scholarly journals Terapi Nonfarmakologi Nyeri Padapersalinan:Systematic Review

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Tetti Solehati

Latar Belakang: Nyeri pada persalinan merupakan respon fisiologis tetapi dapat mengakibatkan peningkatan katekolamin yang berakibat mengganggu kontraksi uterus sehingga dapat menyebabkan inersia uteri, partus lama, oksigenasi pada janin tidak adekuat hingga distress janin, serta kematian ibu dan atau janin apabila nyeri persalinan tidak ditangani. Oleh karena itu penting penanganan nyeri bagi ibu selama persalinan. Tujuan : Sistematik review ini bertujuan untuk mengetahui metode efektif  dalam mengurangi nyeri persalinan, sehingga dapat digunakan sebagai metode alternatif penanganan nyeri pada ibu bersalin. Metode : Systematik review ini dilakukan dengan pencarian artikel menggunakan database elektronik yaitu google schoolar, Science Direct, Pubmed dan Sinta. Kata kunci yang digunakan dalam bahasa Indonesia dan bahasa inggris adalah “Non Farmakologi”, “Nyeri”, “Persalinan”, dan “Terapi”, “Pain Labor”, “Pain Relief in Labor”, “Non Pharmacology”, “Therapy”. Kriteria inklusi artikel yang diambil antara lain peneliti dengan pendidikan terakhir S1 dan artikel dengan penelitian 4 tahun terakhir 2014 -2018, penelitian kuantitatif, terdapat instrumen dan fulltext. Hasil pencarian artikel ditemukan pada Google Schoolar sesuai kata kunci dan berdasarkan tahun 2014-2018 sebanyak 795 artikel, Science Direct sebanyak 443 artikel, Pubmed 108 artikel dan Sinta sebanyak 3 artikel. Setelah disesuaikan dengan kriteria inklusi maka artikel yang tersisa sebanyak 16 artikel yang terdiri dari database Google Schoolar 8 artikel, Science Direct sebanyak 4, Pubmed 3 artikel dan Sinta sebanyak 1 artikel. Hasil : Dalam upaya mengurangi nyeri persalinan ada berbagai metode yang dapat digunakan, antara lain terapi massage, musik, aromaterapi, kompres hangat, latihan nafas (breath exercise), dan latihan birthball. Kesimpulan dan Saran: penelitian ini memberikan bukti yang valid metode non farmakologi efektif dalam mengurangi nyeri saat bersalin. Studi lebih lanjut terkait tindakan non farmakologi dapat dilakukan lebih mendalam mengenai tindakan mana yang paling efektif untuk mengurangi nyeri persalinan.

1936 ◽  
Vol 32 (10) ◽  
pp. 1231-1232
Author(s):  
A. A. Shklyaev
Keyword(s):  

Back in 1935, we began to use methods of pain relief in childbirth, partly published in the central press, partly heard in reports.


2020 ◽  
Vol 73 (7) ◽  
pp. 1339-1344
Author(s):  
Martyna Rozek ◽  
Zuzann Smiech ◽  
Marcin Kolacz ◽  
Dariusz Kosson

The aim: Women of reproductive age often think of motherhood and labor with fear of intense labor pain. The anxiety they experience can lead to their postponing pregnancy. There are not many studies in the literature that research the knowledge young women have about the analgesia of labor. The aim of the present work was to evaluate the state of awareness about the possible methods of labor analgesia among women of childbearing age. Material and methods: An Internet survey was conducted among 160 women. It consisted of questions on the pharmacological and non-pharmacological methods of labor analgesia. Most of the respondents were not medical university students (96.2%). Correct answers ranged between 11.3% and 97.5% of the total responses. Results: The greatest number of incorrect answers were given to the question regarding contraindications to labor anesthesia (only 11.3% of answers were correct). There was also a low percentage of correct answers to questions about the risk of spinal cord injury during the procedure of inducing anesthesia (18.8% of correct answers), the motor activity of a woman after analgesia (22.5%) and the reimbursement of anesthesia (29.4%). Nearly 40% of the respondents did not know the correct answer to the question about the possibility of breastfeeding after anesthesia. The problem of aalgesia during twin delivery also posed a challenge. Over half of the respondents (54.1%) incorrectly answered the question about the occurrence of complications among women who want to become pregnant again after the procedure of labor anesthesia. Moreover, 70.6% of the women surveyed considered non-pharmacological methods of labor anesthesia to be safer compared to pharmacological analgesia. The most commonly mentioned methods of non-pharmacological labor pain relief included breathing techniques and water birth. Conclusions: The study shows that women


