Exercise In Pregnancy Research Articles

THE EFFECT OF PREGNANCY EXERCISES ON REDUCING LOWER BACK PAIN IN III TRIMESTER PREGNANT WOMEN AT BUMI BARU PUSKESMAS

Pregnancy is a process that starts from the conception stage until the birth of the fetus, which lasts for 40 weeks starting from the first day of the last menstruation. When the fetus grows in the womb there will be changes that occur in the mother's body, these changes will cause discomfort such as back pain. This type of research is a quasi-experimental research with a prepost test design with one group test. The number of samples used was 28 pregnant women at Bumi Baru Community Health Centers obtained using the total sampling technique. The data analysis technique uses the Paired-T Test. The results obtained in this study were that before being given pregnancy exercise, 1 person (3.83%) experienced very severe pain, 8 (30.7%) had moderate pain, 7 (26.92%) had moderate pain and 10 people (38) had mild pain. .46%). After being given pregnancy exercises, no one experienced very severe or severe pain, moderate pain was reduced to 2 people (7.69%), mild pain to 14 people (53.84%) and no pain to 10 people (38.46%) , and there were 10 people (33.3%) who no longer felt pain. The average pain level obtained before pregnancy exercise was 5.69 and after pregnancy exercise was 2.23, resulting in a decrease of 3.46 and this decrease was significant with a p value of 0.000.

Sosialisasi dan Praktik Senam Hamil di Posyandu Desa Batursari Kecamatan Sirampog Sebagai Upaya Persiapan Persalinan

It is very important to carry out community service in the from of socialization or education, one of which is exercise during pregnency. This activity was carried out at posyandu desa batursari kecamatan sirampog Sub-dristrict in order to increase the knowledge of pregnant women, reduce discomfrom, and pregnency exercess can facilitate the birth process. The is in line with the government’s efforts to make the Maternal Health Program a success in the from of reducing maternal mortality. The aim of this activity is to increase knowledge for pregnant women as an effort to reduce the occurrence of complication during pregnancy, childbirth and the postpartum period thereby reducing maternal mortality. The results obtained in this activity were that there were 21 pregnant women who took part in the socialization about pregnancy exercise at < 22 weeks and > 22 weeks of gestation and were very enthusiastic about listening to the explanation about pregnancy exercise, while pregnant women demonstrated pregnancy exercise as a only 5 probands were aged > 22 weeks. Pregnant women practiced pregnancy exercise movemonts step by step and during the interview the mother felt directly the positive impact of pregnancy exercise movements. Based on the sicialization activities and practice of pregnancy exercise, it was well received by all pregnant women, proven to be very enthusiastic during the socialization unti the question and aanswer discussion took place and showed an enthusiastic attitude during practice.

PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG SENAM HAMILTAHUN 2022

Pregnant women are expected to have good health by knowing about pregnancy exercise (which is useful for facilitating the birthing process). Good quality of pregnant women's health will reduce maternal mortality. In the birth process there are three factors that cause prolonged labor, namely: energy, birth canal and fetus. One way to control problems such as energy problems is by doing pregnancy exercises. This type of research is descriptive analytical with a cross sectional study design. Sampling was carried out using total sampling, which is a sample determination technique when all members of the population are used as samples with a sample size of 40 people. The research period was April – September 2022. Data was collected from respondents using a questionnaire. The data analysis used was univariate (Frequency Distribution. The research results showed that there were 27 people (67.5%) pregnant women who had good knowledge about pregnancy exercise and there were 23 people (57.5%) pregnant women who had a positive attitude about pregnancy exercise. Conclusion: Description of knowledge and attitudes of pregnant women about pregnancy exercise, namely 67% and 57.5%. Suggestion: Health promotion at the Muliorejo Community Health Center, Deli Serdang Regency regarding pregnancy exercise is further improved with the hope that pregnant women will do pregnancy exercise at their respective homes so that the delivery was smooth.

