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Background: Comprehensive midwifery care is essential for early detection of complications and reducing maternal and infant mortality rates. In Sleman Regency, despite high access to health services, continuous monitoring remains crucial for ensuring maternal and fetal safety. Objective: To provide comprehensive midwifery care for Mrs. M at Klinik Pratama Shaqi, Sleman, from the third trimester of pregnancy through the postpartum and neonatal periods. Methods: This is a descriptive qualitative study using a case study approach based on Varney's seven-step midwifery management and SOAP documentation. Findings: During pregnancy (37 weeks 6 days), the mother experienced physiological complaints of back pain and shortness of breath, managed through posture education and pregnancy exercises. Labor proceeded normally and spontaneously on October 6, 2024, utilizing "gentle birth" practices such as endorphin massage to reduce pain. A second-degree perineal tear occurred and was treated according to procedure. The baby was born healthy, weighing 3100 grams, with successful Early Initiation of Breastfeeding (EIB). During the postpartum and neonatal periods, uterine involution was normal, breast milk production was adequate, and the infant's growth met standards with no danger signs. Implications: Continuous assistance improves the mother's physical and psychological readiness and ensures a healthy neonatal transition.

Low back pain is one of the most common complaints experienced by pregnant women, particularly in the third trimester, as a result of various physiological, hormonal, and biomechanical changes that occur during pregnancy. Changes in posture, weight gain, and shifts in the center of gravity contribute to the development of this condition. This study aims to examine various non-pharmacological interventions that can be used to reduce low back pain in pregnant women and to analyze the role of midwives in implementing these interventions in midwifery practice. The method employed is a narrative literature review synthesizing ten verified and relevant studies, particularly those discussing prenatal yoga and pregnancy exercise as forms of non-pharmacological intervention. The results indicate that the implementation of prenatal yoga and pregnancy exercise is effective in reducing the intensity of low back pain, improving muscle flexibility and strength, and providing physical and psychological relaxation for pregnant women. In addition, these interventions contribute to increased comfort and improved quality of life during pregnancy. The findings of this study support the importance of evidence-based midwifery practice and highlight the active role of midwives in providing education, assistance, and empowerment for pregnant women through the application of safe and effective non-pharmacological interventions.

Significant physical and psychological changes occur throughout pregnancy, especially in the third trimester (weeks 27–40).  Lower back pain, frequently caused by poor posture, changes in the curvature of the spine, and increasing body weight that shifts the center of gravity forward, is a common issue during this time.  Between 30% and 78% of pregnant women report experiencing lower back discomfort.  Maintaining physical health, endurance, and mental preparedness for childbirth are key objectives of prenatal exercise.  This study aimed to examine the effect of pregnancy exercise on lower back discomfort in third-trimester pregnant women at the Likupang Community Health Center.  The study used a one-group pretest-posttest design and was pre-experimental in nature, with the Likupang Community Health Center serving as the research site.  Fifteen pregnant women from the Likupang Community Health Center were chosen as the study sample.  The results indicated that pregnancy exercise had a significant impact on reducing back pain (p-value 0. 000), showing a clear effect between pregnancy exercise and the reduction of lower back pain (p-value 0. 000), as confirmed by the bivariate statistical test.  The findings suggest that pregnancy exercise can effectively alleviate lower back discomfort in third-trimester pregnant women.

Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga.The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test.The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.

Lower back pain in pregnant women is caused by hormonal changes that loosen joints in the back of the pelvis, a lack of muscle in the abdomen, and reduced blood flow. Prenatal exercise in conjunction with citrus aromatherapy is a non-pharmacological treatment option for pregnant women to alleviate back pain. Objective: This research determined whether providing pregnancy exercises combined with citrus aromatherapy at Indri Sujarwo Midwifery Clinician Demak could relieve back pain in pregnant women. Method: This quantitative research applied a quasi-experimental design, utilizing a pretest and posttest framework. This study involved 44 respondents, who were pregnant women in their second and third trimesters and collected data through purposive sampling. The observation sheet and the NRS checklist served as the measuring instruments. Results: This study showed a p-value of 0.000 (<0.05). The study's findings denied Ho and accepted Ha, indicating the capability of pregnancy exercise and citrus aromatherapy to relieve back pain in pregnant women in their second and third trimesters. Conclusion: Pregnancy exercise, combined with citrus aromatherapy, has effects, four times higher, on relieving back pain for pregnant women, making this combination a viable alternative for pregnant women experiencing lower back painleaves (Piper ornatum) against vaginal discharge.

