Trend of Non-Pharmacological Therapy for First Phase of Active Labor Pain: A Pilot Study

Agus Gunadi, Nurhayati Adnan, Fitnaningsih Endang Cahyawati, Tri Hapsari Listyaningrum, Sri Sumaryani

Abstract


There are several of non-pharmacological therapies to be used as caring practice to mother with labor pain. This study aimed to observe the effectiveness of both single and combination therapy of warm compresses and counter pressure massage (CPM) for the management of labor pain during the first active phase through medical records. This is a pilot study that used a cohort prospective design. The total number of respondents was 90 respondents, divided into 3 groups based on the non-pharmacological therapy that was given by the midwives or nurses. Pain level was measured with NRS 11. The study was conducted at PKU Muhammadiyah Gamping Hospital from May 2020 to September 2020. A comparative hypothesis analysis was done to compare the Pretest-Posttest of pain level between groups using the Wilcoxon, Kruskal-Wallis, and Post hoc Mann-Whitney tests with a significance of p <0.05. There was a reduction of 1.53 pain level of subject who received CPM, 1.16 by received warm compress and 1.67 for those who received combination therapy. It was found there was a significant difference between three groups with p=0.020. It was found that CPM was compared to Warm compress obtained p=0.017, CPM compared to Combination therapy obtained p=0.019, warm compress compared to combination therapy obtained p = 0.396.Combination therapy showed the highest reduction effect toward pain level of First Phase of Active Labor Pain. However, the CPM therapy showed to achieve effectiveness compared to warm compress and combination therapy.

Keywords


Labor; phase 1 active phase; pain; Counter Pressure Massage; Warm Compress.

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References


Behdad S, Abdollahi M, Ayatollahi V, Hajiesmaeili MR, Shamsi HM, Heiranizadeh N et al. The Effect of Administering Warmed Intravenous Fluids on Maternal Body Core Temperature in Cesarean Delivery. 2012.

Farida S, Sulistiyanti A. Metode Counterpressure Sebagai Upaya Untuk Mengurangi Nyeri Persalinan Kala I. Smiknas 2019; : 217–222.

Rahmawati L, Ningsih MP. Efektifitas Teknik Counter Pressure Dan Abdominal Lifting Terhadap Pengurangan Rasa Nyeri Pada Ibu Bersalin Kala I Fase Aktif Di Bpm Kota Padang. J Med Media Inf Kesehat 2019; 6: 217–224.

Latifah L, Setiawati N, Rismawati I. Are there any effects of tapping therapy in reducing anxiety and labor pain in the latent phase? Ann Trop Med Public Health 2019; 22. doi:10.36295/ASRO.2019.221152.

Pramudianti DN. Literature Review : Non pharmacological Methods to Reduce Pain in The First Stage of Labor with a Counter Pressure Technique. Health MEDIA 2020; 1: 6–11.

Sari N, Runjati, Fatmasari D, Pujiyanto TI. Practices of Counter Pressure and Birth Ball Exercise Combination to Increase β-Endorphin Hormone Levels in Labor Pain. Proc 1st Int Conf Sci Health Econ Educ Technol ICoSHEET 2019 2020; 27: 314–317.

Sadat HZ, Forugh F, Maryam H, Nosratollah MN, Hosein S. The impact of manual massage on intensity and duration of pain at first phase of labor in primigravid women. Int J Med Res 2016; 1: 16–18.

Cahyawati FE, Listyaningrum TH, Gunadi A. Counter Pressure Massage And Warm Compress Combination As Non-Pharmacological Therapy Of Anxiety In Labor Inactive Phase 1. J Ilm Bidan 2021; 5.https://e-journal.ibi.or.id/index.php/jib/article/view/268 (accessed 24 Jun2022).

Puspita D, Jannatun N, Johan I. The Influence of Massage Counterpressure on Pain Rate Reduction in First Stage Active Phase Labor Process. 2nd Jt Int Conf 2013; : 214–218.

Akbarzadeh M, Nematollahi A, Farahmand M, Amooee S. The Effect of Two-Staged Warm Compress on the Pain Duration of First and Second Labor Stages and Apgar Score in Prim Gravida Women: a Randomized Clinical Trial. J Caring Sci 2018; 7: 21–26.

Farahmand M, Khooshab E, Hasanzadeh F, Amooee S, Akbarzadeh M. The effect of warm compress Bi-stage on pain strength in labor stages and after delivery. Int J Womens Health Reprod Sci 2020; 8: 46–52.

Kaur J, Sheoran P, Kaur S, Sarin J. Effectiveness of Warm Compression on Lumbo-Sacral Region in Terms of Labour Pain Intensity and Labour Outcomes among Nulliparous: an Interventional Study. J Caring Sci 2020; 9: 9–12.

