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Senam hamil merupakan aktivitas fisik yang memberikan manfaat signifikan bagi kesehatan ibu dan janin, seperti meningkatkan kebugaran, mengurangi nyeri punggung, serta membantu persiapan persalinan. Namun, partisipasi ibu hamil dalam senam hamil masih rendah, yang salah satunya disebabkan oleh keterbatasan pengetahuan tentang manfaat dan pelaksanaannya. Pendidikan kesehatan berbasis media digital, seperti e-book, menjadi alternatif edukasi yang efektif, mudah diakses, dan fleksibel untuk meningkatkan pengetahuan ibu hamil. Penelitian ini bertujuan menganalisis pengaruh health education menggunakan media digital e-book terhadap pengetahuan ibu hamil mengenai senam hamil. Penelitian ini menggunakan desain pre-eksperimental one-group pretest–posttest dengan sampel 40 ibu hamil trimester II dan III yang mengikuti Program Manajemen Bersalin (PMB) Ferawati Palembang. Data dikumpulkan melalui kuesioner pengetahuan sebelum dan setelah intervensi edukasi, kemudian dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan pengetahuan yang signifikan setelah pemberian edukasi dengan e-book, ditunjukkan oleh nilai p = 0,000 (p < 0,05). Temuan ini mengindikasikan bahwa pendidikan kesehatan berbasis e-book berpengaruh signifikan dalam meningkatkan pengetahuan ibu hamil tentang senam hamil. Oleh karena itu, penggunaan media digital dapat menjadi strategi efektif dalam upaya peningkatan kesehatan ibu hamil melalui edukasi yang mudah diakses dan berkelanjutan.

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.  

Background Low back pain is a common complaint experienced by pregnant women, with a prevalence reaching 50% in the UK and Scandinavia and 70% in Australia. In Indonesia, the number of pregnant women in 2020 was recorded at 5,298,285 people, with 114,392 of them in North Sumatra. Physiological changes in pregnancy such as uterine enlargement, shifting center of gravity, weight gain, and the influence of the hormone relaxin can cause ligament stretching and muscle spasms that trigger back pain. Although the coverage of antenatal visits (K1 and K4) in North Sumatra has reached the national target, many pregnant women still complain of back pain, mainly due to low participation in prenatal classes. One non-pharmacological intervention proven to be beneficial in reducing back pain is prenatal exercise. This study aimed to determine the effect of prenatal exercise on back pain in pregnant women at the Tiga Juhar Community Health Center, STM Hulu District, Deli Serdang Regency in 2023. Method: This study used a pre-experimental design with a One Group Pre-test and Post-test design without a control group. The study sample consisted of 32 pregnant women who met the inclusion criteria. Back pain intensity data were collected before and after the prenatal exercise intervention, then analyzed using the Wilcoxon Signed Rank Test. Results: Before prenatal exercise, the majority of respondents experienced moderate back pain (53.1%). After the intervention, the majority of respondents experienced mild pain (59.4%). The Wilcoxon test results showed a p-value of 0.002 (<0.05), indicating a significant difference between back pain intensity before and after prenatal exercise.Conclusion: Prenatal exercise has been shown to significantly reduce back pain in pregnant women. Therefore, prenatal exercise can be recommended as an effective non-pharmacological intervention to improve maternal comfort during pregnancy.

          During the second and third trimesters of pregnancy, as fetal development progresses, pregnant women often experience lower back pain. This condition not only causes discomfort but also affects daily activities and overall quality of life. One of the non-pharmacological approaches believed to reduce lower back pain is prenatal exercise. This study aims to evaluate the effect of pregnancy exercise on reducing lower back pain among pregnant women in the second and third trimesters. This research employed a quasi-experimental design with a pre-post test approach without a control group. The sample consisted of 28 pregnant women in their second and third trimesters who met the inclusion criteria and reported experiencing lower back pain. Pain levels were assessed before and after the intervention using a valid and reliable pain scale. Data were analyzed using appropriate statistical tests, particularly the paired sample t-test. The findings revealed that the mean pain score before the intervention was 3.32 with a standard deviation of 0.772. After the intervention, the mean pain score decreased to 2.25 with a standard deviation of 1.005. Results of the paired t-test indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in pain levels before and after pregnancy exercise. These results indicate that pregnancy exercise is effective in reducing lower back pain in women during the second and third trimesters of pregnancy. Therefore, prenatal exercise can be recommended as a safe, simple, and beneficial non-pharmacological intervention in midwifery care. It is expected that this study provides scientific evidence supporting the role of pregnancy exercise in improving maternal comfort and quality of life throughout pregnancy.

