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According to World Health Organization data in 2015, maternal deaths were 216 per 100,000 live births due to complications during pregnancy and childbirth. While in developing countries the maternal mortality rate jumped 20 times higher than in developed countries, reaching 239 per 100,000 live births. Keywords: Husband's support, Mother's attitude, Infant immunization. The time of the study was April to July at the Negeri Lama Health Center in 2022. The sample in this study who were planning to give birth in the month (TTP) at the time of the study from May to June 2022 at the Negeri Lama Health Center were 15 pregnant women in the control group and 15 pregnant women in the intervention group. After the normality test was carried out and the results were normally distributed, a paired t-test could be carried out. The results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

One of the plants that can be used as a pain reliever is Nutmeg Leaves. One of the compounds contained in nutmeg leaves is phenolic compounds. These phenolic compounds play a role in the treatment and prevention of diseases including as antioxidants and are able to overcome health problems such as lower back pain. Purposes : to provide information about the benefits of boiled water from nutmeg leaves to overcome Low Back Pain (LBP) or lower back pain in the community in Boiyauw Village, Banda, Maluku. Method: by providing information through health education. The media used are leaflets, power point presentations, samples of boiled water from nutmeg leaves. Results: It is expected that there will be changes in participant behavior when positioning themselves at work and that they can utilize nutmeg leaves as a family medicinal plant to reduce or relieve lower back pain.

Background: Typically lasting six to eight weeks, the postpartum period is a time of recovery following childbirth. Afterpains are a type of discomfort that can be caused by uterine contractions during the involution process. Massage or other non-pharmacological treatment can be used to ease discomfort. Using specific techniques, massage can lessen or even eliminate pain. Methods: The cross-sectional design of the quantitative research design was used in this study. The objective was to compare how massage reduced postpartum pain in Cilacap City mothers before and after intervention. 30 postpartum mothers who were experiencing postpartum pain two hours later comprised the population. Saturation sampling was used for the sampling, and there were a total of 30 participants. The frequency distribution was used in univariate data analysis, while the paired-sample t-test was used in bivariate data analysis. For the pain scale, the paired-sample t-test analysis produced a t-value of 8.238. Results: As a result, the calculated t-value exceeded the critical t-value for a pain scale of 8.238 > 2.045, indicating acceptance of the alternative hypothesis (Ha) and rejection of the null hypothesis (Ho), indicating that massage is effective in reducing postpartum pain in women. Conclusion: massage has been shown to reduce postpartum pain in mothers.

Childbirth is a process of expelling the results of conception (fetus and placenta), which can live to the outside world, from the uterus through the birth canal or by other means. During labor, the uterus contracts and pushes the baby down to the cervix. This study aims to determine the Effect of Deep Back Massage on Reducing Pain in the First Stage of Active Labor at BPM Pera, Medan City in 2024. This type of research is Experimental research. A research design used to find a causal relationship with the involvement of research in manipulating the independent variables. The population is 20 mothers giving birth at BPM Pera, Medan City in 2025, namely 10 people in the Treatment Group and 10 people in the Control Group. The data analysis technique uses t-test analysis. The results obtained in this study are the results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

CV Cahaya Setia Mulia is a company engaged in the service and production of sports gloves. June-October 2024 production data, the demand for gloves increased significantly, from 3,850 pcs in May to more than 5,000 pcs, so tailor workers are expected to produce products quickly and do repetitive work for a long time. The chairs used by workers are plastic chairs without backrests. This research uses the Nordic Body Map questionnaire, Anthropometric method, and Quality Function Deployment (QFD) approach. Based on the results of the NBM questionnaire, the complaints felt by 16 workers were obtained, namely that the average worker had the highest complaints in low back pain with an average of 2.1 pain in the right shoulder, pain in the right thigh, pain in the right knee, pain in the right ankle, pain in the right foot with an average value of 1.9, pain in the left knee and pain in the bronze with an average value of 1.8. A QFD approach was applied to ensure the chair design met customer needs. As a result, four key attributes were identified: the chair has a backrest, foam on the backrest and seat, neutral color, and quality material from mahogany wood. Based on Anthropometric calculations from 5 tailor workers, the seat size for the seat width is 49.8 cm, seat height is 35 cm, seat length is 44.2 cm, seat back length is 60.9 and seat elbow base height is 26.9 cm. Sewing chair design using Autodesk Fusion software.

