scholarly journals Effectivity of Large Intestine 4 Point Accupressure on Labour Pain Stage-I Active Phase

2021 ◽  
Vol 5 (11) ◽  
pp. 1225-1230
Author(s):  
Noviyanti ◽  
Ratna Dewi ◽  
Adri Idiana
Keyword(s):  
Phase I ◽  
Large Intestine ◽  
Therapy Group ◽  
Active Phase ◽  
Labour Pain ◽  
Routine Care ◽  
Labor Pain ◽  
Stage I ◽  
Care Group ◽  
Control Group

Background: Law of the Republic of Indonesia No. 36 of 2009 concerning traditional health services (Yankestrad), namely articles 1, 48, 59, 60 and 61. Acupressure is included in Yankestrad skills that are easy, cheap, simple, effective, and without any side effects. harmful. Acupressure at the Large Intestine 4 Point (LI4) based on the literature is able to reduce labor pain in the first stage of the active phase. Methods: This type of research is quasi-experimental with a pre-test and post-test research design. The samples were divided into two groups, the treatment group and the control group. Results: Based on the results of the research that has been carried out, it can be concluded as follows: Active phase I labour pain before being given Acupressure Therapy for primigravida mothers in PMB Aceh Besar District averaged 7.35. Active phase I labour pain after being given Acupressure Therapy to primigravida mothers in PMB Aceh Besar District decreased by an average of 5.47. Conclusions: There are differences in labour pain in the stage-I of active phase in the Acupressure therapy group with the Routine care group for the stage-I of labour for primigravida mothers in PMB Aceh Besar District.

Labor Pain Management: Effect of Pelvic Tilt by Birth Ball, Sacrum- Perinea Heat Therapy, and Combined Use of them, a Randomized Controlled Trial

2016 ◽  
Vol 33 (S1) ◽  
pp. S503-S503 ◽  
Author(s):  
S. Taavoni ◽  
S. Abdolahian ◽  
L. Neisani ◽  
H. Hamid
Keyword(s):  
Pain Management ◽  
Pelvic Tilt ◽  
Therapy Group ◽  
Controlled Trial ◽  
Personal Characteristic ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Combined Use ◽  
Heat Therapy

There are various safe non-pharmacologic methods for labor pain management, which mostly decrees suffering of mother and some of them significantly decrease pain too.AimTo assess effect of pelvic tilt by birth ball, sacrum-perinea heat therapy and combination use of them on active phase of physiologic labor.MethodIn this randomized control trial, 120 primiparous volunteer with age 18-35 years, gestational age of 38–40 weeks, in one of hospitals of Iran university of medical sciences were randomly selected and divided in four groups: Pelvic tilt by using birth ball, sacrum perinea heat therapy, combined use of two mentioned methods and control group. Tools had 3 main parts of personal characteristic, client examination form and pain visual analogue scale (VAS). All ethical points were considered.ResultsEquality of four groups had been checked before intervention. Lowest pain score first belong to pelvic tilt by birth ball then combined group and finally in heat therapy, which all were significantly less than control group. Significant decrease of pain had been seen in birth ball group and combined group during after 30 minutes intervention, but in the heat therapy group, it was seen after 60 minutes intervention (P-value < 0.05).ConclusionAll three interventions of this study had significant effect and decreased labor pain during active phase, but highest decrease was in pelvic tilt by birth ball group and its effect started after 30 minutes intervention. It is suggested that that Obstetrics and Midwives consider these safe methods for labor pain management.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif

2020 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Evi Rinata ◽  
Rafhani Rosyidah
Keyword(s):  
Treatment Group ◽  
Pain Score ◽  
Active Phase ◽  
Labour Pain ◽  
Labor Pain ◽  
Control Group ◽  
Consecutive Sampling ◽  
Average Pain ◽  
Average Pain Score ◽  
And Control