2019 ◽  
Vol 13 (2) ◽  
pp. 455
Author(s):  
Maria Andréia da Silva ◽  
Isabel Veras de Sousa Sombra ◽  
Janaina Selegy Jacinto da Silva ◽  
Júlio César Bernardino da Silva ◽  
Leticia Rafaele Figueirôa de Melo Dias ◽  
...  

RESUMOObjetivo: analisar a utilização da aromaterapia no alívio da dor durante o trabalho de parto. Método: trata-se de um estudo bibliográfico, descritivo, do tipo revisão integrativa no período de 2000 a 2017, nas bases de dados MEDLINE, LILACS e BDENF. Analisaram-se os estudos a partir de uma leitura exploratória dos artigos e apresentaram-se os resultados de forma descritiva em figuras. Consideraram-se as categorias temáticas que emergiram da Técnica de Análise de Conteúdo após a análise dos artigos. Resultados: observou-se nos estudos selecionados que a aromaterapia possui um leque de variedades com properiedades específicas e que é um método excelente para o alívio da dor e/ou diminuição da ansiedade e medo, como também no auxílio da contração e redução do tempo de trabalho de parto. Conclusão: recomenda-se a ampliação de conhecimento referente aos benefícios da aromaterapia por parte dos profissionais que estão ligados a assistência obstétrica, principalmente o profissional de enfermagem por está no acompanhamento contínuo da mulher em trabalho de parto. Destaca-se também, a necessidade de novos estudos que reconheçam outros tipos de métodos não farmacológicos. Descritores: Enfermagem Obstétrica; Atenção Integral à Saúde da Mulher; Aromaterapia; Medicina Tradicional; Dor do Parto; Trabalho de Parto.ABSTRACT Objective: to analyze the use of aromatherapy in pain relief during labor. Method: this is a bibliographic, descriptive, integrative review study in the period from 2000 to 2017, in databases MEDLINE, LILACS, and BDENF. The studies were analyzed from an exploratory reading of articles and the results were descriptively presented in figures. Thematic categories emerged from the Content Analysis Technique after analyzing the articles. Results: the studies selected showed that aromatherapy has a range of varieties with specific properiedades and is an excellent method for the pain relief and/or decreasing anxiety and fear, as well as aids in the contraction and reduction of labor time. Conclusion: there should be expansion of the knowledge concerning the benefits of aromatherapy by professionals related to obstetric care, especially the nursing professional, who is part of the continuous monitoring of the woman in labor. There is also need for further studies that recognize other types of non-pharmacological methods. Descritores: Obstetric Nursing; Comprehensive Women’s Health Care; Aromatherapy; Traditional Medicine; Labor Pain; Labor.RESUMEN Objetivo: analizar el uso de la aromaterapia en el alivio del dolor durante el trabajo de parto. Método: este es un estudio bibliográfico, descriptivo, del tipo revisión integradora en el período de 2000 a 2017, en las bases de datos MEDLINE, LILACS y BDENF. Se analizaron los estudios desde una lectura exploratoria de los artículos y se presentaron los resultados de forma descriptiva en figuras. Se consideraron las categorías temáticas que surgieron a partir de la técnica de análisis de contenido, después del análisis de los artículos. Resultados: se observó en los estudios seleccionados que la aromaterapia tiene una amplia gama de variedades con properiedades específicos y que es un excelente método para el alivio del dolor y/o la disminución de la ansiedad y el temor, así como ayuda en la contracción y la reducción del tiempo de trabajo de parto. Conclusión: se recomienda la ampliación de los conocimientos acerca de los beneficios de la aromaterapia por los profesionales que están relacionados con la atención obstétrica, especialmente al profesional de enfermería por la continua vigilancia de la mujer en el trabajo. También se destaca la necesidad de más estudios que reconocen otros tipos de métodos no farmacológicos. Descritores: Enfermería Obstétrica; Atención Integral de Salud; Aromaterapia; Medicina Tradicional; Dolor de Parto; Trabajo de Parto.


