Reducing Labor Pain Intensity within First Stage Active Phase through Hegu LI 4 Acupressure and Quranic Recital Method

Introduction: Labor pain is one of the greatest pains experienced by a woman in their life. The purpose of this study was to examine the effectiveness of acupressure and Quranic recital on labor pain reduction.Methods: The study design uses quasi-experiment with comparison between pretest and posttest on non-equivalent control group. Samples were as many as 30 laboring mothers in each group, totaling 60 samples who had been chosen through consecutive sampling technique. The labor pain was assessed through the NRS (Numeric Rating Scale) then analyzed univariately with mean and standard deviation, followed by independent T-sample statistical test such as bivariate analysis.Results: The average pain reduction score in the Hegu LI 4 acupressure group was higher than the Quranic recital of Surah Ar-Rahman group. The acupressure group average pain reduction was 3.03 ± 0.718 while the Quranic recital group was 2.57 ± 1.006. The difference in the average score of independent T-test was significant with the P < 0.007 and 95% C.I. -0.919-( -0.015)Conclusion: Hegu LI 4 acupressure and Quranic recital of Surah Ar-Rahman treatments were promising and may be utilized to reduce labor pain intensity within labor’s first stage active phase. Hegu LI 4 acupressure group had a greater reduction in labor pain intensity than the Quranic recital of Surah Ar-Rahman group. This study suggests that Hegu LI 4 can be utilized to reduce labor pain as a non-pharmacological therapy.

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Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

Jurnal Bidan Cerdas (JBC) ◽

10.33860/jbc.v2i3.282 ◽

2019 ◽

Vol 2 (3) ◽

pp. 129

Author(s):

Ayu Irawati ◽

Susanti Susanti ◽

Iranita Haryono

Keyword(s):

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Pain Scale ◽

Labor Pain ◽

Wilcoxon Test ◽

Bivariate Analysis ◽

Control Group ◽

Control Group Design ◽

First Stage Of Labor

Childbirth and birth is a physiological process that must be experienced by a mother. Pain during labor is caused by the first stage of labor in which contractions cause dilation and thinning of the cervix and uterine ischemia due to contraction of the myometrial arteries. These contractions cause the opening of the cervix to begin labor. Various attempts are made to reduce labor pain, both pharmacologically and non-pharmacological. The non-pharmacological method applied is a distraction with birth balls. The research aims to prove the effectiveness of the use of birthing ball on the reduction of labor pain in the first stage of labor in the active phase. This study used an experimental research design with a pretest-posttest control group design. The research sample was 20 maternity mothers at the Lompoe Health Center, who received treatment and 20 people as control samples. It applied the purposive sampling technique. The instrument of observation was the pain scale using the Faces Pain Rating Scale. Data processing using the Wilcoxon-test to determine the effect of the treatment given. Based on the results of the bivariate analysis showed that the value of Asymp. Sig. (2-tailed) is <0,001. Therefore, the value of Sig<0,001 <value of α=0.05 which means that Ha was accepted. In conclusion, there is an influence of using the birthing ball to reduce the level of pain in the first stage of labor in the active mother.

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EFEKTIFITAS AROMA THERAPHY LEMON DAN BITTER ORANGE TERHADAP INSTENSITAS NYERI PERSALINAN KALA I FASE AKTIF

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v7i1.3253 ◽

2021 ◽

Vol 7 (1) ◽

pp. 1-5

Author(s):

Reva Afdila ◽

Nuraida Nuraida

Keyword(s):

