International Journal of Community Medicine and Public Health | June 2022 | Vol 9 | Issue 6 Page 2596 International Journal of Community Medicine and Public Health Rakhecha G et al. Int J Community Med Public Health. 2022 Jun;9(6):2596-2603 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article Effectiveness of nurse-led educational intervention package on back pain and activity of daily living in primigravidae women with back pain Ghanshyam Rakhecha 1 *, Himanshu Vyas 1 , Shashank Shekhar 2 , Nitesh M. Gonnade 3 INTRODUCTION Back pain is normal among pregnant women during pregnancy. During pregnancy mellowing and extending in tendons and muscles happens to help in transformation during pregnancy and to help and facilitate the labor, this causes strain on joints and bone, which prompts back pain in pregnant women. The uterus grows gradually and becomes an abdominal organ, and there is an increase in the body weight (normal weight gain 11-16 kg), to support the back bents forward naturally to maintain body posture and balance. Quite possibly the most well-known musculoskeletal issues in pregnancy are low back pain and pelvic support pain, most pregnant ladies experience back pain in the third trimester of pregnancy. Low back pain is characterized as pain between the thoracic twelfth vertebrae to gluteal muscle folds, and pelvic support pain implies women experience pain in the sacroiliac joint, symphysis pubis, and gluteal fold. 1 ABSTRACT Background: The primigravida women often have more complaints of back pain during pregnancy. Pregnant women reported that back pain might affect the activities of daily routine e.g. walking, climbing stairs, sitting, and women may expect help from family members. Methods: A quasi-experimental study was directed on primigravidae women visiting antenatal outpatient department (OPD) of All India Institute of Medical Sciences (AIIMS) Jodhpur. An absolute of 60 primigravidae women (30 in each experimental and control group) were incorporated through the non-probability consecutive sampling method. Results: The pre-test score uncovered that the majority of the women (70%) in the experimental group and (60%) in the control group revealed moderate pain. The post-test score uncovered that (56.6%) in the experimental group detailed mild pain and 53.3% of women in the control group reported severe pain. When compared with the pre-test, the pain score of members in the experimental group was diminished and in the control group, the pain score was increased in post-test (p≤0.000). No critical contrast was found in the activity of daily living in the experimental and control group. For analysis, paired and unpaired t-test, x 2 , and Fisher exact tests were used. Conclusions: The majority of primigravidae women had back pain during pregnancy and participants recognized prolong sitting as the most well-known aggravating factor. It was discovered that there was a significant distinction in pain scores between pre-test and post-test in the experimental and control group. Keywords: Level of back pain, Activity of daily living, Aggravating factor, Primigravidae, Nurse-led educational intervention package 1 College of Nursing, 2 Department of Obstetrics and Gynaecology, 3 Department of Physical Medicine and Rehabilitation, AIIMS, Jodhpur, Rajasthan, India Received: 14 April 2022 Revised: 08 May 2022 Accepted: 09 May 2022 *Correspondence: Ghanshyam Rakhecha, E-mail: Grakhecha08@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20221541