The Effect of Pregnancy Exercise on Back Pain in Pregnant Women in the Second and Third Trimesters in the Independent Practicing Midwife Siti Mahmudah, Mendalanwangi Village, Wagir District, Malang Regency

During pregnancy, large changes occur in the body of a woman, one of which is a musculoskeletal change. These changes often cause pain in the lower back region, pregnancy exercise can reduce back pain experienced by pregnant women in pregnancy exercise because there is a movement to strengthen the abdominal muscles. This study aims to determine the effect of pregnancy exercise against back pain in pregnant women in the third trimester II and BPM Siti Mahmudah Village Mendalanwangi Wagir District of Malang. This study used an experimental design approach to One Group Pre-test - Post-test. The population in this study were pregnant women in second and third trimesters, corresponding inclusion criteria were 34 people. Sampling was conducted through purposive sampling method with a total sample of 29 pregnant women. Data were collected by using observation sheet. Data were analyzed by statistical test of Wilcoxon signed ranks test. When given a pregnancy exercise for 4 weeks decreased back pain in pregnant women trimester II and III where in 16 (55.2%) respondents who before pregnancy exercise experienced back pain, 14 (85.7%) of them did not experience back pain. The analysis showed a p-value of 0.0001 <0.05, which means that there is a significant effect of treatment on back pain during pregnancy exercise. So it is recommended for pregnant women to exercise during pregnancy as an alternative therapy for reducing pain at home independently and regularly.

Knowledge Attitude and Practice of Pregnant Women Towards Physical Exercise in Agege Local Government Area of Lagos State, Nigeria

Introduction: Pregnancy is a good time to develop a healthy lifestyle in pregnant women which includes physical exercise. The objective of this study was to assess the knowledge, attitude and practice of physical exercise among pregnant women in Agege local government area in Lagos state, Nigeria. Methodology: A cross-sectional survey method was used; 400 pregnant women were recruited into the study using convenience sampling technique. A structured and validated questionnaire was designed to assess knowledge, attitude and practice of pregnant women towards physical exercise was used to collect data. All the results were tested at 0.05 level of confidence. Results: The result showed that 36% of the pregnant women were between the age of 21-25 years and more than 35% were between 15-20 years, more than (71%) of the women have heard about physical exercise. Nevertheless, only 52% of the pregnant women engaged in physical exercise. Most (54.0%) of them actually prefer domestic activities over real physical exercise. The result suggests that women’s knowledge concerning physical exercise during pregnancy is reasonable and their attitude is positive; however, a large number do not practice physical exercise. Antenatal program may be tailored into introducing guided physical exercise and introduce pregnant women into guided models of fitting exercises for each trimester. Conclusion: Physical exercise in pregnancy is important to aid bodily movement produced by skeletal muscles that results in energy expenditure. Exercise is a subset of physical activity that is planned, structured, and repetitive and has as objective to improve or maintain physical fitness. Physical activity and exercise promote health and longevity, and minimal adherence to current physical activity guidelines is associated with a significant 20-30% reduction in risk of all-cause mortality. Pregnancy leads to a reduced level of physical activity for most women, the activity level is often further reduced throughout pregnancy, and the pre-pregnancy exercise level is usually not regained six months after childbirth

Hubungan Faktor-Faktor yang Mempengaruhi Motivasi Ibu dalam Pelaksanaan Senam Hamil di Wilayah Kerja Puskesmas Kuta Baro Kabupaten Aceh Besar

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.