Health Workers ◽

Sampling Technique ◽

Active Phase ◽

Pharmacological Therapy ◽

T Test ◽

Labor Pain ◽

Control Group ◽

Control Group Design ◽

Test Analysis ◽

Bitter Orange

ABSTRACT THE EFFECTIVENESS OF LEMON THERAPHY AND BITTER ORANGE AROMAS ON THE INSTENSITY OF ACTIVE PHASE I LABOR Background: Labor pain is a pain that is often felt by mothers during childbirth in Stage I. Labor pain is felt by all mothers who give birth. One of the mother's loving care is comfort, namely the reduction of pain that the mother feels. with the provision of non-pharmacological therapy is very helpful for mothers in undergoing the labor process, where there are no side effects from the use of non-pharmacological therapies.Purpose: This study aims to determine the effectiveness of lemon and bitter orange aromatherapy on the intensity of first stage labor pain in women who give birth.Methods: The type of research used is a quasi-experimental design with a pretest-posttest control group design. Sampling technique using accidental sampling technique, the number of samples in this study were 32 mothersResults: The results showed that the lemon group was effective in reducing pain (0,000). in the bitter orange group it is also effective in reducing labor pain (0.000). The results of the independent sample T test analysis showed no comparison of effectiveness between the two groups (0.061), where the two groups were equally effective in reducing labor pain in laboring mothersConclusion: Aromatherapy of lemon and bitter orange are both effective in reducing the pain of first stage labor in the mother.Suggestion: It is hoped that health workers can provide care for the mother's love by reducing pain during labor. Keywords: Aromatherapy, Labor Pain ABSTRAK Latar Belakang : Nyeri persalinan merupakan nyeri yang sering dirasakan ibu pada saat persalinan di Kala I. Nyeri persalinan dirasakan oleh semua ibu bersalin. salah satu asuhan sayang ibu adalah kenyamanan yaitu pengurangan rasa nyeri yang ibu rasakan. dengan pemberian terapi nonfarmakologi sangat membantu ibu dalam menjalanin proses persalinan, dimana tidak ada efek samping dari penggunaan terapi non farmakologi.Tujuan : penelitian ini bertujuan untuk mengetahui perbandiangan efektifitas aromaterapi lemon dan bitter orange terhadap intensitas nyeri persalinan kala I pada ibu bersalin.Metode: jenis penelitian yang digunakan yaitu quasi eksperimen dengan densain pretest- posttest control group desain. tehnik pengambilan sampel menggunakan Tehnik accidental Sampling, jumlah sampel pada penelitian ini yaitu 32 ibu bersalin.Hasil : Hasil penelitian didapat pada kelompok lemon efektif dalam pengurangan rasa nyeri (0,000). pada kelompok bitter orange juga efektif dalam pengurangan nyeri persalinan (0,000). hasil analisis independent sampel T Test menunjukan tidak ada perbandingan efektifitas antara kedua kelompok (0,061), dimana kedua kelompok sama-sama efektif dalam pengurangan nyeri persalinan pada ibu bersalin.Kesimpulan :Aromatherapi lemon dan bitter orange sama-sama efektif dalam pengurangan nyeri persalinan kala I pada ibu bersalin.Saran :Diharapkanuntuk para tenaga kesehatan untuk dapat memberikan pelayanan asuhan sayang ibu dengan pengurangan rasa nyeri pada saat ibu bersalin. Kata Kunci : Aromaterapi, Nyeri Persalinan

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Touch and Massage on Labor Pain Intensity During First Stage of Active Phase

INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) ◽

10.24990/injec.v5i1.282 ◽

2020 ◽

Vol 5 (1) ◽

pp. 76

Author(s):

Irna Nursanti ◽

Dewi Anggraini ◽

Ari Purwaninigsih

Keyword(s):

Pain Intensity ◽

Massage Therapy ◽

Sampling Technique ◽

Cost Effective ◽

Active Phase ◽

Nursing Intervention ◽

Labor Pain ◽

Verbal Description ◽

Control Group ◽

Significant Difference

Introduction: Labor pain is a challenging issue for nurses designing intervention protocols. Touch and massage therapy is one of non-pharmacology approaches that they could do during labor process. The study was conducted to assess the effectiveness in reducing pain intensity scale on the labor during first stage of active phase. Methods: A quasi-experimental approach was conducted and a purposive sampling technique was used to recruit 56 women who expected to have normal childbirth at a public hospital in Jakarta, Indonesia. They randomly assigned to either received touch and massage intervention (experiment) or not (control). The labor pain intensity was using Verbal Description Scale (VDS) with descriptive statistics, paired, and independent t-test. Results: The result showed that touch and massage therapy had a significant impact on the experimental group (tcalI 2.839, p<0.05). A significant difference also showed among the experimental dan control group during pre-test (tcalI 1.817, p>0.05) and post-test (tcalI 10.77, p<0.05). The study found that a combination of touch and massage therapy was effective to reduce labor pain during active stage. Conclusions: Touch and massage therapy can reduce labor pain intensity, and at the same time serve as closeness and encouragement during the first stage of active phase. It is a cost-effective nursing intervention and can positively influence the quality of women’s birth experiences.

