Effleurage Massage and Acupressure's Effectiveness in Reducing Labor Pain in Active Phase of First-Stage Labor at Tembilahan Hulu Health Center, Riau

Haryati Astuti; Syafriani Syafriani

doi:10.56303/jhnresearch.v4i1.346

Authors

Haryati Astuti Department of Midwifery, Sekolah Tinggi Ilmu Kesehatan Husada Gemilang
Syafriani Syafriani Department of Public Health, Universitas Pahlawan Tuanku Tambusai

Keywords:

Active Phase, Acupressure, Effleurage Massage, First Stage, Mothers In Labor

Abstract

Uterine contractions cause labor pain in the first stage and can be alleviated through non-pharmacological methods like effleurage massage and acupressure. This study aims to evaluate the effectiveness of effleurage massage and acupressure in reducing labor pain and improving labor efficiency. This analytical experimental study used an RCT design with 30 participants, and data were analyzed using univariate and bivariate analysis with the ANOVA test. Both interventions significantly reduced labor pain during the first active phase of labor. The intervention group receiving a combination of effleurage massage and acupressure showed a more significant reduction in pain, with mean scores increasing from 2.27 (SD = 0.799) to 2.73 (SD = 0.594) and significant mean differences (3.44; 95% CI: 3.04–3.85 and 3.22; 95% CI: 1.79–2.88), with F-counts of 8.870 and 9.820 (p = 0.03). In the control group receiving acupressure alone, the mean scores decreased from 3.07 (SD = 0.799) to 2.93 (SD = 0.704), with mean differences of 2.33 (95% CI: 1.79–3.77) and 3.20 (95% CI: 2.64–3.76), F-counts of 8.310 and 9.034 (p = 0.02 and p = 0.01, respectively). The combination therapy proved more effective than acupressure alone in mothers giving birth in the first active phase

Downloads

Download data is not yet available.

References

Kanang & S. Textbook of Childbirth and Newborn Care with Evidence Based Midwifery. Cv Eureka Media Aksara: Purbalingga. 2023;

Syafitri, I., & Suriani L. The Role of Village Head Leadership in the Implementation of Development in Sejati Village, Rambah Hilir District, Rokan Hulu Regency. PUBLIKA: Journal of Public Administration Science. 2019;5(1):44–54.

Darmawan, F. H., & Waslia D. Labor Pain Intensity and Behavioral Response in Primigravida in the First Active Phase with Effleurage Massage at PMB Cimahi City. Proceedings of the National Scientific Meeting on Research & Community Service (PINLITAMAS 1). 2018;1(1):556–63.

Hartinah, D., Karyati, S., & Rokhani S. The relationship between physical activity patterns and constipation in pregnant women in the third trimester at the Gribig Health Center, Gebog District, Kudus Regency in 2017. Journal of Nursing and Midwifery. 2019;10(2):350–7.

Herinawati, H., Hindriati, T., & Novilda A. The Effect of Effleurage Massage on Pain in the First Stage of Active Labor in Independent Practice of Midwife Nuriman Rafida and Independent Practice of Midwife Latifah in Jambi City in 2019. Scientific Journal of Batanghari University, Jambi. 2019;19(3):590–601.

Pastuty R. Pocket Book of Midwifery Care for Mothers in Labor. Jakarta: EGC. 2010;

Handayani A. Work-family balance in working women: A review of border theory. Psychological Bulletin. 2013;21(2):90.

Maliha A. Effleurage Massage Technique to Reduce First Stage Labor Pain at Palembang Private Hospital. Journal of Medical Nursing (JKM). 2021;1(2):224-231.

Mukhoirotin M and. Giving Combination Acupressure on BL32 and LI4 Points, BL32 and Sp6 Points to Reduce the Intensity of Labor Pain. 2020;

Vidayawati, V., Rini, A. S., & Putri R. Midwifery Care for Handling Maternal Pain During Labor with Deep Breathing and Oxytocin Massage. Journal Of Midwifery. 2023;11(2):378–83.

Murray ML, Huelsmann GM. Persalinan & Melahirkan: Praktik Berbasis Bukti. Jakarta: EGC; 2013.