Latar belakang: Nyeri persalinan merupakan proses fisiologis akibat kontraksi miometrium dengan intesitas yang berbeda pada masing-masing individu. Meskipun fisiologis namun nyeri persalinan akan terasa menyakitkan, tidak menyenangkan dan menakutkan bagi ibu. Tujuan penelitian: Mengetahui efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif. Metode: Desain penelitian Quasi Eksperimental Design dengan metode Nonequivalent Control Group Design menggunakan pretest – posttest design. Populasi ibu bersalin kala I fase aktif yang memenuhi kriteria inklusi menggunakan consecutive sampling. Jumlah sampel 48 ibu bersalin yang dibagi dua kelompok yaitu kelompok perlakuan (birth massage dan perubahan posisi) dan kelompok kontrol (birth massage). Pengamatan nyeri persalinan pre dan posttest menggunakan skala nyeri dengan observasi perilaku (FLACC behavioral scale). Hasil: Hasil penelitian menunjukkan rerata skor nyeri persalinan kelompok perlakuan pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Sedangkan rerata skor nyeri persalinan kelompok kontrol pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Hasil uji Mann – Whitney didapatkan nilai P = 0,564 yang berarti tidak ada perbedaan penurunan nyeri pada kelompok yang diberikan birth massage kombinasi perubahan posisi atau pada kelompok yang hanya diberikan birth massage. Simpulan: Tidak ada perbedaan penurunan nyeri persalinan pada kelompok perlakuan dan kelompok kontrol. Background: Labour pain is the physiological processes as a result of the contraction of myometrium with different intensity on each individual. Although it is physiological, labour pain is painful, unpleasant and frightening for the mother. Objective: This research aims to know the effectiveness of combination between birth massage and change position towards the decrease of labor pain in the forst active phase. Methods: The design of this study was Quasi Experimental with Nonequivalent Control Group method using pretest-posttest Design was applied. The population of maternity mother in the first active phase that meet the criteria of inclusion by using consecutive sampling. The number of sample was 48 maternity mothers divided into two groups, treatment group (birth massage and position change) and control group (birth massage). Observation on labor pain during pre and posttest used behavioral FLACC scale. Results: The results showed a mean score of labor pain treatment group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. While the average score labor pain control group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. Mann-Whitney test results obtained the value of P = 0.564 which means there is no difference in decreasing pain in the group given birth massage combined with position changes and in the group just given birth massage. Conclusion: There is no difference between labor pain in treatment group and control group who were just given birth massage.

scholarly journals To Assess the Effectiveness of Patterned Breathing Technique in Reduction of Pain during First Stage of Labour among Primigravida Mothers

2021 ◽  
pp. 221-224
Author(s):  
. Lalhriatpuii ◽  
Manjusha Mahakarkar
Keyword(s):  
Quantitative Research ◽  
Pain Perception ◽  
Active Phase ◽  
Labour Pain ◽  
Routine Care ◽  
Pain Scale ◽  
Control Group ◽  
Research Approach ◽  
Control Group Design ◽  
Experimental Group

Background: The pain of labour is intense, but his memory decreases over time, despite this. Labour is an emotional phenomenon that encompasses both psychological and physiological processes. The active method of delivering a foetus is labour, which is characterized by frequent, painful uterine contractions that increase in frequency and intensity [5]. There are many ways, both pharmacological and non-pharmacological, to relieve work pain and help to relax. During labour and childbirth, comfort measures that offer natural pain relief can be very effective. Methods and Materials: Quantitative Research Approach and Non-randomized control group design will be used, 56 subjects (28 in experimental group and 28 in control group) will be randomly allotted. The experimental group received breathing exercise during contraction at a rate of 45 mins interval 3 times during the active phase of labour whereas routine care will be provided to the subjects in the control group. Pain level will be assessed after each contraction with Wong weber’s facial pain scale. Expected Outcome: This study is planned to assess the effectiveness of patterned breathing technique during first stafe of labour among primigravida mothers to reduce their pain and their pain perception. Hence, it is expected to reduce their pain perception among primigravida mothers and it will make it easy to bear the labour pain.

The Effect of Reflexology on Labor Pain and Length Among Primiparous Women: A Randomized Controlled Trial

2018 ◽  
Vol 7 ◽  
Author(s):  
Azita Kamjoo
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Singleton Pregnancy ◽  
Group Data ◽  
Significant Difference ◽  
Labor Length ◽  
Primiparous Women

Background: Pain control is considered as the key issue in modern midwifery. Along with medical painkillers, reflexology is viewed as a non-medical and noninvasive method. Hence, we aimed to investigate the effect of reflexology on the intensity of pain and length of labor. Materials and Methods: In this clinical trial, participants included 240 Iranian primiparous women with term and singleton pregnancy. Having a 3-4 cm cervical dilatation once they visited the hospital. Through a convenient sampling method, they were selected and then randomly divided into two groups. In the intervention group, reflexology was performed, and the intensity of pain during the active phase of labor along with the length of labor in the active phase was measured by visual analog scale (VAS) and compared with the control group. Data were analyzed using descriptive statistics, t-test, and Mann-Whitney U-test. Result: Data analysis showed a statistically significant difference between the intensity of pain in the 5-7 and 8-10 cm dilatation in the two groups (P=0.01). Moreover, the labor length in the active phase was found to be significantly shorter in the intervention group (P<0.001). Conclusion: It appears that reflexology can lead to a reduction in the pain and length of labor. Therefore, through instructing this technique, a goal of midwifery, which is reducing labor pain and its length can be achieved. Keywords: Reflexology, Labor Pain, Labor Length, Primiparous Women

scholarly journals Title: Application of a physiotherapy protocol to women during the active phase of labour improves obstetric outcomes: a randomized clinical trial.

