scholarly journals Pengaruh kompres hangat terhadap intensitas nyeri persalinan kala I fase aktif

2020 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Suyani Suyani

Pain is an integral part of labor and childbirth which is normal due to physiological and psychological factors. Labor pain can affect uterine contractions through secretion of catecholamine and cortisol levels which increase sympathetic nervous system activity, changes in blood pressure, heart rate, breathing, and consequently affect labor duration. This study aims to determine the effect of warm compresses on the intensity of labor in the first phase of active labor. The design of this study was quasi-experimental with one group pre-test and post-test design. The population in this study were all labor women at BPM Tri Rahayu Setyaningsih Sleman, with incidental sampling techniques and 18 samples were obtained. A compress was carried out in the lower abdomen using hot bladders. Data analysis using Paired T test. Based on the research results obtained, the mean pain score before treatment was 8.66 and the mean pain score after treatment was 5.83. The results of statistical analysis of different pain intensity tests before and after treatment showed a significant difference (p = 0,000; 95% CI -3,352 - (- 2,314). This shows that warm compresses can reduce the intensity of pain in labor during the active phase. warmth can be used as one way to reduce the intensity of labor pain

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


2019 ◽  
Vol 7 (3) ◽  
pp. 185-190
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage


2019 ◽  
Vol 7 (3) ◽  
pp. 185-197
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage


2018 ◽  
Vol 31 (3) ◽  
pp. 310
Author(s):  
Tetti Solehati ◽  
Agus Rahmat ◽  
Cecep Eli Kosasih ◽  
Nur Oktavia Hidayati

Pangandaran is a popular tourism destination in West Java, which is annually visited by a high number of foreign and domestic tourists. It has set itself the vision of gaining the title ‘Healthy Village’. However, Pangandaran beach is still fighting the problem of waste, which is easily found along the coast. Thus, disease is mushrooming due to the lack of a Clean Lifestyle (Perilaku Hidup Bersih Sehat/PHBS) and the low awareness of PHBS in the Pangandaran local community. The efforts undertaken to overcome the problem of infectious disease due to the lack of PHBS require great support from various parties such as health service centres and via community participation and the role of cadres, who also manage the Community Health Centres (Pos Pelayanan Terpadu/Posyandu). The study aims to determine the effect of the health promotion of PHBS on the attitude, motivation, and behaviour of the health cadres. The study was quasi-experimental, involving a pre-test and post-test design. The study was conducted in Pangandaran Village, Pangandaran Regency. This research involved the health cadres because they are the closest person to the community and they also run a health program. In addition, they are reliable people when it comes to overcoming health problems in the community. The total population of health cadres in Pangandaran Village amounted to 28 people, via total sampling. The instruments used in this study included a questionnaire, observation sheet, and a checklist. The data analysis used univariate and bivariate analysis. The result showed that the mean score of attitude ranged from 65.11 to 74.71 (p = 0,000), the mean score of motivation was 37.39 to 40.71 (p = 0,000), the mean score of genital hygiene behaviour was 67.96 to 80.61 (p = 0,000) and the mean score of the behaviour of CTPS was significant at 32.25 to 35.71 (p = 0,000). This study found there to be significant difference in the mean attitude, motivation and behaviour of the health cadres before and after the intervention period.


2020 ◽  
Vol 4 (1) ◽  
pp. 293-304
Author(s):  
Yulidian Nurpratiwi ◽  
Muhammad Hadi ◽  
Idriani Idriani

This study aims to determine Rebozo Shake The Apples (RSTA) effectiveness and Rebozo Sifting While Lying Down (RSWLD) on the intensity of pain during the first stage of the active phase and the duration of labor in multigravida mothers. This research method is a quasi-experiment with two group pre and post design. This study indicates that there is a difference in the mean intensity of pain in the first stage of active labor in multigravida mothers before and after giving RSTA & RSWLD (p-value = 0.007). Whereas in the length of work, there was no significant difference in the average size of labor between the RSTA and RSWLD technique interventions (p-value = 0.351), and the effectiveness of the two Rebozo techniques had the same variant, meaning they were equally effective in diverting labor pain during the active phase and duration of delivery (p-value = 0.118). In conclusion, they are giving RSTA, and RSWLD can delay labor pain intensity during the first stage of the active phase and the duration of labor in multigravida mothers.   Keywords: Pain intensity, duration of labor, Multigravida, Rebozo technique


