scholarly journals Combination pelvic rocking exercises with belly dance to reduce labor pain

MEDISAINS ◽  
2021 ◽  
Vol 19 (3) ◽  
pp. 62
Author(s):  
Cylia Dzikra Ayu Berlita ◽  
Krisdiana Wijayanti ◽  
Sudirman Sudirman

Background: Labor pain will get more substantial along with the increase in cervical dilatation and can affect the mother's psychological condition and the welfare of the fetus. Pelvic rocking exercises help reduce pain during labor, but the combined pelvic rocking exercises with belly dance for birth have not been studied. In this study, combining pelvic rocking exercises with belly dance for birth as physical preparation and exercise, especially in the pelvic area, can reduce pain effectively and efficiently so that mothers can give birth vaginally.Purpose: Analyze the effect of intervention combination of pelvic rocking exercises with belly dance for birth to pain intensity of first stage the active phase in mother birth.Methods: This is Quasy experimental research with pretest and posttest with control group design. Respondents were primigravida mothers during the first stage of the active phase. Determination of respondents by accidental sampling obtained the treatment group (n=17) and control group (n=17). The intervention was given for 20 minutes every 1 hour during the first stage of the active phase.Result: The combined intervention of pelvic rocking exercises with belly dance for birth was effective in reducing pain intensity as seen from the average decrease in pain intensity every hour, at the 1st hour of 4.0, the 2nd hour of 3.0, the 3rd hour of 2.7, and the 4th hour of 2.6 (p<0.001)Conclusion: The combination of pelvic rocking exercises with belly dance for birth is effective to pain intensity of the first stage, the active phase in women giving birth.

2018 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Rr. Catur Leny W ◽  
Machfudloh Machfudloh

ABSTRAK Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid. Endorphin Massage merupakan sebuah terapi sentuhan/pijatan ringan yang cukup penting diberikan pada wanita hamil, di waktu menjelang hingga saatnya melahirkan. Tujuan penelitian adalah mengetahui pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Penelitian ini menggunakan jenis penelitian kuantitatif quasi eksperimental design, dengan rancangan yang digunakan adalah posttest only control group design dengan sampel 30 responden diambil dengan menggunakan teknik Acidental sampling di BPM Wilayah Puskesmas Demak. Data yang digunakan data primer dengan instrument berupa lembar checklist. Analisa data menggunakan uji Spearman Rank. Hasil Penelitian ada pengaruh pemberian Terapi Endorphin Massage terhadap intensitas nyeri kala I fase aktif persalinan yaitu didapatkan hasil p<0,05 yaitu p=0,004. Simpulan intesitas nyeri responden sebelum dilakukan Endorphin Massage sebagian besar responden mengalami nyeri berat dengan skala 8-9, Intesitas nyeri responden setelah dilakukan Endorphin Massage sebagian besar responden mengalami nyeri sedang dengan skala 6-7. Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Kata kunci : Endorphin massage; Intensitas nyeri; Persalinan   ENDORPHIN MASSAGE THERAPY TO REDUCE THE INTENSITY OF PAIN DURING THE ACTIVE PHASE OF LABOR  ABSTRACT Birth pain may cause stress that lead tobring out excessive hormones such as catecholamines and steroids. Endorphin massage is a touch therapy orgentlemassage which is important enough for pregnant women before giving birth. The aim of this research is to know the effect of Endorphin Massageonpain intensity during active phase of first stage in labor. This research uses quantitative quasi experimental design, with the design used is posttest for control group design. Independent variable is endorphin massage.Variable dependent is pain intensity of acitivephase of first stage in labor, with 30 respondents of sample wich is taken by using technique of Acidental sampling. This research took a place in BPM area of public health center Demak. The data was gathered through observation using checklist form. The data was analyzed using Spearman Rank test. The result of the research is there is an effect of Endorphin Massage onpain intensity of acitivephase of first stage in labor withp <0,05, p = 0,004. The conclusion is most of respondents had severe pain with scale 8-9before Endorphin Massage, and most of the respondentshad moderate pain with scale 6-7after Endorphin Massage. There is an effect of Endorphin Massage on pain intensity of acitivephase of first stage in labor. Keywords: Endorphin massage; Labor; Pain Intensity 


