scholarly journals Practices of Counter Pressure and Birth Ball Exercise Combination to Increase β-Endorphin Hormone Levels in Labor Pain

2020 ◽  
Author(s):  
Novita Sari ◽  
Runjati ◽  
Diyah Fatmasari ◽  
Tri Ismu Pujiyanto
Keyword(s):  
Labor Pain ◽  
Hormone Levels ◽  
Counter Pressure

scholarly journals Efektifitas Massage Counter Pressure Pada Nyeri Persalinan Kala I Fase Aktif

2021 ◽  
Vol 3 (2) ◽  
pp. 122-131
Author(s):  
Luh Putu Ani Widiyastiti ◽  
Kartika Sari
Keyword(s):  
Standard Deviation ◽  
Statistical Test ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
Medical Clinic ◽  
Counter Pressure ◽  
Significant Difference ◽  
Before And After ◽  
First Stage Of Labor

Labor pain is a subjective experience of physical sensations associated with uterine contractions, cervical dilation and thinning, and fetal decline during labor. Severe pain condition during the first stage of labor allows mothers to tend to choose the easiest and fastest way to relieve pain. Efforts that can be made to deal with the first stage of labor pain are non-pharmacological methods, one of which is counter pressure massage. To determine the difference in pain before and after counter pressure massage in the active phase I labor pain. This type of research is a quasi-experimental design with a pretest and posttest control group design. The sampling method was accidental sampling with a sample size of 15 people. Statistical test analysis using Dependent T-Test. The average labor pain before counter pressure massage was 3,600 with a standard deviation of 0.507 and after counter pressure massage the respondent's pain value was 2,666 with a standard deviation of 0.617, it was seen that there was a difference in value or decrease before and after the counter pressure massage was carried out, namely 0.933 with standard deviation of 0.258 and the statistical test results obtained p = 0.000. There was a significant difference between pain before and after counter pressure massage at Alin's Medical Clinic. It is hoped that health workers, especially midwives, can provide counter pressure massage to mothers who give birth in order to reduce morbidity and mortality in mothers. ABSTRAK Nyeri persalinan merupakan pengalaman subjektif tentang sensasi fisik yang terkait dengan kontraksi uterus, dilatasi dan penipisan serviks, serta penurunan janin selama persalinan. Kondisi Nyeri yang hebat pada kala I persalinan memungkinkan para ibu cenderung memilih cara yang paling gampang dan cepat untuk menghilangkan rasa nyeri. Upaya yang dapat dilakukan untuk mengatasi nyeri persalinan Kala I adalah dengan metode non farmakologis salah satunya dengan massage counter pressure. Untuk mengetahui perbedaan nyeri sebelum dan sesudah massage counter pressure pada nyeri persalinan kala I Fase Aktif. Jenis penelitian yang digunakan adalah quasi eksperimen dengan rancangan one group pretest dan posttest desgn. Metode pengambilan sampel secara accidental sampling dengan jumlah sampel 15 orang. Analisis uji statistik menggunakan Dependent T-Test. Rata-rata nyeri persalinan sebelum dilakukan massage counter pressure adalah 3.600 dengan standar deviasi 0.507 dan setelah dilakukan massage counter pressure nilai nyeri responden yaitu 2.666 dengan standar deviasi 0.617, terlihat adanya perbedaan nilai atau penurunan sebelum dan sesudah dilakukan massage counter pressure yaitu 0.933 dengan standar deviasi 0.258 serta hasil uji statistik didapatkan p=0.000. Ada perbedaan yang signifikan antara nyeri sebelum dan sesudah dilakukan massage counter pressure di Alin’s Medical Clinic. Diharapkan petugas kesehatan terutama bidan dapat memberikan massage counter pressure pada ibu bersalin agar dapat mengurangi angka morbiditas dan mortalitas pada ibu

scholarly journals PAIN LEVEL AND PROSTAGLANDIN-E2 USING COUNTER-PRESSURE DURING 1ST STAGE OF LABOR

Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 111
Author(s):  
Sri Rejeki ◽  
Ariawan Soejonoes ◽  
Soenarjo Soenarjo ◽  
Amin Husni
Keyword(s):  
Phase I ◽  
Labor Pain ◽  
Control Group ◽  
Pressure Treatment ◽  
Pain Level ◽  
Key Words Pain ◽  
Pressure Method ◽  
Counter Pressure ◽  
Uterus Contraction ◽  
Pg E2

Introduction : Increased the forming of PG-E2 able to trigger uterus contraction and cause of labor pain. The longer a woman experiences with labor pain the more dangerous for the mother and the baby. So, it is necessary the solutions for labor pain problem. Some studies reported that giving some medicines to relieve the pain often have many side effects on fetus. It is necessary to fi nd a method which is not only effective but also has minimal side effect and it doesn’t affect on uterus contraction and labor progression. Counter-Pressure become preferences to reduce labor pain. The purpose of this study is to analyze Counter-Pressure in relieving the labor pain. The labor pain level, PG-E2 level become the indicators of this study. Method: This study was quasi-experimental designs, by using a Nonequivalent Control group Design. As many as 52 primigaravidas in labor progression phase I, with consecutive sampling were chosen as samples. They were divided into 2 groups; 26 subjects with counter-pressure treatment and 26 subjects as control. Result: There were a very signifi cant decline of labor pain phase I level on counter-pressure treatment (p=0.000)). There was no change of PG-E2 level on the counter pressure treatment (p=0,095), but there is change on control. Discussion: Counter-pressure method is very signifi cant in declining the labor pain level. Counter-pressure method do not affect both the PG-E2.Key words: Pain level, PG-E2, Counter-pressure

Delivery factors and neonatal thyroid hormone levels: a systematic review

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Fahimeh Ramezani Tehrani ◽  
Sima Nazarpour
Keyword(s):  
Thyroid Hormone ◽  
Thyroid Hormones ◽  
Mode Of Delivery ◽  
Thyroid Stimulating Hormone ◽  
Labor Pain ◽  
Elective Cesarean Section ◽  
Postnatal Life ◽  
Hormone Levels ◽  
Vaginal Deliveries ◽  
Thyroid Hormone Levels

Abstract Postnatal thyroid hormone changes enable the neonate to be adapted for postnatal life. Several factors can affect this adaption. In this review, we summarized the studies that reported the association among the delivery factors and neonatal thyroid hormones and thyroid stimulating hormone. A comprehensive literature search was performed in PubMed, Web of Science, and Scopus up to March 2020, to identify the studies investigating the relationship between delivery factors, especially the mode of delivery and labor pain, and neonatal thyroid hormones and TSH. Finally, in this review study, of 157 articles obtained in the initial search, 25 eligible studies were reviewed. Various maternal, fetal/neonatal, and obstetric factors affected neonatal TSH and thyroid hormones. Among various influencing factors, mode of delivery, labor pains, and duration of labor have a strong relationship with neonatal thyroid hormones and need to be considered for interpretation of neonatal thyroid status. The majority of the studies revealed that vaginal deliveries (instrumental or natural) lead to higher levels of cord TSH compared to elective cesarean section. This can be explained by the increased secretion of catecholamine during labor. It has been suggested that blood TSH and thyroid hormone levels are affected by perinatal stress events such as maternal anxiety, labor pains, fetal distress, and other stimulants of the catecholamine response. These changes may act as the trigger to increase thyroid hormone levels for adapting of neonates in the first hours after birth. This assumption needs to be re-evaluated by performing comprehensive and well-designed studies.

scholarly journals Decreasing Labor Pain through Sacralist Counter-pressure Therapy Using Tennis Ball in the Mother during the Labor Process

2021 ◽  
Vol 9 (T4) ◽  
Author(s):  
Sri Rejeki ◽  
Enny Widayati ◽  
Machmudah Machmudah ◽  
Arief Yanto
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Tennis Ball ◽  
Test Results ◽  
Pressure Therapy ◽  
Counter Pressure ◽  
Quasi Experimental ◽  
Tennis Balls

