scholarly journals Effectiveness of Back Massage vs Breathing Exercises on Labour Pain and Anxiety among Primigravida Mothers During First Stage of Labour in Pravara Rural Hospital, Loni (Bk)

2021 ◽  
Keyword(s):  
Labour Pain ◽  
Rural Hospital ◽  
Breathing Exercises ◽  
Back Massage

scholarly journals Non-pharmacological Interventions of Pain Management Used During Labour; an Exploratory Descriptive Qualitative Study of Puerperal Women in Adidome Government Hospital of the Volta Region, Ghana

2020 ◽  
Author(s):  
Kennedy Diema Konlan ◽  
Agani Afaya ◽  
Eugenia Mensah ◽  
Amos Nawunimali Suuk ◽  
Dahamata Issahaku Kombat
Keyword(s):  
Pain Management ◽  
Management Strategies ◽  
Labour Pain ◽  
Government Hospital ◽  
Individual Interviews ◽  
Breathing Exercises ◽  
Expectant Mothers ◽  
Field Notes ◽  
Labour Pains ◽  
Descriptive Qualitative

Abstract Background: Women have experienced labour pain over the years as various attempts have been made to effectively manage this pain. There is paucity of literature on the experiences and perceptions about labour pain management with the contemporary Ghanaian health system. This study explored the perspective of puerperal women on the use of non-pharmacological labour pain management at Adidome Government Hospital. Methods: The study adopted an exploratory descriptive qualitative approach as data was collected through individual interviews. Informed consent was obtained from all participants who were purposively sampled. Interviews were audio recorded and transcribed immediately. Thematic analysis was engaged in three interrelated stages, namely data reduction, data display, and data conclusion to analyse the transcript and field notes. Results were presented with supporting quotes from the transcripts. Results: The majority (41.2%) of the women described labour pain as very severe, severe (35.3%) and moderate (23.5%) as the pain lasted more than 12 hours (58.8%). The various strategies adopted in managing labour pains included shouting and walking around (47.1%), crying and screaming (35.3%) and staying calm and snapping the fingers (17.6%). Women indicated they were satisfied (52.9%) and very satisfied (23.5%) of the midwives' attitude towards pain management. The pain management strategies adopted during labour included women engaged in deep breathing exercises, chatting with other people and relatives, diversion therapy, reassurance, taking a shower, assuming side lying positions, and receiving intravenous therapy. The presence of the husband of a labouring woman during improved pain bearing ability.Conclusion: It is important that midwives institute pragmatic protocols in the labour ward that ensure a relaxing atmosphere for women in labour, respond to the sensitivity and specificity of labouring women needs and when possible significant others of the labouring women could be allowed to visit. Expectant mothers should be educated more on non – pharmacological pain management to reduce anxieties and improve decision making.

scholarly journals Pengaruh Pijat Punggung terhadap Adaptasi Nyeri Persalinan Fase Aktif Lama Kala II dan Perdarahan Persalinan pada Primigravida

2013 ◽  
Vol 8 (5) ◽  
pp. 204
Author(s):  
Wiwin Renny Rahmawati ◽  
Siti Arifah ◽  
Anita Widiastuti
Keyword(s):  
Experimental Design ◽  
Health Center ◽  
Intervention Group ◽  
Labour Pain ◽  
P Value ◽  
Ratio Scale ◽  
Whitney Test ◽  
Quasi Experimental ◽  
Static Group ◽  
Back Massage

Rasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk mengetahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu memberikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan dengan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pijat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama persalinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001.Severe labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and observation was conducted. The intervention group result was compared to control. Ratio scale was used. Subject of this research was 40 person. After analizing data by man Whitney test, here are the influence of back massage toward the decrease of pain labour in active fase, lenght of labour kala II and labour bleeding in primigravida with p value= 0.001.

