scholarly journals MASASE PUNGGUNG TERHADAP PENURUNAN NYERI PERSALINAN FISIOLOGIS KALA I FASE AKTIF

2021 ◽  
Vol 7 (3) ◽  
pp. 441-452
Author(s):  
Deby Utami Siska Ariani ◽  
Dewi Suryanti
Keyword(s):  
International Association ◽  
Emotional Experience ◽  
Active Phase ◽  
Pain Scale ◽  
Labor Pain ◽  
Independent Practice ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Back Massage

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 

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

2020 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Suyani Suyani
Keyword(s):  
Pain Score ◽  
Active Phase ◽  
Labor Pain ◽  
Uterine Contractions ◽  
Labor Duration ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean

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

PENGARUH OLAH NAFAS BELLY BREATHING UNTUK MENGURANGI NYERI PERSALINAN KALA 1 FASE AKTIF DI KLINIK DHIAULHAQ MAGELANG

2021 ◽  
Vol 13 (02) ◽  
pp. 151
Author(s):  
Eniyati . ◽  
Ika Fitria Ayuningtyas Fitria Ayuningtyas ◽  
Lily Yulaikah
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Breathing Exercise ◽  
Central Java ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Breathing Therapy

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

scholarly journals KOMBINASI TERAPI WARNA HIJAU, AROMATERAPI LAVENDER, DAN MUSIK UNTUK MENURUNKAN NYERI DAN KECEMASAN PERSALINAN

2019 ◽  
Vol 8 (1) ◽  
pp. 53-63
Author(s):  
Ari Andriyani ◽  
Mahindria Vici Virahaju
Keyword(s):  
Labor Pain ◽  
Control Group ◽  
Control Group Design ◽  
Midwifery Care ◽  
Green Color ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Experimental Group ◽  
Normal Standard

Background: The ideal application of holistic midwifery care is by paying attention to the psycho-neuro- endocrino-immuno aspect.Midwives are expected to be able to facilitate mothers to get a natural, safe, comfortable, calm and pain free maternity experience. Combination of green color, lavender aromatherapy and music have not been utilized as many as other non-pharmacological therapies to reduce maternal pain and anxiety. Objective: To determine the effectiveness of the combination of green color, lavender aromatherapy and music to reduce maternal pain and anxiety. Methods: A quasy-experimental study with pre-test and post-test control group design was applied. Sixty mothers giving birth were divided intocontrol and experimental group., The combination of green color therapy, lavender aromatherapy and therapeutic music were delivered to experimental group whilst control group got normal standard care. Pain and anxiety were measured before and after treatment and then analized by using statistical methods. Results: there was a significant difference between the level of pain in the treatment group and the control group (p = 0,0009) but there was no significant difference in the level of anxiety (p = 0,313). Conclusion:The combination of therapiesare more effective in reducing pain in maternity as compared to conventional method. Keywords: Green Color Therapy, labor pain, lavender aromatherapy, maternal anxiety, music therapy.

scholarly journals Efektifitas Deep Back Massage Dan Effleurage Massage Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif Pada Ibu Primipara Di Puskesmas Jumpandang Baru Makassar

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Rosita Rosita ◽  
Maria Yasintha Lowa
Keyword(s):  
Treatment Group ◽  
Quantitative Research ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
P Value ◽  
Post Test ◽  
Massage Treatment ◽  
Back Massage

Objecvtive : The pain felt during the delivery is a problem which is woring the delivery mothers. various attempts are used to reduce the pain caused bt delivery ; nevertheless there is a method which can be utilized and those are the deep back massage and the effelurage massage. This research aimed to compare which massage is more effective between deep back or effleurage massage. Methods: The research design was quantitative research by using a quasy experimen­tal design, two groups pre test and post test design. Results: The results of the bivariate analysis of the Wilcoxon Test  in the deep back massage treatment group obtained p-value 0.0001, while in the treatment group effleurage massage the results of p-value is 0.0001. The Mann-Whitney test results obtained p-value 0.006. Conclusion: The conclusion of this study shows that there is a comparison between the effectiveness of deep back massage with effleurage massage to reduce the intensity of labor pain in the active phase of the first phase of primipara women in the Jumpandang Baru Health Center Makassar.

Pengaruh Terapi Murottal Al-Qur’an terhadap Penurunan Intensitas Nyeri Persalinan Kala 1 Fase Aktif Dilatasi Maksimal

2021 ◽  
Vol 3 (1) ◽  
pp. 25-30
Author(s):  
Ayu Safitri ◽  
Artika Dewie ◽  
Niluh Nita Silvia
Keyword(s):  
Rating Scale ◽  
Active Phase ◽  
Numeric Rating Scale ◽  
Labor Pain ◽  
Rank Test ◽  
Phase Method ◽  
Signed Rank ◽  
Significant Difference ◽  
Before And After ◽  
Signed Rank Test

Introduction: Pharmacological and non-pharmacological techniques are methods used to reduce labor pain. Non-pharmacological techniques in the form of distraction by listening to the murottal Al-Qur'an can be an option. The purpose of this study was to determine the effect of murottal Al-Qur'an therapy on reducing the intensity of labor pain during the 1st active phase. Method: The type of research used in this study was Pre Experiment, one group pretest-posttest research design. The population in this study were mothers who gave birth at the first stage of Sriwati PMB with a sample of 15 people. The pain was measured using the Numeric Rating Scale (NRS). Statistical analysis used the Wilcoxon Signed Rank Test with a confidence level of 95% (α = 0.05). The result of the statistical test, the value of p=0.001, which means that there is a significant difference in labor pain in women who give birth before and after listening to the Murottal Al-Qur'an. It is suggested to do non-pharmacological techniques to listen to Murottal Al-Qur'an as one of the techniques to reduce the first stage labor pain at PMB Sriwati.

