THE EFFECTIVENESS OF COUNTER PRESSURE MASSAGE TECHNIQUE AND DEEP BREATHING RELAXATION TECHNIQUE ON PAIN INTENSITY OF WOMEN IN THE FIRST STAGE OF ACTIVE LABOR
DOI:
https://doi.org/10.31004/prepotif.v9i3.50421Keywords:
labor pain, counter-pressure massage, deep breathing relaxation, active phase of the first stage of laborAbstract
Nyeri persalinan adalah nyeri yang timbul akibat fiologi proses persalinan, ketidaknyamanan dapat dirasakan oleh ibu. Namun dapat ditangani dengan intervensi massage counter pressure dan teknik relaksasi nafas dalam. Jika nyeri tidak ditangani dengan baik, dapat menyebabkan kecemasan, ketegangan, dan stres, yang pada gilirannya dapat melningkatkan intelnsitas nyelri yang dialami. Penelitian ini bertujuan untuk mengetahui efektivitas kedua teknik tersebut terhadap intensitas nyeri ibu bersalin kala I fase aktif di RSIA Sitti Khadijah Kota Gorontalo. Penelitian ini menggunakan metode kuasi eksperimen dengan desain two group pretest-posttest. Sampel berjumlah 38 ibu bersalin yang dipilih melalui purposive sampling sesuai kriteria inklusi dan eksklusi. Subjek dibagi menjadi dua kelompok: kelompok A diberikan teknik massage counter pressure dan kelompok B diberikan teknik relaksasi napas dalam. Pengukuran nyeri dilakukan menggunakan skala NRS sebelum dan sesudah intervensi. Data dianalisis menggunakan uji statistik wilcoxon Hasil menunjukkan adanya penurunan signifikan intensitas nyeri pada kedua kelompok. Namun, massage counter pressure lebih efektif dibandingkan teknik relaksasi napas dalam dalam mengurangi nyeri (p < 0,05). Maka dapat di simpulkan kedua teknik efektif menurunkan intensitas nyeri kala I fase aktif, dengan massage counter pressure menunjukkan hasil yang lebih baik.References
Akköz Çevik, S. and Karaduman, S. (2020) ‘The effect of sacral massage on labor pain and anxiety: A randomized controlled trial’, Japan journal of nursing science : JJNS, 17(1), p. e12272. doi:10.1111/jjns.12272.
Baljon, K. et al. (2022) ‘Effectiveness of Breathing Exercises, Foot Reflexology and Massage (BRM) on Maternal and Newborn Outcomes Among Primigravidae in Saudi Arabia: A Randomized Controlled Trial’, International Journal of Women’s Health, 14(February), pp. 279–295. doi:10.2147/IJWH.S347971.
Devy, S.R. et al. (2024) ‘Determinants of Cesarean Section Decision in Indonesia: A Systematic Review’, Jurnal Promkes, 12(1), pp. 129–138. doi:10.20473/jpk.v12.i1.2024.129-138.
Heim, M.A. and Makuch, M.Y. (2023) ‘Breathing Techniques During Labor: A Multinational Narrative Review of Efficacy’, The Journal of Perinatal Education, 32(1), pp. 23–34. doi:10.1891/jpe-2021-0029.
Hidayat, A.A. (2021) Metode Penelitian Kebidanan dan Teknik Analisis Data. Jakarta: Salemba Medika.
Kementerian Kesehatan Republik Indonesia (2023) Laporan Survei Kesehatan Indonesia (SKI) 2023, Badan Kebijakan Pembangunan Kesehatan (BKPK) Kemenkes RI. Badan Kebijakan Pembangunan Kesehatan (BKPK) Kemenkes RI.
Nurul Hidayah Mulyati, Rina Afrina and Siti Kamilah (2024) ‘Pengaruh Counterpressure Dan Tehnik Relaksasi Nafas Dalam Terhadap Nyeri Melahirkan Pada Ibu Bersalin Kala 1 Fase Aktif di Rumah Sakit Dr Hafiz Cianjur Tahun 2023’, Edukasi Elita : Jurnal Inovasi Pendidikan, 1(3), pp. 26–41. doi:10.62383/edukasi.v1i3.173.
Octavia, R. and Handayani, F. (2023) ‘Jurnal Biologi Tropis The Effectiveness of Counterpressure Massage in Reducing Pain Intensity During the First Stage of Labor Active Phase’.
Ropero Peláez, F.J. and Taniguchi, S. (2016) ‘The gate theory of pain revisited: Modeling different pain conditions with a parsimonious neurocomputational model’, Neural Plasticity, 2016. doi:10.1155/2016/4131395.
Smith, Caroline A. et al. (2018) ‘Massage, reflexology and other manual methods for pain management in labour’, Cochrane Database of Systematic Reviews, 2018(3). doi:10.1002/14651858.CD009290.pub3.
Smith, Caroline A et al. (2018) ‘Relaxation techniques for pain management in labour.’, The Cochrane database of systematic reviews, 3(3), p. CD009514. doi:10.1002/14651858.CD009514.pub2.
Sriayuningtyas, E. and Galaupa, R. (2022) ‘The Effect Of Counter Pressure And Kneading Techniques On Reducing The Intensity Of Labor Pain In The First Stage Of Active Phase’, International Journal of Health and Pharmaceutical (IJHP), 2(4), pp. 676–679. doi:10.51601/ijhp.v2i4.86.
Wahyuni, R. et al. (2024) ‘The effect of deep breath relaxation and counterpressure massage on pain reduction during labor’, Healthcare in Low-Resource Settings, 12(1), pp. 203–206. doi:10.4081/hls.2024.11917.
Yunika, R.P., Ulya, Y. and Herlina, S.M. (2025) ‘Identification Of Labor Pain In Mothers In The Active Phase Of First Labor’, JKM (Jurnal Kebidanan Malahayati), 11(6). doi:10.33024/jkm.v11i6.20453.
Zahroh, R.I. et al. (2024) ‘Rising caesarean section rates and factors affecting women’s decision-making about mode of birth in Indonesia: a longitudinal qualitative study’, BMJ Global Health, 9(6), pp. 1–11. doi:10.1136/bmjgh-2023-014602.
Zuarez-Easton, S. et al. (2023) ‘Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review.’, American journal of obstetrics and gynecology, 228(5S), pp. S1246–S1259. doi:10.1016/j.ajog.2023.03.003.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Shelvia Ismail, Dwi Nur Octaviani Katili, St. Surya Indah Nurdin, Efri Leny Rauf
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