2021 ◽  
Vol 7 (4) ◽  
pp. 726-730
Author(s):  
Nopita Yanti Sitorus ◽  
Maimunah R

Introduction: Labor pain management can be implemented both non pharmacologically and pharmacologically. It can be done non pharmacologically without using drugs such as relaxation, massage, acupressure, acupuncture, hot or cold compresses and aromatherapy, while pharmacologically through the use of drugs. Non-pharmacological pain management is more secure, simpler, no bad side effect and reffering to mother caring than pharmacological pain management that potentially have adverse effect.Purpose: To identify the effect of massage on mothers’ pain during first stage labor. Method: This is an analytical survey study with cross sectional method. It was taken place in Hadijah Maternity Clinic which is located in Medan. It was conducted from January to July 2021. The populations were 38 mothers who gave birth physiologically, that complained pain during first stage labor in Hadijah Maternity Clinic. The samples were part of the number and characteristics possessed by the population. There were 38 women chosen as the sample of the study that devided into 2 groups; control group and intervention group.Results: The rate of pain intensity in intervention group before the massage was about 7,26 and after the massage was 4,74 with the value p=0,000. Whereas in control group, the rate of pain intensity before the massage was 7,00 and after the massage 6,16 with value p=0,007. So that the comparison after the massage which was carried out in the intervention and control groups obtained value p=0,001Conclusion: There is a significant effect of the massage on the reduction of mothers’ labor pain during first stage labor. Suggestion clinics and hospitals to use the massage method as an intervention in reducing labor pain in the active phase of the first stage Key words: Massage, Labor Pain, First Stage Labor ABSTRAKPendahuluan : Manajemen nyeri persalinan dapat diterapkan secara non farmakologis dan farmakologis. Pendekatan secara non farmakologis tanpa penggunaan obat-obatan seperti relaksasi, masase, akupresur, akupunktur, kompres panas atau dingin dan aromaterapi, sedangkan secara farmakologis melalui penggunaan obat-obatan. Manajemen nyeri non farmakologis lebih aman, sederhana dan tidak menimbulkan efek merugikan serta mengacu kepada asuhan sayang ibu, dibandingkan dengan metode farmakologi yang berpotensi mempunyai efek yang merugikanTujuan : Mengidentifikasi pengaruh metode masase terhadap nyeri persalinan pada ibu inpartu kala I fase aktif. Metode : Jenis penelitian kuantitatif pendekatan quasy ekspreimen Lokasi penelitian di RB Hadijah yang terletak di Kota Medan. Penelitian dilakukan sejak bulan Januari sampai dengan bulan Juli 2021. Populasi penelitian adalah semua Ibu Bersalin Fisiologis yang mempunyai keluhan nyeri persalinan dengan partus pervaginam di RB Hadijah sebanyak 38 orang. Sampel adalah bagian dari jumlah dan karakteristik yang dimiliki oleh populasi. Sampel dalam penelitian ini sesuai dengan kriteria adalah sebanyak 38 orang dibagi menjadi 2 yaitu kelompok control dan kelompok intervensiHasil : Intensitas nyeri responden pada kelompok intervensi rata-rata skala nyeri sebelum dilakukan metode masase adalah 7,26 dan sesudah dilakukan metode masase adalah 4,74 diperoleh nilai p=0,000. Pada kelompok kontrol rata-rata skala nyeri sebelum dilakukan metode masase adalah 7,00 dan sesudah dilakukan metode masase pada kelompok kontrol 6,16 diperoleh nilai p=0,007. Sehingga perbandingan sesudah dilakukan metode masase pada kelompok intervensi dan kontrol diperoleh nilai p=0,001Kesimpulan : ada pengaruh yang signifikan metode masase terhadap pengurangan nyeri persalinan pada ibu inpartu kala I fase aktif.Saran klinik maupun rumah sakit supaya menggunakan metode masase sebagai salah satu intervensi dalam mengurangi nyeri persalinan kala I fase aktif Kata Kunci : Metode masase, Nyeri Persalinan, Inpartu Kala I


