Comparison of Counter Pressure Massage and Hegu Point Cold Compress on Active Phase I Labor Pain
Abstract
Labor pain can cause it weakness of the uterine muscles, obstruction of the birth canal and increased maternal anxiety. Anxiety can produce catecholamine hormones that cause tension in the pelvic muscles and affects the mother's pushing force during childbirth so that the pain increases and lengthens the delivery time increases the risk of maternal and fetal death. The purpose of this research is to determine the comparison of counter pressure massage (CPM) and Hegu point cold compresses for labor pain during the 1st active phase. The research method uses a randomized control trial design with two group pretest-posttest plan. Population in this study namely mothers who will give birth in the active phase of the 1st stage with the number of samples A total of 126 people were divided into 2 groups each CPM treatment and cold compresses will be given to the Hegu point. The measuring instruments used are the numerical pain rating scale (PNRS) and pain level recording sheets which have been proven valid and reliable, and have been widely used to measure pain levels. The analysis that will be used is univariate and bivariate analysis paired t test and independent t test. The results of the study showed that there was a difference in the intensity of labor pain during the first active phase before and after counter pressure massage (p=0.000) and cold compress at the hegu point (p=0.000). And there was no difference in the intensity of pain during the first active phase of labor between the counter pressure massage and cold compress groups in the Hegu point group (p=0.546>0.05). Cold compress counter pressure massage on the Hegu point is effective in reducing pain in the first stage of labor and counter pressure massage and cold compresses on the Hegu point group are equally effective in reducing labor pain.
References
Anugerah A.P., Purwandari R. & Hakam M., Pengaruh Terapi Kompres Dingin Terhadap Nyeri Post Operasi ORIF (Open Reduction Internal Fixation) pada Pasien Fraktur di RSD Dr. H. Koesnadi Bondowoso (The Effect of Cold Compress Therapy toward Post Operative Pain in Patients ORIF Fracture in RSD Dr. H, Pustaka Kesehatan, 2017;5(2):247-252.
Ardyantilova K. & Lidiana E.H., Application Of Hypertension Gymnastics Against High Blood Pressure For The Elderly In Bendungan Village, Sragen, International Journal of Health Sciences, 2023;1(3):328-342.
Astuti H.P., Astuti A.W., Agustin D., Awaliyah H.F., Winarti G.R. & Jaya V.O., Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan, Jurnal Cakrawala Promkes, 2021;3(2):50-60.
Baxter A.J., Dundas R., Popham F. & Craig P., How effective was England's teenage pregnancy strategy? A comparative analysis of high-income countries, Social Science & Medicine, 2021;270:113685.
Braz J., Solorzano C., Wang X. & Basbaum A.I., Transmitting pain and itch messages: a contemporary view of the spinal cord circuits that generate gate control, Neuron, 2014;82(3):522-536.
Deshmukh U., Denoble A.E. & Son M., Trial of labor after cesarean, vaginal birth after cesarean, and the risk of uterine rupture: an expert review, American Journal of Obstetrics and Gynecology, 2024;230(3):S783-S803.
Dianna D. & Oktaviyani D., The Effectiveness Of Counter Pressure And Effleurage Massage On The Intensity Of Labor Pain During The Active Phase I, JKM (Jurnal Kebidanan Malahayati), 2024;10(8):838-847.
Hajiamini Z., Masoud S.N., Ebadi A., Mahboubh A. & Matin A.A., Comparing the effects of ice massage and acupressure on labor pain reduction, Complementary Therapies in Clinical Practice, 2012;18(3):169-172.
Hibatulloh Q.N., Rahayu D.E., Siti R. & Rahmawati N., Efektifitas Terapi Akupressur Terhadap Nyeri Persalinan Pada Fase Aktif Tahap Pertama the Effectivity of Acupressure Therapy To Relieve Labor Pain During the Active Phase of the First Stage, Original Research Indonesian Midwifery and Health Sciences Journal, 2022;6(1):96-110.
Indrayani T., Syamsiah S. & Septiarini D., The Effectiveness Of Counterpressure Techniques In Reducing Labor Pain Levels Of First Stage Active Phase, JKM (Jurnal Kebidanan Malahayati), 2024;10(4):349-353.
Karunarathna I., Kusumarathna K., Gunarathna I., Rathnayake B., Jayathilake P., Hanwallage K., et al., Advancements in Labor Analgesia: Navigating Modern Techniques, Uva Clinical Lab. Retrieved from ResearchGate, 2024.
Lebang J.V. & Firdaus R., The Effect of Counterpressure Techniques on Decline Labor Pain in Maternity During Active Phase I Hospital IA Moeis, Formosa Journal of Applied Sciences, 2023;2(3):397-412.
Lee G.I. & Neumeister M.W., Pain: pathways and physiology, Clinics in plastic surgery, 2020;47(2):173-180.
Li X., Esfahbodi A. & Zhang Y., The Impact of Corporate Social Responsibility Implementation on Enterprises’ Financial Performance—Evidence from Chinese Listed Companies, Sustainability, 2024;16(5):1848.
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 Macedonian Journal of Medical Sciences, 2021;9(T4).
Safrida D. & Nadeak Y., The Effect of Counterpressure Massage Techniques on Reducing Labor Pain in Inpartu Mothers in the First Active Phase at Rundeng Health Center, Rundeng District, Subulussalam City, Aceh Province in 2024, Journal of Physical Activity and Health, 2024;2(2):98-104.
Safuan S., Ismartaya I., Permata I. & Apriyadi D., Implementation Of Corporate Social Responsibility With The Concept Of Sustainability, Community Practitioner, 2024.
Taherian T., Shorofi S.A., Zeydi A.E., Charati J.Y., Pouresmail Z. & Jafari H., The effects of Hegu point ice massage on post-sternotomy pain in patients undergoing coronary artery bypass grafting: A single–blind, randomized, clinical trial, Advances in Integrative Medicine, 2020;7(2):73-78.
Tri Astuti I., Wijayanti K., Nuraini L., Khasanah N.N. & Susanto H., Effects of cold compress on the heguous point of meridian large intestine on pain before giving immunization in infants, 2019.
Türkmen H. & Oran N.T., Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study, Explore, 2021;17(5):438-445.
Wardiyaningtuti N., Indriati I. & Retnaningsih R., Teknik Massage Counterpressure Berpengaruh Terhadap Penurunan Nyeri Kala I Fase Aktif Pada Ibu Bersalin, Care: Jurnal Ilmiah Ilmu Kesehatan, 2023;11(3):597-608.
Yildirim E., Alan S. & Gokyildiz S., The effect of ice pressure applied on large intestinal 4 on the labor pain and labor process, Complementary Therapies in Clinical Practice, 2018;32:25-31.
Yulianingsih E., Porouw H.S. & Loleh S., Teknik massage counterpressure terhadap penurunan intensitas nyeri kala l fase aktif pada ibu bersalin di RSUD. Dr. MM Dunda Limboto Kabupaten Gorontalo, Gaster, 2019;17(2):231-242.
Zhang Q., Oo B.L. & Lim B.T.-H., Modeling influence mechanism of factors on corporate social responsibility implementation: evidence from Chinese construction firms, Engineering, Construction and Architectural Management, 2024;31(1):324-362.
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