Pregnancy is a physiological process accompanied by significant physical and psychological changes in pregnant women. One of the most common complaints, particularly in the third trimester, is back pain and decreased physical fitness. Prenatal exercise is a non-pharmacological method proven effective in improving fitness, reducing discomfort, and preparing both physically and mentally for childbirth. This community service program aimed to enhance the knowledge and skills of pregnant women in Kedungjaya Village, Kedawung Sub-district, Cirebon Regency, through education and practical sessions on prenatal exercise. The method included a 60-minute educational session covering the definition, objectives, benefits, and precautions before performing prenatal exercise, followed by a 90-minute practical session guided by a qualified instructor. The results showed an increase in participants’ understanding of the benefits of prenatal exercise and their ability to implement it independently. This program is expected to improve maternal fitness, reduce physical complaints during pregnancy, and optimize physical and psychological readiness for labor.

Prenatal exercise is a program designed specifically for pregnant women, featuring movements tailored to their condition, aimed at reducing discomforts during pregnancy and preparing them both physically and mentally for childbirth. The lack of awareness among pregnant women regarding prenatal exercise is likely a contributing factor to their limited participation. This study aims to explore the level of knowledge pregnant women have about prenatal exercise at Alisah Clinic, Medan, during the period of March to May 2025. The research employed primary data collection using a total sampling technique, with questionnaires as the instrument, involving 30 pregnant women as subjects. Data analysis was conducted using frequency distribution in percentages. The results showed that the majority of respondents with knowledge about prenatal exercise were aged 20–35 years, accounting for 19 individuals (63.4%), while the minority were aged over 35 years, totaling 3 individuals (10%). Based on education level, most respondents had completed high school (14 individuals or 46.6%), and the fewest had completed elementary school (3 individuals or 10%). Regarding occupation, the majority were housewives (17 individuals or 26.6%), and the minority were private employees (3 individuals or 3.3%). It is recommended that Alisah Clinic, Medan, use this scientific paper as a reference and input for midwifery practice, particularly in providing health education to pregnant women. Future researchers are advised to conduct broader studies with more comprehensive methods and variables to improve and refine this research.  

Pregnancy is divided into three stages: the first trimester, second trimester, and third trimester. During pregnancy, the body undergoes various changes that can cause discomfort. Common discomforts experienced by pregnant women include varicose veins, back pain, muscle and joint aches, and lower back pain. These discomforts can be alleviated through pregnancy exercise (prenatal yoga or maternity gymnastics). The purpose of this study was to examine the relationship between pregnant women’s knowledge about the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center. The research design used was descriptive quantitative. The population consisted of 35 pregnant women in May 2025, with a total sampling technique. Data were collected using a questionnaire and analyzed using univariate analysis. The results showed that 36 respondents (50.0%) had moderate knowledge, 25 respondents (34.7%) had poor knowledge, and 11 respondents (15.3%) had good knowledge about pregnancy exercise. Overall, most pregnant women had a moderate level of knowledge. Based on the Spearman Rank statistical test with a 95% confidence level, the P-value was 0.000 (< 0.05), indicating a statistically significant relationship. The conclusion of this study is that there is a relationship between pregnant women's knowledge of the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center.

Survey results from 97% of pregnant women in Indonesia and Central Java related to sleep disturbances in 2016 show that pregnant women in the second and third trimesters often wake up at night, and in the second and third trimesters, pregnant women often experience sleep disturbances. An increase in the gestational age of the mother causes this. Based on the results of a preliminary study conducted in January 2023 by the researcher at BPM (Independent Practice Midwife) Indri Sujarwo Demak on ten pregnant women who filled out a questionnaire, it was found that seven pregnant women experienced poor sleep quality and three pregnant women experienced good sleep quality. This study aimed to determine the relationship between the frequency of pregnancy exercise and the sleep quality of pregnant women. This type of research was observational, using an analytic survey method. The design of this study used a cross-sectional approach. The population in this study was all pregnant women who participated in pregnancy exercises with 50 students. Retrieval of data using a total sampling technique. The instrument used is the sleep quality questionnaire (PSQI). The statistical test used was the Chi-Square test. The results of the study were that there was a p-value of 0.000, so that the p-value (0.000) < α (0.05), it can be concluded that there is a relationship between the frequency of pregnancy exercise and sleep quality with an R-value of 0.619, which means that the level of the relationship is strong. It is hoped that this research can practice and expand information for pregnant women about the importance of attending pregnancy exercise classes and applying it at home so that pregnant women sleep better and reduce discomfort during childbirth.