Optimising Rehabilitation Strategies for Postpartum Elderly Gravida with In Vitro Fertilisation Conception

Optimising Rehabilitation Strategies for Postpartum Elderly Gravida with In Vitro Fertilisation Conception

SENAM HAMIL DALAM MENURUNKAN KELUHAN KRAM KAKI PADA IBU HAMIL TRIMESTER III

Cramps in pregnant women can occur due to a lack of blood circulation to the lower part of the body, which is usually obstructed due to increased body weight and pressure in the uterus. One solution to avoid leg cramps is to do pregnancy exercises. Pregnancy exercises can optimize physical balance, attitude and movement during pregnancy, reduce physical complaints such as back pain and muscle spasms. The purpose of this research is to provide midwifery care to pregnant women by doing pregnant exercises in reducing leg cramps in third trimester pregnant women. This research was conducted using case study methodology, field observation, and descriptive qualitative methods. This study used one respondent. The results obtained were reduced leg cramps after routine pregnancy exercises. The conclusion that can be obtained is that pregnant gymnastics can reduce the intensity of leg cramps in third trimester pregnant women.

Hubungan Pengetahuan Ibu, Nyeri Punggung dan Kualitas Tidur dengan Pelaksanaan Senam Hamil Trim III di PMB “M” Ciherang Kab. Cianjur Tahun 2023

Trim III pregnancy exercise is a type of physical exercise that involves carrying out several special movements intended to improve the health of pregnant women and build and prepare the muscles needed to undergo childbirth well. This research aims to identify the relationship between. maternal knowledge, back pain, and sleep quality with the implementation of Trim III Pregnancy Exercises at PMB. M Ciherang, Cianjur Regency in 2023. This research uses analytical descriptive research using quantitative methods, namely a cross-sectional approach. The sample collection technique used in this research used a nonprobability sampling technique with purposive sampling. The number of samples in this study were all third trimester pregnant women, totaling 30 respondents who participated in the implementation of pregnancy exercise at PMB.M Ciherang, Cianjur district in 2023. The results of the Chi-Square test in this study showed that there was a significant relationship between knowledge and carrying out pregnancy exercises, obtained a P.Value of 0.048 (< 0.05), back pain with carrying out pregnancy exercises, obtained a P.Value of 0.008 (< 0.05), quality of sleep with carrying out pregnancy exercises, obtained a P value .Value.of 0.028 (< 0.05).

Hubungan Pendampingan Suami, Kecemasan dan Senam Hamil Terhadap Lama Persalinan Kala Ii di PMB K. Cikancana Kab. Cianjur Tahun 2023

Long labor is one of the problems in labor that can endanger the safety of the mother and fetus. The absence of the husband during childbirth, maternal anxiety and never doing physical activity such as during pregnancy can increase the risk of prolonged labor, especially during time II. The purpose of this study is to determine the relationship between husband assistance, anxiety and pregnancy exercise on the duration of the second stage of labor in PMB K Cikancana, Cianjur Regency in 2023. Methods This study used a type of analytical descriptive research using quantitative methods, with cross-sectional methods. The sampling technique used in this study uses non-probability sampling techniques with population sampling The total sample in this study includes maternity mothers at PMB K Cikancana, Cianjur Regency in 2023, in August a total of 30 respondents. The results of the Chi-Square test in this study showed that there was a significant relationship between husband assistance and the length of labor in time II, obtained a P.Value value of 0.001 (< 0.05), anxiety with the length of labor in time II, obtained a P.Value value of 0.011 (< 0.05), pregnancy exercise with a length of labor when II, obtained a P.Value value of 0.006 (< 0.05). The conclusion of this study is that there is a relationship between husband assistance, anxiety and pregnancy exercises

Stress Hormones Adreno Cortico Tropin, Cortisol, Catecholamines and Pregnancy Exercises for Childbirth

