Vol. 23 No. 4 (2026)
Medic Nutricia : Jurnal Ilmu Kesehatan, ISSN : 3025-8855

Articles

CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN SIMFISIS PUBIS DISFUNGSI DI PMB BIDAN 'D' KLAMPIS KABUPATEN BANGKALAN

DOI: https://doi.org/10.2238/v745py54

Published 2026-08-10

  • Yafa Mamluuatus Sa’aadah
    • ,
  • Deasy Irawati
    • ,
  • Esyuananik
    • ,
  • Rodiyatun

Yafa Mamluuatus Sa’aadah
Politeknik Kesehatan Kementerian Kesehatan Surabaya

Deasy Irawati
Politeknik Kesehatan Kementerian Kesehatan Surabaya

Esyuananik
Politeknik Kesehatan Kementerian Kesehatan Surabaya

Rodiyatun
Politeknik Kesehatan Kementerian Kesehatan Surabaya

Abstract

Disfungsi Simfisis Pubis (SPD) merupakan kondisi muskuloskeletal pada kehamilan yang ditandai dengan rasa nyeri di area simfisis pubis. Kondisi ini berpotensi membatasi gerakan dan mengganggu aktivitas harian ibu. Laporan Tugas Akhir ini berfokus pada penggalian dan penguraian penatalaksanaan kebidanan pada ibu hamil trimester III dengan kondisi SPD menggunakan kerangka manajemen kebidanan SOAP. Studi ini mengadopsi metode deskriptif melewati pendekatan laporan kasus tunggal pada seorang ibu multigravida di trimester III yang menderita SPD. Kasus ini diambil di PMB Bidan 'D' Klampis, Kabupaten Bangkalan, antara Juni hingga Juli 2026. Subjek penelitian adalah Ny. J, seorang ibu dengan kehamilan kedua (G2P1A0) berusia 37–39 minggu. Pengumpulan data dilakukan selama empat kali kunjungan melalui wawancara (anamnesis), observasi, pemeriksaan fisik dan obstetri serta dokumentasi. Asuhan kebidanan didokumentasikan dengan mengacu pada data subjektif, objektif, analisis, dan rencana penatalaksanaan. Pengkajian awal pada kunjungan pertama mengidentifikasi Ny. J merasakan nyeri di bagian depan panggul yang menjalar ke selangkangan. Nyeri ini terasa terutama saat berjalan, naik tangga, menopang berat badan pada satu kaki, dan saat mengubah posisi tidur. Nyeri ini menimbulkan ketidaknyamanan, sedikit hambatan aktivitas, serta kecemasan terkait proses persalinan. Pemeriksaan obstetri mengonfirmasi kondisi ibu dan janin tetap stabil, dengan janin dalam posisi kepala dan kepala janin telah turun memasuki panggul. Intervensi dijalankan secara progresif sesuai hasil evaluasi dan perubahan kondisi ibu, mencakup pemberian edukasi mengenai SPD, penyesuaian aktivitas, istirahat yang memadai, latihan prenatal yoga, penggunaan penyangga kehamilan (pregnancy support belt), terapi kompres hangat selama 15–20 menit, pemantauan intensitas nyeri serta kondisi ibu dan janin, dan pemberian edukasi persiapan persalinan serta tanda-tanda bahaya. Berdasarkan rangkaian asuhan selama empat kunjungan, disimpulkan bahwa manajemen kebidanan dengan pendekatan SOAP terhadap Ny. J yang mendapati SPD berhasil menurunkan intensitas nyeri dari skala 4 menjadi 2, menaikkan kenyamanan dan kemampuan gerak, serta menjaga kesehatan ibu dan janin.

Keywords

Simfisis Pubis Disfungsi (SPD), Trimester III, Prenatal Yoga, Sabuk Penyangga Kehamilan, Kompres Hangat

