Decreasing Labor Pain through Sacralist Counter-pressure Therapy Using Tennis Ball in the Mother during the Labor Process

Authors

  • Sri Rejeki Department of Nursing, Faculty of Health, Universitas Muhammadiyah Semarang, Semarang, Indonesia
  • Enny Widayati Department of Nursing, Faculty of Health, Universitas Muhammadiyah Semarang, Semarang, Indonesia
  • Machmudah Machmudah Department of Nursing, Faculty of Health, Universitas Muhammadiyah Semarang, Semarang, Indonesia
  • Arief Yanto Department of Nursing, Faculty of Health, Universitas Muhammadiyah Semarang, Semarang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5817

Keywords:

Regiosacral Counter-pressure therapy with tennis balls, Labor pain

Abstract

BACKGROUND: Labor pain is a physiological process caused by the contraction of uterus muscle as an effort to open the cervix and push the baby’s head toward the pelvis. One of the treatments giving by nurses to reduce the pain is by counter-pressure therapy.

AIM: The aim of the study was to determine the effect of counter-pressure therapy using tennis balls toward the pain level in the first stage during the active phase of labor.

METHODS: It was a quasi-experimental study with pretest-posttest one group design. The population in this study was patients with active phase I delivery in PKU Muhammadiyah Hospital of Temanggung. A total of 26 respondents were selected through purposive sampling technique. The data were analyzed using Wilcoxon matched paired test.

RESULTS: The pain intensity in 26 respondents (100%) in the first stage during the active phase of labor before the treatment was categorized as severe pain. However, after the implementation of the counter-pressure therapy using tenis ball, the pain intensity was categorized as moderate in 18 respondents (69.2%) and severe in the rest of the respondents (30.8%).

CONCLUSION: Counter-pressure massage therapy using a tennis ball was effective in reducing the level of pain in the first stage during the active phase of labor with a p = 0.000 (α < 0.05).

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Ashagrie HE, Fentie DY, Kassahun HG. A review article on epidural analgesia for labor pain management: A systematic review. Int J Surg Open. 2020;24:100-4. https://doi.org/10.1016/j.ijso.2020.04.007

Orr PM, Shank BC, Black AC. The role of pain classification systems in pain management. Crit Care Nurs Clin North Am. 2017;29(4):407-18. https://doi.org/10.1016/j.cnc.2017.08.002 PMid:29107304

Lee GI, Neumeister MW. Pain: Pathways and physiology. Clin Plast Surg. 2020;47(2):173-80. PMid:32115044

Herinawati H, Hindriati T, Novilda A. The Effect of Effleurage Massage on Stage I Labor Pain in the Active Phase in the Independent Practice of Midwives Nuriman Rafida and the Independent Practice of Midwife Latifah Jambi City in 2019. J Ilm Univ Batanghari Jambi. 2019;19:590-601. https://doi.org/10.33087/jiubj.v19i3.764

Hensley JG, Collins MR, Leezer CL. Pain management in obstetrics. Crit Care Nurs Clin North Am. 2017;29(4):471-85. PMid:29107309

Farida S, Sulistiyanti A. Metode Counterpressure Sebagai Upaya Untuk Mengurangi Nyeri Persalinan Kala I, SMIKNAS; 2019. p. 217-22.

Alimoradi Z, Kazemi F, Gorji M, Valiani M. Effects of ear and body acupressure on labor pain and duration of labor active phase: A randomized controlled trial. Complement Ther Med. 2020;51:102413. https://doi.org/10.1016/j.ctim.2020.102413 PMid:32507430

Raana HN, Fan XN. The effect of acupressure on pain reduction during first stage of labour: A systematic review and meta-analysis. Complement Ther Clin Pract. 2020;39:101126. https:// doi.org/10.1016/j.ctcp.2020.101126 PMid:32379664

Paseno M, Situngkir R, Pongantung H, Wulandari F, Astria D, Wulandari F, et al. Massage counter pressure and massage effleurage effectively reduce labor pain. J Ilm Perawat Manad. 2019;7:20-32. https://doi.org/10.47718/jpd.v7i1.797

Satria M. Pengaruh Sebelum dan Sesudah Dilakukan Pijat Punggung Teknik Counterpressure Terhadap Pengurangan Rasa Nyeri Ibu Bersalin Kala I Fase Aktif Di Klinik Bidan Elviana Tahun 2017, Menara Ilmu; 2018. p. 12. https://doi.org/10.33860/jik.v12i02.108

Stillerman E. A Midwife’s Touch; 2008.

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. Complement Ther Med. 2014;22(3):523-40. https://doi.org/10.1016/j.ctim.2014.03.011 PMid:24906592

Rejeki RM. Bagus SI. Tingkat Nyeri Persalinan Kala I Persalinan Melalui Terapi Alat Mekanik Manual Regio Sakralis, Pros Semin Nas; 2012.

Bobak IM. Buku Ajar Keperawatan Maternitas. 4th ed. Jakarta: EGC; 2004.

Potter PA, Perry AG, Stockert P, Hall A. Fundamental of Nursing E-Book. Netherlands: Elsevier; 2016.

Braz J, Solorzano C, Wang X, Basbaum AI. Transmitting pain and itch messages: A contemporary view of the spinal cord circuits that generate gate control. Neuron. 2014;82(3):522-36. https://doi.org/10.1016/j.neuron.2014.01.018 PMid:24811377

Murray SS, McKinney ES. Foundations of Maternal-Newborn and Women’s Health Nursing. 6th ed. St. Louis, Missouri: Elsevier; 2014.

Rodriguez L. Pathophysiology of pain: Implications for perioperative nursing. AORN J. 2015;101(3):338-44 PMid:25707726

Danhakl V, Miltiades A, Ing C, Chang B, Edmondson D, Landau R, et al. Observational study evaluating obstetric anesthesiologist residents’ well-being, anxiety and stress in a North American academic program. Int J Obstet Anesth. 2019;38:75-82. https://doi.org/10.1016/j.ijoa.2018.10.011 PMid:30509676

Downloads

Published

2021-03-17

How to Cite

1.
Rejeki S, Widayati E, Machmudah M, Yanto A. Decreasing Labor Pain through Sacralist Counter-pressure Therapy Using Tennis Ball in the Mother during the Labor Process. Open Access Maced J Med Sci [Internet]. 2021 Mar. 17 [cited 2021 Apr. 16];9(T4). Available from: https://oamjms.eu/index.php/mjms/article/view/5817