scholarly journals The Effect of Left Lateral Position and Squatting Position on The Progress of The Active Phase of The First Stage of Labor Among Primigravida Women at Private Practice Midwife Istikomah, Amd. Keb, Sampung Subdistrict, Ponorogo District

2021 ◽  
Vol 8 (2) ◽  
pp. 211-216
Author(s):  
Diyan Wahyuningsih ◽  
Neta Ayu Andera ◽  
Nisa Aprilia Andika
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Lateral Position ◽  
P Value ◽  
Birth Canal ◽  
Left Lateral Position ◽  
Data Collection Instrument ◽  
Post Test ◽  
Independent Variable ◽  
First Stage Of Labor

Primigravida women mostly experience prolonged progress of labor due to the stiff birth canal. There are several positions of labor that may accelerate cervix dilatation process including squatting. This study aimed to determine the effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. This was a pre-experimental study with Pre test - post test approach. The population was all primigravida women in labor at Private Practive Midwife Istikomah, Amd.Keb., Sampung Subdistrict, Ponorogo District, taken  with an accidental sampling technique which obtained 9 respondents. The independent variable was labour position, while the dependent variable was duration of the active phase of the first stage of labor. The data collection instrument used here was observation sheet. The results were analyzed using Paired sample T-test (α=0,05). The results showed that before the application of left lateral and squatting positions in VT 1, all 9 respondents (100%) had normal labour progress and after the application of left lateral and squatting positions in VT 2, most respondents (77.8%) had labour progress in short category. The analysis obtained a p-value=0.000<α=0.05. Thus, there was an effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. The combination of squatting and left lateral positions during labour seems to accelerate the progress of the active phase of the first stage of labor with minimal side effects.

scholarly journals EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

2017 ◽  
Vol 1 (2) ◽  
pp. 104-110
Author(s):  
Ariu Dewi Yanti ◽  
Rina Mardiyana Mardiyana
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Experimental Type ◽  
First Stage Of Labor

The pain on delivering baby was experienced by most women, this pain is unique and different for every individual. Non-pharmacological pain control becomes cheaper, simple, and effective and without adverse effects, one of which is the technique effleurage. Effleurage of the abdomen is one of the non-pharmacological methods which are usually used in the Lamaze method to reduce pain in normal labor. This research aimed to determine the effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Research design was pre experimental type one group pre-test post test design. Its population were all women giving birth in BPM Hj.Ninik Artiningsih.,SST.M.Kes, SST Blooto distric Mojokerto Regency amount 17 people. The sampling technique used consecutive sampling to obtain 15 samples. Data analysis used was Wilcoxon test with P value <0.05. It means that there was effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Gently cares the abdomen effected in pain that transmitted will be inhibited, it effected in the cerebral cortex does not receive the response message so that the pain decreased pain

scholarly journals EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

2017 ◽  
Vol 1 (2) ◽  
pp. 104-110
Author(s):  
Ariu Dewi Yanti ◽  
Rina Mardiyana Mardiyana
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Experimental Type ◽  
First Stage Of Labor

The pain on delivering baby was experienced by most women, this pain is unique and different for every individual. Non-pharmacological pain control becomes cheaper, simple, and effective and without adverse effects, one of which is the technique effleurage. Effleurage of the abdomen is one of the non-pharmacological methods which are usually used in the Lamaze method to reduce pain in normal labor. This research aimed to determine the effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Research design was pre experimental type one group pre-test post test design. Its population were all women giving birth in BPM Hj.Ninik Artiningsih.,SST.M.Kes, SST Blooto distric Mojokerto Regency amount 17 people. The sampling technique used consecutive sampling to obtain 15 samples. Data analysis used was Wilcoxon test with P value <0.05. It means that there was effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Gently cares the abdomen effected in pain that transmitted will be inhibited, it effected in the cerebral cortex does not receive the response message so that the pain decreased pain

scholarly journals Pengaruh Massage Efflurage terhadap Intensitas Nyeri Persalinan dan Pembukaan Jalan Lahir Fase Aktif

2020 ◽  
Vol 5 (2) ◽  
pp. 136
Author(s):  
Riris Sitorus ◽  
Nining Pelawati ◽  
Grace Erlyn D.S
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
P Value ◽  
Inclusion Criteria ◽  
Hormone Production ◽  
Test Analysis ◽  
Birth Canal ◽  
Post Test ◽  
Quasi Experimental