2021 ◽  
Vol 13 (02) ◽  
pp. 151
Author(s):  
Eniyati . ◽  
Ika Fitria Ayuningtyas Fitria Ayuningtyas ◽  
Lily Yulaikah

ABSTRAKLatar Belakang: Banyak ibu sangat takut mengalami rasa sakit saat persalinan melalui vagina sehingga lebih memilih persalinan Caesar. Rasa takut akan semakin mencekam ketika tanggal persalinan semakin dekat. Penelitian menunjukkan, faktor mengurangi rasa takut adalah mendapat dukungan positif dari keluarga dan memilih beberapa metode penghilang rasa sakit (Danuatmadja, 2008). Untuk mengurangi efek stres fisiologis maupun psikologis akibat nyeri persalinan dapat dilakukan melalui penanganan non farmakologi.Salah satu terapi tersebut adalah olah nafas. Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Olah Nafas Belly Breathing Terhadap Nyeri Persalinan Kala 1 Fase Aktif Di Klinik Dhiaulhaq Magelang Jawa Tengah. Metode: Desain penelitian ini adalah Quasy Eksperimental dengan pendekatan one group Pre-Post test Design. Populasi penelitian adalah ibu bersalin di klinik Dhiaulhaq Magelang Jawa Tengah dengan jumlah sampel 38 dan menggunakan teknik accidental sampling. Analisis menggunakan uji Wilcoxon. Hasil: Terdapat perbedaan antara nyeri sebelum diberikan terapi olah nafas dengan nyeri pasca pemberian olah nafas pada kala 1 fase aktif dengan nilai P= 0,000 < 0,05. Terdapat perbedaan rasa nyeri yang bermakan antara sebelum diterapkan dan sesudah diterapkan. Kesimpulan: Terdapat 29 responden (76,32%)  setelah diterapkan olah nafas belly breathing, nyeri berkurang, 1 responden (2,63%) nyeri bertambah, dan terdapat 8 responden (21,1 %) dengan nyeri tetap.Kata Kunci : Belly Breating, Nyeri PersalinanTHE EFFECT OF BELLY BREATHING TO REDUCE LABOR PAIN DURING 1 ACTIVE PHASE AT DHIAULHAQ MAGELANG CLINICABSTRACTBackground: Many women are frightened of the pain during vaginal delivery so they prefer a caesarian delivery. The fear will be more gripping as the due date draws near. Research shows the factors that reduce fear are getting positive support from family and choosing several methods of pain relief (Danuatmadja, 2008). To reduce the effects of physiological and psychological stress due to labor pain can be done through non-pharmacological treatmen. One the therapies is breathing exercise. Objective: This study is aimed to determine the Influence of Belly Breathing to Pain of Labor Kala 1 Phase Active In Dhiaulhaq Clinic Magelang, Central Java. Methods: The design of this research is Quasy Experimental with a one group Pre- Posttest Design approach. The population of the study was maternal birth in Dhiaulhaq Clinic Magelang, Central Java with 38 samples and using accidental sampling technique. The analysis was using Wilcoxon test. Results: There is a difference between pain before brathing therapy and after having breathing therapy in kala I active phase p=0.000<0.05. There is significant difference of pain level between before and after the tharapy was applied. Conclusion: After applying the Belly Breathing exercise there were 29 respondents (76.32 %) experienced reducing pain, one respondent (2.63 %) experienced increasing pain, and 8 respondents (21.1%) increasing pain constantly.Keyword: Belly Breathing, Labor Pain


2021 ◽  
Vol 7 (3) ◽  
pp. 441-452
Author(s):  
Deby Utami Siska Ariani ◽  
Dewi Suryanti