Lower back pain is a complaint that often occurs in pregnant women in the second and third trimesters. Back pain occurs due to changes in pregnancy hormones which increase levels of the hormone relaxin, this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause discomfort. Based on a preliminary study at the Sumarorong Community Health Center, it was found that the number of pregnant women in the second trimester was 72 and 70 in the third trimester in the working area of ​​the Sumarorong Community Health Center, Mamasa Regency. From this data, there were 22 (30%) pregnant women in the second trimester who experienced back pain, and there were 35 (30%) pregnant women in the second trimester. 50%) third trimester pregnant women experience back pain. Researchers are interested in conducting research on the factors that cause lower back pain in pregnant women in the second and third trimesters in the work area of ​​the Sumarorong Community Health Center, Mamasa Regency in 2024. The research method used is a cross-sectional study. Conducted at the Sumarorong Community Health Center, Mamasa Regency in July – August 2024. The population in this study was all 138 pregnant women in the second and third trimesters at the Sumarorong Community Health Center with a total sample of 57 pregnant women. The results of the study showed that there was a significant relationship between age, education, occupation and gestational age with back pain with each p value = 0.000.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs.  Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.

Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.

This study discusses the use of beluntas plants (Pluchea indica) as medicinal plants in Bojong Salam Village, Banyuresmi District, Garut. Ethnobotany investigates the interaction between people and plants, particularly in the context of traditional medicine. The people of Bojong Salam Village have long used beluntas plants as medicine to treat body odor, bad breath, back pain, and vaginal discharge. This study involved interviews with 30 respondents using a purposive sampling method. In data analysis, quantitative and qualitative approaches were used, including calculating the Use Value (UV) and Fidelity Level Index (FIC). The results showed that beluntas leaves had the highest UV value of around 0.5 and FIC of around 50% as a medicine for vaginal discharge, followed by other benefits as a medicine to eliminate body odor, bad breath and back pain. The results showed that beluntas is an important plant in traditional medicine used by the people of Bojong Salam Village.

Indonesia is a country where the majority of its population works as farmers. One of the occupational health risks that can affect farmers is low back pain. An initial study, based on health data from the Matesih Health Center, found that many farmers in the area under the Matesih Health Center's jurisdiction reported complaints of low back pain. Therefore, efforts need to be made to reduce the risk of low back pain. The Mulyo Farmers' Group is one of the farmer associations in Gugur Village, Matesih District. Socialization is one of the efforts that can be made to increase knowledge about low back pain among the Mulyo Farmers' Group. This research used a pre-experimental design with a one-group pretest-posttest design. The sample consisted of 48 members of the Mulyo Farmers' Group, selected using simple random sampling. The statistical test used was the Wilcoxon Signed-Rank Test. The research activities included a pre-test, socialization about low back pain, and a post-test. The results showed that there was a significant difference in the level of knowledge before and after the socialization about low back pain in the Mulyo Farmers' Group.

Background: Lower back pain is common in pregnant women, especially in the third trimester, due to physiological changes such as weight gain, shifts in the body’s center of gravity, and ligament relaxation. Prenatal exercise is a non-pharmacological method that improves flexibility, strengthens muscles, and enhances posture, reducing lower back pain. However, its implementation remains limited due to a lack of education and supporting facilities. Objective: This study evaluates the effect of prenatal exercise on lower back pain reduction in third-trimester pregnant women at the Independent Practice of Midwife Novia Br Karo, Sunggal District, Deli Serdang Regency. Method: A pre-experimental design with a one-group pretest-posttest approach was used. The study included 32 third-trimester pregnant women experiencing lower back pain. Prenatal exercise was provided, and pain levels were measured before and after using an observation sheet. Results: Before the intervention, most respondents (53.1%) reported moderate pain. After prenatal exercise, the majority (59.4%) experienced reduced pain in the mild category. The Wilcoxon test yielded a Z value of -3.122 with p = 0.002 (p < 0.05), indicating a significant effect of prenatal exercise in reducing lower back pain. Conclusion: Prenatal exercise effectively reduces lower back pain intensity in third-trimester pregnant women. It should be promoted as a non-pharmacological intervention for pregnancy-related back pain and incorporated into maternal health programs.

In 2023, pregnant women in the working area of Puskesmas Martapura Timur mostly experienced anxiety in the face of childbirth. A total of 10 pregnant women with more than 20 weeks of pregnancy experienced mild anxiety 30%, moderate anxiety 50% and severe anxiety 20%. All pregnant women experienced low back pain and never received material about prenatal yoga during pregnancy. This community service expects pregnant women to increase knowledge and skills about Antenatal Care and yoga exercises to reduce anxiety during pregnancy. The method used is health counseling along with the game Ibu Hamil Ceria (MILRIA) with a peer group approach through pregnant women's classes. This activity was carried out 3 times a meeting of each prenatal class, totaling 9 meetings. When measuring anxiety levels in Pekauman village and Melayu Tengah village, it was found that 13 (61.9%) pregnant women experienced mild anxiety and the knowledge of pregnant women was lacking regarding ANC as many as 15 (71.4%) out of 21 people. So that health counseling and yoga exercises are carried out to reduce anxiety and increase knowledge in pregnant women. The results showed a decrease in anxiety levels to 31.2% and the knowledge of pregnant women increased to 81.2%.

