Efektifitas Penerapan Lingkungan Persalinan Dengan Terapi Komplementer (Aromaterapy, Terapi Musik Dan Terapi Relaksasi) Terhadap Penurunan Intensitas  Nyeri Persalinan Kala I Fase Aktif

Abstract: Complementary Therapies, Pain Delivery. Childbirth is a process of spending the products of conception. Labor begins his existence, mucus blood and cervical dilation. There are two phases which Latin (opening 1-3 cm) and the active phase (4-10 cm opening). These phases will usually be accompanied by pain. Labor pain will be more severe if accompanied by fear, anxiety, tension and lack confidence, it is this which can aggravate the pain of labor. The application of the therapy delivery environment is expected to help mothers to penurunkan first stage of labor pain intensity active phase. The purpose of this study to determine the effectiveness of the application delivery environment with komplemeter therapy to decrease pain intensity first stage of labor active phase. The study design was a pre-experimental design with a comparison group static approach. The study population was all pregnant women who gave birth in BPM Yessi Aprilia and Mandy Widowati Kleten district in 2015, while the sample is multigravida mothers who gave birth in January 1 to June 6 2015 some 40 maternal. Sampling technique used was purposive sampling. Data collection techniques using the Verbal Descriptor Scale. Data analysis using the Wilcoxon test. Research, the first stage of labor pain intensity in the active phase of the experimental group mostly feel the pain of labor at the level of moderate pain, by 85% in the control group while the majority (55%) of respondents feel the pain of labor at the level of severe pain. Comparison of the rate of labor pain between the experimental and control group, there were 3 women giving birth in the group of experimental declared labor pain at the level of severe pain than birth mothers in the control group, there were 7 people maternal feeling labor pains the same, either in a group experiment and the control group and there were 10 maternal in the experimental group feel the labor pain in the category of moderate pain than birth mothers in the control group. No difference in pain intensity between maternal childbirth given application delivery environment with complementary therapies to mothers who were not given the application delivery environment with complementary therapies, P = 0.052 (p> 0.05).

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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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The Effect of Selected Antenatal Exercises in Reduction of Labor Pain among Primigravid Women: Implication for Practice

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1353 ◽

2015 ◽

Vol 7 (3) ◽

pp. 185-190

Author(s):

Emi John Prince ◽

Vidya Seshan

Keyword(s):

Severe Pain ◽

Healthcare Providers ◽

Three Dimensional ◽

Exercise Program ◽

Labor Pain ◽

Control Group ◽

3D Animation ◽

Moderate Pain ◽

Natural Childbirth ◽

Experimental Group

ABSTRACT Purpose Labor is a physiological event, but it is a painful event. The agony and stress a woman suffers are beyond description. Primigravid women must be prepared during the antenatal period itself for safe and natural childbirth. The purpose of this study was to determine the effect of antenatal exercise in pain management during labor. Materials and methods A quasi-experimental study was conducted with 600 primigravid women. Education on antenatal exercises provided with the help of three-dimensional (3D) animation and the practice was monitored. Visual analog scale (VAS) was used to assess the perception of the pain of these primigravid women during labor. Results The primigravid women performed exercise for a minimum of 15 to a maximum of 34 days. In the experimental group, 74% of the primigravid women had moderate pain, and only 26% of them had severe pain. Whereas in the control group, 95.7% of the primigravid women had severe pain and only 4.4% of women had mild to moderate pain. Experimental group women had better pain bearing capacity due to exercise as compared to control group. Conclusion Nurses and childbirth educators must be willing to provide sensitive, continuous care that is a collaborative effort with the woman to assist her in coping with pain and mastering the experience of childbirth. Greater attention needs to be paid to promote and implement the antenatal exercise program from the onset of pregnancy in the absence of any medical and obstetrical complications. Healthcare providers should appreciate and strongly recommend the exercise program as nonpharmacological pain relief measure during labor. How to cite this article Prince EJ, Seshan V. The Effect of Selected Antenatal Exercises in Reduction of Labor Pain among Primigravid Women: Implication for Practice. J South Asian Feder Obst Gynae 2015;7(3):185-190.

