scholarly journals Penerapan Counter Pressure Untuk Mengurangi Nyeri Persalinan Kala I Di Klinik Rahayu Ungaran

2021 ◽  
Vol 3 (2) ◽  
pp. 186-193
Author(s):  
Tya Lestari ◽  
Ari Andayani
Keyword(s):  
Research Method ◽  
Active Phase ◽  
Statistical Test ◽  
Labor Pain ◽  
Maternal Anxiety ◽  
Sampling Techniques ◽  
Counter Pressure ◽  
Test Criteria ◽  
Standard Operating ◽  
Prolonged Labor

Pain during labor increases maternal anxiety which can increase the risk of prolonged labor and high rates of secsio caesaria because this is the determining point of whether a mother can undergo a vaginal delivery or end with an action due to complications caused by severe pain.It is very important for the delivery helpers to meet the mother's need for their security and comfort.This study was conducted to find out the effectiveness of Counter Pressure Massage Against Decreased Labor Pain During I Active Phase at Rahayu Ungaran Clinic. This research uses preecperiment research method with the design of one group pretest posttest research. Samples were taken using accidental sampling techniques, namely as many as 20 maternity mothers. The instruments used in this study are SOP sheets (Standard Operating Procedures). The results of this study using Marginal Homogenity Test showed the value of Asymp value. Sig. (2-tailed) acquired 0.000. Based on statistical test criteria: If a Significant value > 0.05 then there is a difference or H0 is accepted. So 0.000 > 0.05 means in this case there is a difference before and when counter pressure technique or H0 is accepted. There is an effect of Counter Pressure Massage on the reduction of labor pain during the I active phase at Rahayu Ungaran Clinic. It is expected that future researchers will carry out a Counter Pressure Massage for mothers so that they can be used as a method of effective pain reduction. ABSTRAK Nyeri persalinan dapat menimbulkan stres yang dapat menyebabkan pelepasan hormon yang berlebihan seperti ketokolamin dan steroid. Nyeri dapat dikurangi dengan teknik farmakologi dan teknik nonfarmakologi. Teknik farmakologi dengan menggunakan obat analgesik, sedangkan teknik nonfarmakologik adalah pengendalian nyeri dengan menggunakan teknik counterpressure yang mengurangi sensasi nyeri dengan menghambat rasa sakit dari sumbernya. Penelitian ini dilakukan untuk mengetahui efektivitas Counter Pressure Massage Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di Klinik Rahayu Ungaran. Penelitian ini menggunakan metode penelitian preeksperimen dengan rancangan penelitian one group pretest posttest. Sampel diambil menggunakan teknik accidental sampling, yaitu sebanyak 20 ibu bersalin. Instrumen yang digunakan dalam penelitian ini adalah lembar SOP (Standar Operasional Prosedur). Hasil penelitian ini menggunakan uji Marginal Homogenity Test menunjukkan nilai nilai Asymp. Sig. (2-tailed) diperoleh 0.000. Berdasarkan kriteria pengujian statistik: Jika nilai Signifikan > 0.05 maka terdapat perbedaan atau H0 diterima. Jadi 0.000 > 0.05 berarti dalam hal ini  terdapat perbedaan sebelum dan saat dilakukan teknik counter pressure atau H0 diterima. Ada pengaruh Counter Pressure Massage terhadap penurunan nyeri persalinan kala I fase aktif di Klinik Rahayu Ungaran. Diharapkan ibu bersalin peneliti yang akan datang untuk melakukan Counter Pressure Massage sehingga dapat dijadikan metode pengurangan rasa nyeri yang efektif.

scholarly journals Pengaruh Kompres Hangat Terhadap Rasa Nyeri Persalinan Kala I Fase Persalinan Fase Aktif di 3 BPM Kota Cirebon

2018 ◽  
Vol 6 (1) ◽  
pp. 71
Author(s):  
Yeni Fitrianingsih ◽  
Kemala Wandani
Keyword(s):  
Data Analysis ◽  
Research Method ◽  
Hormone Secretion ◽  
Active Phase ◽  
Labor Pain ◽  
Primary Data ◽  
P Value ◽  
Group Design

Pain is the most dominan the first stage of childbirth. Pain of labor it can cause stress that causes, so it causing the release of hormone much like katekolamin and steroids. Excessive hormone secretion will cause Impaired uteroplacental circulation Thus causing hypoxia in the fetus. One for controlling labor pain by non-pharmacological methods that is warm compress Objective: to know The influence of warm compressesto pain in the first stage of the active phase Independent midwives cirebon city Methods: This research method Using design quasy eksprerimen design pre and post one group design The study sample is first stage of childbirth in independent midwifes city cirebon As many thirty respondents The data used in this study is the primary data Primary using a questionnaire given directly to the respondent. Stages of data analysis used are univariate and bivariate. Results: The result of the analysis shows the value of coefficient Z of 4,820 and Asym.Sig (p value) of 0.000. This shows that the value of Asym.Sig (p value)

scholarly journals Efektifitas Massage Counter Pressure Pada Nyeri Persalinan Kala I Fase Aktif

