scholarly journals The Effectiveness of the Combination of Aromatherapy and Back Massage on Normal Labor Pain Intensity in Stage I of Active Phase in Puskesmas Pontianak City Indonesia

2021 ◽  
Vol 3 (1) ◽  
pp. 11-19
Author(s):  
Sudarto ◽  
Halina Rahayu
Keyword(s):  
Pain Intensity ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Control Group ◽  
Test Results ◽  
Control Group Design ◽  
A Value ◽  
Back Massage

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.

scholarly journals The Effect of Sundanese Instrumental Music Therapy and The Provision of Spicy Drinks on Pain Intensity and Labor Duration

2021 ◽  
Vol 6 (1) ◽  
pp. 23
Author(s):  
Ni Gusti Made Ayu Agung Budhi ◽  
Ni Nyoman Sasnitiari
Keyword(s):  
Music Therapy ◽  
Pain Intensity ◽  
Instrumental Music ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Control Group Design ◽  
Post Test ◽  
Quasi Experimental

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

scholarly journals PENGARUH DEEP BACK MASSAGE TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI RUANG BERSALIN RSUD Dr. M.M DUNDA LIMBOTO

2018 ◽  
Author(s):  
Dwi Nur Octaviani Katili
Keyword(s):  
Intervention Group ◽  
Sampling Technique ◽  
Active Phase ◽  
Maternity Hospital ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Chi Square ◽  
Control Group Design ◽  
Back Massage

The purpose of this study is the knowledge of the influence of deep back massage on labor pain during the first phase active in the maternity hospital. M.M Dunda Limboto Kabupaten Gorontalo. The research design uses Quasi Exsperiment with non-equivalent pre test and post test control group design. The samples were all active mothers during the active phase phase of 32 respondents using accidental sampling technique divided into 2 groups, 16 intervention group respondents and 16 control group respondents. The analysis of this study used chi square test. The results of this study indicate that there is influence of deep back massage on labor pain kala I phase active with p value 0.047 &lt;0.05.

scholarly journals The Effect of Effleurage Massage to Pain Intensity of First Stage Labor in Inpartu Mothers at Linez Clinic of Gunungsitoli in 2018

2019 ◽  
Vol 14 (2) ◽  
pp. 54-58
Author(s):  
Hanna Sriyanti Saragih
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
World Health ◽  
Primary Data ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Uterine Muscle ◽  
Experimental Group

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

scholarly journals TERAPI ENDORPHIN MASSAGE UNTUK MENURUNKAN INTENSITAS NYERI KALA 1 FASE AKTIF PERSALINAN

2018 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Rr. Catur Leny W ◽  
Machfudloh Machfudloh
Keyword(s):  
Pain Intensity ◽  
Active Phase ◽  
Labor Pain ◽  
Rank Test ◽  
Control Group ◽  
Control Group Design ◽  
Spearman Rank ◽  
Group Design ◽  
Quasi Experimental ◽  
Scale 8

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 

scholarly journals Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

2019 ◽  
Vol 2 (3) ◽  
pp. 129
Author(s):  
Ayu Irawati ◽  
Susanti Susanti ◽  
Iranita Haryono
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Active Phase ◽  
Pain Scale ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
Control Group Design ◽  
First Stage Of Labor

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.

scholarly journals MASASE MENGURANGI NYERI PERSALINAN PADA IBU BERSALIN

2021 ◽  
Vol 7 (4) ◽  
pp. 726-730
Author(s):  
Nopita Yanti Sitorus ◽  
Maimunah R
Keyword(s):  
Pain Management ◽  
Pain Intensity ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Survey Study ◽  
Control Group ◽  
Cross Sectional ◽  
And Control ◽  
Maternity Clinic

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

scholarly journals Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

2020 ◽  
Vol 2 (1) ◽  
pp. 15-22
Author(s):  
Ayu Irawati ◽  
Susianti Susianti ◽  
Iranita Haryono
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
First Stage Of Labor

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 p-value is <0,001. 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.

scholarly journals Abdominal Stretching as a Therapy for Dysmenorrhea

2021 ◽  
Vol 9 (G) ◽  
pp. 180-183
Author(s):  
Sri Rejeki ◽  
Fariz Yuliani Pratama ◽  
Ernawati Ernawati ◽  
Arief Yanto ◽  
Edy Soesanto ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Female Adolescents ◽  
Control Group ◽  
Control Group Design ◽  
Uterine Muscle ◽  
Post Test ◽  
Quasi Experimental ◽  
Reduce Pain Intensity

BACKGROUND: Dysmenorrhea is pain during the menstrual period caused by uterine muscle cramps. The Dysmenorrhea prevalence in Indonesia is categorized as high at 64.25%. The dysmenorrhea symptom could be very disruptive and even decrease women’s productivity. Related to this problem, abdominal stretching is one of the alternatives to reduce pain from dysmenorrhea. AIM: This research was aimed to find out the effect of abdominal stretching on the pain intensity of menstrual cramps. METHODS: It was a quasi-experimental research with a pre-test post-test control group design. The sample was 130 female adolescents that were taken by total sampling. The sample was divided into two groups, which were the intervention group and the control group. RESULTS: The research finding, with a 0.000 (p < 0.005) significance value was obtained by using the Wilcoxon test. CONCLUSION: It means abdominal stretching exercise is significantly effective to reduce pain intensity from menstrual cramps (dysmenorrhea) in female adolescents. It is suggested to implement abdominal stretching as nursing care for menstrual cramps.

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
Keyword(s):  
Pain Intensity ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Belly Dance ◽  
Control Group Design ◽  
Average Decrease ◽  
Pelvic Area ◽  
And Control ◽  
Combined Intervention

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.

scholarly journals Difference Effect of The Combination of Lavender Aromatherapy and Effluerage with Breathing Relaxation on Pain Intensity During Labor among Primiparas

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Murtiningsih M ◽  
Shintya Tri Andani
Keyword(s):  
Pain Intensity ◽  
Intervention Group ◽  
Pain Scale ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Pharmacological Method ◽  
Difference Effect

 Although labor pain is a physiological process but it was feel severe and longer for primiparas.  Because of a cervical effacement earlier than dilation, and no experience of labor can affect women feel anxiety and fear of labor process, it cause increasing of pain. The non-pharmacological method was cheaper, simple, effective, and no side effect can help women to control of labor pain by herself or another person. The combination of lavender aromatherapy and effleurage can increase of relaxation of uterus contraction and between of it, so labor pain decreasing. The aim of this study was to determine difference effect of the combination of lavender aromatherapy and effleurage with breathing relaxation on pain intensity during labor among primiparas. This study used pre-experiment design with Pretest – Post-test  Control Group design. The consecutive sample of 32 laboring women divided to two groups of the intervention and control group. The pain scale measured by NRS questionnaire. The results showed that mean of pain scale before being given intervention is 7.25. It was the same of two groups. The average of pain scale decreasing to 5.25 in the intervention group and to 6.25 in the control group. The result of t-test dependent obtained p-value = 0.000, so meaning that two of interventions was able to decrease of the labor pain. The result of  t-test independent obtained p-value 0.004, so meaning that there was significantly difference of pain scale during labor of the intervention group to compare with control group. Suggested to health care who provide services at labor room to give a combination of lavender aromatherapy and effleurage as a non-pharmacology therapy alternative besides breathing relaxation to decrease of pain labor in primiparas.Keywords:  Aromatherapy, Labor, Massage, Pain, Relaxation

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