The Effectiveness of Pelvic Rocking and Birthing Ball Exercise on Labor Pain during First Stage of Active Phase

Author(s):  
Irna Nursanti ◽  
Diah Oktaviani ◽  
Dewi Anggraini ◽  
Toha Muhaimin
Keyword(s):  
2018 ◽  
Vol 7 ◽  
Author(s):  
Azita Kamjoo

Background: Pain control is considered as the key issue in modern midwifery. Along with medical painkillers, reflexology is viewed as a non-medical and noninvasive method. Hence, we aimed to investigate the effect of reflexology on the intensity of pain and length of labor. Materials and Methods: In this clinical trial, participants included 240 Iranian primiparous women with term and singleton pregnancy. Having a 3-4 cm cervical dilatation once they visited the hospital. Through a convenient sampling method, they were selected and then randomly divided into two groups. In the intervention group, reflexology was performed, and the intensity of pain during the active phase of labor along with the length of labor in the active phase was measured by visual analog scale (VAS) and compared with the control group. Data were analyzed using descriptive statistics, t-test, and Mann-Whitney U-test. Result: Data analysis showed a statistically significant difference between the intensity of pain in the 5-7 and 8-10 cm dilatation in the two groups (P=0.01). Moreover, the labor length in the active phase was found to be significantly shorter in the intervention group (P<0.001). Conclusion: It appears that reflexology can lead to a reduction in the pain and length of labor. Therefore, through instructing this technique, a goal of midwifery, which is reducing labor pain and its length can be achieved. Keywords: Reflexology, Labor Pain, Labor Length, Primiparous Women


2021 ◽  
Vol 2 (1) ◽  
pp. 26-30
Author(s):  
Ai Nur Zannah

Labor pain is a physiological condition that began at the first stage of labor (laten and active phase). Pain comes from uterine contractions and cervical dilation in an attempt to pave the way for birth and encourage babies to be born. Experts find pharmacological and non-pharmacological ways to reduce pain in labor, one of them is Dzikir guided by childbirth helper (midwife). The purpose of this study was to analyze the differences of labor pain level on mother in latent phase before and after applying Dzikir. Subjects were 15 accidentally selected mothers in labor latent phase on March - April in PMB “S” Puger Jember. The design of this study uses a quasi-experimental one group pre-posttest. Results showed significant decreased pain level of mothers after doing Dzikir significantly (Z=-3,578, p≤0.001). In conclusions, there are differences of labor pain level on mother in latent phase before and after applying Dzikir


2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.


2017 ◽  
Vol 3 (1) ◽  
pp. 55
Author(s):  
Finta Isti Kundarti ◽  
Ira Titisari ◽  
Naning Tri Windarti

Pain in the labor are predisposition for anxiety, hyperventilation, thus causing oxygen requirements and increased blood pressure. Pain in the labor  can be reduced by non- pharmacological methods, one of which is using aromatherapy. Lavender as an aromatherapy effect relaxation, pain relief, reduces anxiety and causes calmness. The purpose of this research was to know the effect of lavender massage aromatherapy to the level of the first stage of labor pain in the active phase of first stage labor. The research design used quasi experiment with pre-test post-test with control group design. The population in this research that the whole maternal active phase of the first stage in BPM Blabak’s Community Health Center Kediri Regency. The research time is June 23 until July 19 sampling techniques. The research instrument used scale observation. Statistical tests in this study using the paired t test.The results showed t value (11,000) ; t table (2,262) and P value (0.000) ; α (0.05), then H0 is rejected, which means there is effect of lavender (Lavandula angustifolia) massage aromatherapy to the pain labor level of the active phase in the first stage of labor. So the conclusion of lavender massage aromatherapy down the level of pain  in the active phase of the first stage of labor. This method can be applied midwives to help reduce pain during childbirth.; Keywords: Lavender Aromatherapy, Pain, Labor, Massage