scholarly journals Effectiveness of breathing exercises, foot reflexology and back massage (BRM) on labour pain, anxiety, duration, satisfaction, stress hormones and newborn outcomes among primigravidae during the first stage of labour in Saudi Arabia: a study protocol for a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e033844
Author(s):  
Kamilya Jamel Baljon ◽  
Muhammad Hibatullah Romli ◽  
Adibah Hanim Ismail ◽  
Lee Khuan ◽  
Boon How Chew
Keyword(s):  
Saudi Arabia ◽  
Randomised Controlled Trial ◽  
Sample Size ◽  
Study Protocol ◽  
Human Subjects ◽  
Controlled Trial ◽  
Labour Pain ◽  
Control Group ◽  
Breathing Exercises ◽  
Randomised Controlled

IntroductionLabour pain is among the severest pains primigravidae may experience during pregnancy. Failure to address labour pain and anxiety may lead to abnormal labour. Despite the many complementary non-pharmacological approaches to coping with labour pain, the quality of evidence is low and best approaches are not established. This study protocol describes a proposed investigation of the effects of a combination of breathing exercises, foot reflexology and back massage (BRM) on the labour experiences of primigravidae.Methods and analysisThis randomised controlled trial will involve an intervention group receiving BRM and standard labour care, and a control group receiving only standard labour care. Primigravidae of 26–34 weeks of gestation without chronic diseases or pregnancy-related complications will be recruited from antenatal clinics. Eligible and consenting patients will be randomly allocated to the intervention or the control group stratified by intramuscular pethidine use. The BRM intervention will be delivered by a trained massage therapist. The primary outcomes of labour pain and anxiety will be measured during and after uterine contractions at baseline (cervical dilatation 6 cm) and post BRM hourly for 2 hours. The secondary outcomes include maternal stress hormone (adrenocorticotropic hormone, cortisol and oxytocin) levels, maternal vital signs (V/S), fetal heart rate, labour duration, Apgar scores and maternal satisfaction. The sample size is estimated based on the between-group difference of 0.6 in anxiety scores, 95% power and 5% α error, which yields a required sample size of 154 (77 in each group) accounting for a 20% attrition rate. The between-group and within-group outcome measures will be examined with mixed-effect regression models, time series analyses and paired t-test or equivalent non-parametric tests, respectively.Ethics and disseminationEthical approval was obtained from the Ethical Committee for Research Involving Human Subjects of the Ministry of Health in the Saudi Arabia (H-02-K-076-0319-109) on 14 April 2019, and from the Ethics Committee for Research Involving Human Subjects (JKEUPM) Universiti Putra Malaysia on 23 October 2019, reference number: JKEUPM-2019–169. Written informed consent will be obtained from all participants. Results from this trial will be presented at regional, national and international conferences and published in indexed journals.Trial registration numberISRCTN87414969, registered 3 May 2019.

Reduction of labour pain with back massage

2020 ◽  
Vol 30 ◽  
pp. 209-212
Author(s):  
Rosmiarti ◽  
Riska Marlin ◽  
Murbiah
Keyword(s):  
Labour Pain ◽  
Back Massage

scholarly journals Effect of back massage on relieving pain during labour: a systemic review

2021 ◽  
Vol 10 (6) ◽  
pp. 2466
Author(s):  
Suman Choudhary ◽  
Prasuna Jelly ◽  
Prakash Mahala ◽  
Amali Mery
Keyword(s):  
Labour Pain ◽  
Systemic Review ◽  
Pharmacological Intervention ◽  
Electronic Database ◽  
Physiological Factors ◽  
Relieve Pain ◽  
Health Journal ◽  
Pharmacological Method ◽  
Nursing Health ◽  
Back Massage

Managing labour pain is a challenging concern for nurses who involved in care of mothers during labour and child birth. Massage is a primordial method that has been generally employed during labour, however, relatively little study has been assumed examining the effects of massage on women during labour. The study insistent pain allied with labour may negatively impact mother further transforming to foetus, frequently varying the childbirth course. The techniques of health care humanisation mention that women in labour should have the chance to relieve their pain with pharmacological and non-pharmacological methods. The systemic review examines literature on effectiveness of back massage to relieve labour pain from 2013 to 2019. The electronic database reviewed for the systemic review included PubMed, Medline, nursing health journal, Google scholar etc by including relevant key words. Ten studies were included in the systemic review. The available literature on non-pharmacological method provides evidence as a back massage is effective to reduce labour pain. The aim of the present review is to examine the effect of back massage as a method to relieve labour pain and give comfort to mother. The experience of labour pain is different in women and it is affected by several psychological and physiological factors and its intensity may vary significantly. During labour majority of women need pain relief. Strategies of pain management include pharmacological and non-pharmacological intervention. Evidence suggests that non pharmacological methods are helpful to reduce labour pain. We identified 10 reviews out of 110 for inclusion within this review. All studies on back massages show that it is effective to relieve pain during labour.