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Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

Jurnal Bidan Cerdas (JBC) ◽

10.33860/jbc.v2i1.78 ◽

2020 ◽

Vol 2 (1) ◽

pp. 15-22

Author(s):

Ayu Irawati ◽

Susianti Susianti ◽

Iranita Haryono

Keyword(s):

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Wilcoxon Test ◽

Bivariate Analysis ◽

Control Group ◽

P Value ◽

Control Group Design ◽

First Stage Of Labor

Pain during labor is caused by the first stage of labor in which contractions cause dilation and thinning of the cervix and uterine ischemia due to contraction of the myometrial arteries. These contractions cause the opening of the cervix to begin labor. Various attempts are made to reduce labor pain, both pharmacologically and non-pharmacological. The non-pharmacological method applied is a distraction with birth balls. The research aims to prove the effectiveness of the use of birthing ball on the reduction of labor pain in the first stage of labor in the active phase. This study used an experimental research design with a pretest-posttest control group design. The research sample was 20 maternity mothers at the Lompoe Health Center, who received treatment and 20 people as control samples. It applied the purposive sampling technique. The instrument of observation was the pain scale using the Faces Pain Rating Scale. Data processing using the Wilcoxon-test to determine the effect of the treatment given. Based on the results of the bivariate analysis showed that the p-value is <0,001. In conclusion, there is an influence of using the birthing ball to reduce the level of pain in the first stage of labor in the active mother.

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Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2017.5(1).1-10 ◽

2017 ◽

Vol 5 (1) ◽

pp. 1

Author(s):

Ade Kurniawati ◽

Djaswadi Dasuki ◽

Farida Kartini

Keyword(s):

Pain Intensity ◽

Family Support ◽

Multivariable Analysis ◽

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

P Value ◽

Quasi Experimental ◽

First Stage Of Labor

Some problems may appear due to childbirth, such as discomfort, fear and pain. Particularly for pain in the first stage of labor, it can be severe and takes place a longer time, thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.This was a quasi-experimental study to determine the effectiveness of birth ball exercise isone of nonpharmacological methodstowards the reduction of labor pain in the active phase of the first stage of labor in primigravida. Thirty eight women were recruited with consecutive sampling technique, divided into 2 groups, the treatment group given ball birth exercise in active phase of the first stage for 30 minutes for two times and the control group not given the exercise. The bivariable analysis was conducted with correlation and t-test, while the multivariable analysis used linear regression. The results showed that the mean labor pain in the group given birth ball exercise was lower 4.5 than that in the control group at 5.4 with a p-value of 0.01. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of <0.05. The multivariate analysis using Model 4 obtained an R² value of 0.49, which means that the birth ball exercise and husband and family support contributed to labor pain equal to 49%.There were significant differences in pain intensity in active phase of the first stage of labor between primigravida who practiced birth ball exercise and those who did not. The pain intensity was lower in women practicing birth ball exercise than that in those who did not.

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PENGARUH TERAPI AKUPRESUR PADA TANGAN TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI PMB RATRI RESTUNI S.ST SAMARINDA

Jurnal Kebidanan Mutiara Mahakam ◽

10.36998/jkmm.v7i1.35 ◽

2019 ◽

Vol 7 (1) ◽

pp. 1-11

Author(s):

Ririn Ariyanti ◽

Aulia

Keyword(s):

Intervention Group ◽

Resistance Mechanism ◽

Sampling Technique ◽

Active Phase ◽

Pain Scale ◽

Labor Pain ◽

Control Group ◽

P Value ◽

Before And After ◽

Average Pain

Pain is a natural process in labor. The response of pain is different between one and another it is influenced by factors depended in body’s resistance mechanism since labor process. The factors are age, gender, pain’s mean, attention, previous experience, coping style, family’s support, afraid, worried, personality, fatigue, culture and social. Acupressure is one of the best non-pharmacology techniques in easiest management of labor pain, cheapest, and can be done by all of people because needs only two hands in therapy implementation. The objective of this research is to identify the influence af acupressure therapy on hands to labor pain of active phase in period I. This research was queasy experiment with non-equivalent pretest-posttest design. The population of this research was inpartu woman at PMB. Ratri Restuni, S.ST Samarinda. The sampling technique used non random sampling technique; it was the sampling quota of 15 people in intervention group and 15 people in control group. Data collection was obtained by doing interview and giving acupressure. The research finding shows that there is significant differences between pain scale before and after intervention in intervention group with t-value = 11,117 and p-value 0,05, in average pain scale of intervention group before and after intervention is 68.7, it decreases to 4.37, control group is 6.80 and there is no decreasing; the average period of this is 13 minutes and then increasing again. Acupressure therapy has to be applied in giving inpartu care in period I of active phase to decrease labor pain. For next researchers, they are expected to do more research by taking other variables that can influence labor pain; which are coping, family support, and personality.