During pregnancy there are safe changes both physically and psychologically. Mothers who experience anxiety and stress, the signal travels through the Hypothalamo-Pituitary-Adrenal (HPA) which can cause the release of stress hormones including Adreno Cortico Tropin Hormone (ACTH), cortisol and catecholamines. The release of stress hormones in pregnant women results in systemic vasoconstriction, including placental vasa utero constriction which causes impaired blood flow in the uterus, so that oxygen transport into the myometrium is disrupted and results in weak uterine muscle contractions. This study aims to determine the effectiveness of pregnant gymnastics has a relationship with anxiety levels as a prenatal service in reducing anxiety facing first labour. The type of research used in this study is the Quasi Experiment method. The type of research used in this study is experimental research, which is a research procedure carried out by providing treatment / intervention on research subjects, with the aim of assessing the effect of a treatment on the independent variable on the dependent variable. The results of the study indicate that pregnant gymnastics as a prenatal service is effective in reducing anxiety facing the first childbirth, this can be seen from the results before and after the treatment and prenatal service of pregnant gymnastics.

SISTEMATIK REVIEW EFEKTIVITAS DAN MANFAAT PRENATAL YOGA TERHADAP KELUHAN NYERI PUNGGUNG PADA IBU HAMIL

Objective: Back pain is one of the discomforts experienced by pregnant women, usually occurring in the lumbosacral area, namely in the size of the waist and pelvis. One way to reduce this discomfort is to do physical activity during pregnancy, including prenatal yoga or pregnancy yoga. Yoga in pregnancy involves particular movements and techniques beneficial for pregnant women, such as relaxation techniques, which can reduce the discomfort arising from body changes during pregnancy. This research aims to determine the effectiveness and benefits of prenatal yoga or pregnancy exercises for back pain in pregnant women. Methods: The research method used is a systematic review. Research sources were obtained from searching scientific articles via the internet with the Google Scholar database from 2012-2023 using PICO "pregnant women and prenatal yoga and back pain," resulting in 1,500 pieces after identification, screening, and eligibility through inclusion and exclusion criteria. Five articles that fit the inclusion criteria. Results: The five journal articles discuss the benefits and effectiveness of complementary therapy, namely prenatal yoga or pregnancy yoga, to reduce the intensity of back pain experienced by pregnant women. One article compares the point of pregnancy exercise and pregnancy yoga, proving that pregnancy yoga is more effective in reducing back pain than pregnancy exercise. Conclusion: The conclusion based on this research shows that prenatal yoga or pregnancy yoga is effective and proven to help overcome or reduce the intensity of back pain in pregnant women

Attitudes and Barriers to Physical Activity and Exercise Self-Efficacy Among Chinese Pregnant Women: A Cross-Sectional Study.

Most pregnant women do not reach the recommendation for physical activity (PA). As a subcategory of PA, exercise is also essential. Evidence on pregnant women's attitudes and barriers to PA and exercise self-efficacy in China is scarce. To explore the levels and influencing factors of attitudes and barriers to PA and exercise self-efficacy among pregnant women. A cross-sectional study of 311 pregnant women was conducted from August to December 2022. Individual characteristics, pregnant women's attitudes toward exercise, barriers to prenatal PA and exercise, and exercise self-efficacy were measured using the self-designed demographic questionnaire, pregnant women's attitudes toward exercise questionnaire, barriers to prenatal PA and exercise questionnaire, and the pregnancy exercise self-efficacy scale, respectively. More than 90% of pregnant women believed exercise benefits themselves and their babies, and 40.8% of pregnant women did not know how to exercise. Women encounter different types of barriers to PA and exercise. Intrapersonal barriers included the proportion of feelings of tiredness (56.6%), low energy (54.7%), lack of interest or motivation (49.2%), feelings of illness and morning sickness (46.6%), and large body weight (43.7%). Interpersonal barriers included pregnant women being advised to avoid PA and exercise (49.2%), lack of clear advice about the intensity and dose of exercise (41.8%), no one to exercise with (38.9%), and lack of advice from healthcare professionals (38.6%). Weather conditions were the most significant environmental barriers (41.2%). The total score of pregnancy exercise self-efficacy was (38.50±7.33). Education level, parity, and attitudes toward exercise independently predict pregnant women's attitudes toward exercise, barriers to prenatal PA and exercise, and exercise self-efficacy, respectively. Pregnant women have a favorable attitude toward exercise and relatively good exercise self-efficacy but lack knowledge of exercise. They face numerous barriers. Medical professionals should encourage pregnant women with lower levels of education to exercise and assist multipara in overcoming obstacles.

