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Mahabir, Joy. "Kala Pani Ink." Anthurium A Caribbean Studies Journal 7, no. 1 (January 1, 2010): 19. http://dx.doi.org/10.33596/anth.152.
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Mohabir, Nalini. "Kala Pani: Aesthetic Deathscapes and the Flow of Water after Indenture." Asian Diasporic Visual Cultures and the Americas 5, no. 3 (December 5, 2019): 293–314. http://dx.doi.org/10.1163/23523085-00503003.
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This article focuses on the kala pani (dark waters) as a deathscape particular to indentured labourers and their descendants. Following a historical discussion of representations of the kala pani, the author turns to contemporary artists Maya Mackrandilal and Andil Gosine to explore how their artistic engagements are rerouting the flows of the kala pani away from discourses of caste stigma or the finality of (social) death to a reckoning of past and future time for those living in the diasporic space of North America.
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Brinda J. Mehta. "Indianités francophones: Kala Pani Narratives." L'Esprit Créateur 50, no. 2 (2010): 1–11. http://dx.doi.org/10.1353/esp.0.0229.
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Mehta, Brinda J. "Migritude and Kala Pani Routes in Shumona Sinha’s Assommons les pauvres (Let Us Strike Down the Poor)." Minnesota review 2020, no. 94 (May 1, 2020): 85–103. http://dx.doi.org/10.1215/00265667-8128435.
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The term migritude was first coined by French theorist Jacques Chevrier to characterize “extracontinental” francophone sub-Saharan literatures that have their roots in negritude and immigration. Kenyan cultural artist Shailja Patel later expanded the term to include South Asian “migrants with attitude.” This article further expands the current framings of migritude by linking it to the historical movement of kala pani, or nineteenth-century Indian indenture. The idea of kala pani migritude reveals an engagement with clandestine migration, identity, language, translation, and geography, both rooted in France and routed along treacherous seaways. Shumona Sinha’s novel Assommons les pauvres also focuses on the experiences of the privileged immigrant narrator whose story is a core part of the novel. Sinha has the privilege to narrate the stories of the migrants for them in her coveted role as a translator. Her stories are mediated by her ambivalence toward the migrants, for whom she feels shame and disgust, and her own tentative attempts to assimilate Frenchness as a normative ideal. This article offers a contrapuntal reading of Sinha’s novel through the lens of kala pani migritude to determine whether migrant subjectivity in a mediated narrative is an ultimately temporary, fleeting, or failed act.
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Garvey, Johanna. "Bridges Beyond the Kala Pani: Transgressing Boundaries in Mootoo and Espinet." Anthurium A Caribbean Studies Journal 11, no. 2 (December 10, 2014): 6. http://dx.doi.org/10.33596/anth.271.
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Marie, Rowanne Sarojini. "ACROSS THE KALA PANI: UNTOLD STORIES OF INDENTURED INDIAN WOMEN OF CHRISTIAN ORIGIN IN SOUTH AFRICA." Oral History Journal of South Africa 2, no. 1 (September 22, 2016): 89–101. http://dx.doi.org/10.25159/2309-5792/1585.
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The indenture experience is one that is entrenched in the very being of the Indian community in South Africa. Recent times have seen a good spread of documentation on such experiences, especially in light of the 150th anniversary of the arrivals in South Africa, celebrated in 2010. What does become clear in such accounts, however, is that the experiences of women are subsumed within such historical records, therefore giving little or no attention to their voices. Indian women were hugely impacted by the indenture experience; however, these accounts are few and far between. The history of Indian women in South Africa is undoubtedly largely shaped by their experiences of indenture. Such history is encompassed within their trajectories of poverty, culture, education and religion as they took the courageous decision to cross the Kala Pani. In this short account, the indenture experience of the Indians in South Africa will be examined, giving specific attention to the aspect of poverty and the impact of mission on Indian Christian women. Various scholars briefly make mention of such experiences, however, it becomes important to apportion intentional spaces to those once muted, yet significant voices. Indentured Indian women of Christian origin have a story to tell – a story of their encounters across the Kala Pani. Such stories become important to the discourse of the history of the Indian community in South Africa.
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Mehta, B. "Engendering History: A Poetics of the Kala Pani in Ramabai Espinet's The Swinging Bridge." Small Axe: A Caribbean Journal of Criticism 10, no. 3 (January 1, 2006): 19–36. http://dx.doi.org/10.1215/-10-3-19.