2021 ◽  
Author(s):  
LICIA SANTANA ◽  
Rubneide Gallo ◽  
Silvana Quintana ◽  
Geraldo Duarte ◽  
Cristine Homsi Ferreira ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Perinatal Outcomes ◽  
Active Phase ◽  
Labour Pain ◽  
Obstetric Outcomes ◽  
Control Group ◽  
Phase Duration ◽  
Intention To Treat ◽  
Reference Centre ◽  
Care Protocol

Objective: To evaluate the effectiveness of a non-pharmacological childbirth care protocol in women in the active phase of labour in improving obstetric and perinatal outcomes. Design: Randomized trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Setting: Reference Centre of Women’s Health of Ribeirão Preto–MATER, São Paulo, Brazil. Methods: Eighty low-risk primiparous women at the end of pregnancy and beginning of the active phase of labour were randomized to experimental group (EG) (n=40) or control group (CG) (n=40). Women in EG received four interventions: ambulation at 4 to 6 cm of cervical dilation; alternative maternal positions associated with TENS at 6 to 7 cm, and a warm shower bath at >7 cm. The CG received only routine obstetric. Main outcome measures: The length of the active phase of labour, the expulsive phase duration, and the prevalence of labour dystocia assessed by the partograph. Results: The parturients who received the sequential non-pharmacological protocol had a shorter length of the active phase of labour (CG=444 minutes; EG=373 minutes; p=0,02), presented rupture of membranes later in labour (CG=7cm; EG=8cm; p<0,01), requested pharmacological analgesia with more significant cervical dilatation (CG=5cm; EG=8cm; p<0,01) and had lower labour dystocia rates than the patients in the CG. Conclusion: The implementation of a sequential non-pharmacological protocol has the potential in decreased and delayed use of pharmacological analgesia, duration of the active phase of labour and dystocia rates. Keywords: length of labour, labour pain, dystocia, randomized controlled trial, non-pharmacological resources, pharmacological analgesia. Trial registration: NCT01601860 Link: https://clinicaltrials.gov/ct2/show/NCT01601860

scholarly journals THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA

2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti
Keyword(s):  
Community Health ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
First Stage Of Labor

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.

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 The Effect Bonapace Method Reduces Labor Pain Of Active Phase I To Intranatal Care

2020 ◽  
Vol 9 (1) ◽  
pp. 248-257
Author(s):  
Luluk Susiloningtyas ◽  
Ratna Feti Wulandari
Keyword(s):  
Phase I ◽  
Severe Pain ◽  
Rating Scale ◽  
Sampling Technique ◽  
Active Phase ◽  
Pain Scale ◽  
Labor Pain ◽  
Wilcoxon Sign Rank ◽  
Independent Variable ◽  
Descriptive Scale

Sampling technique used is Accidental Sampling. The independent variable is Bonapace Method, the instrument used is a checklist. Dependent variable is the reduction of labor pain in the active phase I, an instrument used to measure the level of pre and post pain with an observation sheet with a pain scale between 0 to 10 and an interview using the Verbal Descriptive Scale (VDS), rating scale, value 0 = no pain , 1-3 = mild pain, 4-6 = moderate pain, 7-9 = severe pain, 10 = very severe pain. Analysis of data using the Wilcoxon Sign Rank. The results of the data analysis stated sig (p) = 0,000 where α = 0.05, p <α, it means that there is an effect of the Bonapace Method on the reduction of labor pain in the active phase of the First Maternity where the Correlation or effect using the Wilcoxon Correlation = -0,382

scholarly journals Murottal Surah Ar-Rahman and Aromatheraphy Lavender (Lavendula Augustfolia) Inhalation to Decrease Labor Pain on First Stage Active Phase

2020 ◽  
Vol 12 (1) ◽  
pp. 10
Author(s):  
Nurul Azizah ◽  
Rafhani Rosyidah ◽  
Evi Destiana
Keyword(s):  
Pain Score ◽  
Design Method ◽  
Active Phase ◽  
Behavioral Observation ◽  
Pain Scale ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Significance Level

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.  

scholarly journals The Effect of Lavender and Rose Aromatherapy on the Intensity of Active Phase Childbirth Pain in the Manyak Payed Community Health Center, Aceh Tamiang Regency, Indonesia

2020 ◽  
Vol 8 (E) ◽  
pp. 494-497
Author(s):  
Salmiani Abdul Manaf ◽  
Cut Yuniwati ◽  
Silfia Dewi ◽  
Lili Kartika Harahap
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Control Group Design ◽  
Whitney Test ◽  
Rose Flower ◽  
Mann Whitney Test

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.

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