Social support for exercise from pregnancy to postpartum and the potential impact of a mobile application: A randomized control pilot trial in Southern United States

This study compared perceived social support among women of all body mass index (BMI) categories with an attempt to assess the efficacy of the BumptUp® mobile application to improve social support for exercise during pregnancy and postpartum. Thirty-five pregnant women living in Southern United States were included in the sample. The intervention group received access to the BumptUp® mobile application that was designed to promote physical activity during pregnancy and postpartum. The control group received an evidence-based educational brochure. Perceived social support for exercise was assessed at four-time points using the social support and exercise survey. Outcomes were evaluated at 23–25, 35–37 gestational weeks, and 6 and 12 weeks postpartum. Based on their pre-pregnancy weight and height, BMI was computed to categorize participants into lean, overweight, and obese groups. Social support across BMI categories and between control and intervention groups were compared using linear mixed-effect models. Women grouped in the overweight and obese BMI categories reported receiving significantly lower levels of social support for exercise than women in the lean category throughout pregnancy and postpartum during mid-pregnancy, late pregnancy, and at 12 weeks postpartum (p < 0.05). Although the intervention group received higher social support than the control group throughout all four assessment points, the difference was not statistically significant (p > 0.05). Women with a pre-pregnancy BMI of overweight and obese received lower social support for exercise during pregnancy and postpartum. The efficacy of BumptUp® to improve perceived social support for exercise in pregnancy and postpartum was not evident in the results.

Comparative Study: Yoga and Pregnancy Exercise on First Stage Pain and Length of Labor in Tapanuli Regency

Labor pain is pain that comes from uterine contractions trying to expel the baby. The mother's perception of pain during labor can influence the length of the labor process. Pregnant women should be supported to carry out physical exercise to obtain benefits during pregnancy and childbirth. There are several physical exercises during pregnancy, which pregnant women often participate in, such as pregnancy exercises and pregnancy yoga. The aim of this research is to develop yoga exercises and pregnancy exercises to overcome pain in the first stage and duration of labor, as well as to conduct a trial of a combination of yoga exercises and pregnancy exercises which can be developed to reduce pain in the first stage and duration of labour. This study used a prospective cohort design with consecutive sampling technique. The research subjects were pregnant women in the third trimester who were in the working area of North Tapanuli and Central Tapanuli Regencies. The research sample consisted of 50 people taking part in pregnancy exercise and 50 people taking part in pregnancy yoga during April - June 2023. Data analysis used the Mann Withney test. The Mean Rank value for duration of labor for respondents who did yoga exercise was 44.70 and for respondents who did pregnancy exercise was 56.30. Based on the results of statistical tests, a p value of 0.044 was obtained. The Mean Rank value of labor pain for respondents who did yoga exercise was 32.80 and for respondents who did pregnancy exercise was 68.20. Based on the results of statistical tests, a p value of 0.000 was obtained. so it can be concluded that there is a difference in the length of labor and labor pain between pregnant women who were given yoga training and pregnant women who were given pregnancy exercise training.

Maternal healthy lifestyle score and offspring birth outcomes: secondary analyses of the PEARS RCT