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Pengaruh Terapi Musik Instrumentalia Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Aktif Di 3 Bidan Praktek Mandiri Ngemplak Boyolali

Jurnal Kebidanan dan Kesehatan Tradisional ◽

10.37341/jkkt.v1i2.77 ◽

2016 ◽

Vol 1 (2) ◽

Author(s):

KH Endah Widhi Astuti ◽

RD Rahayu ◽

Noris Hadi Sri Mulyani

Keyword(s):

Music Therapy ◽

Pain Intensity ◽

Instrumental Music ◽

Severe Pain ◽

Sampling Technique ◽

Active Phase ◽

Well Being ◽

Pain Behavior ◽

Labor Pain ◽

First Stage Of Labor

Absctract: Music Therapy, Pain Intensity, Active Phase Of The First Stage Of Labor. Pain during labor is a physiological condition. In the physiology of labor, pain began to arise in the latent phase of the first stage of labor and the active phase. The intensity of pain during labor affects the psychological condition of the mother, labor, and fetal well-being. To know the effect of instrumental music therapy on decreasing the intensity of pain labor during the active phase on the first stage of labor in 3 indepndent midwives practice in ngemplak Boyolali district. Type of pre-experimental research with one group pretest-posttest design. Population of this study is mother actice phase in the first stage of labor in three independents midwives in Ngemplak Boyolali between October 2013 to December 2013. The sampling used purposive sampling technique with a sample of 32 respondents. The measurement technique used a pain scale. The Data was processed by editing, coding, scoring and tabulating. The Data was analysed used a paired sample t-test. The majority of respondents aged between 20-35 years (93.8%)with 2 children (43.8%), the level of high school education (56.3%), the overall family support (100%) and less anxious (65.6%). Numerical pain l evels before therapy is the majority of severe pain (68.8%) and after music therapy decreased the numerical pain becomes moderate pain (78.1%). The level of pain behavior before the majority of instrumental music therapy is severe pain and being with each 16 persons (50.0%) and after intrumentalia music therapy decreased pain is pain with the majority being about 18 people (56.3%). There is effect instrumental music therapy to decrease pain intensity numeric and the intensity of pain behavior in the labor Kala I active (0.000 < 0.05). There is the effect of instrumental music therapy on decreasing the intensity of pain inthe actve phase of the first stage of labor.

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The effects of transcutaneous electrical nerve stimulation during the first stage of labor: a randomized controlled trial

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03625-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Anne Njogu ◽

Si Qin ◽

Yujie Chen ◽

Lizhen Hu ◽

Yang Luo

Keyword(s):

Transcutaneous Electrical Nerve Stimulation ◽

Controlled Trial ◽

Labor Pain ◽

Control Group ◽

Electrical Nerve Stimulation ◽

Randomized Controlled ◽

Active Labor ◽

Vas Scores ◽

Experimental Group ◽

First Stage Of Labor

Abstract Background Labor pain during childbirth can have devastating effects on the progress of labor, mother, and fetus. Consequently, the management of labor pain is crucial for the well-being of the mother and fetus. Transcutaneous electrical nerve stimulation (TENS) is a non -pharmacological analgesic technique. It uses a low-voltage electrical current to activate descending inhibitory systems in the central nervous system to relieve pain. This study aimed to determine the effects of TENS therapy in the first stage of labor. Methods In this single-blind randomized controlled trial, we screened low-risk pregnant women who anticipated spontaneous vaginal delivery. Women were assigned (1:1) to either the experimental group (received TENS therapy in the first stage of labor) or the control group (received routine obstetric care). The women, midwives, and researchers working in the gynecology and obstetric department were aware of the treatment group, but statisticians analysis the data were blinded. The primary outcome was labor pain intensity, assessed by visual analog scale (VAS) immediately after the randomization, at 30, 60, and 120 min after TENS therapy, and 2–24 h post-delivery. We used SPSS 21.0 software in data analysis. An independent sample t-test compared the mean VAS scores and labor duration between groups. A Chi-square test was employed to compare categorical variables between the groups. A significant level of ≤0.05 was statistically significant. Results A total of 326 pregnant women were eligible: experimental group (n = 161) and control group (n = 165). The experimental group had statistically significantly lower mean VAS scores at a different time (30, 60, and 120 min post-intervention and 2–24 h post-delivery) than the control group (p < 0.001). The experimental group demonstrated a statistically significant shorter duration of the active labor phase than the control group (p < 0.001). Conclusion This study indicates that TENS can be used as a non-pharmacological therapy to reduce pain and shorten the active labor phase. Trial registration ISRCTN registry, ISRCTN23857995. Registered on 11/12/2020, ‘retrospectively registered.