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Mehta, Brinda. "Engendering History: A Poetics of the Kala Pani in Ramabai Espinet's The Swinging Bridge." Small Axe: A Caribbean Journal of Criticism 21 (October 2006): 19–36. http://dx.doi.org/10.2979/sax.2006.-.21.19.
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Véronique Bragard. "L'Empreinte des kala pani dans la littérature caribéenne et mauricienne: une comparaison transcoloniale." L'Esprit Créateur 50, no. 2 (2010): 86–94. http://dx.doi.org/10.1353/esp.0.0231.
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Ramlagan, Michelle. "Mehta, Brinda. Diasporic (Dis)locations: Indo- Caribbean Women Writers Negotiate the Kala Pani." Anthurium A Caribbean Studies Journal 7, no. 1 (January 1, 2010): 27. http://dx.doi.org/10.33596/anth.160.
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Mohammed, Shanaaz. "Reimagining the Aapravasi Ghat: Khal Torabully's poetry and the indentured diaspora." Journal of Indian Ocean World Studies 4, no. 2 (April 14, 2021): 118–43. http://dx.doi.org/10.26443/jiows.v4i2.80.
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National narratives in Mauritius often affiliate the Indian diaspora with the experience of indentureship and the Aapravasi Ghat, a nineteenth century immigration depot classified in 2006 as a UNESCO World Heritage Site. This affiliation inevitably disregards the African, Malagasy, and Chinese laborers who also worked under the system of indenture in Mauritius during the nineteenth and twentieth centuries. In his 2013 collection of poetry, Voices from the Aapravasi Ghat: Indentured Imaginaries, Khal Torabully returns to the Aapravasi Ghat to recast the history of indentureship and highlight the various ethnicities of the indentured diaspora, their shared trauma, and displacement. This study contends that Torabully’s poetic engagement with the Aapravasi Ghat, as an historical site of indentureship and its overlooked diversity, challenges the perception of the Ghat as a representation of Indian indentured memory. It uses Torabully’s Coolitude poetics as a conceptual frame to consider the Aapravasi Ghat as an inaugural space that facilitated the creation of a complex, open-ended identity that aspires to promote a culture of diversity but not without its limitations and contradictions. Despite efforts to disrupt ethnic distinctiveness, Torabully reproduces Indo-centric perspectives expressed through the concept of kala pani and the fakir figure.
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Bannerjee, Rohini. "The Kala Pani Connection: Francophone Migration Narratives in the Caribbean Writing of Raphaël Confiant and the Mauritian Writing of Ananda Devi." Anthurium A Caribbean Studies Journal 7, no. 1 (January 1, 2010): 5. http://dx.doi.org/10.33596/anth.138.
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Asha, S. "History in the Attic: Search for Roots in Ramabai Espinet’s The Swinging Bridge." SMART MOVES JOURNAL IJELLH 9, no. 2 (February 27, 2021): 82–96. http://dx.doi.org/10.24113/ijellh.v9i2.10908.
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In most of diaspora literature there is an attempt to retrieve the past. This makes one measure time in many ways, different calendars, change of seasons, past encounters narrated through wars, defeats, encounters and disasters. It is remembered through family history, ancestral heritage, nostalgia, memory and even through national disasters. This interaction portrays the immigrants caught in flight of memories, relationships and images. The relocation has its disgust for one thing or the other. The author has to live in the reminiscences, a collective memory representing a symbolic relationship between past and present. The Swinging Bridge by Ramabai Espinet chronicles the multiple exiles that are part of the Indian experience in the Caribbean and Canada through two figures one from the past- great grandmother Gainder and the other from the present - Mona, the protagonist. The novel commemorates the maternal roots and routes of Indo-Caribbean history by establishing the subjectivity of widows and young girls from India who crossed the Kala Pani (Black waters of the Atlantic) in search of new beginnings in Trinidad and the great-grand-daughter who engages in an existential quest for selfhood in Canada. Grief motivates a flood of personal memories as Mona begins to remember intimate details of family life that had been repressed under the cover of migration. Bits and pieces of the past, fragments scattered in various places, childhood memories, overheard conversations, prayer songs, all come together in the attic. She explores the secret songs, photographs and letters giving her a powerful voice for her culture, her family, her fellow women and for herself. Mona’s drive to document history enables her to reveal the family’s carefully guarded secrets- domestic violence, drunken rampages, sexual abuse, illegitimate children, and even AIDS. This paper seeks to analyse the novel’s diasporic contents and find out whether this attempt at retrieval of the past brings about a change in the perception of today’s generation. The author brings to light the problems of a plural society calling for need for relationships and need for mutual respect- all to avoid conflict situations through this effective tracing of history in the novel.
