Teknik Counter Pressure Mengurangi Intensitas Nyeri Persalinan Kala I Fase Aktif
Abstract
Lower back pain is a frequent symptom during pregnancy, often worsening as the pregnancy progresses. The shifting center of gravity, hormonal changes, and increased weight gain associated with pregnancy can contribute to lower back pain and discomfort. While pharmacological interventions are sometimes necessary, there is growing interest in non-pharmacological approaches that may provide relief without potential side effects. Counter pressure is a type of massage that uses your fists to apply constant pressure to the patient's spine during compression. Anti-stress information can also be applied to the lower back in a straight or circular motion. Back compression techniques can relieve back pain during labor contractions. Objective to determine the level of labor pain in the first stage of the active phase of labor in women giving birth at the Rappang Health Center in Sidrap Regency before back massage is carried out with the counter pressure technique. To find out labor pain in the first stage of the active phase of labor in women giving birth at the Rappang Health Center, Sidrap Regency, after doing back massage using a counter pressure technique. The type of research used is pseudo- or quasy-experimental research with a Two-Group Posttest Only design. The relaxation technique obtained a mean rank of 18.25, while the group that underwent counter pressure obtained a value of 6.75. So the average pain in the group that only got the relaxation technique was higher than that done with masse counter pressure with a p value (0.000) <0.05 so it can be concluded that counter pressure massage is effective in reducing pain intensity in laboring mothers. There is an influence of the Counter Pressure massage technique to reduce the intensity of labor pain during the first active phase at the Rappang Health Center, Sidrap Regency. Counter pressure could potentially be a useful technique for managing labor pain.
References
Anita, W. (2022). Techniques Of Pain Reduction In The Normal Labor Process : Systematic Review. Jurnal Endurance, 2(3), 362–375. https://doi.org/10.22216/jen.v2i3.1165
Aryani Ni Putu. (2020). Menurunkan nyeri persalinan kala I (Aplikasi Teknik counter pressure dan pijat Endorphine). Mataram: Pustaka Bangsa.
Atun & Surtiningsih. (2018). Efektifitas Tehnik Counter pressure Dan Endorphin Massageterhadap Nyeri Persalinan Kala 1 Pada Ibu Bersalin Di Rsud Ajibarang. Kendari: Politeknik Kesehatan.
Danuatmadja Bonny. (2013). Persalinan normal tanpa rasa sakit. Jakarta: Puspa Swara.
Dencker, A. et al. (2018) ‘Causes and outcomes in studies of fear of childbirth : A systematic review’, Women and Birth [Preprint]. Available at: https://doi.org/10.1016/j.wombi.2018.07.004.
Edwards, R.R. et al. (2023) ‘Race differences in pain and pain-related risk factors among former professional American-style football players’, 164, pp. 2370–2379. DOI: 10.1097/j.pain.0000000000002948
Eniyati & Melisa Putri. (2013). Asuhan Kebidanan Pada Ibu Bersalin. Yogyakarta: Pustaka Pelajar.
Erni Juniartati dan Melyana Nurul Widyawati. (2018). Penerapan Counter pressure Untuk Mengurangi Nyeri Persalinan Kala I. Jurnal Kebidanan Vol. 8 No. 2 October 2018 p- ISSN.2089-7669
e-ISSN. 2621-2870. DOI: https://doi.org/10.31983/jkb.v8i2.3740
Fajri, I. et al. (2022) ‘Terapi non-farmakologi dalam mengurangi tingkat nyeri pada pasien kanker payudara stadium 2-4: literature review’, 5(2), pp. 106–120. http://dx.doi.org/10.31000/jiki.v5i2.6139
Fitriya Nur Nugraheni. (2021). Pengaruh Birth Ball terhadap Persalinan Kala I Fase Aktif pada Ibu Bersalin di Wilayah Kerja Puskesmas Air Lais. Bengkulu Utara: Poltekkes Bengkulu. http://repository.poltekkesbengkulu.ac.id/id/eprint/1561
Hadriani, Eka P. (2018). Pengaruh Massase Counterpressure terhadap Nyeri Persalinan Kala 1 Fase Aktif pada 12 Ibu Bersalin di BPM Setia. Jurnal Kesehatan Masyarakat Volume 9 Nomor 2 (2018) 62-66. ISSN (P) 2088- 3536 ISSN (E) 2528-3375. https://jurnal.fkm.untad.ac.id/index.php/preventif/article/view/108
Indrayani, T., Syamsiah, S., & Septiarini, D. (2024). The Effectiveness Of Counterpressure Techniques In Reducing Labor Pain Levels Of First Stage Active Phase. JKM (Jurnal Kebidanan Malahayati), 10(4), 349–353. https://doi.org/10.33024/jkm.v10i4.14558
Iwan Aprianto, S. P. I. M. P., Muhammad Roihan Alhaddad, M. P. I., Hairul Fauzi, S. P. I. M. P., Maisarah Gusvita, S. P. I. M. P., Sahroni, M. P. I., Fitri Nasution, S. P. I. M. P. I., Ahmad Sopian, S. P. I. M. S. I., & Zulqarnain, S. A. M. H. (2020). Manajemen Peserta Didik. Penerbit Lakeisha. https://books.google.co.id/books?id=3Pv3DwAAQBAJ
Jenny.J. S.Sondakh. (2013). Asuhan Kebidanan Persalinan & Bayi Baru Lahir. Jakarta: Erlangga.
JNPK-KR. (2017). Asuhan persalinan normal. Jakarta: Departemen Kesehatan Indonesia.