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery

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.

Introduction: Pregnancy exercise is physical exercise with certain movements carried out specifically to improve maternal health during pregnancy. Objective: Demonstrate pregnancy exercise movements in preparation for childbirth through demonstrations.   Method: Te method used in community service is in the from of a class for pregnant women in the from of a pregnancy exercise demostration.     Results: The results of the evalution carried out from 8 pregnant women praticipants, three were 20% of pregnant women with TM I as increasing their knowledge to face the next trimester, and the remaining 60% were TM III who had done pregnancy exercises well and enthusiastically. Discussion: Contains a description of the discussion of community service result, theoretical discussions relevant to the findings of community service result. Also discusses theoretical findings from the service process from the beginning until social change occurs. Conclusion: That pregnant women can pratice pregnancy exercises correctly and pay more attention to preparation for childbirth. Apart from that, pregnant women have also gained knowledge to face the next trimester.

Back pain is a disorder that is often encountered in pregnant women, this is caused by the shift of gravity towards the body's core towards the front. The aim of the research was to determine the relationship between pregnancy exercise and complaints of low back pain in pregnant women III at the Birem Bayuen Community Health Center. This research uses an experimental research design. The sample for this study was all pregnant women in the third trimester at the Birem Bayuem Community Health Center who were included. The results of this study were lower back discomfort in pregnant women before pregnancy activities, more than half of respondents reported low back pain on a scale of 3 (very painful). Most respondents reported reduced back pain, as many as 7 respondents reported no pain. This is lower back pain in pregnant women III after pregnancy exercise. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfort and reduce complaints during pregnancy, such as lower back pain in particular

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%.

Leg cramp pain, namely stiffness of the calf and leg muscles, occurs in the second and third trimesters. The impact of leg cramps is that the legs get tired quickly and tingling if left untreated, the veins can burst and cause blood clots. The solution to overcome the discomfort of leg cramps is by doing pregnancy exercises. Pregnancy exercise Muscle relaxation exercises for the health and fitness of pregnant women. This study aims to analyze the effectiveness of pregnancy exercise on leg cramp pain in pregnant women. This type of quantitative research uses a pre-experimental design using a one group pretest – posttest design approach. The total sample was 30 people according to the inclusion criteria, namely primigravida and multigravida pregnant women aged more than 13 weeks to 35 weeks, pregnant women who experienced leg cramps, pregnant women who were willing to be respondents. The research technique uses total sampling. The instrument used in the research was the Hayward pain scale. Pregnancy exercise is carried out 12 meetings per month (1 week 3 times) using the Pregnancy Exercise SOP to relieve leg cramp pain. Data analysis used the Wilcoxon test because the data was not normally distributed.  The results of the study showed that all respondents before being given pregnancy exercises experienced moderate pain (scale 4 - 6) and after doing pregnancy exercises it decreased to mild pain (scale 1 - 3). The results of the statistical output test of nonparametric statistical tests using the Wilcoxon test with SPSS for pain before and after the intervention obtained a p value <0.001, meaning that there is effectiveness of pregnancy exercise on leg cramp pain in pregnant women. Every pregnant woman who regularly does pregnancy exercises can reduce the pain of leg cramps and it is hoped that midwives can work together to increase education regarding leg cramp pain and the benefits of pregnancy exercises, so that pregnant women have the awareness to do pregnancy exercises.

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by considering and taking into account women's health status (MMR). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in pregnant women III at the Sidomulyo Banyuasin Community Health Center. The research population was pregnant women in the third trimester at the Sidomulyo Banyuasin Community Health Center with a total of 16 pregnant women. Univariate and bivariate data analysis.  The results of research show that pregnancy exercise has an effect on reducing lower back pain in pregnant women. This shows that 0.018 is smaller than 0.05. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfortable and reduce complaints during pregnancy, such as lower back pain, especially.