Background: Pain in the process of persuasion begins since the occurrence of uterine contractions and complete cervical opening which is devided into two phases, namely the latent phase and the active phase. The International Association for Study of Pain, defines pain as a subjective sensory and unpleasant emotional experience associated with actual or potential tissue damage or perceived in events where damage occurs. Purpose: to determine the effect of back massage on the decrease in pain physiological labor pain during the active phase at the Husniyati Palembang Midwife Practice. Methods: The research design was pre-experimental design with one group pre test - post test design. The population in this study were all mothers who would give birth during the first stage of the active phase at the Husniyati Independent Practice Midwives. The research sample is the total population, namely 35 people. The research variables included independent variables, namely back massage and the dependent variable, namely labor pain. Results: 20 respondents (57.1%) who experienced moderate pain experienced pain scale description before giving back massage. After being given back massage, the pain scale decreased from 35 respondents who experienced mild pain totaling 23 respondents (65.7%). The results of the Wilcoxon statistical test showed that the value of p = 0.000, it can be concluded that there is a significant difference in the pain scale of mothers who are about to give birth during the 1st stage of the active phase before and after being given back massage. Conclusion: There is a significant difference in the pain scale of mothers who are about to give birth during the first stage of the active phase before and after being given back massage at the Husniyati Palembang Midwife Practice.Suggestion The results of this study can be used as information for further research using more varied variables and different designs. And can also be done on a larger number of samples. Keywords: labor pain, first stage active phase and back massage ABSTRAK Latar belakang: Nyeri pada proses persalinan dimulai sejak terjadinya kontraksi uterus dan pembukaan servik lengkap yang dibagi dua fase, yaitu fase laten dan fase aktif. International  Association  for  Study  of  Pain,  mendefinisikan nyeri  sebagai  suatu sensori subjektif dan pengalaman emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan yang bersifat aktual atau potensial atau yang dirasakan dalam kejadian-kejadian dimana terjadi kerusakan.Tujuan: untuk mengetahui pengaruh  masase punggung terhadap penurunan nyeri persalinan fisiologis kala 1 fase aktif di Bidan Praktek Mandiri Husniyati Palembang.Metode: Rancangan penelitian dengan desain  Pra Eksperimental dengan rancangan one group pre test - post test. Pengumpulan data  didapat melalui wawancara langsung dan observasi pada responden dibantu dengan menggunakan angket. Populasi dalam penelitian ini seluruh ibu yang akan melahirkan pada kala I fase aktif di Bidan Praktek Mandiri Husniyati. Sampel penelitian merupakan total populasi yaitu berjum,ah 35 orang. Variabel penelitian, variabel independen yaitu masase punggung  serta variabel dependen yaitu nyeri persalinan. Analisis yang digunakan adalah univariat dan bivariate. Uji Statistik yang digunakan yaitu non parametric Wilcoxon.Hasil: gambaran skala nyeri sebelum diberikan masase punggung dari 35 responden yang mengalami nyeri sedang berjumlah 20 responden (57,1%). setelah diberikan masase punggung skala nyeri menjadi menurun dari 35 responden yang mengalami nyeri ringan berjumlah 23 responden (65,7 %). Hasil uji statistik wilcoxon didapatkan nilai p = 0,000, maka dapat disimpulkan ada perbedaan yang signifikan skala nyeri pada ibu  yang akan melahirkan pada kala 1  fase aktif  sebelum dan sesudah diberikan masase punggung.Kesimpulan: ada perbedaan yang signifikan skala nyeri pada ibu yang akan melahirkan pada kala 1 fase aktif sebelum dan sesudah diberikan masase punggung di Bidan Praktek Mandiri Husniyati.Saran Hasil penelitian ini dapat dijadikan informasi untuk penelitian lebih lanjut dengan menggunakan variable yang lebih bervariasi dan desain yang berbeda. Dan juga dapat dilakukan pada jumlah sampel yang lebih banyak. Kata Kunci : Nyeri persalinan, kala I Fase aktif dan masase punggung 