Pregnancy exercise is an effort to improve the health of mothers and babies during pregnancy. Maternal participation in pregnancy exercise in Indonesia is still low, including in Medan  City, of 168 pregnant women, 140 of them did not take part in pregnancy exercise. Survey results at the Medan Johor Community Health Center showed that pregnant women did not participate in pregnancy exercise due to lack of knowledge and lack of motivation (60%). The aim of this research is to identify factors that influence the implementation of pregnancy exercise in the Medan Johor Community Health Center Work Area, Medan City in 2024. This type of research is an analytical survey using an approach cross-sectional. The population of this study was all 135 pregnant women aged 22 weeks and over. The sampling technique uses the method proportional samplingas many as 101 people. Data analysis uses univariate and bivariate analysis with tests chi square and multivariate with logistic regression. The results of research using logistic regression are known valuesp-value Logistic regression of educational variables 0.808>0.05, knowledge 0.021<0.05, family support 0.000<0.05 and motivation 0.000<0.05. It is recommended that pregnant women actively participate in outreach programs to increase their knowledge and carry out pregnancy checks and participate in pregnancy exercises.  

According to WHO, the incidence of prolonged labor in the world is currently estimated to occur at 17% of total births. The Indonesian Demographic and Health Survey or abbreviated (SDKI) by the National Population and Family Planning Agency reported that the majority of birth complications are long labor (30%) to facilitate the normal birth process, so pregnancy exercises are carried out to reduce the occurrence of long labor. The aim of this study was to determine the relationship between pregnancy exercise and parity with the length of labor in the first stage of labor in the active phase of women giving birth at Karya Medika 1 Hospital, West Cikarang, 2023. This type of research is quantitative analytical using a cross-sectional study design approach. Mothers giving birth at Karya Medika 1 Hospital, West Cikarang in the period January – August 2023. The population of women giving birth is 80 people. The instruments used in this research are primary data and secondary data. Data were analyzed using the chi-square test. The results show that the variables that are related to the length of labor in the first active phase of labor for women giving birth at Karya Medika 1 Hospital, West Cikarang 2023 are pregnancy exercise (p=0.002) with an OR of 10,000, and parity (p=0.039) with an OR of 0.255. The conclusion is that the variables studied (pregnancy exercise, and parity) are all related to the length of labor in the first active phase of labor in women giving birth at Karya Medika 1 Hospital, West Cikarang 2023.Researchers advise pregnant women to take care of their pregnancy and are advised to take part in a pregnancy exercise program so that the birth process runs normally. And, Karya Medika 1 Hospital Cikarang Barat is advised to continue the pregnancy exercise program in the future.  

Pregnancy exercises are beneficial for both mother and fetus. In mothers to reduce pain during childbirth and can strengthen the pelvic floor muscles and the mother's abdominal wall, improve blood circulation so as to accelerate the process of childbirth. This study aims to determine the relationship of factors that influence the motivation of mothers in the implementation of pregnant gymnastics in the Kuta Baro Community Health Center Working Area, Aceh Besar Regency. This study uses an analytic design that uses a cross sectional approach. The research population of all pregnant women in the Kuta Baro puskemas working area was 730 people, the research sample of pregnant women was 88 respondents. The sampling technique used in this research was Accidental Sampling. This research instrument uses a questionnaire sheet. The data collection was conducted on March 25 to April 19, 2023 in the Kuta Baro Community Health Center work area. The results showed that there was a significant relationship between the knowledge factor and the implementation of pregnant gymnastics value (p=0.000). There is a significant relationship between the attitude factor and the implementation of pregnant gymnastics value (p=0.000). There is significant relationship between the factor of husband's support with implementation of pregnant gymnastics value (p=0.019). Conclusion There is a relationship between the factors that influence mothers in the implementation of pregnant gymnastics in the Kuta Baro Community Health Center Working Area, Kuta Baro District, Aceh Besar. It is expected that respondents can maximize the factors that exist in following regular pregnancy exercises.

Pregnancy is a period in which a woman carries an embryo or fetus in her body. The period of pregnancy starts from conception to the birth of the fetus. During pregnancy, the mother will experience physical and psychological changes. The physical changes that occur sometimes even cause discomfort for the mother, one of which is back pain. This study aims to determine the effect of Pregnancy Exercise on Reducing Back Pain in Pregnant Women at Elisabeth Midwife Independent Practice, Mandailing Natal District in 2022. This type of research is a quasi-experimental study with a research approach with a prepost test design with one group test. Population is all pregnant women in the Elisabeth Midwife Independent Practice, Mandailing Natal District in 2022, totaling 28 pregnant women. The number of samples used was 28 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 28 respondents, there was an effect of pregnancy exercise on reducing back pain in pregnant women with a value of p = 0.000. Conclusion: there is an effect of pregnancy exercise on reducing back pain in pregnant women. It is recommended for health workers to improve counseling related to reducing back pain in pregnant women with pregnancy exercise.

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.