2021 ◽  
Vol 6 (1) ◽  
pp. 23
Author(s):  
Ni Gusti Made Ayu Agung Budhi ◽  
Ni Nyoman Sasnitiari

The pain in labor due to contractions and the process of expelling the baby cannot be avoided by the mother. One way to reduce pain intensity non-pharmacologically is music therapy and the provision of spice drinks. music therapy can reduce stress and anxiety levels, especially during childbirth, while herbal drinks derived from ginger are analgesic, as well as cinnamon and cloves, can relieve pain. The research method is “Quasi experimental pre-post test with control group design. The intervention group was Sundanese instrumental music therapy with spice drinks and the control group was only given spice drinks, which was carried out on mothers giving birth during an active phase. The population is all mothers giving birth in BPM Bogor area. The sample size of the average difference test of two paired groups is 15 respondents in each group. The results showed a decrease in labor pain in the active phase of the first stage in the intervention group with p = 0.016. This shows that there is an effect of giving music therapy and spice drinks on the intensity of labor pain as assessed by the Visual Analog Scale (VAS), and there is no significant change in the decrease in labor pain during the active phase of labor, in the control group (p>0.05). There was no significant result on the length of labor with p = 0.439 (p > 0.05). This means that both the control and intervention groups did not show a difference in the time/length of labor


2021 ◽  
Vol 3 (1) ◽  
pp. 11-19
Author(s):  
Sudarto ◽  
Halina Rahayu

Parturition pain is a problem that is felt by a mother during labor that causes excessive fear and anxiety to the mother and her family so that intervention is needed in dealing with pain. The purpose of this study to analyze the effectiveness of combination of aromatherapy and back-massage on parturition pain during the first stage of active phase of normal labor. This study used a quasi-experimental design with two groups with a sample of 60 mothers. This research was conducted at a community health center that provides maternity services in Pontianak City. Pre-test and post-test nonequivalent control group design was conducted where the researcher did not do randomization. Data were analyzed using the Wilcoxon test. The test results showed that the intervention group had a value of ρ 0,0001 <0.05 and the control group produced a value of ρ 0.001 <0.05. This means there are differences in the level of pain before and after treatment. Likewise, the Mann-Whitney U-Test statistical test results showed a value of ρ 0.001 <0.05, which means that there are differences in pain intensity between the group of mothers who were given a combination of aromatherapy and back massage and the other group of mothers who got deep breathing relaxation during the process of labor. The combination of aromatherapy and back massage is effective in reducing pain in normal labor in the first phase of the active phase. This therapy is expected to be used as an alternative intervention for a mother in active phase of labor, especially to reduce the intensity of pain in the first phase of the active phase of normal 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


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.  


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.


Author(s):  
Hanna Sriyanti Saragih

Pain in labor is a manifestation of the contraction (shortening) of the uterine muscle, and it was caused by stretching of the uterine and cervical segments as well as the presence of uterine muscle ischemia. According to WHO (World Health Organization) in 2015, it was estimated that every year 830 women died from complications of pregnancy and childbirth. One method that was very effective in dealing with pain is effleurage massage which was massage technique using the palms of the fingers with a circular motion pattern on the abdomen, waist or thighs. The purpose of this study was to determine the effect of effleurage massage on the intensity of first-stage labor pain in maternal mothers at Linez clinic of Gunungsitoli in 2018. This type of research was guasy Experiment research design with non equivalent control group design. In this design, the grouping of sample members in experimental group and the control group was not random, using wilcoxon test. The population in this study were mothers in first pregnancy as many as 52 people, with a total sample of 20 experimental groups and 20 control groups. The data used were primary data using observation sheets. From the research results, obtained p value 0.0001, it can be concluded that there was significant effect between experimental group and control group. It was hoped that midwives will update their midwifery service and practices such as participating in the latest midwifery training, so that they can increase their knowledge and apply it when conducting childbirth care as effort to reduce labor pain. Keywords: Effluerage Massage, Pain Intensity of First Stage Labor


2019 ◽  
Vol 2 (3) ◽  
pp. 129
Author(s):  
Ayu Irawati ◽  
Susanti Susanti ◽  
Iranita Haryono

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.


2021 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Reva Afdila ◽  
Nuraida Nuraida

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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