Low back pain (LBP) is a musculoskeletal disorder that is most often found in work activities (Anggraika et al., n.d.). The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia (Kemenkes RI) reports that the prevalence of Low Back Pain (LBP) in Indonesia is 18%. This figure is based on patient visits from several hospitals, and around 3-17% of all LBP complaints occur in Indonesia (Hasby et al., n.d.). This outreach aims to increase the knowledge of Dinoyo ceramic workers about low back pain. This outreach activity includes explanation of the definition, causes, signs and symptoms, prevention, and exercises for LBP. The method of physiotherapy activities used is providing health promotion outreach and physiotherapy exercises carried out independently regarding low back pain. From the results of observations and interviews, several workers complained of lower back pain. It is hoped that this outreach activity can increase workers' knowledge regarding low back pain. The hope is that all ceramic industry workers in Malang City will gain knowledge and prevention about low back pain.

Bamboo crafts are works of art that have many benefits, such as musical instruments and household utensils. One way to make bamboo crafts is by weaving. The largest craft industry in the city of Trenggalek is the bamboo weaving industry. There are many health problems and work accidents in bamboo weavers such as complaints of low back pain, CTS or work accidents such as cuts, stabs, etc. The purpose of this physiotherapy education is to increase the understanding and knowledge of bamboo weaving craftsmen in order to avoid or resolve problems with the health and safety of workers. This activity shows results, namely that bamboo weaving craftsmen can understand the material well after being evaluated with a pre-test and post-test.

The process of aging in the course of human life is a natural thing. A common problem experienced by elderly people related to physical health is that they are susceptible to various diseases, due to reduced body resistance in dealing with external influences. Low back pain or lower back pain is a feeling of discomfort that can cause various kinds of disorders that can cause health problems in human life. So it is important for people to understand about low back pain. Therefore, there is a need to increase knowledge and understanding at community health centers about low back pain, including signs of symptoms, prevention and treatment for the elderly at Posyandu, Kedungkandang Village. The method used is to provide physiotherapy education in the form of health promotion about low back pain to elderly posyandu participants using posters as an educational medium. Questions and answers to participants to measure effectiveness and provide independent training education. The activity ran smoothly and was easily understood by the elderly at the Posyandu, Kedungkandang Village and could increase participants' knowledge about cases of low back pain.

Nguter is one of the villages in Nguter Subdistrict, Sukoharjo Regency, Central Java. The geographical location of Nguter Subdistrict is at an altitude of 104 meters above sea level. One of the healthcare facilities in Nguter Village is the Nguter Community Health Center (Puskesmas). From January to July 2024, the number of low back pain cases treated at Nguter Community Health Center reached 285 people. This figure is considered quite hi gh, as it continues to show a significant increase each year. The goal of this program is to provide education on William Flexi Exercise for myogenic low back pain in the elderly, helping alleviate the complaints of lower back pain. The method used involves counseling sessions through lectures and leaflets for the Elderly Posyandu Community in RW 07, Nguter Subdistrict, Sukoharjo Regency, Central Java. The result of this community service program is that the elderly understood the material provided and are able to perform the exercises independently at home.

As cities in Indonesia continue to develop, there will inevitably be ignorance of the elderly's knowledge of their own health. For example, elderly people with working backgrounds are generally at risk of lower back pain, pinched nerves, complaining of various muscle tension problems and so on which can disrupt their daily activities. This problem is caused by incorrect positioning while working, such as frequently pushing, lifting, bending, sitting or standing for long periods of time and unergonomic body posture while working. Physiotherapy outreach activities related to increasing knowledge of daily activity disorders, efforts to educate the elderly regarding activity disorders, especially about definitions, signs of symptoms, causes, prevention, and daily activity activity therapy independently after work to reduce the symptoms suffered. This outreach activity uses leaflets as media, containing educational material for the elderly, then education and training depending on the location of the disorders the elderly complain of. The counseling activities at the Mobile Health Center Posyandu which are held every day by the Kendalsari Community Health Center, Malang City, went smoothly, the response was good, full of enthusiasm. The results obtained show the results of the pretest so that there is increased knowledge among workers which shows that workers have knowledge and insight regarding prevention and independent treatment after work. The results obtained showed that most of them were mild complaints, so that the majority of complaints involving disruption of daily activities were experienced by women, 68% of which were indicated by questionnaires for 25 elderly people at the Kendalsari Community Health Center and Posyandu for the Elderly in Malang City.