2017 ◽  
Vol 7 (3) ◽  
pp. 25-28
Author(s):  
Amshu Dhakal ◽  
Shrooti Shah ◽  
Babita Singh

Background: Labor pain is a universal phenomenon and it is associated with the contraction of uterus. Rather than making the pain disappear with pharmacotherapy, the nurses can assist the laboring women to cope up with, build their self-confidence and maintain a sense of mastery of well-being. Thus, nurses must have knowledge to assess pain to implement pain relief strategies. Methods: A descriptive cross-sectional study was carried out among 52 nurses of Siddhartha Women and Children Hospital, Butwal, Nepal to assess Knowledge about Non-pharmacological Methods of Pain Relief during Labor using structured self-administered questionnaire. The reliability of the tool after pretesting was 0.883. Descriptive statistics was used to analyze the data. Results: Among 52 nurses, 36.5% were 18-22 years of age, 46.2% of them had qualification of Proficiency certificate level Nursing, 40.4% had experience of 3 years- 6 years. In this study, 46.2% had satisfactory knowledge about non-pharmacological methods of pain relief during labor, 32.6% had fair knowledge and remaining 21.2% had poor knowledge. Conclusion: This study concluded that less than half of the nurses had satisfactory knowledge about non-pharmacological methods of pain relief during labor. Since, there is an increased risk of complications resulting from pain and anxiety during labor, management of pain is very essential thus nurse’s knowledge on these methods is crucial. Hence, the nurses should be encouraged to enhance knowledge related to management of labor pain.


1997 ◽  
Vol 86 (3) ◽  
pp. 592-598 ◽  
Author(s):  
Fazeela Ferouz ◽  
Mark C. Norris ◽  
Valerie A. Arkoosh ◽  
Barbara L. Leighton ◽  
Louis M. Boxer ◽  
...  

Background Intrathecal sufentanil relieves labor pain but centrally mediated side effects are common. Preventing rostral spread of intrathecal sufentanil should limit these side effects. Both direction of the lateral opening of a pencil-point needle and drug baricity modify the spread of intrathecal local anesthetics. This randomized, prospective, double-blind study examines the effects of these variables on intrathecal sufentanil labor analgesia. Methods Forty laboring, full-term parturients, whose cervixes were dilated less than 5 cm and who requested analgesia for labor were enrolled. Combined spinal epidural analgesia was induced in patients in the sitting position. They were allocated to receive 10 micrograms intrathecal sufentanil diluted with either normal saline or dextrose with the aperture of the pencil-point needle directed cephalad or caudad during drug injection. Thus there were four groups of ten patients: dextrose up, dextrose down, saline up, and saline down. Sufentanil was diluted with normal saline to a concentration of 10 micrograms/ml. The study drug was made by mixing 1 ml sufentanil solution with either 1 ml 10% dextrose or 1 ml normal saline. Visual analog scores for pain, pruritus, nausea, and pain relief were recorded before and 5, 10, 15, and 30 min after drug injection. Results Baricity, but not needle orientation, influenced pain relief and pruritus. Sufentanil in dextrose produced less itching but also less analgesia. Nine of 20 women in the dextrose groups compared with 1 of 20 in the saline groups requested additional analgesia by 30 min. Conclusions Little or no labor analgesia developed for patients receiving sufentanil with dextrose. A supraspinal action may contribute to intrathecal sufentanil's analgesic efficacy.


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