BACKGROUND: Labor pain is a physiological process caused by the contraction of uterus muscle as an effort to open the cervix and push the baby’s head toward the pelvis. One of the treatments giving by nurses to reduce the pain is by counter-pressure therapy. AIM: The aim of the study was to determine the effect of counter-pressure therapy using tennis balls toward the pain level in the first stage during the active phase of labor. METHODS: It was a quasi-experimental study with pretest-posttest one group design. The population in this study was patients with active phase I delivery in PKU Muhammadiyah Hospital of Temanggung. A total of 26 respondents were selected through purposive sampling technique. The data were analyzed using Wilcoxon matched paired test. RESULTS: The pain intensity in 26 respondents (100%) in the first stage during the active phase of labor before the treatment was categorized as severe pain. However, after the implementation of the counter-pressure therapy using tenis ball, the pain intensity was categorized as moderate in 18 respondents (69.2%) and severe in the rest of the respondents (30.8%). CONCLUSION: Counter-pressure massage therapy using a tennis ball was effective in reducing the level of pain in the first stage during the active phase of labor with a p = 0.000 (α < 0.05).

scholarly journals EFFECTIVENESS OF JASMINE OIL (JASMINUM OFFICINALE) MASSAGE ON REDUCTION OF LABOR PAIN AMONG PRIMIGRAVIDA MOTHERS

2019 ◽  
Vol 1 (2) ◽  
pp. 47-52
Author(s):  
Hamid Mukhlis ◽  
Nurhayati Nurhayati ◽  
Riska Wandini
Keyword(s):  
Side Effects ◽  
Phase I ◽  
Pain Score ◽  
Quantitative Research ◽  
Experimental Approach ◽  
Labor Pain ◽  
Significant Alteration ◽  
P Value ◽  
Counter Pressure ◽  
Quasi Experimental

Background: Intolerable labor pain encourages maternal use of painkillers such as analgesics and sedatives while these drugs have side effects on the mother and fetus.Methods: Quantitative research by using a quasi-experimental approach with one group pretest posttest. The population in this study was maternity during the phase I active with sample  was 20 respondents. The study conducted on March 2018 at Teluk Pandan, Pesawaran, Lampung-Indonesia.Results: The Effectiveness of counter pressure massage using jasmine oil (jasminum officinale) in reducing delivery pain with p-value 0,000Discussion: The positively significant alteration in delivery pain score after therapySuggestions: That therapy could be alternative to help in reducing delivery pain.

scholarly journals Penerapan Counter Pressure Untuk Mengurangi Nyeri Persalinan Kala I Di Klinik Rahayu Ungaran

2021 ◽  
Vol 3 (2) ◽  
pp. 186-193
Author(s):  
Tya Lestari ◽  
Ari Andayani
Keyword(s):  
Research Method ◽  
Active Phase ◽  
Statistical Test ◽  
Labor Pain ◽  
Maternal Anxiety ◽  
Sampling Techniques ◽  
Counter Pressure ◽  
Test Criteria ◽  
Standard Operating ◽  
Prolonged Labor