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Pemberian Akupresur Kombinasi Titik BL32 dan LI4, Titik BL32 dan Sp6 Untuk Menurunkan Intensitas Nyeri Persalinan

Journal of Holistic Nursing Science ◽

10.31603/nursing.v7i2.3118 ◽

2020 ◽

Vol 7 (2) ◽

pp. 133-141

Author(s):

Mukhoirotin Mukhoirotin ◽

Hidayatul Mustafida

Keyword(s):

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Numeric Rating Scale ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Pharmacological Intervention ◽

Control Group ◽

Control Group Design

Labor pain is a physiological condition that most experienced by all women giving birth. Labor pain of the active phase is caused by cervical dilatation and distention of the uterine corpus. The purpose of this study was to determine the differences of acupressure effect on the combination of BL32 (Ciliao) and LI4 (Hegu) points with BL32 (Ciliao) and SP6 points (Sanyinjiao) toward the intensity of labor pain. The research design used Quasy Experiment with the approach of Pretest-Posttest Control Group Design with the Purposive Sampling technique. The population of this study was all maternity women at PMB Siti Zulaikah Jogoroto Jombang. The sample in this study was 22 respondents who include to the inclusion and exclusion criteria. The pain scale instrument used was the Numeric Rating Scale (NRS). The data were analyzed by using Paired T-Test and Independent T-Test with α ≤ 0.05. The results have shown that there was an effect of acupressure in both intervention groups on the intensity of labor pain with a value of p = 0.000 (p <0.05). There were no differences in the influence between the two intervention groups (4.09 ± 1.044 vs 4.82 ± 0.982; p = 0.108 (p>0.05). Acupressure on BL32 (Ciliao) and LI4 (Hegu) point combinations with BL32 points (Ciliao) and SP6 point (Sanyinjiao) effectively reduce the intensity of labor pain so it can be used as an alternative non-pharmacological intervention in reducing labor pain intensity.

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Efficacy of EMDR Therapy on the Pain Intensity and Subjective Distress of Cancer Patients

Journal of EMDR Practice and Research ◽

10.1891/emdr-d-20-00036 ◽

2021 ◽

Vol 15 (1) ◽

pp. 18-28

Author(s):

Naeem Abdi ◽

Mohammad Malekzadeh ◽

Zhila Fereidouni ◽

Mohammad Behnammoghadam ◽

Parisa Zaj ◽

...

Keyword(s):

Pain Intensity ◽

Rating Scale ◽

Therapeutic Option ◽

Controlled Trial ◽

Sampling Technique ◽

Control Group ◽

Subjective Distress ◽

Patients With Cancer ◽

Before And After ◽

Emdr Therapy

The present study was carried out to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) therapy in treating pain and subjective distress of patients with cancer. A randomized controlled trial was performed on patients with cancer suffering from moderate to severe cancer pain in Yasuj, Iran, in 2019 and 2020. Sixty patients aged 30–60 years who fulfilled the inclusion criteria were selected using a consensus sampling technique. Patients were randomly assigned to EMDR therapy or control groups based on random block allocation. EMDR therapy was administered in six to eight daily 1-hour sessions. The control group received the standard treatment provided by the hospital. A Numeric Pain-Rating Scale (NRS) and the Subjective Units of Disturbance Scale (SUDS) were used to assess pain and subjective distress before and after the intervention in each session. The collected data were analyzed by descriptive statistics, chi-square test, and independent t test using Statistical Package for the Social Sciences (SPSS) version 24. The mean pain intensity and subjective distress score in the experimental group before and after the EMDR intervention were significantly reduced (p < .001). In the control group, no decreases in NRS and SUDS scores occurred at any time (p > .05). Differences in pain scores between the groups were statistically significant (p < .001). EMDR can effectively and sustainably reduce the pain and subjective distress experienced by patients with cancer. Thus, EMDR is a recommended therapeutic option to mitigate pain and subjective distress among patients with cancer.

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THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA

Belitung Nursing Journal ◽

10.33546/bnj.201 ◽

2017 ◽

Vol 3 (5) ◽

pp. 508-514

Author(s):

Yuli Sya’baniah Khomsah ◽

Agus Suwandono ◽

Ida Ariyanti

Keyword(s):

Community Health ◽

Health Center ◽

Rating Scale ◽

Numerical Rating Scale ◽

Community Health Center ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

P Value ◽

First Stage Of Labor

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.

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The Effect Bonapace Method Reduces Labor Pain Of Active Phase I To Intranatal Care

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i1.281 ◽

2020 ◽

Vol 9 (1) ◽

pp. 248-257

Author(s):

Luluk Susiloningtyas ◽

Ratna Feti Wulandari

Keyword(s):

Phase I ◽

Severe Pain ◽

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Pain Scale ◽

Labor Pain ◽

Wilcoxon Sign Rank ◽

Independent Variable ◽

Descriptive Scale

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

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