Massage effleurage is a touch or gentle, slow, long and unbroken stroke using the tips of the fingers. This massage effleurage aims to make mothers feel comfortable and relaxed, close the gate of pain and increase endorphin hormone production. This study aims to determine whether there is an effect of massage effleurage on labor pain intensity and opening of the first phase of the birth pathway in the active phase at the Pratama Nining Pelawati Clinic, Lubuk Pakam District. The research method used was quasi-experimental (Quasi Experiment) with one group pre-test and post-test design. The population in this study were all mothers in the first phase of primigravida, the sample in this study was 18 respondents with a sampling technique using accidental sampling in accordance with inclusion criteria. The results showed that by using the Paired Sample T-Test analysis of massage effleurage to reduce the intensity of labor pain where the p-value of 0.001 <α = 0.05, it can be concluded that there was an effect of giving massage effleurage on the intensity of the first stage of postgravida pain active phase. However, there is no effect of giving massage effleurage to the acceleration of opening of the birth canal.

scholarly journals Pengaruh Pijat Aromaterapi Lavender Terhadap Tingkat Nyeri Persalinan Kala I Fase Aktif

2017 ◽  
Vol 3 (1) ◽  
pp. 55
Author(s):  
Finta Isti Kundarti ◽  
Ira Titisari ◽  
Naning Tri Windarti
Keyword(s):  
Statistical Tests ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Post Test ◽  
Oxygen Requirements ◽  
First Stage Of Labor

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

scholarly journals Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

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.

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

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

<em><span>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</span><span lang="IN">, </span><span>thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.</span><span>This was a quasi-experimental study </span><span lang="IN">t</span><span>o determine the effectiveness of birth ball exercise </span><span>is</span></em><em><span>one of nonpharmacological methods</span></em><em><span>towards 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.</span><span lang="IN"> The results showed that t</span><span>he 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 </span><span lang="IN">0.01</span><span>. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of &lt;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%.</span><span>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.</span></em>

scholarly journals Perbedaan Efektifitas Pijat Perineum dan Supercrowning terhadap Derajat Ruptur Perineum pada Ibu Bersalin Primipara

2020 ◽  
Vol 7 (1) ◽  
pp. 35
Author(s):  
Lestari Puji Astuti ◽  
Sri Harmiati ◽  
Tri Ismu Pujianto
Keyword(s):  
Data Analysis ◽  
Health Center ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Birth Canal ◽  
Post Test ◽  
Perineal Massage ◽  
Quasi Experiment

ABSTRAKRuptur perineum merupakan robekan pada perineum yang terjadi pada saat bayi lahir secara spontan maupun menggunakan alat atau tindakan. Ruptur perineum pada primipara terjadi karena kondisi perineum kaku, jalan lahir belum pernah dilewati oleh bayi. Upaya pencegahan ruptur perineum bisa dilakukan dengan cara pijat perineum dan supercrowning. Tujuan Penelitian untuk mengetahui perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum . Jenis penelitian adalah quasi experiment, desain penelitian menggunakan post-test only control group. Populasi Penelitian ini adalah ibu bersalin primipara di UPT Puskesmas Kragan II sebanyak 59 ibu bersalin. Sampel Penelitian ini adalah ibu bersalin primipara sebanyak 36 ibu bersalin dengan accidental sampling. Analisa data menggunakan Mann Whitney untuk melihat adanya perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum  pada ibu bersalin primipara. Hasil penelitian nilai mean rank pada kelompok yang diberikan perlakuan pijat perineum 12,33 dan pada kelompok yang diberikan perlakuan supercrowning 24,67 dan nilai p-value=0,000 (<0,05). Ada perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum  pada ibu bersalin primipara. Pijat perineum lebih efektif mencegah derajat ruptur perineum  pada ibu bersalin primipara.Kata kunci: pijat perineum; supercrowning; ruptur perineum. EFFECTIVENESS  DISTICNTION OF PERINEUM MASSAGE AND SUPERCROWNING TOWARDS DEGREE OF PERINEUM RUPTURES IN PRIMIPARA MOTHERS ABSTRACTPerineal rupture is a tear in the perineum that occurs when a baby is born spontaneously or uses tools or actions. Perineal ruptur in primipara occurs because of a rigid perineum, the birth canal has never been passed by the baby causing ruptur of the perineum. The efforts to prevent perineal rupture can be done by massaging the perineum and supercrowning. The purpose of this study was to determine the differences in the effectiveness of perineal massage and supercrowning on the level of perineal rupture. The type of research used is quasi experiment. The design of this study used a post-test only control group. The population of this research was 59 primiparous mothers in Kragan II Health Center. The sample of this research was 36 primiparous mothers. Sampling technique in this study used accidental sampling. Data analysis used Mann Whitney to see differences in the effectivness of perineum massage and supercrowning on the level of perineal ruptur in primiparaous mothers. Mean rank in the interventionof perineal massage is 12,33, while in supercrowning group  is 24.67 and p-value = 0,000 (<0.05). There is a difference in the effectiveness of perineum massage and supercrowning on the level of perineal rupture in primiparous mothers. From the results of this study the perineum massage is more effective in preventing the level of perineal rupture in primiparous maternal  Keywords: perineum massage; supercrowning; perineum rupture

scholarly journals Pengaruh Teknik Relaksasi Nafas Dalam terhadap Intensitas Nyeri pada Persalinan Kala I Fase Aktif di PMB Y Karawang