Pain during labor increases maternal anxiety which can increase the risk of prolonged labor and high rates of secsio caesaria because this is the determining point of whether a mother can undergo a vaginal delivery or end with an action due to complications caused by severe pain.It is very important for the delivery helpers to meet the mother's need for their security and comfort.This study was conducted to find out the effectiveness of Counter Pressure Massage Against Decreased Labor Pain During I Active Phase at Rahayu Ungaran Clinic. This research uses preecperiment research method with the design of one group pretest posttest research. Samples were taken using accidental sampling techniques, namely as many as 20 maternity mothers. The instruments used in this study are SOP sheets (Standard Operating Procedures). The results of this study using Marginal Homogenity Test showed the value of Asymp value. Sig. (2-tailed) acquired 0.000. Based on statistical test criteria: If a Significant value > 0.05 then there is a difference or H0 is accepted. So 0.000 > 0.05 means in this case there is a difference before and when counter pressure technique or H0 is accepted. There is an effect of Counter Pressure Massage on the reduction of labor pain during the I active phase at Rahayu Ungaran Clinic. It is expected that future researchers will carry out a Counter Pressure Massage for mothers so that they can be used as a method of effective pain reduction. ABSTRAK Nyeri persalinan dapat menimbulkan stres yang dapat menyebabkan pelepasan hormon yang berlebihan seperti ketokolamin dan steroid. Nyeri dapat dikurangi dengan teknik farmakologi dan teknik nonfarmakologi. Teknik farmakologi dengan menggunakan obat analgesik, sedangkan teknik nonfarmakologik adalah pengendalian nyeri dengan menggunakan teknik counterpressure yang mengurangi sensasi nyeri dengan menghambat rasa sakit dari sumbernya. Penelitian ini dilakukan untuk mengetahui efektivitas Counter Pressure Massage Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di Klinik Rahayu Ungaran. Penelitian ini menggunakan metode penelitian preeksperimen dengan rancangan penelitian one group pretest posttest. Sampel diambil menggunakan teknik accidental sampling, yaitu sebanyak 20 ibu bersalin. Instrumen yang digunakan dalam penelitian ini adalah lembar SOP (Standar Operasional Prosedur). Hasil penelitian ini menggunakan uji Marginal Homogenity Test menunjukkan nilai nilai Asymp. Sig. (2-tailed) diperoleh 0.000. Berdasarkan kriteria pengujian statistik: Jika nilai Signifikan > 0.05 maka terdapat perbedaan atau H0 diterima. Jadi 0.000 > 0.05 berarti dalam hal ini  terdapat perbedaan sebelum dan saat dilakukan teknik counter pressure atau H0 diterima. Ada pengaruh Counter Pressure Massage terhadap penurunan nyeri persalinan kala I fase aktif di Klinik Rahayu Ungaran. Diharapkan ibu bersalin peneliti yang akan datang untuk melakukan Counter Pressure Massage sehingga dapat dijadikan metode pengurangan rasa nyeri yang efektif.

scholarly journals Effect of Counter-Pressure Versus Effleurage Massages on Labor Pain Intensity Among Parturient Women

2021 ◽  
Vol 12 (3) ◽  
pp. 408-420
Author(s):  
Amany M. Ahmed ◽  
Sabah R.H. Ahmed ◽  
Hala A. Ali ◽  
Nagat Salah Shalaby ◽  
Fayiz F. El-shamy ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Counter Pressure

scholarly journals TECHNIQUES OF PAIN REDUCTION IN THE NORMAL LABOR PROCESS : SYSTEMATIC REVIEW

2017 ◽  
Author(s):  
Wan Anita
Keyword(s):  
Systematic Review ◽  
Subjective Experience ◽  
Classical Music ◽  
Labor Pain ◽  
Labor Process ◽  
Fallopian Tubes ◽  
Midwifery Care ◽  
Uterine Muscle ◽  
Counter Pressure ◽  
Muscle Ischemia

Pain during labor is a physiological condition commonly experienced by most maternity mothers. Laborpain is a subjective experience caused by uterine muscle ischemia, withdrawal and traction of uterineligaments, ovarian traction, fallopian tubes and lower uterine distension, pelvic floor muscles andperineum. The pain in labor arises from psychic responses and physical reflexes. The purpose of thisSystematic review is to look at effective methods for reducing pain in the labor process so that it can beused as an alternative method of reducing pain in patients who will give birth. This review systematicreview of the published artike through google scholar site with 17 journals reviewed. In an effort toreduce labor pain there are various methods that can be used in providing midwifery care in the processof childbirth. Based on this systematic review it can be concluded that many methods of pain reductionthat can be used in reducing labor pain are counter pressure and abdominal lifting, hypnobirthing,religious and murottal music, classical music and local music, relaxation, compress, warm gingerdrink, acupressur , TENS, account and aromatherapy.

scholarly journals EFEKTIFITAS TEKNIK EFFLEURAGE DAN COUNTER PRESSURE VERTEBRA SACRALIS TERHADAP PENURUNAN NYERI PERSALINAN KALA I