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Widiastini, Luh Putu Widiastini, and I. Gusti Agung Manik Karuniadi. "Pengaruh Yoga Pranayama Terhadap Nyeri Persalinan Kala I Fase Aktif." Jurnal Kesehatan Medika Udayana 7, no. 01 (April 30, 2020): 67–73. http://dx.doi.org/10.47859/jmu.v7i01.4.
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Background: Childbirth is a physiological thing where there is a series of processes that end with the release of the conception by the mother. The labor process is identical with the pain that will be experienced. All women who give birth will experience pain during labor and statistically, labor pain cannot be tolerated by two out of three mothers. Purpose: The purpose of this study was to determine the effect of Pranayama Yoga on First Stage Childbirth Pain. Methods: Pre-experimental research design with one group pretest posttest design. This research will be carried out for first-time active mothers in Midwife Independent Practice in November-December 2018. The sample that will be used in this study are all first-phase active mothers in Midwife Independent Practice in November-December 2018. Results: The results of this study are partly Most respondents experienced severe pain before being given Yoga Pranayama as many as 27 people (90%), and most respondents experienced moderate pain after being given yoga pranayama as many as 16 people (53.3%). The results of this study found that there was an influence of Pranayama Yoga on Active Stage I Stage Pain Pain with a value of p 0.00, indicating there was an influence of Pranayama Yoga on Phase I Active Stage Pain in Midwife Independent Practice with a value of 0.00 <0.05. Conclusion: There is a significant effect of Yoga Pranayama on the Pain of the Active Phase I Labor. ABSTRAK Latar Belakang: Persalinan merupakan hal yang fisiologis dimana terjadi rangkaian proses yang berakhir dengan pengeluaran hasil konsepsi oleh ibu. Proses persalinan identik dengan rasa nyeri yang akan dijalani. Seluruh wanita yang melahirkan akan mengalami nyeri selama proses persalinan dan secara statistik rasa nyeri persalinan tidak dapat ditoleransi oleh dua dari tiga orang ibu bersalin. Tujuan: Tujuan dari penelitian ini untuk mengetahui Pengaruh Yoga Pranayama terhadap Nyeri Persalinan Kala I. Metode: Desain penelitian praeksperimental dengan one group pretest posttest design. Penelitian ini akan dilaksanakan pada Ibu bersalin kala I Fase Aktif di Praktik Mandiri Bidan (PMB) pada bulan November-Desember 2019. Sampel yang akan digunakan pada penelitian ini adalah semua Ibu bersalin kala I Fase Aktif di PMB pada bulan November-Desember 2019. Hasil: Hasil penelitian ini sebagian besar responden mengalami nyeri berats ebelum diberikan Yoga Pranayama yaitu sebanyak 27 orang (90%), dan sebagian besar responden mengalami mengalami nyeri sedang setelah diberikan yoga pranayama sebanyak 16 orang (53,3%). Hasil penelitian ini mendapatkan hasil bahwa terdapat pengaruh Yoga Pranayama terhadap Nyeri Persalinan Kala I Fase Aktif dengan nilai p 0,00, menunjukan ada pengaruh Yoga Pranayama terhadap Nyeri Persalinan Kala I Fase Aktif di PMB denganp value 0.00 < 0.05. Simpulan: Terdapat pengaruh yang signifikan Yoga Pranayama terhadap Nyeri Persalinan Kala I Fase Aktif.
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Felaili, Sova Erlina, and Machmudah . "TEKNIK KNEADING MENURUNKAN TINGKAT NYERI PERSALINAN KALA I PADA IBU BERSALIN DI KABUPATEN SEMARANG." Jurnal Kebidanan 9, no. 01 (July 7, 2017): 91. http://dx.doi.org/10.35872/jurkeb.v9i01.312.