2021 ◽  
Vol 3 (2) ◽  
pp. 122-131
Author(s):  
Luh Putu Ani Widiyastiti ◽  
Kartika Sari
Keyword(s):  
Standard Deviation ◽  
Statistical Test ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
Medical Clinic ◽  
Counter Pressure ◽  
Significant Difference ◽  
Before And After ◽  
First Stage Of Labor

Labor pain is a subjective experience of physical sensations associated with uterine contractions, cervical dilation and thinning, and fetal decline during labor. Severe pain condition during the first stage of labor allows mothers to tend to choose the easiest and fastest way to relieve pain. Efforts that can be made to deal with the first stage of labor pain are non-pharmacological methods, one of which is counter pressure massage. To determine the difference in pain before and after counter pressure massage in the active phase I labor pain. This type of research is a quasi-experimental design with a pretest and posttest control group design. The sampling method was accidental sampling with a sample size of 15 people. Statistical test analysis using Dependent T-Test. The average labor pain before counter pressure massage was 3,600 with a standard deviation of 0.507 and after counter pressure massage the respondent's pain value was 2,666 with a standard deviation of 0.617, it was seen that there was a difference in value or decrease before and after the counter pressure massage was carried out, namely 0.933 with standard deviation of 0.258 and the statistical test results obtained p = 0.000. There was a significant difference between pain before and after counter pressure massage at Alin's Medical Clinic. It is hoped that health workers, especially midwives, can provide counter pressure massage to mothers who give birth in order to reduce morbidity and mortality in mothers. ABSTRAK Nyeri persalinan merupakan pengalaman subjektif tentang sensasi fisik yang terkait dengan kontraksi uterus, dilatasi dan penipisan serviks, serta penurunan janin selama persalinan. Kondisi Nyeri yang hebat pada kala I persalinan memungkinkan para ibu cenderung memilih cara yang paling gampang dan cepat untuk menghilangkan rasa nyeri. Upaya yang dapat dilakukan untuk mengatasi nyeri persalinan Kala I adalah dengan metode non farmakologis salah satunya dengan massage counter pressure. Untuk mengetahui perbedaan nyeri sebelum dan sesudah massage counter pressure pada nyeri persalinan kala I Fase Aktif. Jenis penelitian yang digunakan adalah quasi eksperimen dengan rancangan one group pretest dan posttest desgn. Metode pengambilan sampel secara accidental sampling dengan jumlah sampel 15 orang. Analisis uji statistik menggunakan Dependent T-Test. Rata-rata nyeri persalinan sebelum dilakukan massage counter pressure adalah 3.600 dengan standar deviasi 0.507 dan setelah dilakukan massage counter pressure nilai nyeri responden yaitu 2.666 dengan standar deviasi 0.617, terlihat adanya perbedaan nilai atau penurunan sebelum dan sesudah dilakukan massage counter pressure yaitu 0.933 dengan standar deviasi 0.258 serta hasil uji statistik didapatkan p=0.000. Ada perbedaan yang signifikan antara nyeri sebelum dan sesudah dilakukan massage counter pressure di Alin’s Medical Clinic. Diharapkan petugas kesehatan terutama bidan dapat memberikan massage counter pressure pada ibu bersalin agar dapat mengurangi angka morbiditas dan mortalitas pada ibu

scholarly journals Musik Langgam Jawa Terhadap Kecemasan Pada Pasien Pre Sectio Caesarea

2021 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Siti Sadiah ◽  
Happy Dwi Aprilina
Keyword(s):  
Standard Deviation ◽  
Statistical Test ◽  
Maternal Anxiety ◽  
Sectio Caesarea ◽  
Control Group ◽  
P Value ◽  
Sampling Techniques ◽  
Control Group Design ◽  
Group Design ◽  
Test Result

Caesarean delivery or sectio ceaserea (SC) is a surgical process to give birth to a fetus through incisions in the abdominal and uterine walls. This action generally causes anxiety in mothers who will undergo childbirth. Objective: Knowing the effect of Javanese Langgam music on anxiety in pre-sectio caesarea patients. A pre-experimental design with one group pre and posttes without control group design. The study used 46 accidental sampling techniques. Data analysis with paired t test. 39 respondents (84,8%) were not in the category of risky ages, 21 respondents (45,7%) were secondary graduates, 21 respondents (76,1%) were housewives, and 27 respondents (58,7%) were primipara parity. The average patient’s anxiety was 19,04 with a standard deviation of 3,25 before Javanese Langgam style music and it was 11,83 with a standard deviation of 2,93 qfter the treatment. Based on the statistical test result, it obtained p-value 0.05, there is an effect of Javanese music style a ward the anxiety in patiens with pre section caesarea p-value 0.000. Conclusion: Javanese Langgam music effect on anxiety in pre-sectio caesarea patients in Banyumas Regional Hospital with p-value 0.000. Hand music can be a powerful mood regulator that can cause relaxation and reduce maternal anxiety pre CS.  Keywords: Javanese style, anxiety, pre sectio caesarea

scholarly journals Decreasing Labor Pain through Sacralist Counter-pressure Therapy Using Tennis Ball in the Mother during the Labor Process