scholarly journals EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

2019 ◽  
Vol 7 (3) ◽  
pp. 185-190
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Cervical Dilatation ◽  
Control Group ◽  
Research Subjects ◽  
Uterine Contractions ◽  
Average Improvement ◽  
Before And After ◽  
Post Test

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

scholarly journals PENGARUH TERAPI AKUPRESUR PADA TANGAN TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI PMB RATRI RESTUNI S.ST SAMARINDA

2019 ◽  
Vol 7 (1) ◽  
pp. 1-11
Author(s):  
Ririn Ariyanti ◽  
Aulia
Keyword(s):  
Intervention Group ◽  
Resistance Mechanism ◽  
Sampling Technique ◽  
Active Phase ◽  
Pain Scale ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Before And After ◽  
Average Pain

Pain is a natural process in labor. The response of pain is different between one and another it is influenced by factors depended in body’s resistance mechanism since labor process. The factors are age, gender, pain’s mean, attention, previous experience, coping style, family’s support, afraid, worried, personality, fatigue, culture and social. Acupressure is one of the best non-pharmacology techniques in easiest management of labor pain, cheapest, and can be done by all of people because needs only two hands in therapy implementation. The objective of this research is to identify the influence af acupressure therapy on hands to labor pain of active phase in period I. This research was queasy experiment with non-equivalent pretest-posttest design. The population of this research was inpartu woman at PMB. Ratri Restuni, S.ST Samarinda. The sampling technique used non random sampling technique; it was the sampling quota of 15 people in intervention group and 15 people in control group. Data collection was obtained by doing interview and giving acupressure. The research finding shows that there is significant differences between pain scale before and after intervention in intervention group with t-value = 11,117 and p-value 0,05, in average pain scale of intervention group before and after intervention is 68.7, it decreases to 4.37, control group is 6.80 and there is no decreasing; the average period of this is 13 minutes and then increasing again. Acupressure therapy has to be applied in giving inpartu care in period I of active phase to decrease labor pain. For next researchers, they are expected to do more research by taking other variables that can influence labor pain; which are coping, family support, and personality.

scholarly journals PENGARUH PEMBERIAN ROSE EFFLEURAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF PADA PERSALINAN NORMAL PRIMIGRAVIDA DI BIDAN PRAKTIK MANDIRI ERNITA KOTA PEKANBARU

2020 ◽  
Vol 4 (1) ◽  
pp. 9-14
Author(s):  
Jasmi Jasmi ◽  
Elly Susilawati ◽  
Ana Andriana
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Average Intensity ◽  
Test Study ◽  
Before And After ◽  
Post Test ◽  
Confidence Degree

Birth pain can cause maternal discomfort such as fatigue, frustration, despair, and stress. The preliminary survey at PMB Ernita of Pekanbaru showed that there were 60% of the mothers that suffered moderate pain and 40% of them experienced severe pain. The intensity of labor pain can be reduced by giving a rose effleurage that can produce endorphin so that it stimulates a sense of relaxation. This pre-experimental research used a one group pre-test study post-test design carried out in March to June 2018. The population was primigravidae  mothers in the first stage of labor taken using purposive sampling technique. The results showed that the average intensity of pain in parturient women before and after administration of rose effleurage was 6.00 and 4.60, respectively. The result of statistic test with Wilcoxon test on 95% confidence degree showed that there was the effect of rose effleurage stage on pain intensity in the active stage of labor (p value = 0.000). It is then suggested that rose effleurage can be applied as an alternative method which aims to reduce the intensity of labor pain at the time of active phase.

scholarly journals EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

2019 ◽  
Vol 7 (3) ◽  
pp. 185-197
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Cervical Dilatation ◽  
Control Group ◽  
Research Subjects ◽  
Uterine Contractions ◽  
Average Improvement ◽  
Before And After ◽  
Post Test

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

scholarly journals The Application of Yoga Pranayama and Gym Ball Exercise on Labor Pain During Active Phase at Pmb Desa Blahkiuh, Abiansemal, Badung

2020 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Luh Putu Widiastini ◽  
I Gusti Agung Manik Karuniadi
Keyword(s):  
Statistical Tests ◽  
Intervention Group ◽  
Active Phase ◽  
Pain Scale ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference ◽  
Quasi Experimental

Pain Labor is a physiological and individual experience. The cause of pain in labor is a combination of ischemia (hypoxia) the muscles of the uterus and stretching that occurs in the lower segment of the uterus (then the cervix). Non-pharmacological efforts that can be done in reducing pain in the mother in the face of labor are through the Application of Yoga Pranayama and Gym Ball Exercise. The purpose of this study was to determine the effect of the application of Yoga Pranayama and Ball Exercise Gym on Labor Pain Active Phase in PMB Blahkiuh Village, Abiansemal, Badung. This research method used the Quasi Experimental Design study with Nonequivalent Control Group Design. The approach used is a prospective approach. Sample consisted 40 respondents. Respondent selected by purposive sampling and divide into control group and intervention group. Respondents in intervention group were given Yoga Pranayama and Gym Ball Exercise, while in the control group respondents were given conventional therapy. The data were analyzed using the Paired T-test to compare the results of the pre-test and post-test, and to compare intervention and control groups use Independent T-Test. Based on statistical tests obtained all p values <0.05 means that there is a significant difference between pain labor in the control and intervention group, so it can be interpreted that pain scale in intervention group is lower than control group. The conclusion of this study was there’s influence on the application of Yoga Pranayama and the Ball Exercise Gym on Labor Pain in the Active Phase in PMB Blahkiuh Village, Abiansemal, Badung. Index Terms— labor pain, active phase, yoga pranayama, gym ball exercise

Sign in / Sign up

Export Citation Format

Share Document