Inhil I. One independent data from the Indragiri Hilir District Health Office, https://data.inhilkab.go.id/de/dataset/jumlah-kematian-ibu-dan-bayi-menurut-kecamatan-di-kabupaten-indragiri-hilir-2022/resource/a429a2a9-3d0a-4d13-aad4-20f6c2552d7a. 2023;

Hidayat AAA. metode penelitian kebidanan dan teknik analis data. Jakrta: Salemba Medika; 2019.

Irza Nopra Yudha, & Kurniawati, H. F. The Effect of Effleurage Massage on the Level of Labor Pain In Normal Laboring Women During the Active Phase I at PKU Muhammadiyah Gamping Hospital of Yogyakarta. Menara Journal of Health Science. 2023. 2(1), 56–67. Retrieved from https://jurnal.iakmikudus.org/article/view/61;

Afritayeni A. The relationship between age, parity and birth companion with the intensity of first stage labor pain. Endurance Journal. 2017;2(2):178.

Nurcahyanti FD. Differences in Pain Intensity in Inpartu Patients in the First Active Phase with the Effleurage Technique at the Bendo Kediri Health Center. Indonesian Journal Of Health Development. 2020;2(2):92–101.

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall A. Potter & Perry’s Essentials of Nursing Practice, Sae, E Book. Elsevier Health Sciences. 2021;

Bobak, A. K., Parris, B. A., Gregory, N. J., Bennetts, R. J., & Bate S. Eye-movement strategies in developmental prosopagnosia and “super” face recognition. Quarterly journal of experimental psychology. 2017;70(2):201–17.

Sofro Q and. Effectiveness of effleurage massage in reducing the intensity of labor pain in the first active phase. Indonesian Health Magazine, Midwifery Study Program, Aisyah University, Pringsewu. 2020;1(1).

Levett KM, Smith CA, Dahlen HG, Bensoussan A. Acupuncture and acupressure for pain management in labour and birth: A critical narrative review of current systematic review evidence. Complementary Therapies in Medicine. 2014 Jun 1;22(3):523–40.

Rosyidah, N., & Rosyidi U. Internationalization in Higher Education: University’s Effective Promotion Strategies in Building International Trust. European Journal of Educational Research. 2020;9(1):351–61.

Lathifah, N. S., & Iqmy LO. The Effect of L14 on Increasing Contractions in the First Stage of Labor. Health Journal. 2018;9(3):433–8.

Sari, M., & Asmendri A. Library research in science education research. Natural Science: Journal of science research and science education. 2020;6(1):41–53.

Levett-Jones, T., & Lapkin S. A systematic review of the effectiveness of simulation debriefing in health professional education. Nurse education today. 2014;34(6):58–63.

Saputri RA. Local government efforts in overcoming stunting in the Bangka Belitung Islands Province. Jdp (Journal of Government Dynamics). 2019;2(2):152–68.

Hamidzadeh, A., Shahpourian, F., Orak, R. J., Montazeri, A. S., & Khosravi A. Effects of LI4 acupressure on labor pain in the first stage of labor. Journal of midwifery & women’s health. 2012;57(2):133–8.

Lundgaard, I., Osório, M. J., Kress, B. T., Sanggaard, S., & Nedergaard M. White matter astrocytes in health and disease. Neuroscience. 2014;276:161–73.

Nurliza, S., Andriani, G., & Judha M. The Relationship Between Learning Media and Learning Achievement of D III Midwifery Students in the Course Askeb IV at Respati University Yogyakarta. Medika Respati: Scientific Journal of Health. 2012;7(1).

Dabiri, F., & Shahi A. The effect of LI4 acupressure on labor pain intensity and duration of labor: a randomized controlled trial. Oman medical journal. 2014;29(6):425.

Hidayat, T., Manongga, D., Nataliani, Y., Wijono, S., Prasetyo, S. Y., Maria, E., & Sembiring I. Performance prediction using cross validation (gridsearchcv) for stunting prevalence. In 2024 IEEE International Conference on Artificial Intelligence and Mechatronics Systems (AIMS). 2024;1–6.