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

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.

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 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.


2020 ◽  
Vol 2 (1) ◽  
pp. 15-22
Author(s):  
Ayu Irawati ◽  
Susianti Susianti ◽  
Iranita Haryono

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.


2020 ◽  
Vol 2 (2) ◽  
pp. 211-218
Author(s):  
Diah Evawanna Anuhgera ◽  
Wilda Wahyuni Siregar ◽  
Nikmah Jalilah Ritonga ◽  
Desikawali Pardede

Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor. Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of 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.


2017 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Ade Kurniawati ◽  
Djaswadi Dasuki ◽  
Farida Kartini

<em><span>Some problems may appear due to childbirth, such as discomfort, fear and pain. Particularly for pain in the first stage of labor, it can be severe and takes place a longer time</span><span lang="IN">, </span><span>thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.</span><span>This was a quasi-experimental study </span><span lang="IN">t</span><span>o determine the effectiveness of birth ball exercise </span><span>is</span></em><em><span>one of nonpharmacological methods</span></em><em><span>towards the reduction of labor pain in the active phase of the first stage of labor in primigravida. Thirty eight women were recruited with consecutive sampling technique, divided into 2 groups, the treatment group given ball birth exercise in active phase of the first stage for 30 minutes for two times and the control group not given the exercise. The bivariable analysis was conducted with correlation and t-test, while the multivariable analysis used linear regression.</span><span lang="IN"> The results showed that t</span><span>he mean labor pain in the group given birth ball exercise was lower 4.5 than that in the control group at 5.4 with a p-value of </span><span lang="IN">0.01</span><span>. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of &lt;0.05. The multivariate analysis using Model 4 obtained an R² value of 0.49, which means that the birth ball exercise and husband and family support contributed to labor pain equal to 49%.</span><span>There were significant differences in pain intensity in active phase of the first stage of labor between primigravida who practiced birth ball exercise and those who did not. The pain intensity was lower in women practicing birth ball exercise than that in those who did not.</span></em>


2019 ◽  
Vol 1 (1) ◽  
pp. 82-92
Author(s):  
Marta Halim ◽  
Shirly Kumala ◽  
Yetti Hersunaryati

This study was triggered by the large number of users of Methadone Maintenance Therapy Program (MMTP) who Dropped Out due to lack of motivation and compliance. The purpose of this study was to increase the motivation and compliance of the Tambora Community Health Center MMTP users. The study design used the quasi-experimental method with the pretest-the posttest the group was not comparable. Voluntary research samples amounted to 100 with a distribution of @ 50 for the control group (KK) and @ 50 for the treatment group (KE). Based on the results of data analysis, the following results were obtained: (1) There was an increase in the motivation and compliance variables for the group given education with lectures and leaflets. (3) Pharmacist education (variable knowledge, attitudes and actions) simultaneously can increased the motivation of users with a score of 15.4% (p value 0.00 <0.05) in MMTP at the Tambora Community Health Center. (3) Pharmacist education (variable knowledge, attitudes and actions) simultaneously increases the compliance of service users in MMTP Tambora Community Health Center with a score of 12.7% (p value 0.00 <0.05). The Conclusion pharmacist education can increase motivation and compliance to users of Tambora Community Health Center MMTP services.


2021 ◽  
Vol 5 (1) ◽  
pp. 69-77
Author(s):  
Eva Santi Hutasoit ◽  
Susani Hayati

Women who are currently pregnant experience many changes. Changes in body and mind can cause discomfort to pregnant women. In addition to physical discomfort, psychological discomfort is also common. Anxiety and depression in pregnancy are problems with a high prevalence. One of the interventions that can reduce anxiety can be physical exercise such as yoga. Yoga can reduce stress, improve quality of life, self-efficacy in childbirth, interpersonal relationships, autonomic nervous system function, provide comfort, reduce or decrease labor pain and shorten the duration of labor. The purpose of this study was to analyze the effect of pregnancy yoga on anxiety and the duration of the first stage of labor in the city of Pekanbaru. This type of research is an observational study with a case control design. This research was conducted in 5 maternity homes in Pekanbaru City with a total sample of 96 respondents. The Zung-Self Rating Scale (ZSRS) questionnaire data collection tool and the first stage of labor using a questionnaire. Bivariate data analysis using chi-square calculations. The results of the Chi-square statistical test for anxiety variables showed a p value of 0.000 <0.05 (95% CI), there was a relationship between anxiety status and pregnancy yoga exercises. The variable of the first stage of labor showed a p value of 0.013 <0.05 (95% CI), there was a relationship between the first stage of labor and pregnancy yoga exercises. The effect of yoga exercises can reduce anxiety levels and shorten the first stage of the active phase of labor. It is hoped that health workers, especially midwives, can increase the frequency of providing information about pregnancy yoga and the frequency of implementing yoga exercise classes, both at RB and other health facilities.


Author(s):  
Aqliya Nursahidah ◽  
Shinta Novelia ◽  
Anni Suciawati

This study aims to find out the effect of aromatherapy lavender on labor pain,  Labor pain is a manifestation of cervical nerve compression. When there is pain, stress hormones cause the opening of the cervix is ​​inadequate, so that labor can increase in time. The way to deal with labor pain, which is one of them with non-pharmacological methods, aromatherapy lavender is known to contain linalool, the main active ingredient that plays a role in the relaxing effect to reduce pain and anxiety. This research using the quasi-experiment, with a post-test only control group design, with the first group or 15 respondent given lavender aromatherapy while the second group or 15 respondent was not given, the sample in this study were 30 respondents in the first phase of active labor. Labor pain assessment using a Numeric Rating scale. Statistical tests using the Mann Whitney test showed that the P value was 0.002<0.05, so it can be concluded that there was an effect of lavender aromatherapy on labor pain during the first of the active phase at the Afifah Clinic in Bandung Regency.


2017 ◽  
Vol 3 (4) ◽  
pp. 420-425
Author(s):  
Hilda Yani Karo Karo ◽  
Noor Pramono ◽  
Sri Wahyuni ◽  
Imam Djamaluddin Mashoedi ◽  
Leny Latifah

Background: Labor and childbirth is an extremely painful process. Aromatherapy is considered as one of the nonpharmacological methods to reduce labor pain.Objective: To determine the effect of Lavender (Lavandula Angustifolia) aromatherapy on the level of pain in primipara in the first stage of labor.Methods: A quasy-experimental research with pretest and posttest design with control group conducted between October until November 2016. Forthy respondents selected using consecutive sampling, which 20 assigned in each group. a Numerical Rating Scale (NRS) pain scale was used. Paired and independent t-test were used for data analyses.Results: The results showed that the p-value of labor pain after intervention was 0.000 (<0.05), which indicated that there was statistically mean difference of labor pain between intervention (6.10) and control group (4.05) in primipara in the first active stage of labor.Conclusion: The women in the lavender aromatherapy group reported lower intensity of labor pain. The intervention study could be practiced in the community health centers for pregnant women in order for them to apply this healing method.


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