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ABSTRAKNyeri saat melahirkan merupakan suatu proses alamiah, nyeri saat melahirkan terjadi karena proses dilatasi serviks dan hipoksia otot uterus saat kontraksi. Ketidaknyamanan dan nyeri yang dirasakan selama proses persalinan dapat menjadi penyebab memanjangnya lama kala I. Terapi non farmakologi dapat digunakan untuk mengurangi nyeri persalinan salah satunya adalah teknik kneading. Penelitian ini bertujuan untuk menganalisis perbedaan tingkat nyeri sebelum dan sesudah diberikan teknik kneading, dan perbedaan lama kala I setelah diberikan teknik kneading dengan teori lama kala I. Penelitian ini menggunakan rancangan penelitian quasy experiment Pretest-Posttest one group Design. Penelitian ini dilakukan pada tanggal 18 Juni sampai dengan 10 Juli 2016 di UPTD Puskesmas Bancak Kabupaten Semarang dengan jumlah sampel sebanyak 16. Hasil uji ststistik Paired Samples t Test diperoleh p value sebesar 0.000, sehingga disimpulkan ada perbedaan tingkat nyeri sebelum dan sesudah diberikan teknik kneading terhadap tingkat nyeri ibu bersalin kala I dan rata-rata lama kala I setelah diberikan teknik kneading selama 4 jam 32 menit atau kurang dari 6 jam. Penerapan teknik kneading merupakan salah satu terapi non farmakologis mandiri keperawatan dalam memberikan perawatan dasar pertolongan persalinan Rekomendasi dari penelitian ini agar perawat dapat memberikan Asuhan Keperawatan mandiri dengan memberikan massage teknik kneading untuk managemen nyeri persalinan dan mencegah partus lama.Kata kunci : Nyeri persalinan, lama kala I, Teknik KneadingKNEADING TECHNIQUES REDUCE LEVEL OF PAIN LABOR MOTHER MATERNITY ACTIVE IN STAGE I PHASE IN SEMARANGABSTRACTPain during labor is a physiologic process, pain of childbirth occurs due to the process of cervix dilatation and hypoxia of uterus muscle during contraction. Causing the prolonged labor is discomfort and pain felt by women along with the progress of labor. Non-pharmacological therapy can be used to reduce pain during labor as massage such as kneading technique. This study aims to analyze the difference pain level before and after giving kneading technique and the difference of duration on the first stage after giving kneading technique with the theory of first stage duration. This research was quasy experimental with pretest-posttest one group design. The research was conducted on 18 Juny to10 July 2016 at UPTD Puskesmas Bancak Kabupaten Semarang with 16 samples. From the Paired Samples t Test this research showed p 0.000 so, there is any difference pain level on the pretest and posttest at the first stage of labor toward parturients and duration of first stage after giving kneading technique showed mean 4 hour 32 minutes or faster that theory of first stage duration. Kneading technique is one of non-pharmacological therapy as independent nursing care in providing basic care at childbirth aid delivery. Recommendation from this research may nurses using kneading technique to manage pain and avoid prolonged first stage in labor as care giver.Keywords : Pain labor, first stage duration, kneading technique
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Nuryanti, Yayuk, Wenny Artanty Nisman, and Risanto Siswosudarmo. "MANFAAT LATIHAN RELAKSASI HYPNOBIRTHING PADA PROSES PERSALINAN KALA I." Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) 1, no. 3 (March 16, 2017): 200. http://dx.doi.org/10.32419/jppni.v1i3.30.