Latar Belakang : Indonesia termasuk ke dalam peringkat 10 besar dari 184 negara dengan angka kejadian prematur yang tinggi yaitu 15,5 kelahiran prematur per 100 kelahiran hidup dengan jumlah bayi prematur sebesar 675.700”, maka dari itu sangat penting menjaga kualitas tidur ibu selama hamil. Selain kelahiran prematur, kurang tidur atau gangguan tidur dapat juga meningkatkan tekanan darah.Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Senam Hamil terhadap Kualitas Tidur Ibu Hamil Trimester III di Puskesmas Panca Makmur.Metode: Desain penelitian yang digunakan adalah “One Group PreTest Post Test Design. Populasi penelitian ini adalah seluruh Ibu Hamil 2 bulan terakhir di Desa Panca Makmur yang berjumlah 64 orang.Berdasarkan hitungan sampel didapatkan 18, untuk mengantisipasi drop out maka ditambahkan jumlah responden 10%, dan Jumlah sampel dalam penelitian ini adalah 20 responden yang diambil menggunakan teknik non probability sampling yakni purposive sampling. Hasil penelitian ini dianalisis menggunakan uji Wilcoxon sign rank test Hasil: Nilai mean kualitas tidur sebelum diberikan intervensi adalah 5.15 dan mengalami perubahan nilai mean setelah diberikan intervensi menjadi 1.75. hasil analisis menggunakan uji Wilcoxon sign rank test diketahui nilai p value 0,000 <?=0,05 (C195%: 2,804-3,996). Kesimpulan: Hasil peneltiian ini dapat disimpulkan bahwa ada pengaruh senam hamil terhadap kualitas tidru ibu hamil timester III di Puskesmas Panca Makmur

Pregnancy is a continuous chain and starts from ovulation, release of ovum, migration of spermatozoa and ovum, conception process, nidation (implantation) of the endometrium, formation of the placenta and growth and development of the products of conception for approximately 280 days (40 weeks) and no more of 300 days (43 weeks). The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks). Lower back pain during pregnancy reaches its peak at week 24 until the time of delivery. Back pain is often made worse by backache or what is often called long-standing back pain. This backache was 45% of women when their pregnancy was recorded, they increased 69% at week 28 and almost remained at that level.Type of research conducted This research uses an experimental research plan. Experimental research is a research design used to look for causal relationships with the involvement of research in manipulating independent variables. This research uses a pre-experimental type of pre-post test design in one group (one group pre-post test design).The results of the tabulation research showed that the majority of respondents experienced lower back pain with a scale of 4 very painful, amounting to 17 respondents (53.1%). Lower back pain in pregnant women in the second and third trimesters before carrying out pregnancy exercise where 17 respondents experienced lower back pain on a scale of 4 (very painful) (53.1%), respondents with a scale of 3 (more painful) were 11 people (34 .4%) and respondents with a scale of 2 (slightly more painful) were 4 people (12.5%). Conclusion: Lower back pain in pregnant women in the second and third trimesters before carrying out pregnancy exercise, where respondents experienced lower back pain on a scale of 4 (very painful). There was an effect of reducing back pain before carrying out pregnancy exercise and after carrying out pregnancy exercise on reducing lower back pain in pregnant women. II and III trimesters.      

Pregnancy is a continuous chain and starts from ovulation, release of ovum, migration of spermatozoa and ovum, conception process, nidation (implantation) of the endometrium, formation of the placenta and growth and development of the products of conception for approximately 280 days (40 weeks) and no more of 300 days (43 weeks). The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks) (Rukiah & Yulianti, 2014). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in second trimester pregnant women at the Sonomartani District Health Center. Kualuh Hulu District. North Labuhanbatu in 2022”. Experimental type of research. Experimental research is a research design used to look for causal relationships with the involvement of research in manipulating independent variables (Nursalam, 2019). The sample in this study were all second and third trimester pregnant women at the Sonomartani District Health Center. Kualuh Hulu District. North Labuhanbatu in 2022 there will be 35 people. . The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square. The results of the tabulation research show a relationship between the duration of using injectable contraceptives for 3 months and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023 with a p-value = 0.049. So Ho is rejected and Ha is accepted, which means there is a relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023. Conclusion: Family planning acceptors can choose the right contraceptive method. Family planning acceptors can tell midwives or health workers about the various types of contraceptives before choosing the contraceptive method. Always monitor changes in side effects so that if there are complaints they can be addressed immediately.

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.