Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

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.

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Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

Jurnal Bidan Cerdas (JBC) ◽

10.33860/jbc.v2i3.282 ◽

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.

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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

Belitung Nursing Journal ◽

10.33546/bnj.201 ◽

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.

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Pengaruh Pijat Aromaterapi Lavender Terhadap Tingkat Nyeri Persalinan Kala I Fase Aktif

Jurnal Ilmu Kesehatan ◽

10.32831/jik.v3i1.46 ◽

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

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EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) ◽

10.29082/ijnms/2017/vol1.iss2.50 ◽

2017 ◽

Vol 1 (2) ◽

pp. 104-110

Author(s):

Ariu Dewi Yanti ◽

Rina Mardiyana Mardiyana

Keyword(s):

Pain Intensity ◽

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Wilcoxon Test ◽

P Value ◽

Test Design ◽

Post Test ◽

Experimental Type ◽

First Stage Of Labor

The pain on delivering baby was experienced by most women, this pain is unique and different for every individual. Non-pharmacological pain control becomes cheaper, simple, and effective and without adverse effects, one of which is the technique effleurage. Effleurage of the abdomen is one of the non-pharmacological methods which are usually used in the Lamaze method to reduce pain in normal labor. This research aimed to determine the effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Research design was pre experimental type one group pre-test post test design. Its population were all women giving birth in BPM Hj.Ninik Artiningsih.,SST.M.Kes, SST Blooto distric Mojokerto Regency amount 17 people. The sampling technique used consecutive sampling to obtain 15 samples. Data analysis used was Wilcoxon test with P value <0.05. It means that there was effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Gently cares the abdomen effected in pain that transmitted will be inhibited, it effected in the cerebral cortex does not receive the response message so that the pain decreased pain

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Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2017.5(1).1-10 ◽

2017 ◽

Vol 5 (1) ◽

pp. 1

Author(s):

Ade Kurniawati ◽

Djaswadi Dasuki ◽

Farida Kartini

Keyword(s):

Pain Intensity ◽

Family Support ◽

Multivariable Analysis ◽

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

P Value ◽

Quasi Experimental ◽

First Stage Of Labor

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, thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.This was a quasi-experimental study to determine the effectiveness of birth ball exercise isone of nonpharmacological methodstowards 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. The results showed that the 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 0.01. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of <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%.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.

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EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) ◽

10.29082/ijnms/2017/vol1/iss2/50 ◽

2017 ◽

Vol 1 (2) ◽

pp. 104-110

Author(s):

Ariu Dewi Yanti ◽

Rina Mardiyana Mardiyana

Keyword(s):

Pain Intensity ◽

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Wilcoxon Test ◽

P Value ◽

Test Design ◽

Post Test ◽

Experimental Type ◽

First Stage Of Labor

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

10.31227/osf.io/8vjtm ◽

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 <0.05.

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The effect of Lavender Aromatherapy on labor pain among delivery women

Asian Community Health Nursing Research ◽

10.29253/achnr.2020.21332 ◽

2020 ◽

pp. 13

Author(s):

Aqliya Nursahidah ◽

Shinta Novelia ◽

Anni Suciawati

Keyword(s):

Rating Scale ◽

Statistical Tests ◽

Stress Hormones ◽

Active Phase ◽

Numeric Rating Scale ◽

Labor Pain ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Post Test

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.

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Pemberian Akupresur Kombinasi Titik BL32 dan LI4, Titik BL32 dan Sp6 Untuk Menurunkan Intensitas Nyeri Persalinan

Journal of Holistic Nursing Science ◽

10.31603/nursing.v7i2.3118 ◽

2020 ◽

Vol 7 (2) ◽

pp. 133-141

Author(s):

Mukhoirotin Mukhoirotin ◽

Hidayatul Mustafida

Keyword(s):

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Numeric Rating Scale ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Pharmacological Intervention ◽

Control Group ◽

Control Group Design

Labor pain is a physiological condition that most experienced by all women giving birth. Labor pain of the active phase is caused by cervical dilatation and distention of the uterine corpus. The purpose of this study was to determine the differences of acupressure effect on the combination of BL32 (Ciliao) and LI4 (Hegu) points with BL32 (Ciliao) and SP6 points (Sanyinjiao) toward the intensity of labor pain. The research design used Quasy Experiment with the approach of Pretest-Posttest Control Group Design with the Purposive Sampling technique. The population of this study was all maternity women at PMB Siti Zulaikah Jogoroto Jombang. The sample in this study was 22 respondents who include to the inclusion and exclusion criteria. The pain scale instrument used was the Numeric Rating Scale (NRS). The data were analyzed by using Paired T-Test and Independent T-Test with α ≤ 0.05. The results have shown that there was an effect of acupressure in both intervention groups on the intensity of labor pain with a value of p = 0.000 (p <0.05). There were no differences in the influence between the two intervention groups (4.09 ± 1.044 vs 4.82 ± 0.982; p = 0.108 (p>0.05). Acupressure on BL32 (Ciliao) and LI4 (Hegu) point combinations with BL32 points (Ciliao) and SP6 point (Sanyinjiao) effectively reduce the intensity of labor pain so it can be used as an alternative non-pharmacological intervention in reducing labor pain intensity.

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The effectiveness of al-qur'an healing with audio-visual methods in reducing pain in the active phase of the first stage of labor

International Journal of Health Science and Technology ◽

10.31101/ijhst.v1i3.1202 ◽

2020 ◽

Vol 1 (3) ◽

pp. 7-14

Author(s):

Suri Salmiyati ◽

Yulia Fauziah Amizuar

Keyword(s):

Data Analysis ◽

Rating Scales ◽

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Assessment Instrument ◽

Bivariate Analysis ◽

P Value ◽

Visual Methods ◽

First Stage Of Labor

Pain that occurs during labor is caused by the activity of uterine contractions. Uncontrolled pain can cause stress that will inhibit the release of the hormone oxytocin so that the labor process is disrupted. Labor pain can be decreased by pharmacological methods (drugs) or non-pharmacological ones, such as Al-Qur'an Healing with audio-visual methods. This study aims to determine the effect of Al-Quran Healing with audio-visual methods on the level of pain in the active phase of the first stage of labor. This study was an experimental quantitative research with one group pretest-posttest research design. The sampling technique was accidental sampling technique with the total of 12 samples. The research instruments were the videos of Al-Qur'an Surah Al-Insan, Al-Mulk, Maryam and Al-Kahf. The pain assessment instrument used Numeric Rating Scales. The data analysis in this study used univariate and bivariate analysis. Based on the univariate test, it was found that the respondents’ characteristics were ages that were not at risk and multiparous parity. Most respondents were high-school graduates and were assisted by their husbands during the labor. The results of data analysis using Wilcoxon obtained p-value 0,035 (p <α) meaning that there was difference in the level of labor pain before and after the intervention. It could be concluded that there was a significant effect of giving Al-Qur'an Healing therapy to the level of labor pain in the active phase of the first stage of labor. This method of therapy is recommended to be used by the mothers during labor, and it is expected that the health services and the health workers can facilitate it.

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