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ABSTRAKPendahuluan: Hypnobirthing merupakan salah satu teknik autohipnosis yang merupakan bagiandari tindakan mandiri perawat untuk menyiapkan proses persalinan dalam mengurangi kecemasandan nyeri persalinan. Tujuan penelitian: untuk mengetahui perbedaan nyeri persalinan dan lamapersalinan kala I antara kelompok ibu hamil yang dilatih relaksasi hypnobirthing dengan yang tidakdilatih. Metode: desain penelitian secara quasi eksperimen, sampel diambil secara consecutivesejumlah 82 orang di 4 BPM Kabupaten Klaten. Data dianalisis dengan uji chi square dan regresilogistik. Hasil penelitian didapatkan perbedaan persentase antara kelompok perlakuan dengankelompok kontrol, untuk rasa tidak nyeri perbedaan 23% dengan RR 2,94 (95% CI 1,17–7,41) p= 0,013. Pada kala I tidak lama perbedaan 19% dengan RR 1,26 (95% CI 1,01–1,57) p = 0,035.Hasil ini menunjukkan kemungkinan tidak nyeri hampir 3 kali dan kemungkinan kala I tidak lamahampir 1,5 kali pada kelompok perlakuan. Analisis regresi logistik menunjukkan bahwa relaksasihypnobirthing dan multiparitas memberi efek yang signifi kan untuk mengurangi nyeri persalinan danmempersingkat lama kala I. Kesimpulan: Latihan relaksasi hypnobirthing memberi manfaat untukmengurangi nyeri persalinan dan memperpendek lama kala I pada proses persalinan normal. Saran:Hypnobirthing perlu diberikan kepada ibu hamil sebagai bagian dari perawatan kehamilanuntuk menyiapkan psikologis ibu dalam menghadapi persalinan. Untuk pengembangan penelitianselanjutnya, perlu ditambahkan faktor-faktor yang memengaruhi nyeri persalinan.Kata Kunci: hypnobirthing, persalinan, nyeri persalinan, persalinan kala I.BENEFITS OF HYPNOBIRTHING EXERCISE IN THE FIRST STAGE OF LABORABSTRACTIntroduction: Hypnobirthing is a technique of autohypnosis which is a part of self-nursing care toprepare a more comfortable labor process. Objective: To identify difference in labor pain, durationof the fi rst stage of labor between pregnant mothers trained with hypnobirthing and those whowere not trained. Methods: This study employed a quasi experimental design involving 4 privatemidwives in Klaten Regency. Samples were 82 mothers taken consecutively. Data were statisticallyanalyzed using Chi square-test and logistic regression. Results: There were differences betweenthe treatment group and the control group. The difference in feeling no pain was 23% with RR of2.94 (95% CI 1.17-7.41) p=0.013; the difference in the short duration of the fi rst stage of labor was19% with RR of 1.26 (95% CI 1.01-1.57) p=0.035. The results indicated that the probability of feelingno pain was almost three times and the probability of short duration of the fi rst stage of labor wasone and a half times in the treatment group. The logistic regression showed that hypnobirthing andmultiparity had a signifi cant effect on reducing pain during labor process and shorthening durationof the fi rst stage of labor. Conclusion: Hypnobirthing exercise was bene fi cial in reducing pain andshorthening duration of the fi rst stage of labor process. Suggestion: Hypnobirthing should be givento pregnant women as part of prenatal care for psychological condition of mothers in facing the labor.Further research needs to be include factors that affect pain labor.Keywords: hypnobirthing, labor process, pain labor, fi rst stage of labor
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Malita Sari, Marlynda Happy Nur, and Anis Alina Ramadhani. "Kompres Air Hangat dalam Mengurangi Nyeri Persalinan Kala I." Jurnal Kebidanan Harapan Ibu Pekalongan 7, no. 2 (August 31, 2020): 85–91. http://dx.doi.org/10.37402/jurbidhip.vol7.iss2.94.
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Every prespective mother has different intensity and level of pain during a labor. The greatest pain happens in the end of the first phase on servix opening, contraction and maximum uterus. Labor pain causes an uncomfortable feeling during labor process. There are many ways to resolve the pain, but the most effective way have not found yet. The purpose of this research is to measure the warm water compresses efectivity in resolving labor pain on the first phase. Design research with quasi experiment. The sample of this research are 28 giving birth mothers on the first active phase. The study was conducted by compressing warm water on the mother's back for 20 minutes by measuring pain scale. The results showed that mothers who entered labor in the first active phase had pain with a mean of 3.28 higher than mothers after warm water compresses with a mean of 1.54. The results of the dependent T-test analysis is P-value 0.0001 (P <0.05). There is a significant difference in pain of mothers entering labor on the first active phase before being given warm water compresses than after being given warm water compresses.
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Rahmawati, Wiwin Renny, Siti Arifah, and Anita Widiastuti. "Pengaruh Pijat Punggung terhadap Adaptasi Nyeri Persalinan Fase Aktif Lama Kala II dan Perdarahan Persalinan pada Primigravida." Kesmas: National Public Health Journal 8, no. 5 (December 1, 2013): 204. http://dx.doi.org/10.21109/kesmas.v8i5.385.