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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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The Effect of Effleurage Massage to Pain Intensity of First Stage Labor in Inpartu Mothers at Linez Clinic of Gunungsitoli in 2018

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) ◽

10.36911/pannmed.v14i2.538 ◽

2019 ◽

Vol 14 (2) ◽

pp. 54-58

Author(s):

Hanna Sriyanti Saragih

Keyword(s):

Pain Intensity ◽

Labor Pain ◽

Wilcoxon Test ◽

World Health ◽

Primary Data ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Uterine Muscle ◽

Experimental Group

Pain in labor is a manifestation of the contraction (shortening) of the uterine muscle, and it was caused by stretching of the uterine and cervical segments as well as the presence of uterine muscle ischemia. According to WHO (World Health Organization) in 2015, it was estimated that every year 830 women died from complications of pregnancy and childbirth. One method that was very effective in dealing with pain is effleurage massage which was massage technique using the palms of the fingers with a circular motion pattern on the abdomen, waist or thighs. The purpose of this study was to determine the effect of effleurage massage on the intensity of first-stage labor pain in maternal mothers at Linez clinic of Gunungsitoli in 2018. This type of research was guasy Experiment research design with non equivalent control group design. In this design, the grouping of sample members in experimental group and the control group was not random, using wilcoxon test. The population in this study were mothers in first pregnancy as many as 52 people, with a total sample of 20 experimental groups and 20 control groups. The data used were primary data using observation sheets. From the research results, obtained p value 0.0001, it can be concluded that there was significant effect between experimental group and control group. It was hoped that midwives will update their midwifery service and practices such as participating in the latest midwifery training, so that they can increase their knowledge and apply it when conducting childbirth care as effort to reduce labor pain. Keywords: Effluerage Massage, Pain Intensity of First Stage Labor

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TERAPI ENDORPHIN MASSAGE UNTUK MENURUNKAN INTENSITAS NYERI KALA 1 FASE AKTIF PERSALINAN

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v4i2.117 ◽

2018 ◽

Vol 4 (2) ◽

pp. 1

Author(s):

Rr. Catur Leny W ◽

Machfudloh Machfudloh

Keyword(s):