scholarly journals PRASAVA (LABOUR) IN AYURVEDA- A LESS KNOWN CONCEPT

AYUSHDHARA ◽  
2020 ◽  
pp. 2853-2858
Author(s):  
Shreyes. S ◽  
Asokan V ◽  
Yogitha Bali M.R
Keyword(s):  
Conventional Medicine ◽  
Labour Pain ◽  
Natural Process ◽  
Evidence Based ◽  
Pharmacological Agents ◽  
Future Studies ◽  
Breathing Exercises ◽  
Complete Knowledge ◽  
Painful Experience ◽  
Professional Assistance

Childbirth is a physiologic and natural process has been undertaken by women over the years with professional assistance in which most of the women experience labour pain and childbirth as most severe and agonising event of a woman’s existence. Labour is linked with a painful experience, though there are no underlying pathological processes, a lot of women are worried about labour pain and how they can be relieved of pain. Pharmacological agents such as pethidine (Meperidine) and other analgesics are used to effectively control labour pain. Both pharmacological and non-pharmacological approaches are necessary to relief labour pain effectively. Some women employ other non- pharmacological pain relief measures during labour such as breathing exercises, taking showers, and assuming specific positions and moving about to control their pain. In addition, the use of herbal medicine has been reported to relieve labour pain. Description of labour in Ayurvedic science, though found since 5000yrs ago is a very less known concept to many people as they are not much in practice. Currently the labour is managed only by the conventional medicine with some interventions with addition of Yoga and Ayurveda in the Antenatal care. By evaluating the complete knowledge of Prasava or the labour explained in Ayurvedic science, the same may be incorporated as an add-on in the future studies to make it evidence based and also to corroborate the authenticity of the science through research.

scholarly journals Non-pharmacological interventions of pain management used during labour; an exploratory descriptive qualitative study of puerperal women in Adidome Government Hospital of the Volta Region, Ghana

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Kennedy Diema Konlan ◽  
Agani Afaya ◽  
Eugenia Mensah ◽  
Amos Nawunimali Suuk ◽  
Dahamata Issahaku Kombat
Keyword(s):  
Pain Management ◽  
Management Strategies ◽  
Labour Pain ◽  
Government Hospital ◽  
Individual Interviews ◽  
Breathing Exercises ◽  
Data Saturation ◽  
Field Notes ◽  
Labour Pains ◽  
Descriptive Qualitative

Abstract Background Women have experienced labour pain over the years as various attempts have been made to effectively manage this pain. There is paucity of literature on the experiences and perceptions about labour pain management with the contemporary Ghanaian health system. This study explored the perspective of puerperal women on the use of non-pharmacological labour pain management at Adidome Government Hospital. Methods The study adopted an exploratory descriptive qualitative approach as data was collected through individual interviews. Informed consent was obtained from all participants who were purposely sampled until data saturation was reached on the 17th participant. Interviews were audio recorded and transcribed immediately. Thematic analysis was engaged in three interrelated stages, namely data reduction, data display, and data conclusion to analyse the transcript and field notes. Results were presented with supporting quotes from the transcripts. Results The women described labour pain as very severe, severe and moderate as the pain lasted more than 12 h. The various strategies adopted in managing labour pains included shouting and walking around, crying and screaming and staying calm and snapping the fingers. Other pain management strategies adopted during labour included women engaged in deep breathing exercises, chatting with other people and relatives, diversion therapy, reassurance, taking a shower, assuming side lying positions, and receiving intravenous therapy. The presence of the husband of a labouring woman during labour improved pain bearing ability. Conclusion It is important that midwives institute pragmatic protocols in the labour ward that ensure a relaxing atmosphere for women in labour, respond to the sensitivity and specificity of labouring women needs and when possible significant others (e.g., husband) of the labouring women could be allowed to visit. Labour wards should be made sound proof to allow women the ability to express themselves satisfactorily during labour without fear of being heard outside.