2019 ◽  
Author(s):  
nurul ikawati

PERBEDAAN TEKNIK KOMPRES AIR HANGAT DAN TEKNIK MASSAGE UNTUK MENGURANGI NYERI PERSALINAN KALA I FASE AKTIF DI RSUD KOTA MAKASSAR PERIODE APRIL – MEI 2018(The Difference between Warm Water Compress Technique and Massage Technique to Reduce Labor Pain During Active Phase 1 in RSUD Makassar Cityof April – May 2018 PeriodNurul IkawatiProdi D4 Bidan PendidikUniversitas Mega Rezky MakassarABSTRAKPenelitian ini menggunakan desain true eksperimen dengan rancanagan Pretest dan Posttest, dengan jumlah responden sebanyak 44 responden dengan 22 responden sebagai kelompok teknik kompres air hangat dan 22 responden sebagai kelompok teknik massage, teknik pengambilan sampel adalah purposive sampling, instrumen penelitian menggunakan lembar observasi yang dijadikan sumber data primer, analisis data menggunakan uji T Paired sampel t-testHasil penelitian ini menunjukan bahwa kelompok teknik kompres air hangat mengalami pengurangan nyeri sebanyak 5,05 dan kelompok teknik massage mengalami pengurangan nyeri sebanyak 4,50. Kesimpulan dari hasil penelitian menunjukan bahwa ada perbedaan antara teknik kompres air hangat dan teknik massage untuk mengurangi nyeri persalinan kala I fase aktif. Dengan demikian disarankan kepada bidan atau perawat agar dapat membantu memenuhi kebutuhan ibu dalam memberikan rasa nyaman untuk mengurangi rasa nyeri dengan memberikan teknik massage. Kata Kunci : teknik Kompres Air hangat, Teknik Massage, Nyeri Persalinan Daftar Pustaka : 10 buku + 5 jurnal (2013 - 2018)ABSTRACTThis research used experimental research with pretest and posttest design with 44 respondents, 22 respondents were treated by warm water compress technique and 22 others are treated by massage technique. The samples were taken by using purpossive sampling technique, the research instrument used were observation sheet as primary data source and the data analysis used paired sample t-test. The resyult of this research showed that the warm water compress technique group reduce the labor pain as much as 5,05 and massage technique group reduce the labor pain as much as 4,50. The conclusion of research result showed that there is difference between warm water compress technique and massage technique to reduce labor pain during active phase 1. It is suggested to midwiferies and nurses to fulfil mothers’ need to feel comfortable and reduce labor pain by applying massage technique. Keywords: Warm Water Compress Technique, Massage Technique, Labor Pain References: 10 books + 5 Journals (2013 – 2018)


2016 ◽  
Vol 33 (S1) ◽  
pp. S503-S503 ◽  
Author(s):  
S. Taavoni ◽  
S. Abdolahian ◽  
L. Neisani ◽  
H. Hamid

There are various safe non-pharmacologic methods for labor pain management, which mostly decrees suffering of mother and some of them significantly decrease pain too.AimTo assess effect of pelvic tilt by birth ball, sacrum-perinea heat therapy and combination use of them on active phase of physiologic labor.MethodIn this randomized control trial, 120 primiparous volunteer with age 18-35 years, gestational age of 38–40 weeks, in one of hospitals of Iran university of medical sciences were randomly selected and divided in four groups: Pelvic tilt by using birth ball, sacrum perinea heat therapy, combined use of two mentioned methods and control group. Tools had 3 main parts of personal characteristic, client examination form and pain visual analogue scale (VAS). All ethical points were considered.ResultsEquality of four groups had been checked before intervention. Lowest pain score first belong to pelvic tilt by birth ball then combined group and finally in heat therapy, which all were significantly less than control group. Significant decrease of pain had been seen in birth ball group and combined group during after 30 minutes intervention, but in the heat therapy group, it was seen after 60 minutes intervention (P-value < 0.05).ConclusionAll three interventions of this study had significant effect and decreased labor pain during active phase, but highest decrease was in pelvic tilt by birth ball group and its effect started after 30 minutes intervention. It is suggested that that Obstetrics and Midwives consider these safe methods for labor pain management.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Vol 9 (1) ◽  
pp. 248-257
Author(s):  
Luluk Susiloningtyas ◽  
Ratna Feti Wulandari

Sampling technique used is Accidental Sampling. The independent variable is Bonapace Method, the instrument used is a checklist. Dependent variable is the reduction of labor pain in the active phase I, an instrument used to measure the level of pre and post pain with an observation sheet with a pain scale between 0 to 10 and an interview using the Verbal Descriptive Scale (VDS), rating scale, value 0 = no pain , 1-3 = mild pain, 4-6 = moderate pain, 7-9 = severe pain, 10 = very severe pain. Analysis of data using the Wilcoxon Sign Rank. The results of the data analysis stated sig (p) = 0,000 where α = 0.05, p <α, it means that there is an effect of the Bonapace Method on the reduction of labor pain in the active phase of the First Maternity where the Correlation or effect using the Wilcoxon Correlation = -0,382