2021 ◽  
Vol 9 (T4) ◽  
Author(s):  
Sri Rejeki ◽  
Enny Widayati ◽  
Machmudah Machmudah ◽  
Arief Yanto
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Tennis Ball ◽  
Test Results ◽  
Pressure Therapy ◽  
Counter Pressure ◽  
Quasi Experimental ◽  
Tennis Balls

BACKGROUND: Labor pain is a physiological process caused by the contraction of uterus muscle as an effort to open the cervix and push the baby’s head toward the pelvis. One of the treatments giving by nurses to reduce the pain is by counter-pressure therapy. AIM: The aim of the study was to determine the effect of counter-pressure therapy using tennis balls toward the pain level in the first stage during the active phase of labor. METHODS: It was a quasi-experimental study with pretest-posttest one group design. The population in this study was patients with active phase I delivery in PKU Muhammadiyah Hospital of Temanggung. A total of 26 respondents were selected through purposive sampling technique. The data were analyzed using Wilcoxon matched paired test. RESULTS: The pain intensity in 26 respondents (100%) in the first stage during the active phase of labor before the treatment was categorized as severe pain. However, after the implementation of the counter-pressure therapy using tenis ball, the pain intensity was categorized as moderate in 18 respondents (69.2%) and severe in the rest of the respondents (30.8%). CONCLUSION: Counter-pressure massage therapy using a tennis ball was effective in reducing the level of pain in the first stage during the active phase of labor with a p = 0.000 (α < 0.05).

scholarly journals Effect of Heat Compresses Hydrotherapy to Reduction of Pain Labor Stage 1st

2019 ◽  
Vol 8 (2) ◽  
pp. 136-145
Author(s):  
Luluk Susiloningtyas ◽  
Fransisika Novitasari ◽  
Ratna Feti Wulandari
Keyword(s):  
Active Phase ◽  
Labor Pain ◽  
Phase Correlation ◽  
Uterine Contractions ◽  
Unpleasant Stimulus ◽  
Reduction Of Pain ◽  
Quasi Experimental ◽  
Prolonged Labor ◽  
The One ◽  
Pharmacological Method

Labor pain is an unpleasant stimulus that causes fear and worry. This situation will be stimulate an increase in catecholamineswhich can be cause interference with the strength of uterine contractions so that uterine insertion occurs if not corrected, which will be cause prolonged labor, so that’s necessary to prevent maternal care in the form of methods of pain transfer The One non-pharmacological method is heat compresshydrotherapy. The type of research was used Quasi Experimental withcross sectional approach one group pretest-posttest design. The results of data analysis  stated that sig (p) = 0,000 where α = 0.05, p <α, means that therewas an effect of giving heat compress hydrotherapy to the reduction of labor pain in the active phase. Correlation or influence using Wilcoxon Correlation =-0.382.

scholarly journals Application Of The WBZ (Warm Belt Zinger) Method To The Intensity Of Labor Pain At The BL 31-32 Meridian Points In PMB Semarang City

2020 ◽  
Vol 4 (11) ◽  
pp. 375-380
Author(s):  
Lestari Puji Astuti ◽  
Poppy Fransisca Amelia ◽  
Heny Wijayanti ◽  
Sa’adah Mujahidah
Keyword(s):  
Control Design ◽  
Sampling Technique ◽  
Active Phase ◽  
Statistical Test ◽  
Labor Pain ◽  
P Value ◽  
Test Results ◽  
Before And After ◽  
And Control ◽  
First Time

The research purposes to find out the effectiveness of WBZ (Warm Belt Zinger) and warm compresses at the meridian points BL 31 and 32 on the intensity of labor pain during. The pain that a woman experiences while entering labor is a physiological process. Labor pain is the most severe thing felt by women throughout their life. Non-pharmacological efforts are needed to reduce labor pain. Types of research was quasi-experiment with pretest-posttest with control design. The sampling technique used was accidental sampling with sample size of 30 people and divided into two groups intervention WBZ n=15 and control (warm compress) n=15. The subjects were the mothers who gave birth in were in the first phase of the active phase (4-10 cm opening). There was differences in first time pain in the maternity before and after the WBZ group (p-value = 0.000). There was a difference in first-time pain in the maternity before and after in the warm compress (p-value = 0.000). Statistical test results WBZ and warm compresses are effective for decrease the pain in first stage labor (p-value = 0.001). WBZ and warm compresses effective to reduce labor pain in the first stage. Keywords: ginger compress; warm compress; meridian points bl 31 and 32; intensity of labor pain

Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pelanggan di Kantor Perusahaan Umum Badan Urusan Logistik Kota Sampit Kabupaten Kotawaringin Timur

2016 ◽  
Vol 2 (2) ◽  
pp. 1-5
Author(s):  
Masrukin Masrukin ◽  
Hermanto Hermanto
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Service Quality ◽  
Error Rate ◽  
Research Method ◽  
Statistical Test ◽  
Quality Factors ◽  
Public Companies ◽  
Public Company

Customer satisfaction is influenced by service quality factors, this study aims to find out and analyze how much influence the quality of service on customer satisfaction is felt by customers who use the service of Poor Rice (Raskin) at the Office of Public Companies Logistics Agency (Perum BULOG) in Sampit City Regency East Kotawaringin. The research method used in this study is the method of observation, questionnaire/questionnaire and documentation using a Likert scale and the method of determining the sample used is the error rate of 5% as many as 213 samples. Testing the hypothesis used is a statistical test with the formula "Product moment person". The results showed that there was a very strong correlation between Service Quality and Customer Satisfaction of the Office of Public Company of the Logistics Affairs Agency (Perum BULOG) in the District of East Kotawaringin. As much as 0.9968514278 based on the calculation of Pearson Product Moment value.

The Effect of Reflexology on Labor Pain and Length Among Primiparous Women: A Randomized Controlled Trial

2018 ◽  
Vol 7 ◽  
Author(s):  
Azita Kamjoo
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Singleton Pregnancy ◽  
Group Data ◽  
Significant Difference ◽  
Labor Length ◽  
Primiparous Women

Background: Pain control is considered as the key issue in modern midwifery. Along with medical painkillers, reflexology is viewed as a non-medical and noninvasive method. Hence, we aimed to investigate the effect of reflexology on the intensity of pain and length of labor. Materials and Methods: In this clinical trial, participants included 240 Iranian primiparous women with term and singleton pregnancy. Having a 3-4 cm cervical dilatation once they visited the hospital. Through a convenient sampling method, they were selected and then randomly divided into two groups. In the intervention group, reflexology was performed, and the intensity of pain during the active phase of labor along with the length of labor in the active phase was measured by visual analog scale (VAS) and compared with the control group. Data were analyzed using descriptive statistics, t-test, and Mann-Whitney U-test. Result: Data analysis showed a statistically significant difference between the intensity of pain in the 5-7 and 8-10 cm dilatation in the two groups (P=0.01). Moreover, the labor length in the active phase was found to be significantly shorter in the intervention group (P<0.001). Conclusion: It appears that reflexology can lead to a reduction in the pain and length of labor. Therefore, through instructing this technique, a goal of midwifery, which is reducing labor pain and its length can be achieved. Keywords: Reflexology, Labor Pain, Labor Length, Primiparous Women

The Effectiveness of Pelvic Rocking and Birthing Ball Exercise on Labor Pain during First Stage of Active Phase

2021 ◽  
Author(s):  
Irna Nursanti ◽  
Diah Oktaviani ◽  
Dewi Anggraini ◽  
Toha Muhaimin
Keyword(s):  
Active Phase ◽  
Labor Pain

DZIKIR CAN REDUCE LABOR PAIN LEVEL

2021 ◽  
Vol 2 (1) ◽  
pp. 26-30
Author(s):  
Ai Nur Zannah
Keyword(s):  
Physiological Condition ◽  
Active Phase ◽  
Labor Pain ◽  
Pain Level ◽  
Cervical Dilation ◽  
Uterine Contractions ◽  
Before And After ◽  
Quasi Experimental ◽  
Latent Phase ◽  
First Stage Of Labor

Labor pain is a physiological condition that began at the first stage of labor (laten and active phase). Pain comes from uterine contractions and cervical dilation in an attempt to pave the way for birth and encourage babies to be born. Experts find pharmacological and non-pharmacological ways to reduce pain in labor, one of them is Dzikir guided by childbirth helper (midwife). The purpose of this study was to analyze the differences of labor pain level on mother in latent phase before and after applying Dzikir. Subjects were 15 accidentally selected mothers in labor latent phase on March - April in PMB “S” Puger Jember. The design of this study uses a quasi-experimental one group pre-posttest. Results showed significant decreased pain level of mothers after doing Dzikir significantly (Z=-3,578, p≤0.001). In conclusions, there are differences of labor pain level on mother in latent phase before and after applying Dzikir

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