Various problems that arise in the third trimester of pregnancy are problems that are often complained of by pregnant women, such as anxiety and pain. Among these complaints, low back pain is the most commonly reported, occurring in 60% -90% of pregnant women, and is one of the causes of the incidence of cesarean delivery. Back pain is caused by pain in the lumbosacral area. The increase in intensity as the gestational age increases is caused by a shift in the center of gravity and changes in body posture. Back pain from sacroiliac/lumbar can be a long term back problem if not treated immediately. One of the complementary therapies that can reduce or relieve pain, reduce or prevent muscle spasms, provide a sense of comfort, namely with warm compresses and prenatal massage. This case study describes the management of complementary therapy consisting of warm compresses and prenatal massage in third trimester pregnant women with complaints of back pain. After midwifery care was implemented, Mrs. F experienced a decrease in back pain so that the problem could be resolved.

<p>Kehamilan pertama bagi seorang ibu merupakan periode krisis dalam kehidupannya. Kecemasan dapat muncul karena masa panjang menanti kelahiran dan ketidakpercayaan diri Ibu merawat bayinya. Oleh karena itu, primigravida membutuhkan informasi yang memadai tentang persiapan persalinan. Kombinasi diskusi kelompok kecil dan pemodelan merupakan metode pembelajaran yang bermanfaat dalam meningkatkan derajat kesehatan ibu, salah satunya dengan menurunkan kecemasan dalam menghadapi persalinan. Penelitian ini bertujuan membuktikan pengaruh penerapan kombinasi metode diskusi kelompok kecil dan pemodelan terhadap kecemasan primigravida dalam menghadapi persalinan. Desain penelitian adalah true eksperimen dengan rancangan randomized subject, pretest-posttest control group design. Penelitian dilakukan di Puskesmas Poka Rumah Tiga Kota Ambon. Sampel dalam penelitian ini sebanyak 24 responden yang dibagi 2 kelompok yaitu kelompok intervensi dan kontrol. Pengukuran kecemasan primigravida menghadapi persalinan menggunakan Hamilton Anxiety Rating Scale (HARS). Data dianalisis dengan uji paired t-test dan independent t-test dengan α=0,05. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan kecemasan primigravida menghadapi persalinan sebelum dan setelah penerapan kombinasi metode diskusi kelompok kecil dan pemodelan serta antara kelompok intervensi dan kelompok kontrol (p=0,000). Dapat disimpulkan bahwa penerapan kombinasi metode diskusi kelompok kecil dan pemodelan dapat menurunkan kecemasan primigravida dalam menghadapi persalinan.</p>

Introduction: First pregnancy is a critical period for mother life. Primigravida needs sufficient information on baby delivery preparation and baby care skill. This study aims at know the effect of combination buzz group and modelling methods on primigravida skill in taking care of baby. Method: Research design is true experiment using randomized subject, pre-test and post-test control group design. It was conducted at community health care of Poka Rumah Tiga Ambon. The samples of 24 respondents divided into two groups namely experimental and control group. Checklist containing items on bathing the baby, putting on diapers, umbilical cord care and technique of breastfeeding, are used to assess primigravida skill. The data obtained are then analysed using Paired t-test and Mann-Whitney U Test with α=0,05. Result and analysis : The finding shows that there is a significant difference in terms of primigravida skill from thosein before and after the use of combination method of buzz group and modelling (p=0,000). The average score difference was 46,271 (SD=3,758). In addition there was a significant difference between the experimental and control group (p=0,000). Discussion: The method involving pregnant mother in the form of buzz group and modelling an appropriate option for health practitioner in improving the health of mother and baby.

Pijat oksitosin merupakan tindakan yang dapat direkomendasikan dalam meningkatkan produksi ASI. Dalam penelitian Biancuzzo (2013) dan Indriyani (2016) yaitu usaha untuk merangsang hormon prolaktin dan oskitosin pada ibu setelah melahirkan selain dengan memeras ASI, dapat dilakukan juga dengan melakukan perawatan atau pemijatan payudara, membersihkan puting, sering-sering menyusui bayi meskipun ASI belum keluar, menyusui dini dan teratur serta pijat oksitosin.  Beberapa kasus yang sering ditemui pada ibu menyusui di Desa Lorulun yaitu masih banyaknya keluhan mengenai kelancaran ASI saat menyusui, sindrom ASI kurangsehingga memberikan makanan pendamping ASI sebelum usia 6 bulan. Salah satu upaya yang dapat dilakukan adalah melatih kader posyandu sebagai seorang yang sering berinteraksi dengan kelompok ibu postpartum, diharapkan dengan pemberian ketrampilan melalui pelatihan dapat melakukan pijat oksitosin pada ibu post partum, sehingga harapannya para kader dapat mengajarkan tindakan pijat oksitosin pada ibu post partum. Tindakan ini dilakukan sebagai upaya untuk memperlancar produksi ASI sehingga cakupan pemberian ASI Eksklusif meningkat.

Anxiety in pregnancy is an emotional reaction that occurs in pregnant women related to the mother's concern for the welfare of herself and her fetus, the continuity of pregnancy, childbirth, the period after delivery and when she has played the role of being a mother. Every pregnant woman has a different level of anxiety and is very dependent on the extent to which the pregnant woman perceives her pregnancy. This study aims to determine the factors associated with the anxiety of pregnant women in facing childbirth. The type of research used is quantitative with a cross-sectional research design. The number of samples taken was 30 people with the Consecutive Sampling technique. The instrument used is a questionnaire. The data obtained was then analyzed with the Chi Square test. The results showed that there was a significant relationship between age and the anxiety of pregnant women facing childbirth (p value = 0.04). In addition, there is a significant relationship between education andparity with the anxiety of pregnant women facing childbirth (p value = 0.034 and p value = 0.01). Therefore, it is hoped that health workers can provide counseling related to the anxiety experienced by pregnant women so that anxiety can be overcome.