Pain Intensity ◽

Active Phase ◽

Labor Pain ◽

Rank Test ◽

Control Group ◽

Control Group Design ◽

Spearman Rank ◽

Group Design ◽

Quasi Experimental ◽

Scale 8

ABSTRAK Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid. Endorphin Massage merupakan sebuah terapi sentuhan/pijatan ringan yang cukup penting diberikan pada wanita hamil, di waktu menjelang hingga saatnya melahirkan. Tujuan penelitian adalah mengetahui pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Penelitian ini menggunakan jenis penelitian kuantitatif quasi eksperimental design, dengan rancangan yang digunakan adalah posttest only control group design dengan sampel 30 responden diambil dengan menggunakan teknik Acidental sampling di BPM Wilayah Puskesmas Demak. Data yang digunakan data primer dengan instrument berupa lembar checklist. Analisa data menggunakan uji Spearman Rank. Hasil Penelitian ada pengaruh pemberian Terapi Endorphin Massage terhadap intensitas nyeri kala I fase aktif persalinan yaitu didapatkan hasil p<0,05 yaitu p=0,004. Simpulan intesitas nyeri responden sebelum dilakukan Endorphin Massage sebagian besar responden mengalami nyeri berat dengan skala 8-9, Intesitas nyeri responden setelah dilakukan Endorphin Massage sebagian besar responden mengalami nyeri sedang dengan skala 6-7. Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Kata kunci : Endorphin massage; Intensitas nyeri; Persalinan ENDORPHIN MASSAGE THERAPY TO REDUCE THE INTENSITY OF PAIN DURING THE ACTIVE PHASE OF LABOR ABSTRACT Birth pain may cause stress that lead tobring out excessive hormones such as catecholamines and steroids. Endorphin massage is a touch therapy orgentlemassage which is important enough for pregnant women before giving birth. The aim of this research is to know the effect of Endorphin Massageonpain intensity during active phase of first stage in labor. This research uses quantitative quasi experimental design, with the design used is posttest for control group design. Independent variable is endorphin massage.Variable dependent is pain intensity of acitivephase of first stage in labor, with 30 respondents of sample wich is taken by using technique of Acidental sampling. This research took a place in BPM area of public health center Demak. The data was gathered through observation using checklist form. The data was analyzed using Spearman Rank test. The result of the research is there is an effect of Endorphin Massage onpain intensity of acitivephase of first stage in labor withp <0,05, p = 0,004. The conclusion is most of respondents had severe pain with scale 8-9before Endorphin Massage, and most of the respondentshad moderate pain with scale 6-7after Endorphin Massage. There is an effect of Endorphin Massage on pain intensity of acitivephase of first stage in labor. Keywords: Endorphin massage; Labor; Pain Intensity

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Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1207 ◽

2013 ◽

Vol 5 (1) ◽

pp. 1-3

Author(s):

V Savitha ◽

Sabitha Nayak ◽

Shynee Paul

Keyword(s):

Demographic Variables ◽

Labor Pain ◽

Normal Vaginal Delivery ◽

Control Group ◽

Control Groups ◽

Significant Difference ◽

The Mean ◽

And Control ◽

Experimental Group ◽

First Stage Of Labor

ABSTRACT Objectives • To assess the intensity of labor pain and outcome of labor among the control group. • To assess the effectiveness of ambulation on intensity of labor pain and outcome of labor among the experimental group. • To assess the usefulness of ambulation by opinionnaire among experimental group. • To compare the effectiveness of ambulation on the intensity of labor pain and outcome of labor among experimental and control groups. • To find an association between the intensity of labor pain with selected demographic variables. Materials and methods An experimental research approach was used for the study. Random sampling technique was used to allocate the subjects into experimental and control groups. Visual analog scale was used to assess the intensity of pain and observational check list was used to assess the outcome of labor. The study comprised of 40 primigravida mothers and they were grouped as experimental and control through randomization. One group received ambulation treatment, the other did not. The researcher then observed the groups to determine the effect of the treatment. Results The collected data was analyzed by descriptive and inferential statistics. The intensity of pain revealed that 40% in the experimental and 55% in the control groups experienced severe pain. The labor augmentation revealed that both oxytocin and cerviprime gel was used for 30% in the experimental and 35% in the control groups. On the mode of delivery, majority of mothers (60%) had normal vaginal delivery both in experimental and control groups. On the duration of the first stage of labor revealed that 50% in the experimental and 20% in the control groups were between 10 to 12 hours. Second stage of labor revealed that majority were between 1 and 2 hours in both the control and experimental groups. The opinion of experimental group mothers on ambulation revealed that half of the mothers (50%) agreed for recommending the ambulation for their neighbors and friends and less than half (35%) of them have agreed for comfort during first stage of labor and 40% of them have agreed for ambulation should be made as a routine in labor room. In the experimental group, mean pain score (6.8) is less than the control group (7.5). The calculated Mann-Whitney Z-value (2.045) is greater than the Z α-value of 1.960 at 0.05 level of significance. In the experimental group, the mean duration of first stage of labor score (3.95) is significantly higher than the control group mean score (3.00). The mean outcome of labor in experimental group (13.95) is greater than the control group. Conclusion There was a significant difference in the duration of first stage of labor between the experimental and control groups. But, there was no significant difference in the overall outcome of labor between experimental and control groups. There was no significant association between intensity of labor pain with selected demographic variables. This may be because of small sample size. How to cite this article Savitha V, Nayak S, Paul S. Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore. J South Asian Feder Obst Gynae 2013;5(1):1-3.

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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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