BACK MASSAGE EFFECTIVENESS IN REDUCING LABOR PAIN OF KALA I FASE AKTIF ON PRIMIGRAVIDA & MULTIGRAVIDA
Abstract
EFEKTIVITAS MASSAGE PUNGGUNG DALAM MENGURANGI NYERI PERSALINAN KALA I FASE AKTIF PADA PRIMIGRAVIDA & MULTIGRAVIDA
Maryuni1) Dinni Randayani Lubis 2), Leggina Anggraeni 3)
Universitas Binawan Jl. Kalibata Raya No 23-26 Jakarta Timur
Abstrak
Nyeri persalinan merupakan proses fisiologis yang dialami oleh seorang wanita. Nyeri bersifat unik dan subjektif setiap orang memiliki respon terhadap rangsangan nyeri yang berbeda-beda. Rasa nyeri dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida yang dapat berdampak terjadinya persalinan yang lama. Nyeri persalinan yang berat dan lama dapat mempengaruhi verifikasi sirkulasi maupun metabolisme yang harus segera ditangani karena menyebabkan kematian janin (Mander, 2004). Massage punggung merupakan metode sederhana, aman dan tidak menimbulkan efek merugikan (Judha, 2012). Pemijatan secara lembut membantu ibu lebih segar, rileks dan nyaman selama persalinan. Penelitian ini bertujuan untuk mengetahui Efektivitas Massage Punggung Dalam Mengurangi Nyeri Persalinan Kala I Fase Aktif pada Primigravida dan Multigravida. Desain penelitian ini Pre experiment One Group Pretest-Posttest. Populasi pada penelitian ini semua ibu inpartu kala I primigravida maupun multigravida sebanyak 50 orang. Hasil analisa bivariat pada ibu primigravida massage punggung menurunkan tingkat nyeri persalinan sebesar 0,25%, dimana p-value sebesar 0,046 sedangkan pada ibu multigravida intervensi massage punggung dapat menurunkan tingkat nyeri persalinan sebesar 0,35% dengan nilai p-value sebesar 0,001. Ada perbedaan tingkat nyeri ibu bersalin pada primigravida dan multigravida sebelum dan setelah dilakukan intervensi. Massage punggung dapat diterapkan disemua fasilitas kesehatan dan dapat diajarkan pada ibu dan keluarga.
Kata Kunci : Massage Punggung, Nyeri Persalinan, Primigravida, Multigravida
References
2. Mander, R. Nyeri Persalinan. Jakarta: EGC.2004
3. Judha, Mohammad, Teori Pengukuran Nyeri dan Nyeri Persalinan. Yogyakarta : Nuha Medika, 2012
4. Hariyanti, Intan Prasetyaning. Pijat Punggung Teknik Effluarage Terhadap Intensitas Nyeri Persalinan pada Inpartu Kala I Fase Aktif di BPM Ny”I” Desa Kepuhpandak
Kuterejo Mojokerto, Poltekesmajapahit, 2014
5. Pastuty, Rosyanti, Buku Saku Asuhan Kebidanan Ibu Bersalin. Jakarta, EGC, 2010
6. Cepeda MS, Carr BD, Lau J, Alvarez H, Music for Pain Relief. Cochrane Databased Systematic Rev, 2013, 10.
7. Rahmawati, Pengaruh Pijat Punggung terhadap Adaptasi Nyeri Persalinan Fase Aktif Lama Kala II dan Perdarahan Persalinan pada Primigravida, Kesmas National
Public Health Journal,5 Desember 2013, Vol.8 Journal.fkm.ui.ac.id/kesmas/article/view/385/384
8. Hosseini E, Asadi N, Zareei F. Effect of massage therapy on labor progress and plasma levels of cortisol in the active stage of first labor. Iran:Departement of Biology,
Science And Research Branch, Islamic Azad University. 2013;15(9):35-8.
9. Afifah D, Perbedaan tingkat nyeri persalinan kala I pada ibu bersalin normal primigravida dan multigravida di RB Nur Hikmah Desa Kuwaron Gubug Kabupaten
Groboga, Jurnal kebidanan Universitas Muhammadiyah Semarang, 2012, Vol 1 No 1.
10. Bobak, dkk, Buku Ajar Keperawatan Maternitas Edisi 4, Jakarta : EGC, 2005
11. Potter PA, Perry AG. Buku ajar fundamental keperawatan: konsep, proses, praktik. Jakarta: EGC; 2006.)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Please find the rights and licenses in Jurnal Ilmiah Bidan (JIB). By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
2. Author(s)' Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User/Public Rights
JIB's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JIB permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and JIB on distributing works in the journal and other media of publications. Unless otherwise stated, the authors are public entities as soon as their articles got published.
4. Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article (please read out deposit policy),
- The right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal (Jurnal Ilmiah Bidan).
5. Co-Authorship
If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JIB will not be held liable for anything that may arise due to the author(s) internal dispute. JIB will only communicate with the corresponding author.
6. Royalties
Being an open accessed journal and disseminating articles for free under the Creative Commons license term mentioned, author(s) aware that JIB entitles the author(s) to no royalties or other fees.
7. Miscellaneous
JIB will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JIB's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.