2020 ◽  
Vol 12 (1) ◽  
pp. 10
Author(s):  
Nurul Azizah ◽  
Rafhani Rosyidah ◽  
Evi Destiana

Childbirth is a natural process and causes pain, but many mothers can not resist the pain because it is influenced by stress. The study using non-phamacological pain relief therapy with aromatherapy which is believed to reduce pain and the aims to compare between murotal Al-Qur'an Surat Ar-rahman therapy and inhalation of lavender aromatherapy to reduce the intensity of labor pain when first active phase.The research design used Quasi Experimental with Non-equivalent Control Group Design method and using pretest - posttest. The population of the first phase active labor mothers in RB Nuril Masrukha Candi Sidoarjo. The technique sampling used Consecutive sampling. Data collected by observing 2 groups of labor mothers: 30 respondents listened to surah Ar-Rahman murottal and 30 respondents inhaled Lavender Aromatherapy. In both of groups, the pretest was given before treatment, then posttest was done after treatment using observation sheet assessment of pain scale with behavioral observation (FLACC behavioral scale). Data analysis using Independent Sample T-Test with a significance level α = 0.05. The results showed that the difference in pain score reduction in lavender aromatherapy inhalation was 3.26 ± 0.25, whereas in the murottal group of the Ar-Rahman Surah mean decrease in pain score was 2.62 ± 0.057 with P value <0.001, that showed a significant relationship.The conclusion is inhalation of aromatherapy lavender (Lavendula Augustfolia) and murottal surah Ar-Rahman can reduce intensity of labor pain during the first active phase, but inhalation group of aromatherapy lavender has a greater pain reduction score than murottal surah Ar-Rahman group.  


2018 ◽  
Vol 6 (1) ◽  
pp. 71
Author(s):  
Yeni Fitrianingsih ◽  
Kemala Wandani

Pain is the most dominan the first stage of childbirth. Pain of labor it can cause stress that causes, so it causing the release of hormone much like katekolamin and steroids. Excessive hormone secretion will cause Impaired uteroplacental circulation Thus causing hypoxia in the fetus. One for controlling labor pain by non-pharmacological methods that is warm compress Objective: to know The influence of warm compressesto pain in the first stage of the active phase Independent midwives cirebon city Methods: This research method Using design quasy eksprerimen design pre and post one group design The study sample is first stage of childbirth in independent midwifes city cirebon As many thirty respondents The data used in this study is the primary data Primary using a questionnaire given directly to the respondent. Stages of data analysis used are univariate and bivariate. Results: The result of the analysis shows the value of coefficient Z of 4,820 and Asym.Sig (p value) of 0.000. This shows that the value of Asym.Sig (p value)


2020 ◽  
Vol 8 (E) ◽  
pp. 494-497
Author(s):  
Salmiani Abdul Manaf ◽  
Cut Yuniwati ◽  
Silfia Dewi ◽  
Lili Kartika Harahap

BACKGROUND: Most postpartum mothers experience pain. Childbirth pain can cause anxiety, fear, tension, and stress. To increase comfort and reduce pain in maternity can be done using non-pharmacological methods by giving aromatherapy. AIM: The aim of the study was to analyze the effect of lavender and rose flower aromatherapy on the intensity of active phase childbirth pain in pregnant women in Manyak Payed Community Health Center, Aceh Tamiang Regency, Indonesia METHODS: A quasi-experimental design with a prospective cohort study with post-test control group design, which was conducted in the Manyak Payed Community Health Center working area from September to December 2019. A total of 54 women giving birth using accidental sampling techniques were selected as samples and divided into three groups. Each group numbered 18 people. In this sample using inclusion and exclusion criteria, data analysis uses univariable and bivariable using Kruskal–Wallis H test and Mann–Whitney test. RESULTS: The results obtained mean childbirth pain in the lavender group by 18.83, rose flower group by 26.21, and the control group by 37.06. The results of the crucial Willis H test show that there are differences ineffectiveness in the control group and the treatment group with the Sig. 0.001 (<0.05). In further tests of the post hoc test using the Mann–Whitney test, it was found that there was no difference in the effectiveness of the intensity of labor pain in the active phase I with a sig. 0.90 (p > 0.05). Lavender and rose flower groups were equally effective in the intensity of childbirth pain. CONCLUSION: There is a difference between lavender and rose flower aromatherapy on the intensity of pain in the association. Lavender and rose flower aromatherapy treatments are equally influential on the intensity of labor pain in the first phase of the active phase in labor. Lavender and rose flower groups were equally effective in the intensity of childbirth pain.


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