PDF

References

  1. Aldabe, D., Lawrenson, P., Sullivan, J., Hyland, G., Bussey, M. D., Hammer, N., Bryant, K., & Woodley, S. J. (2022). Management of women with pregnancy-related pelvic girdle pain: an international Delphi study. Physiotherapy, 115, 66–84. https://doi.org/10.1016/j.physio.2021.09.002
  2. Algård, T., Kalliokoski, P., Ahlqvist, K., Schlager, A., & Kristiansson, P. (2023). Role of depressive symptoms on the development of pelvic girdle pain in pregnancy: A prospective inception cohort study. Acta Obstetricia et Gynecologica Scandinavica, 102(10), 1281–1289. https://doi.org/10.1111/aogs.14562
  3. Ashrafi, A., Thomson, D., Ceprnja, D., Beales, D., & Gupta, A. (2026). Identifying risk factors for pregnancy-related pelvic girdle pain: A modified eDelphi study. Musculoskeletal Science and Practice, 82(February), 103528. https://doi.org/10.1016/j.msksp.2026.103528
  4. Ceprnja, D., Chipchase, L., Liamputtong, P., & Gupta, A. (2022). 'This is hard to cope with': the lived experience and coping strategies adopted amongst Australian women with pelvic girdle pain in pregnancy. BMC Pregnancy and Childbirth, 22(1), 1–11. https://doi.org/10.1186/s12884-022-04426-3
  5. Chunmei, D., Yong, C., Long, G., Mingsheng, T., Hua, L., & Ping, Y. (2023). Self efficacy associated with regression from pregnancy-related pelvic girdle pain and low back pain following pregnancy. BMC Pregnancy and Childbirth, 23(1), 1–8. https://doi.org/10.1186/s12884-023-05393-z
  6. Eke, A. C. (2022). An update on the physiologic changes during pregnancy and their impact on drug pharmacokinetics and pharmacogenomics. Journal of Basic and Clinical Physiology and Pharmacology, 33(5), 581–598. https://doi.org/10.1515/jbcpp-2021-0312
  7. Ertmann, R. K., Nicolaisdottir, D. R., Siersma, V., Overbeck, G., Strøyer de Voss, S., Modin, F. A., & Lutterodt, M. C. (2023). Factors in early pregnancy predicting pregnancy-related pain in the second and third trimester. Acta Obstetricia et Gynecologica Scandinavica, 102(10), 1269–1280. https://doi.org/10.1111/aogs.14670
  8. Fagevik Olsén, M., Körnung, P., Kallin, S., Elden, H., Kjellby Wendt, G., & Gutke, A. (2021). Validation of self-administered tests for screening for chronic pregnancy-related pelvic girdle pain. BMC Musculoskeletal Disorders, 22(1), 1–8. https://doi.org/10.1186/s12891-021-04103-0
  9. Fogarty, S., McInerney, C., Chalmers, J., Veale, K., & Hay, P. (2023). The Effectiveness of Massage in Managing Pregnant Women with Pelvic Girdle Pain: a Randomised Controlled Crossover Feasibility Study. International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice, 16(4), 5–19. https://doi.org/10.3822/ijtmb.v16i4.877
  10. Khotimah, A. H., Rahayu, E. P., & Munjidah, A. (2022). Belly Wrap Mendukung Persalinan Normal, Nyaman dan Aman di Daerah Bencana Sulawesi Tengah. Seminar Nasional Pengabdian Kepada Masyarakat 2021, 1(1), 370–385. https://doi.org/10.33086/snpm.v1i1.812
  11. Leung, C. J., Tao, F., Senter, C., Ramirez, F. D., & Wong, S. E. (2025). Pregnancy-Related Hip and Pelvis Musculoskeletal Conditions, Risk Factors, and Prevention. Current Reviews in Musculoskeletal Medicine, 18(12), 585–598. https://doi.org/10.1007/s12178-025-09991-6
  12. Nawaz, A., Arif, Q., Khalid, A., Habiba, e U., Azfar, H., & Mahmood, U. (2025). Comparative Effectiveness of Kinesio Taping and Pelvic Support Belts for Pelvic Girdle Pain in Pregnant Women: A Randomized Controlled Trial. Journal of Health, Wellness and Community Research, 3(12), e721. https://doi.org/10.61919/dq2bfg92
  13. Puri, S. N., Fating, T., & Dhage, P. P. (2023). The Impact of Functional Stability Exercises on Alleviating Pelvic Girdle Pain in Pregnancy: A Review. Cureus, 15(11), 16–21. https://doi.org/10.7759/cureus.48769
  14. Riedlinger, G. M., Joshi, S., Hirshfield, K. M., Barnard, N., & Ganesan, S. (2021). Targetable alterations in invasive pleomorphic lobular carcinoma of the breast. Breast Cancer Research, 23(1), 1–8. https://doi.org/10.1186/s13058-020-01385-5
  15. Rosidah, I., Triana Indrayani, & Risza Choirunissa. (2025). The effect of prenatal yoga on pubic bone pain in pregnant women in the third trimester. Nursing and Health Sciences Journal (NHSJ), 5(3), 404–410. https://doi.org/10.53713/nhsj.v5i3.576
  16. Sukamti, S., Aticeh, A., & Sari, G. N. (2022). Exercise for Pain Relief in Yoga is Effective in Reducing Pelvic Girdle Pain During the Third Trimester of Pregnancy. Women, Midwives and Midwifery, 2(1), 58–64. https://doi.org/10.36749/wmm.2.1.58-64.2022
  17. Sukamti, S., & Sari, G. N. (2022). Latihan Pereda Nyeri dalam Yoga Efektif Mengurangi Nyeri Korset Panggul Selama Trimester Ketiga Kehamilan. 2, 58–64.
  18. Thamizhselvi, S., Poongodi, V., Annal, M. A., Lavanya, S., & Umamaheswari, R. (2023). Effectiveness of Nurse-Directed Exercises on Pelvic Girdle Pain and Functional Status among Antenatal Mothers in Tertiary Care Hospital- A Quantitative Research. Journal of Clinical and Diagnostic Research, 17(7). https://doi.org/10.7860/jcdr/2023/62043.18137
  19. Wahyuni Wahyuni, Anis Ardiyanti, & Nafisatun Nisa. (2024a). Pengaruh Pemberian Kompres Hangat dan Aromaterapi Peppermint terhadap Nyeri Symphysis Pubis pada Ibu Hamil Trimester III. Antigen: Jurnal Kesehatan Masyarakat Dan Ilmu Gizi, 2(3), 96–106. https://doi.org/10.57213/antigen.v2i3.308
  20. Wahyuni Wahyuni, Anis Ardiyanti, & Nafisatun Nisa. (2024b). Pengaruh Pemberian Kompres Hangat dan Aromaterapi Peppermint terhadap Nyeri Symphysis Pubis pada Ibu Hamil Trimester III. Antigen: Jurnal Kesehatan Masyarakat Dan Ilmu Gizi, 2(3), 96–106. https://doi.org/10.57213/antigen.v2i3.308

Similar Articles

1-10 of 75

You may also start an advanced similarity search for this article.