Juwita L. Literature Review: Pengaruh Massage Therapy Terhadap Nyeri Persalinan Kala Satu. J Ners Lentera 2019; 7: 114–129.

Mukhoirotin, Kurniawati, Fatmawati DA. The influence of slow back stroke massage, cold-compress and warm-compress to the level of prostaglandin f2α (Pgf2α) in primary dysmenorrhea. Indian J Forensic Med Toxicol 2020; 14: 1364–1369.

Abdallah Sayed HE, Abd Alhamid Attit Allah N. Effect of Localized Warm versus Cold Compresses on Pain Severity during First Stage of Labor among Primiparous. J Nurs Health Sci 2019; 8: 14–24.

Ibrahim HA-F, Elgzar WI, Hassan HE. Effect of Warm Compresses Versus Lubricated Massage during the Second Stage of Labor on Perineal Outcomes among Primiparous Women. J Nurs Health Sci 2017; 6: 64–76.

Fitria CTN, Runjati R, Patriajati S, Anwar C. Innovation relaxation belts to reduce labor pain itensity and increase β-endoprhine levels. Medisains 2020; 18: 69–69.

Susiloningtyas L, Novitasari F, Wulandari RF. Effect of Heat Compresses Hydrotherapy to Reduction of Pain Labor Stage 1st. Str J Ilm Kesehat 2019; 8: 136–145.

Morikawa M, Sekizuka-kagami N, Tabuchi N. Comparison of lumbar hot compresses and lumbar massage on labor pain-alleviating effects during the first stage of labor. J Nurs Sci Eng 2020; 7: 25–32.

Widiastuti W, Peristiowati Y, Farida S. Effect of Large Compress Aroma Lavender Therapy to Intensity Scale and Old Labor of I there are Active Phase Until Second Stage in Primigravida Mother in the Region Puskesmas Pagak District Malang. J Qual Public Health 2018; 2: 25–29.

Sreechithra C. Effectiveness of Acupressure and Warm Compress on Labour Pain During First Stage of Labour Among Primigravidae Mothers Effectiveness of Acupressure and Warm Compress on Labour Pain During First Stage of Labour Among. Disertatation - Tamil Nadi Med Univ Master Sci Nurs Program 2016.http://repository-tnmgrmu.ac.in/3213/1/3003283301423152SreechithraC.pdf.

Zurahmi MHJ. Warm compresses Against Pain Giving Birth In Practice Independent. J Nurs Midwifery 2019; 2: 119–122.

Oktriani T, Ermawati E, Bachtiar H. The Difference Of Pain Labour Level With Counter Pressure And Abdominal Lifting On Primigravida In Active Phase of First Stage Labor. J Midwifery 2018; 3: 45–45.

purwaningsih eka. Preventif : Jurnal Kesehatan Masyarakat the Effect of Masase Counterpressure on Labor Pain Kala One Active Phase in Mother Birds in Bpm Setia. Prev J Kesehat Masy Vol 2018; 9: 62–66.

Juniartati E, Widyawati MN. Literature Review : Penerapan Counter Pressure Untuk Mengurangi Nyeri Persalinan Kala I. J Kebidanan 2018; 8: 112–112.

Pramudianti DN. Literature Review : Non pharmacological Methods to Reduce Pain in The First Stage of Labor with a Counter Pressure Technique. Health MEDIA 2020; 1: 6–11.

Santiasari RN, Nurdiati DS, Lismidiati W, Saudah N. Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain. Humanist Netw Sci Technol 2018; 2: 2016–2019.

Daiyah I. Keefektifan Counter Preassure Massage terhadap Intensitas Nyeri Kala I Fase Aktif Persalinan di Puskesmas Rawat Inap Langgam Kabupaten Pelalawan Impact of Counter Preassure Massage on Intensity of Pain in Active Phase of The First Stage Labor at Langgam I. EMBRIO J Kebidanan 2020; 12: 1–9.

Darmawan FH, Waslia D. Endorphin Massage and Effleurage Massage as a Management of Labour Pain on The Active First Stage of Primigravida at Independent Midwife Practice in Cimahi. Third Int Semin Glob Health 2019; 3: 45–51.

Yuliawati Y. Efek Kombinasi Counterpressure dan Pelvic Rocking terhadap Penurunan Intensitas Nyeri Persalinan Normal Kala I Fase Aktif. J Kesehat Metro Sai Wawai 2019; 12: 33–39.




DOI: http://dx.doi.org/10.7454/epidkes.v6i1.5915

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