Abdominal lifting, effleurage, and deep back massages effective in reducing pain during active phase of first stage labor

Arantika Meidya Pratiwi, Arantika Meidya Pratiwi and Isti Chana Zuliyati, Isti Chana Zuliyati and Fatimatasari Fatimatasari, Fatimatasari Fatimatasari (2021) Abdominal lifting, effleurage, and deep back massages effective in reducing pain during active phase of first stage labor. Jurnal Ners & Kebidanan Indonesia (Indonesian Journal of Nursing & Midwifery, 9 (3). pp. 175-182. ISSN 2503-1856

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Abstract

Background : Although childbirth is a natural process, the time of childbirth makes women
feel afraid, anxious and anxious, thus affecting the labor process which results in prolonged
labor and neonatal asphyxia. Where prolonged labor is a complication of the cause of
maternal death which is the fifth largest in Indonesia. Labor pain can affect the condition
of the mother in the form of victims, fear, worry and can cause stress. Stress can cause
the uterine contractions to weaken and lead to prolonged labor. Objective : This study was to analyze the effectiveness of abdominal lifting, effleurage and
deep back massage techniques in reducing pain during active phase of first stage labor.
Method : This study used one-group pretest-posttest design method with a total sample
of 30 Participants mother in labor. There were 3 groups that were given treatment, each
group was given one massage technique. Change in pain was measured by a numerical
pain scale. Testing variables using the Wilcoxon test and effect size to see the efficiency
of each treatment. comparison of each intervention test performed using Kruskall Wallis.
Result : There is a significant difference in pain scores before and after giving abdominal
lifting massage with a value of p = 0.005 (<0.05). There was a significant difference in pain
scores before and after giving effleurage massage with a value of p = 0.011 (p <0.05). There
is a significant difference in pain scores before and after giving Deep Back Masaage with
a value of p = 0.004 (p <0.005). The result of calculating the effect size for the Abdominal
Lifting technique shows a average effect with a value of d=0.67. Meanwhile, the effleurage
and deep back massage techniques showed a strong impact with a d value > 0.8.There
was no significant difference in pain scores after treatment between the three groups with
a value of p = 0.080 (p> 0.05).
Conclusion : abdominal lifting, effleurage, and deep back massage are contribute and
effective to reducing the pain during active phase of first stage labor. Deep back massage
is the most effective technique (between the three techniques) to reducing the pain during
active phase of first stage labor. There was no significant difference between the three
massage techniques in reducing labor pain.
KEYWORD : abdominal lifting; effleurage; deep back massage; pain, labor

Item Type: Article
Uncontrolled Keywords: abdominal lifting; effleurage; deep back massage; pain; labor
Subjects: R Medicine > R Medicine (General)
R Medicine > RT Nursing
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: Mrs Ni Made Yunia Dwi Savitri
Date Deposited: 02 Jun 2022 01:38
Last Modified: 02 Jun 2022 01:38
URI: http://eprints.triatmamulya.ac.id/id/eprint/1102

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