition, a woman also adapt as her new role as s new parent. The purpose of this community service is an effort to increase the knowledge of pregnant and postpartum woman to minimize the occurrence of mental health disorders. This community activity method with socialization on mental health education for pregnant women and postpartum was held on May 15, 2023, at the Melati Posyandu Gunungjati Village, this program is aimed at pregnant women in first and third trimesters, the number of participants who attended was 16 people. Assessment of mother’s knowledge about mental health with pre-test and post-test. The result of socialization were analyzed by approaching descriptively, proving that with the educational provisions that have been provided, new knowledge can be added.

Pregnancy is frequently associated with discomforts such as back pain, edema, and postural changes that may interfere with daily activities. Approximately 50–70% of pregnant women experience back pain due to hormonal changes and increased body weight. The use of a Birth Ball is considered one of the non-pharmacological alternatives to alleviate these complaints, as it improves pelvic muscle flexibility and supports postural correction. Proper education is essential to ensure appropriate and effective utilization. This study aimed to evaluate the effectiveness of education using lecture and demonstration methods on the understanding of Birth Ball use among pregnant women. A pre-experimental design with a one-group pre-test post-test approach was applied. The sample consisted of 28 third-trimester pregnant women selected through purposive sampling. Findings revealed that the respondents’ understanding prior to education was 0%, which significantly increased to 96.43% following the intervention. Statistical analysis using the Wilcoxon Signed Rank Test yielded Z = -4.873 with p < 0.05, indicating a significant difference between pre- and post-education. It can be concluded that education delivered through lecture and demonstration methods is effective in enhancing pregnant women’s understanding of Birth Ball use.

Background: Colostrum is the first natural food for newborns, containing essential nutrients and antibodies that protect against infection. Health education for pregnant women in their third trimester is crucial to enhance their knowledge and practices regarding colostrum provision. Despite the global decline in neonatal mortality, the rate remains high, partly due to limited access and low quality of neonatal care. In Indonesia, particularly in Semarang, although exclusive breastfeeding coverage has improved, many mothers still lack understanding of colostrum’s importance and remain influenced by misconceptions. Preliminary studies revealed insufficient knowledge among pregnant women about colostrum. Method: This study applied a quasi-experimental method with a pretest-posttest design and a control group. The intervention group received health education, while the control group did not. Results: Before intervention, most respondents in both groups had poor knowledge. After the intervention, knowledge in the intervention group increased significantly, with 88.8% reaching a good category, while the control group showed no significant change. Furthermore, 94.4% of mothers in the intervention group gave colostrum, compared with only 33.3% in the control group. Conclusion: Health education is an effective strategy to increase maternal knowledge and encourage colostrum practice, dispelling myths and promoting better neonatal outcomes.

Back discomfort is a common musculoskeletal complaint among pregnant women, particularly in the third trimester, caused by biomechanical and physiological changes during pregnancy. This condition can interfere with daily activities, reduce sleep quality, and decrease overall comfort. Pharmacological treatments during pregnancy are limited due to safety concerns, making non-pharmacological therapies essential in primary healthcare. One alternative is the use of warm ginger compresses, which combine the benefits of heat therapy with the anti-inflammatory properties of ginger. This study aimed to examine the effect of warm ginger compresses on reducing back pain intensity in third-trimester pregnant women at the Jailolo Community Health Centre. The research used a pre-experimental one-group pretest–posttest design. The sample consisted of 16 pregnant women selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The treatment involved applying warm ginger compresses to the lower back following a standardized procedure. Data analysis was conducted using univariate and bivariate methods with the Wilcoxon signed-rank test. The results showed a significant reduction in back pain intensity after the intervention (p < 0.05). These findings indicate that warm ginger compresses are an effective, safe, and simple non-pharmacological method for reducing back pain in third-trimester pregnant women.