Karcioglu, O., Topacoglu, H., Dikme, O., & Dikme, O. (2018). A systematic review of the pain scales in adults: Which to use? The American Journal of Emergency Medicine, 36(4), 707–714. https://doi.org/10.1016/j.ajem.2018.01.008
Kusuma, D., Cohen, J., Mcconnell, M., & Berman, P. (2016). Social Science & Medicine Can cash transfers improve determinants of maternal mortality ? Evidence from the household and community programs in Indonesia. Social Science & Medicine, 163, 10–20. https://doi.org/10.1016/j.socscimed.2016.06.020
Maisaroh, S., & Maryani, D. (2021). The Effectiveness of Counter Pressure and Endorphin Massage on Reducing Pain during First Stage of Labor in Intrapartum Mothers. Developing a Global Pandemic Exit Strategy and Framework for Global Health Security, 6(01), 765–771. https://doi.org/10.26911/ICPHmaternal.FP.08.2021.14
Natoatmojo. (2018). Metodologi penelitian Kesehatan. Jakarta: Rinaeka Cipta
Oktriani, T., Ermawati, E., & Bachtiar, H. (2018). The Difference Of Pain Labour Level With Counter Pressure And Abdominal Lifting On Primigravida In Active Phase of First Stage Labor. Journal of Midwifery, 3(2), 45. https://doi.org/10.25077/jom.3.2.45-52.2018
Purwati, A. (2020). Pengaruh Teknik Bola Persalinan (Birthing Ball) Terhadap Penurunan Bagian Bawah Janin Pada Ibu Primigravida Inpartu Kala I Fase Aktif Di Pmb Ike Sri Kec. Bululawang Kab. Malang. Journal of Islamic Medicine, 4(1), 40–45. https:
//doi.org/10.18860/jim.v4i1.8846.
Sari, K.P. and Halim, M.S. (2017) ‘Perbedaan Kualitas Hidup antara Berbagai Metode Manajemen Nyeri pada Pasien Nyeri Kronis’, 44, pp. 107–125. Available at: https://doi.org/10.22146/jpsi.25208.
Qorinina. (2018). Efektivitas Message Efflurage Yang Di Lakukan Suami Terhadap Nyeri Persalinan Kala I Fase Laten Di Kecamatan Setu. Jakarta: Fakultas kedokteran dan ilmu Kesehatan UIN Syarif Hidayahtullah. http://repository.uinjkt.ac.id/dspace/handle/123456789/36652
Santiasari, R. N., Nurdiati, D. S., Lismidiati, W., & Saudah, N. (2018). Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain. Health Notions, 2(7), 721–724. https://doi.org/https://doi.org/10.33846/hn.v2i7.228
Sarwono Parawirahardjo. (2016). Ilmu Kebidanan. Jakarta: Bina Pustaka.
Saryono, Anggeraeni, Dwi. (2018). Metodologi Penelitian Kebidanan DIII, DIV, S1, dan S2. Yogyakarta: Nuha Medika.
Setyorini, D. (2021). Pengaruh Pelvic Rocking Exercise Terhadap Persalinan Kala I Fase Aktif Di UPT Puskesmas Cimanggu. Banten: Politeknik Kesehatan. https://doi.org/10.30994/jqwh.v4i2.125
Sopiyuddin D. (2013). Besar Sampel dan Cara Pengambilan Sampel Dalam Penelitian Kedokteran Dan Kesehatan: Salemba Medika
Sri Avioktaviani. (2020). Pengaruh Kombinasi Teknik Counterpressure dengan Birth Ball terhadap Penurunan Nyeri Kala 1 Persalinan. Kalimantan Timur: Politeknik Keseshatan. https://repository.poltekkes-kaltim.ac.id/1235/2/Skripsi%20Sri%20Avi%20OK.pdf
Sry Munarti (2018). Efektifitas Teknik Counterpressure untuk Mnegurangi Rasa Nyeri Persalinan Kala 1 di Klinik Permata Rahma. Medan: Poltekkes Kemenkes.
Sugiyono. (2016). Metode Penelitian Kuantitatif, Kualitatif, Dan R Dan D. Bandung: Alfabeta.
Suhendra AD, Asworowati RD, Ismawati T. Virgiani Yulistiana, (2020). Efektivitas Teknik Counterpressure terhadap Penurunan nyeri pada Ibu Persalinan Kala 1: Literature Review. Akrab https://doi.org/10.55681/sentri.v1i1.227
Sukarni, Margareth. (2018). Kehamilan, Persalinan, dan Nifas. Yogyakarta: Nuha Medika
Sulisdian. (2019). Buku Ajar Asuhan Kebidanan, Persalinan dan Bayi Baru Lahir. Surakarta: CV oase group.Surakarta
Tya Lestari. (2021). Penerapan Counter pressure untuk Mengurasi Nyeri Persalinan Kala 1 di Klinik Rahayu Unggaran. Semarang: Politeknik Kesehatan. https://doi.org/10.35473/jhhs.v3i2.78
Wira Ekdeni Aifa, Fajar Sari Tanberika, & Sumandar. (2022). Effect Of Counterpressure With Birth Ball On Reduction Of Labor Pain In First Stage. Science Midwifery, 10(3), 2353–2358. https://doi.org/10.35335/midwifery.v10i3.652
Wulandari & Hiba. (2019). Pengaruh Message Efflurage Terhadap Pengaruh Nyeri Persalinan Kala I Fase Aktif Di Rsud Tugurejo. Semarang: Politeknik Kesehatan.
World Health Organization. (2023). Maternal Mortality.
Yulizawati, dkk. 2019. Asuhan Kebidanan Pada Persalinan. Sidoarjo: Indomedia Pustaka
