EFFECTIVENESS OF ENDORPHINS MASSAGE AND ICE PACKS TO RELIEVE THE FIRST STAGE OF LABOR PAIN AMONG THE PREGNANT WOMEN IN CANDIMULYO HEALTH CENTER, INDONESIA

Mariza Mustika Dewi, Tuti Sukini, Nurul Aziza Ath Thaariq, Niken Wahyu Hidayati

Abstract

Background: More than 90% of women experience severe labor pain. Endorphin massage and applying ice packs have been well known as non-pharmacological methods for pain reduction faced during delivery. Aims: This study is to determine the effectiveness of endorphins massage and ice packs to the first stage of labor pain.

Methods: This study was a quasi-experiment with non-equivalent control group and pretest-posttest design. This research involved 30 pregnant mothers at the first stage in Candimulyo Health Center, Indonesia. The labor pain level at the first stage was measured before and after the intervention either by endorphins massage or ice packs. Data from Visual Analog Scale (VAS) sheet was employed to define the labor level, and was then analyzed statistically using Mann-Whitney Test.

Results: Either endorphin massage or ice pack application decreased the pain level among the pregnant women in Candimulyo Health Center, Indonesia, respectively, at difference level of 0.008 and 0.000. The number of mother experienced massive pain level decreased from 20% to 0% by given endorphin massage, and 13.3% to 6.7% after applying ice packs. In addition, in the group who received endorphin massage, 9 mothers declared having heavy labor pain, however, after the treatment, only 3 mothers declared the heavy labor. It also happened at the group who given ice pack application where the number of mother claimed heavy pain decreased from 10 to only 6. The results highlighted that the endorphin massage (18.50) is more effective to decreasing labor pain than the ice pack application (12.50), and the difference was significant (p value < 0.05).

Conclusion: The highlight of endorphin massage and ice pack application in reducing the labor pain becomes evidence suggesting the other non-pharmacological methods as alternative treatments. The results shows the importance to provide endorphin massage and ice pack application for reducing labor pain among the pregnant women. 

Full Text:

PDF

References

Haghighi NB, Masoumi SZ, Kazemi f. Effect of Massage Therapy on Duration of Labour : A Randomized Controlled Trial. Journal of Clinical and Diagnostic Research. 2016;10(4):QC12-QC5.

Judha M, Sudarti, Fauziah A. (Teori Pengukuran Nyeri dan Nyeri Persalinan). Yogyakarta: Nuha Medika; 2012.

Taghinejad H, Delpisheh A, Suhrabi Z. Comparison between Massage and Music Therapy to Relieves the Severity of Labor

Pain. Women's Health. 2010;6(3):377-81.

Eshkevari L, Trout KK, Damore J. Managemen of Postpartum Pain. Journal of Midwifery and Women's Health. 2013;58:622-31.

Gorji H, Nesami B, Ayyasi, Ghafari, Yazdani. Comparison of Ice Packs Application and Relaxation Therapy in Pain Reduction during Chest Tube Removal Following Cardiac Surgery. North American Journal of Medical Sciences. 2012;6(1):19-24.

Azizah IN, Widyawati MN, Anggraini NN. (Pengaruh Endorphin Massage terhadap Intensitas Nyeri Kala I Persalinan

Normal Ibu Primipara di BPS S dan B Demak). Jurnal Kebidanan Universitas Muhammadiyah Semarang. 2013;2(1):90-6.

Aprilia Y, Ritchmond B. Gentle Birth. Jakarta: Gramedia Widiasarana Indonesia; 2011.

Kozier B. (Buku Ajar Praktik Keperawatan Klinik). Jakarta: EGC; 2009.

Rahmawati ES. (Pengaruh Kompres Dingin terhadap Pengurangan Nyeri Luka Perineum pada Ibu Nifas di BPS Siti

Alfirdaus Kingking Kabupaten Tuban) Jurnal Sains Med. 2013;5(2):43-6.

East CE, Begg L, Henshall NE, Marchant P, Wallace K. Local Cooling for Relieving Pain from Perineal Trauma Sustained

during Childbirth. The Cochrane Collaboration and Published 2009(1):1-84.

Maryunani A. (Nyeri dalam Persalinan, Teknik, dan Cara Penanganannya). Jakarta: CV. Trans Info Media; 2010. 10 p.

Rosyid FN, Putra DDP. (Perbandingan Keefektivan Stimulasi Saraf Elektrik TENS dan Terapi Es terhadap Penurunan

Intensitas Nyeri pada Pasien Simple Fraktur). Jurnal Ilmu Kesehatan Gaster. 2010;7(2):564-73.

Kusumaningsih R, Hasan M, Kusuma IF. Relationship between Obesity and Degree Pain in Knee Osteoarthritis Patients at

Bina Sehat Hospital Jember. e-Jurnal Pustaka Kesehatan 2015;3(2):253-6.

Rodgers NJ, Cutshall SM, Dion LJ, Dreyer NE, Hauschulz JL, Ristau CR, et al. A Decade of Building Massage Therapy

Services at an Academic Medical Center as Part of A Healing Enhancement Program. Complementary Therapies in

Cllinical Practice 21. 2015;21:52-6.

Hosseini E, Asadi N, Zareei F. Effect of Massage Therapy on Labour Progress and Plasma Levels of Cortisol in the Active

Stage of First Labor. Zahedan Journal of Research in Medical Sciences. 2013;15(9):35-8.

Aprilia Y. 2011. [cited 2013]. Available from: http:www.bidankita.com.

Aryani Y, Masrul, Evareny L. (Pengaruh Masase pada Punggung terhadap Intensitas Nyeri Kala I Fase Laten Persalinan

Normal melalui Peningkatan Kadar Endorphin). Jurnal Kesehatan Andalas. 2015;4(1):70-7.

Rusdiatin IE, Maulana D. (Pengaruh Pemberian Teknik Akupressur terhadap Tingkat Nyeri Persalinan Kala I di RS

Rajawali Citra Potorono Banguntapan Bantul 2007). Seminar Nasional Teknologi 2007. 2007:1-10.

Felina M, Masrul, Iryani D. (Pengaruh Kompres Panas dan Dingin terhadap Penurunan Nyeri Kala I Fase Aktif Persalinan

Fisiologis Ibu Primipara). Jurnal Kesehatan Andalas. 2015;4(1):58-64.

Nurlis E, Bayhakki, Erika. (Pengaruh Terapi Dingin Ice Massage terhadap Perubahan Intensitas Nyeri pada Penderita Low

Back Pain). Jurnal Ners Indonesia. 2012;2(2):185-91.

CS A, Hadi, Widyawati MN. Aromatherapy Massage As An Alternative in Reducing Cortisol Level and Enhancing Breastmilk Production on Primiparous Postpartum Women in Semarang. 4th Asian Academic Society International Conference (AASIC) 2016. 2015:381-8.

Wenniarti, Muharyani PW, Jaji. (Pengaruh Ice Pack terhadap Perubahan Skala Nyeri pada Ibu Post Episiotomi). Jurnal

Kedokteran dan Kesehatan. 2016;3(1):377-82.

Utami RN, Widyawati MN. (Perbedaan Efektivitas Lama Pemberian Rose Effleurage terhadap Intensitas Nyeri Kala I Fase

Aktif pada Persalinan Normal Primigravida di Kota Semarang Tahun 2013). 2089-7669. 2013;2(4):20-30.

Refbacks

  • There are currently no refbacks.