DZIKIR CAN REDUCE LABOR PAIN LEVEL

2021 ◽  
Vol 2 (1) ◽  
pp. 26-30
Author(s):  
Ai Nur Zannah

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

2020 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Suyani Suyani

Pain is an integral part of labor and childbirth which is normal due to physiological and psychological factors. Labor pain can affect uterine contractions through secretion of catecholamine and cortisol levels which increase sympathetic nervous system activity, changes in blood pressure, heart rate, breathing, and consequently affect labor duration. This study aims to determine the effect of warm compresses on the intensity of labor in the first phase of active labor. The design of this study was quasi-experimental with one group pre-test and post-test design. The population in this study were all labor women at BPM Tri Rahayu Setyaningsih Sleman, with incidental sampling techniques and 18 samples were obtained. A compress was carried out in the lower abdomen using hot bladders. Data analysis using Paired T test. Based on the research results obtained, the mean pain score before treatment was 8.66 and the mean pain score after treatment was 5.83. The results of statistical analysis of different pain intensity tests before and after treatment showed a significant difference (p = 0,000; 95% CI -3,352 - (- 2,314). This shows that warm compresses can reduce the intensity of pain in labor during the active phase. warmth can be used as one way to reduce the intensity of labor pain


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 7 (3) ◽  
pp. 185-190
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage


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 7 (3) ◽  
pp. 185-197
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage


2019 ◽  
Vol 8 (2) ◽  
pp. 136-145
Author(s):  
Luluk Susiloningtyas ◽  
Fransisika Novitasari ◽  
Ratna Feti Wulandari

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.


2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Melati Yuliandari ◽  
Leri Septiani ◽  
Roni Rowawi ◽  
Sri Komalaningsih ◽  
Herry Garna

The first stage of labor starts from the onset of cervical dilatation and divided into latent and active phases. The latent phase is a more prolonged phase of labor, which allows various interventions performed. Interventions and the latent phase's length may lead to anxiety and restlessness, which might contribute to prolonged labor when experienced by women in labor. A combination of the Zilgrei method and lumbar massage used to reduce labor pain. This method combines movement, change of position, breathing exercise, and the light massage performed since the first stage of labor. It expected that the work of interrelated pelvic muscles becomes harmonized; hence, the cervix will be softer, and the uterine muscles may push the fetus towards the birth canal. This study aimed to determine the effect of the Zilgrei method and lumbar massage combination on the latent phase of the first stage of labor progress in primigravida. It is a quantitative quasi-experimental study on 66 women who underwent the latent phase of the first stage of labor in independent practice of midwife the work area of Citarip Public Health Center during May–July 2019, who were divided equally into control and intervention groups. The statistical analysis used was univariate and bivariate analyses with an independent t test. The mean duration of labor in the latent phase of the first stage of labor in the control group and intervention group was 368 minutes and 307 minutes, respectively, with a difference of 61 minutes (p=0.002). Therefore, the Zilgrei method and lumbar massage combination significantly affect labor progress in the latent phase of the first stage of labor in primigravida. PENGARUH KOMBINASI METODE ZILGREI DAN PEMIJATAN LUMBAL TERHADAP PROSES KEMAJUAN PERSALINAN PADA PRIMIGRAVIDAKala I persalinan merupakan tahap serviks terbuka yang terdiri atas fase laten dan fase aktif. Fase laten mempunyai durasi persalinan lebih panjang sehingga memungkinkan banyak intervensi. Intervensi dan lama fase laten dapat menimbulkan kecemasan dan kegelisahan, apabila dialami ibu in partu dapat menjadi faktor persalinan lama. Kombinasi Metode Zilgrei dan pemijatan lumbal menjadi metode mengurangi rasa nyeri persalinan yang menggabungkan gerakan, perubahan posisi, latihan pernapasan, dan pijatan ringan yang dipersiapkan sejak kala I persalinan. Diharapkan kerja otot panggul saling berkaitan menjadi selaras sehingga serviks tidak kaku dan terdapat potensi otot rahim mendorong janin menuju jalan lahir. Tujuan penelitian ini mengetahui pengaruh kombinasi Metode Zilgrei dan pemijatan lumbal terhadap kemajuan proses persalinan kala I fase laten pada primigravida. Penelitian ini merupakan penelitian kuasi eksperimental kuantitatif pada 66 wanita yang menjalani fase laten persalinan kala I di bidan praktik mandiri (BPM) wilayah kerja Puskesmas Citarip periode Mei–Juli 2019 yang dibagi rata menjadi kelompok kontrol dan intervensi. Analisis statistik menggunakan analisis univariat dan bivariat dengan uji t independen. Durasi persalinan kala I fase laten rerata kelompok kontrol dan intervensi adalah 368 menit dan 307 menit masing-masing dengan selisih waktu 61 menit (p=0.002). Simpulan. kombinasi Metode Zilgrei dan pemijatan lumbal berpengaruh terhadap kemajuan proses persalinan kala I fase laten pada primigravida.


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 6 (1) ◽  
pp. 26-31
Author(s):  
Nurul Azizah ◽  
Rafhani Rosyidah ◽  
Hanik Machfudloh

Maternal labor will experience almost all body pain, such as painful ribs, stitches, abdominal pain due to uterine contractions, and discomfort in the back due to epidural needles, and this discomfort will last several days and can be overcome by prescription for painkillers. In this study aimed at carrying out non-famacological pain relief therapy, namely by using aromatherapy which is believed to reduce pain, this study tried to compare the effectiveness of lavender and neroli aromatherapy inhalation to decrease post-labor pain. The research method used quasi-experimental that is given aromatherapy lavender (Lavendula Augustfolia) and neroli (Citrus Aurantium) inhalation treatments. The number of respondents was 60 with 1-2 days of normal and postpartum criteria, each group consisted of 30 respondents. Group 1 was held at the Pearl Delta Clinic RB and group 2 in the Karunia RB Clinic. Data were analyzed by univariable by using mean and standard deviation, bivariable with statistical test independent sample T test. The results of this study showed a mean reduction in pain scores on lavender aromatherapy inhalation of 2.36 ± 0.15, whereas in the aromatherapy neroli inhalation group the mean reduction in pain score was 3.03 ± 0.067 with a P value <0.002 indicating a significant relationship. The conclusion of this study is the inhalation of lavender aromatherapy (LavendulaAugustfolia) and neroli (Citrus Aurantium) can reduce the intensity of postpartum pain, but in the aromatherapy neroli inhalation group has a greater pain reduction score than the lavender group. 


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