2021 ◽  
Vol 10 (2) ◽  
pp. 385
Author(s):  
Imelda Diana Marsilia ◽  
Nina Tresnayanti
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Wilcoxon Test ◽  
P Value ◽  
Relaxation Techniques ◽  
Deep Breath ◽  
Signed Rank ◽  
Post Test ◽  
Quasi Experimental

Mothers who are facing the labor process will feel pain related to uterine contractions, various ways have done to reduce pain, namely by non-pharmacological techniques, including deep breathing relaxation, massage, changes in the mother's position so that labor can run safely and comfortably. This study aims to determine the effect of deep breath relaxation techniques on pain intensity in the active phase of labor. This research is a quasi-experimental design approach method pre test and post test. The sampling technique used accidental sampling as many as 28 mothers had birth in July - August BPM Y Karawang. The results of the data normality statistical test used the Shapiro-Wilk test. Data analysis using the Wilcoxon test obtained signed rank p value 0.0000 <0.05. The conclusion are that there are an effect of deep breath relaxation techniques on decreasing the pain intensity of the active phase of labor. The suggestion of this study is that deep breath relaxation techniques can be recommended as a complementary tearpie and applied to relieve pain during labor, so that labor can run smoothly

scholarly journals The effect of the implementation active birth technique using hypnobirthing accelerated the progress of the first stage of labor among intrapartum mother

2020 ◽  
Vol 7 (12) ◽  
pp. 4745
Author(s):  
Ika Yulia Darma ◽  
Nurul Abdillah ◽  
Meldafia Idaman ◽  
Honesty Diana Morika
Keyword(s):  
Total Sample ◽  
Bivariate Analysis ◽  
P Value ◽  
Independent Practice ◽  
Birth Canal ◽  
Post Test ◽  
Quasi Experimental ◽  
Prolonged Labor ◽  
The Uk ◽  
First Stage Of Labor

Background: Problems in childbirth, including old labor, which is one of the causes of death for mothers and newborns, is still widely found in Indonesia. Factors that influence labor to take longer are abnormal presentation, inadequate contractions, birth canal abnormalities, multiple pregnancies and anemia. To deal with prolonged labor, the UK has introduced active birth techniques. Hypnobirthing is one of the active birth methods that can be used during the first stage of labor. This research purposes to study the effect of the application of the active birth technique using hypnobirthing on the progress of the first stage of labor in the mother.Methods: This type of research was quasi experimental with the post-test only design approach. This research was conducted from 15 May to 18 August 2020, in 4 independent practice midwives (BPM) Padang City in 2020. Data were collected through observation sheets using non-probability sampling techniques, namely purposive sampling with a total sample of 15 samples. Data were collected using observation sheets. Data were analysed using univariate and bivariate analysis using the dependent T-test.Results: The results showed that the mean labor progress using hypnobirthing was 3.67 and SD±1.49 with a minimum value of 1 and a maximum of 6. Based on the statistical test, the p value was 0.000 (p<0.05).Conclusions: There is the effect of the application of active birth techniques using hypnobirthing on the progress of stage I labor in maternal labor.

scholarly journals PENGARUH PEMBERIAN ROSE EFFLEURAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF PADA PERSALINAN NORMAL PRIMIGRAVIDA DI BIDAN PRAKTIK MANDIRI ERNITA KOTA PEKANBARU

2020 ◽  
Vol 4 (1) ◽  
pp. 9-14
Author(s):  
Jasmi Jasmi ◽  
Elly Susilawati ◽  
Ana Andriana
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Average Intensity ◽  
Test Study ◽  
Before And After ◽  
Post Test ◽  
Confidence Degree

Birth pain can cause maternal discomfort such as fatigue, frustration, despair, and stress. The preliminary survey at PMB Ernita of Pekanbaru showed that there were 60% of the mothers that suffered moderate pain and 40% of them experienced severe pain. The intensity of labor pain can be reduced by giving a rose effleurage that can produce endorphin so that it stimulates a sense of relaxation. This pre-experimental research used a one group pre-test study post-test design carried out in March to June 2018. The population was primigravidae  mothers in the first stage of labor taken using purposive sampling technique. The results showed that the average intensity of pain in parturient women before and after administration of rose effleurage was 6.00 and 4.60, respectively. The result of statistic test with Wilcoxon test on 95% confidence degree showed that there was the effect of rose effleurage stage on pain intensity in the active stage of labor (p value = 0.000). It is then suggested that rose effleurage can be applied as an alternative method which aims to reduce the intensity of labor pain at the time of active phase.

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