Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

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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Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

Jurnal Bidan Cerdas (JBC) ◽

10.33860/jbc.v2i1.78 ◽

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.

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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 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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Kompres Hangat dan Kompres Dingin Sebagai Alternatif Penanganan Nyeri Non Trauma Pada Pemain Futsal

Journal of Holistic Nursing Science ◽

10.31603/nursing.v7i2.3065 ◽

2020 ◽

Vol 7 (2) ◽

pp. 187-194

Author(s):

Siti Fadlilah ◽

Nazwar Hamdani Rahil ◽

Tia Amestiasih

Keyword(s):

Scale Score ◽

Sampling Technique ◽

Pain Scale ◽

Wilcoxon Test ◽

Hospital Treatment ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Value Analysis ◽

Bivariate Test

Pain in futsal players experienced the highest incidence of 48.8% in each match. Non-pharmacological techniques are effective ways to relieve pain, including cold compresses and warm compresses. As a community nurse can apply the therapy for pre-hospital treatment. The study aims to determine the differences in the effectiveness of warm compresses and cold compresses against pain in futsal players in the Forza Futsal field in Yogyakarta. This type of research is an experimental research pre-posttest control group design. The sample in this study is a futsal player who experienced pain in the Forza Futsal Field totaling 32 respondents. The sampling technique used was consecutive sampling. The research instrument was the Bourbanais pain scale value. Analysis of research data using the Wilcoxon test and the Mann Withney test. the pre-posttest pain scale on the warm compress group was 4.00 and 2.00. The pre-posttest pain scale score of the cold compress group was 5.00 and 2.50. Bivariate test of pre-posttest pain scale score of warm compresses and cold compresses obtained p values of 0,000 and 0,000. The posttest bivariate test between warm compresses and cold compresses showed a p-value of 0.683. There is the effect of warm compresses and cold compresses on pain in futsal players at Forza Futsal Field. There is no difference in the effectiveness of warm compresses and cold compresses against pain in futsal players at Forza Futsal Field.

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

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i1.281 ◽

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

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

JURNAL KEBIDANAN ◽

10.30736/md.v12i1.192 ◽

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.

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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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EFEKTIFITAS AROMA THERAPHY LEMON DAN BITTER ORANGE TERHADAP INSTENSITAS NYERI PERSALINAN KALA I FASE AKTIF

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v7i1.3253 ◽

2021 ◽

Vol 7 (1) ◽

pp. 1-5

Author(s):

Reva Afdila ◽

Nuraida Nuraida

Keyword(s):

Health Workers ◽

Sampling Technique ◽

Active Phase ◽

Pharmacological Therapy ◽

T Test ◽

Labor Pain ◽

Control Group ◽

Control Group Design ◽

Test Analysis ◽

Bitter Orange

ABSTRACT THE EFFECTIVENESS OF LEMON THERAPHY AND BITTER ORANGE AROMAS ON THE INSTENSITY OF ACTIVE PHASE I LABOR Background: Labor pain is a pain that is often felt by mothers during childbirth in Stage I. Labor pain is felt by all mothers who give birth. One of the mother's loving care is comfort, namely the reduction of pain that the mother feels. with the provision of non-pharmacological therapy is very helpful for mothers in undergoing the labor process, where there are no side effects from the use of non-pharmacological therapies.Purpose: This study aims to determine the effectiveness of lemon and bitter orange aromatherapy on the intensity of first stage labor pain in women who give birth.Methods: The type of research used is a quasi-experimental design with a pretest-posttest control group design. Sampling technique using accidental sampling technique, the number of samples in this study were 32 mothersResults: The results showed that the lemon group was effective in reducing pain (0,000). in the bitter orange group it is also effective in reducing labor pain (0.000). The results of the independent sample T test analysis showed no comparison of effectiveness between the two groups (0.061), where the two groups were equally effective in reducing labor pain in laboring mothersConclusion: Aromatherapy of lemon and bitter orange are both effective in reducing the pain of first stage labor in the mother.Suggestion: It is hoped that health workers can provide care for the mother's love by reducing pain during labor. Keywords: Aromatherapy, Labor Pain ABSTRAK Latar Belakang : Nyeri persalinan merupakan nyeri yang sering dirasakan ibu pada saat persalinan di Kala I. Nyeri persalinan dirasakan oleh semua ibu bersalin. salah satu asuhan sayang ibu adalah kenyamanan yaitu pengurangan rasa nyeri yang ibu rasakan. dengan pemberian terapi nonfarmakologi sangat membantu ibu dalam menjalanin proses persalinan, dimana tidak ada efek samping dari penggunaan terapi non farmakologi.Tujuan : penelitian ini bertujuan untuk mengetahui perbandiangan efektifitas aromaterapi lemon dan bitter orange terhadap intensitas nyeri persalinan kala I pada ibu bersalin.Metode: jenis penelitian yang digunakan yaitu quasi eksperimen dengan densain pretest- posttest control group desain. tehnik pengambilan sampel menggunakan Tehnik accidental Sampling, jumlah sampel pada penelitian ini yaitu 32 ibu bersalin.Hasil : Hasil penelitian didapat pada kelompok lemon efektif dalam pengurangan rasa nyeri (0,000). pada kelompok bitter orange juga efektif dalam pengurangan nyeri persalinan (0,000). hasil analisis independent sampel T Test menunjukan tidak ada perbandingan efektifitas antara kedua kelompok (0,061), dimana kedua kelompok sama-sama efektif dalam pengurangan nyeri persalinan pada ibu bersalin.Kesimpulan :Aromatherapi lemon dan bitter orange sama-sama efektif dalam pengurangan nyeri persalinan kala I pada ibu bersalin.Saran :Diharapkanuntuk para tenaga kesehatan untuk dapat memberikan pelayanan asuhan sayang ibu dengan pengurangan rasa nyeri pada saat ibu bersalin. Kata Kunci : Aromaterapi, Nyeri Persalinan

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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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