2020 ◽  
Vol 12 (01) ◽  
pp. 46
Author(s):  
Lina Puspitasari
Keyword(s):  
Sampling Technique ◽  
Obstetric Care ◽  
Analysis Data ◽  
Pain Scale ◽  
T Test ◽  
Labor Pain ◽  
Purposive Sampling ◽  
Counter Pressure ◽  
Post Test ◽  
Paired T Test

ABSTRAKNyeri persalinan merupakan suatu yang tidak bisa dipisahkan dari proses persalinan. Hal ini terjadi akibat peningkatan kontraksi uterus yang membuat janin turun memasuki ruang pelvis dan terus meningkat sampai dengan pembukaan serviks lengkap. Nyeri yang tidak ditangani segera dalam waktu lama dapat mengakibatkan kelelahan pada ibu dan stres yang meningkat dapat mengakibatkan rasa sakit yang semakin kuat dan berdampak pada persalinan lama Tujuan penelitian ini adalah untuk mengetahui efektifitas teknik effleurage dan counter pressure vertebra sacralis terhadap penurunan nyeri persalinan Kala I. Metode penelitian ini adalah eksperimen semu jenis one group without control design. Populasi penelitian sebanyak 142 ibu bersalin selama 3  bulan. Teknik pengambilan sampel dengan cara purposive sampling sebanyak 30 responden. Teknik Effleurage dan Counter Pressure Vertebra Sacralis diberikan kepada pasien oleh peneliti bersama dengan satu bidan sebagai enumerator secara bergantian dengan lama masing-masing 30 menit. Nyeri diukur dengan menggunakan lembar skala nyeri sebelum (pre test) dan sesudah tindakan (post test) oleh peneliti. Efek dari perlakukan terhadap nyeri persalinan dianalisis menggunakan Paired T-test dengan SPSS analisis pre post test. Hasil analisis data diperoleh nilai mean intesitas nyeri sebelum dan sesudah perlakuan, responden mengalami penurunan menjadi (1.45). Hasil uji one sample T-test menunjukkan bahwa keknik Effleurage dan Counter Pressure Vertebra Sacralis efektif menurunkan nyeri pada kala I persalinan dengan nilai sig 0.001 (t-hitung 11.22). Simpulan teknik effleurage dan counter pressure vertebra sacralis terbukti berdampak terhadap pengurangan nyeri persalinan Kala I. Diharapkan ada penelitian lebih lanjut terkait faktor-faktor yang mempengaruhi nyeri persalinan kala I sehingga dapat meningkatkan kualitas asuhan kebidanan. Kata kunci : Effleurage, Pressure, Sacralis, Nyeri, Persalinan EFFECTIVENESS OF TECHNIQUE OF EFFLEURAGE AND COUNTER PRESSURE VERTEBRA SACRALIS TO DECREASED LABOR PAINSABSTRACTLabor pain is an inseparable process of childbirth. This occurs due to an increase in uterine contractions that make the fetus fall into the pelvic chamber and continue to increase up to complete cervical opening. Pain that is not treated immediately for a long time can lead to fatigue in the mother and increased stress can lead to stronger pain and impact on old Labor The purpose of this research is to find out the effectiveness of the technique of effleurage and counter pressure vertebrae sacralis to decreased labor pain The study population of 142 maternity mothers for 3 months. The sampling technique by purposive sampling as many as 30 respondents. The Effleurage and Counter Pressure vertebrae Sacralis techniques are administered to patients by researchers along with one midwives as an enumerator alternately with a length of 30 minutes each. Pain is measured using the pain scale before (pre test) and after the action (post test) by the researcher. The effects of the treat against labor pains were analyzed using the Paired T-test with SPSS pre post test analysis. Data analysis results obtained the value of pain varying before and after treatment, the respondent decreased into (1.45). The T-Test one sample test results showed that the Effleurage and Counter Pressure Vertebra Sacralis were effective in reducing the pain at the time I was delivery with a value of sig 0.001 (T-count 11.22).  The technique of effleurage and counter pressure vertebrae sacralis proved to affect the reduction of childbirth pain Kala I. It is hoped that more research is related to the factors that affect labor pain so that it can improve the quality of obstetric care. Keywords: Effleurage, Pressure, Sacralis, pain, childbirth

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