Abstract Background The influence of maternal lifestyle behaviours during pregnancy on offspring outcomes has been investigated individually. A composite Healthy Lifestyle Score (HLS) comprising low-risk protective lifestyle behaviours can be useful for studying links between overall lifestyle and health outcomes. We aimed to study links between HLS and its components in early and late pregnancy with birth outcomes among women with overweight and obesity (OWOB), as their offspring may be at increased risk for adverse birth outcomes. Methods Secondary analyses were conducted with data from the PEARS (Pregnancy Exercise And nutrition Research Study) trial, a RCT of a diet and exercise lifestyle intervention to prevent gestational diabetes. HLSs (scored 0-5) based on information about maternal diet (AHEI-P), exercise (MET-minutes), alcohol consumption, smoking, and sleep habits were created for 334 and 289 mothers in early (14-16 weeks gestation) and late pregnancy (28 weeks gestation), respectively. Higher HLSs indicate a healthier overall lifestyle. Regression analyses examined associations of HLSs and individual lifestyle factors with adverse birth outcomes; low birthweight (BW), macrosomia and being born small or large for gestational age (SGA or LGA). Results Mean HLS was 3.38 in early, and 3.19 in late pregnancy. Only 12% and 10% of mothers had the maximum HLS in early and late pregnancy. Preliminary results indicated no strong links between composite HLSs and birth outcomes. Examination of the individual factors revealed that not smoking in early and late pregnancy was linked to a decreased risk for SGA (OR: 0.23, 95% CI: 0.07-0.74, p &amp;lt; 0.01; OR: 0.12, 95% CI: 0.04-0.35, p &amp;lt; 0.01) and low BW (OR: 0.11, 95% CI: 0.02-0.62, p = 0.01; OR: 0.10, 95% CI: 0.02-0.57, p = 0.01) (unadjusted results). Conclusions Adherence to a healthy lifestyle among pregnant women with OWOB can be improved. Our results highlight the importance of smoking cessation in pregnancy to avoid adverse birth outcomes. Key messages • Many pregnant women with OWOB do not adhere to a healthy lifestyle. • Smoking cessation in pregnancy is important to reduce the risk of adverse birth outcomes.

Maternal healthy lifestyle score and psychological well-being: secondary analyses of the PEARS RCT

Abstract Background The associations between lifestyle behaviours and well-being are still poorly understood, particularly in the antenatal period when women are potentially exposed to increased stress and anxiety. Moreover, lifestyle behaviours have often been investigated individually, while a Healthy Lifestyle Score (HLS) comprising low-risk protective lifestyle behaviours can be useful for studying links between overall lifestyle and health and psychosocial outcomes. Therefore, our aim was to study associations between maternal HLS in early and late pregnancy and psychological well-being. We focused on women with overweight and obesity (OWOB), as they may be at higher risk of psychosocial vulnerability. Methods Secondary analyses were conducted with data from the PEARS (Pregnancy Exercise And nutrition Research Study) trial, a randomized controlled trial of a diet and exercise lifestyle intervention with smartphone application support to prevent gestational diabetes. HLSs (scored 0-5) based on information about maternal diet (AHEI-P), exercise (MET-minutes), alcohol consumption, smoking, and sleep habits were created for 334 and 289 mothers in early (14-16 weeks gestation) and late pregnancy (28 weeks gestation), respectively. Higher HLSs indicate a healthier overall lifestyle. Correlations and regression analyses examined HLS associations with well-being (WHO-5, scored 0-100) in early and late pregnancy. Results Mean pregravid BMI was 29.2. Mean well-being score was 56.3 in early and 60.7 in late pregnancy. In early pregnancy, 18% of mothers scored 0-2 on HLS, 35% scored 3, and 47% scored 4-5. In late pregnancy, this was 27%, 34% and 39% respectively. Preliminary results show significant positive associations between HLSs and well-being at both time points (r's ranging between 0.16 and 0.29, all p &amp;lt; 0.05). Conclusions Higher adherence to healthy lifestyle behaviours in mothers with OWOB was linked with higher well-being throughout pregnancy. Key messages • Many pregnant women with OWOB do not adhere to a healthy lifestyle. • Well-being and a healthy lifestyle are related throughout pregnancy.

