MANAJEMEN KETIDAKNYAMANAN FISIK DAN ADAPTASI PERILAKU IBU HAMIL TRIMESTER III: TINJAUAN LITERATUR
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Latar Belakang: Ketidaknyamanan fisik pada trimester III, seperti nyeri punggung, gangguan tidur, dan kelelahan, dapat memengaruhi aktivitas dan kualitas hidup ibu. Kondisi tersebut membutuhkan pengelolaan yang tidak hanya berfokus pada keluhan fisik, tetapi juga pada kemampuan ibu beradaptasi terhadap perubahan kehamilan. Metode: Penelitian ini menggunakan integrative literature review dengan penelusuran literatur melalui PubMed/MEDLINE, Google Scholar, ScienceDirect, dan jurnal nasional. Artikel penelitian yang relevan dan dapat diverifikasi, terutama publikasi 2016–2025, diseleksi berdasarkan kriteria inklusi dan eksklusi, kemudian disintesis secara tematik. Sebanyak 20 artikel digunakan dalam sintesis utama. Hasil: Ketidaknyamanan yang paling banyak dilaporkan meliputi nyeri punggung bawah, gangguan tidur, dan kelelahan. Evidence menunjukkan bahwa prenatal yoga, exercise, stretching, kompres hangat, relaksasi, dan pengaturan sleep hygiene berpotensi mengurangi ketidaknyamanan serta meningkatkan fungsi dan kualitas tidur. Adaptasi perilaku berupa modifikasi aktivitas, pengaturan istirahat, self-care, dan kemampuan mengenali tanda yang memerlukan pertolongan menjadi komponen penting dalam pengelolaan. Kesimpulan: Manajemen ketidaknyamanan trimester III perlu dilakukan secara holistik dengan mengintegrasikan intervensi nonfarmakologis, edukasi, dan adaptasi perilaku sesuai kebutuhan individual ibu.
Kata kunci: ibu hamil trimester III; ketidaknyamanan kehamilan; nyeri punggung; kualitas tidur; adaptasi perilaku; kebidanan holistik.
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Referensi
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