2021 ◽  
Vol 16 (2) ◽  
pp. 827-846
Author(s):  
Nthabiseng Mosese ◽  
Ugorji I. Ogbonnaya

Making connections between the representations of trigonometric functions and an interpretation of graphs of the functions are major challenges to many students. This study explores the effectiveness of the GeoGebra on grade 12 students’ success in making connections between the representations of trigonometric functions and the interpretation of graphs. A non-equivalent control-group pre-test post-test quasi-experimental design was used. The sample of the study consisted of sixty-one grade 12 students from two schools. The results showed that there was a statistically significant difference between the mean achievements of the experimental group and the control group on making connections between representations of trigonometric functions, and on analyses and interpretations of representations of trigonometric functions, in favour of the experimental group. This study extends the findings of previous studies on the effectiveness of dynamic mathematics software on students’ learning of representations and interpretation of graphs of trigonometric functions.            Keywords: GeoGebra, functions graphs, Trigonometric functions


Author(s):  
Sri Wahyuni ◽  
Ali Wira Rahman

Vocabulary considered one of the important things to learn for students, the vocabulary is basic thing that students must be mastered in foreign language lessons, especially in English. Without vocabulary students will have difficulty in mastering skills in English such as writing, reading, listening and speaking.  Therefore, it is very important to find out the solution to enhance students’ vocabulary. The objective of the research is to find out whether or not using Jumbled letters can improve the students vocabulary of the tenth grade students in MAN 2 Barru and to find out whether or not using Crossword puzzle can improve the students vocabulary of the tenth grade students in MAN 2 Barru. This research applied quasi-experimental group design with two groups experimental and control class. The population of this research was the tenth grade students of MAN 2 Barru in academic year 2018/2019. The Total sample of the research was taken by using clustering random sampling which consisted of 141 students. From two classes taken from the population of the tenth grade students of MAN 2 Barru, X MIA 1 as the experimental class consisted 29 students and X MIA 3 as the control class that consisted 29 students. The result of the data analysis showed that there was a significant difference of students’ vocabulary before and after teaching vocabulary through jumbled word letters. The value of t-test pre-test 2.09 was higher than t-table 2.000, and the value of post-test 4.62 was higher than t-table 2.000, at the level significance a =0.05 and degree of freedom (df) = 56. It can be concluded that jumbled word letters can enhance the vocabulary of the tenth grade students’ of MAN 2 Barru


2020 ◽  
Vol 6 (1) ◽  
pp. 26-31
Author(s):  
Nurul Azizah ◽  
Rafhani Rosyidah ◽  
Hanik Machfudloh

Maternal labor will experience almost all body pain, such as painful ribs, stitches, abdominal pain due to uterine contractions, and discomfort in the back due to epidural needles, and this discomfort will last several days and can be overcome by prescription for painkillers. In this study aimed at carrying out non-famacological pain relief therapy, namely by using aromatherapy which is believed to reduce pain, this study tried to compare the effectiveness of lavender and neroli aromatherapy inhalation to decrease post-labor pain. The research method used quasi-experimental that is given aromatherapy lavender (Lavendula Augustfolia) and neroli (Citrus Aurantium) inhalation treatments. The number of respondents was 60 with 1-2 days of normal and postpartum criteria, each group consisted of 30 respondents. Group 1 was held at the Pearl Delta Clinic RB and group 2 in the Karunia RB Clinic. Data were analyzed by univariable by using mean and standard deviation, bivariable with statistical test independent sample T test. The results of this study showed a mean reduction in pain scores on lavender aromatherapy inhalation of 2.36 ± 0.15, whereas in the aromatherapy neroli inhalation group the mean reduction in pain score was 3.03 ± 0.067 with a P value <0.002 indicating a significant relationship. The conclusion of this study is the inhalation of lavender aromatherapy (LavendulaAugustfolia) and neroli (Citrus Aurantium) can reduce the intensity of postpartum pain, but in the aromatherapy neroli inhalation group has a greater pain reduction score than the lavender group. 


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