The Influence of Health Education About Pregnancy Exercises Using Audio Visual Media on The Interest of Pregnant Women at The Permata Hati Karanganyar Clinic

Pregnancy exercise is a form of exercise or structured training. Regular exercise will improve blood circulation, strengthen muscles and stretch joints and can reduce disorders that commonly occur during pregnancy such as aches, back pain, stiff muscles, constipation, and reduce swelling of the legs. Doing regular pregnancy exercises can reduce lower back pain, one of which is by kneeling movements, rotating the pelvis, bending the buttocks, bending the knees, chest. The aim of this research is to determine the influence of health education about pregnancy exercise using audio visual media on the interest of pregnant women at the Permata Hati Karanganyar Clinic. This research is quantitative research with the form of a preliminary experimental design. This research method is pre-experimental research with a one-group-pretest-posttest design. The sample consisted of 32 respondents. The techniques used for this analysis are univariate and bivariate. Based on the Wilcoxon test results, a p-value of 0.000 &amp;lt; 0.05 so it can be concluded that there is a significant influence of providing health education about pregnant women's exercises using audio-visual media on the interest of pregnant women.

The CONTINUITY MIDWIFERY CARE OF MRS. M, MRS.I, AND MRS. N IN MIDWIFERY INDEPENDENT PRACTICE LANGGENG SRI ASIH, S.ST AT DISTRICT OF PAGELARAN, PRINGSEWU REGENCY IN 2023

Lower back pain or low back pain in pregnancy is an unpleasant condition due to the growing uterus and increased body weight causing the muscles to work harder so that it can cause stress on the muscles and joints. Pregnancy exercise can provide benefits for maintaining and improving the physical health of pregnant women, improving blood circulation, reducing complaints of aches and pains including back pain during pregnancy, and preparing breathing, muscle and pelvic activity to face the birth process. Based on the above, the authors take the formulation of the problem in this report whether pregnancy exercise in third trimester pregnant women can reduce back pain in pregnant women? This final project report is in the form of a case study using the SOAP method of documentation. The subjects of this study were third trimester pregnant women, childbirth, postpartum, newborns, so that mothers can decide on family planning methods. In collecting data, it is done by using anamnesis, physical examination, cases are processed and analyzed. The results of the study showed that pregnancy care was provided by providing pregnancy exercise care to 3 pregnant women who experienced back pain during pregnancy. Of the three pregnancies that were followed, all patients were given intervention by doing pregnancy exercise to show a decrease in back pain. This was stated by the results of interviews with patients that back pain was reduced after doing pregnancy exercise and one patient said that sleep became better after doing pregnancy exercise.

Pengaruh Senam Hamil Terhadap Kualitas Tidur pada Ibu Hamil di Wilayah Kerja BLUD UPTD Puskesmas Bumi Rahayu Kecamatan Tanjung Selor Kabupaten Bulungan

Sleep disorders in the second and third trimesters of pregnancy are due to discomfort such as low back pain due to compensation from the enlargement of the uterus to an anterior position, lordosis which shifts the center of gravity backward towards the two legs causing fatigue. The physiological conditions of pregnancy and psychological changes can trigger sleep disturbances in pregnant women. Pregnancy exercise is an option of non-pharmacological therapy so that it can improve the quality of mother's sleep during pregnancy. To determine the effect of pregnancy exercise on sleep quality of pregnant women in the working area of the BLUD UPTD Puskesmas Bumi Rahayu. The type of research used in this research is experimental research. The research design was one group pretest-posttest without control. The population of this study were all pregnant women in the second and third trimesters who were recorded as pregnant from August 2022, as many as 19 people in the BLUD UPTD work area of the Bumi Rahayu Health Center in 2022. The sample used in this study was total sampling, namely 19 respondents. Data analysis was carried out, namely bivariate analysis using the Wilcoxon test. Statistical test analysis showed that the sleep Quality in pregnant women variable was obtained (p-value 0.000&lt;α&lt;0.05). These results explain that there is a significant effect of pregnancy exercise on sleep quality (p-value &lt; α = 0.05).