scholarly journals Management of Labour Pain by using non-pharmacological Measures

2021 ◽  
Vol 9 (10) ◽  
pp. 380-391
Author(s):  
Varsha Rawat ◽  
Anil Kumar Parashar ◽  
Suresh K Sharma
Keyword(s):  
Pain Relief ◽  
Music Therapy ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Sensory Stimulation ◽  
Cost Effective ◽  
Labour Pain ◽  
Electrical Nerve Stimulation ◽  
The Brain ◽  
Back Massage

Introduction: Pain during childbirth is a special experience of a woman that vary from one individual to another, that is caused by uterine contractions and cervical dilatation during labour. Nature and level of pain influence by various physiology, psychology and environmental factors. Thus, pain relief during childbirth is essential therefore, the delivery period will be uneventful. Non-pharmacological pain relief measures: Controlling pain without harm to mother, non-pharmacological measures assure in reducing labour pain with less or even no harm to the mother and fetus. These measures include sensory stimulation measures eg. breathing technique, aromatherapy and music therapy that provides sensory input to the brain to promote relaxation, enhance positive thoughts and transmission of nociceptive stimuli of pain during labour and cutaneous stimulation measures include back massage, changing position, heat and cold application, transcutaneous electrical nerve stimulation, hydrotherapy and acupressure that work as to stimulation of nerves by using skin manipulation in an attempt to reduce pain impulses to the brain. Conclusion: The major aspects of midwifery care are supporting women during labour pain thus, they must understand the choices of the mother's for manage with labour pain. However, non-pharmacological measures are helpful for decelerating pain and discomfort during labour which is easy to given and cost-effective.  Key Words: Breathing technique, aromatherapy and music therapy, back massage, changing position, application of heat and cold, Transcutaneous electrical nerve stimulation, acupressure and hydrotherapy.

PENGARUH TERAPI BACK MASSAGE TERHADAP PENURUNAN TINGKAT NYERI PADA PENDERITA RHEUMATOID ARTHRITIS DI DESA RAJADESA KECAMATAN RAJADESA KABUPATEN CIAMIS TAHUN 2018

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Daniel Akbar Wibowo ◽  
Dini Nurbaeti Zen ◽  
Yalis Agustina
Keyword(s):  
Rheumatoid Arthritis ◽  
Standard Deviation ◽  
Muscle Tension ◽  
Massage Therapy ◽  
Sampling Technique ◽  
Total Sample ◽  
Measurement Tool ◽  
Pain Level ◽  
Average Value ◽  
Back Massage

Disease that is often complained by the public today one of the pain in the bone, which is better known by the community with rheumatism. Rheumatism or rheumatoid arthritis is a systemic, progressive, chronic and tendonic inflammatory disease of joints and connective tissue symmetrically. One way of management of rheumatoid arthritis pain is back massage therapy. Back Massage is one of the techniques to give massage action on the back with lotions/balm for 10-15 minutes, the warm sensation leads to vasodilation of blood vessels that will improve blood circulation in the area so that the activity of the cell is increased and will reduce pain, increase comfort, reduce muscle tension and improve physical and psychological relaxation. This study aims to determine the effect of Back massage therapy to decrease the pain level of rheumatoid arthritis patients in Rajadesa Village Rajadesa Sub District Ciamis District in 2018. Type of research using Quasi Experiment Design with one group pretest-posttest design. Total sample 48 respondents with total sampling technique. Data collection using experimental method with VDS (Verbal Descriptor Scale) pain rate measurement tool. The result of statistical test by using Linear Regression shows Sig = 0,000 <0,05, t value = 18,935> 2,012. Then Ha is accepted, and the average value before therapy is 3.27 with a standard deviation of 0.818, whereas after therapy is 2.23 with a standard deviation of 0.881, meaning there is the effect of back massage therapy on the decrease of pain level in patients with rheumatoid arthritis. So to reduce pain in patients with rheumatoid arthritis can be given back massage therapy.

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