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Rasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk mengetahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu memberikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan dengan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pijat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama persalinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001.Severe labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and observation was conducted. The intervention group result was compared to control. Ratio scale was used. Subject of this research was 40 person. After analizing data by man Whitney test, here are the influence of back massage toward the decrease of pain labour in active fase, lenght of labour kala II and labour bleeding in primigravida with p value= 0.001.
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Santoso, Teguh. "Kontrastivitas Aspek-Kala Makna Verba Tsukeru dan Kakeru dengan Makna Verba Menggunakan dan Memakai dalam Bahasa Indonesia." PHILOSOPHICA Jurnal Bahasa, Sastra, dan Budaya 1, no. 1 (December 5, 2018): 25. http://dx.doi.org/10.35473/po.v1i1.77.
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Penelitian ini membahas tentang perbedaan dan persamaan aspek dan kala makna verba tsukeru dan kakeru dengan makna verba memakai dalam bahasa Indonesia. Tujuan penelitian ini adalah bertujuan untuk memperoleh deskripsi mengenai perbedaan dan persamaaan bentuk kala dan aspek dalam verba tsukeru dan kakeru dalam bahasa Jepang dengan makna verba menggunakan dan memakai padanan verba tsukeru dan kakeru dalam bahasa Indonesia. Dalam penelitian ini, menggunakan metode kualitatif, dengan teknik pengkajian data menggunakan metode padan dengan menggunakan teknik pendekatan linguistik kontrastif, disebut juga linguistik bandingan yang bertujuan untuk mendeskripsikan persamaan dan perbedaan dua bahasa yang berbeda. Pendeskripsian persamaan dan perbedaan tersebut akan bermanfaat untuk pengajaran kedua bahasa, sebagai bahasa kedua (bahasa asing). Hasil dari penelitian ini menunjukkan konteks yang menyatakan deiksisnya apakah menggunakan penanda waktu sekarang, hari ini, baru-baru ini atau kata keterangan sedang sebagai penanda waktu kala kini/sekarang/sedang berlangsung, apakah akan menggunakan penanda waktu kemarin, dulu/dahulu, tadi pagi, atau kata keterangan telah/sudah sebagai penanda kala lampau (past tense)nya tergantung pada data yang diperolehnya. Selanjutnya, dari segi aspek verba memakai termasuk aspek imperfektif (kognitif, kontinuatif, duratif progresif atau berulang-ulang dan terus berlanjut.
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Wijayanti, Yoga Tri, Sumiyati Sumiyati, and Prasetyowati Prasetyowati. "Kecemasan, Usia, Paritas dan Nyeri Persalinan Kala I Aktif." Jurnal Kesehatan Metro Sai Wawai 12, no. 2 (December 30, 2019): 47. http://dx.doi.org/10.26630/jkm.v12i2.2141.
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<p><strong>Latar belakang:</strong> Nyeri persalinan merupakan kombinasi nyeri fisik akibat kontraksi miometrium disertai regangan segmen bawah rahim yang menyatu dengan kondisi psikologis ibu selama persalinan. Nyeri persalinan yang tidak diatasi menyebabkan partus lama dan asfiksia pada janin. <strong>Tujuan:</strong> Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan nyeri persalinan. <strong></strong></p><p><strong>Metode:</strong> Rancangan penelitian menggunakan studi <em>cross sectional</em><em>. </em>Sampel berjumlah 32 responden dan diambil dengan teknik<em> </em><em>purposive sampling. </em>Variabel independen meliputi kecemasan, usia dan paritas, sedangkan variabel dependen nyeri persalinan. Pengumpulan data menggunakan alat kuesioner, <em>Zung Self-Rating Anxiety Scales </em>(ZSAC) untuk mengukur kecemasan dan lembar observasi <em>Numeric Rating Scale</em> (NRS) (skala 0-10) untuk nyeri persalinan. Analisis bivariat menggunakan uji <em>chi square</em>. <strong></strong></p><p><strong>Hasil:</strong> Hasil penelitian menunjukkan terdapat 43,75% ibu bersalin merasakan kecemasan menghadapi persalinan. Studi memperoleh hasil ada hubungan kecemasan dengan nyeri persalinan kala I (<em>p</em> = 0,017; POR 7,5 CI 95%: 1,3-43,7). <strong></strong></p><p><strong>Simpulan</strong>: Kecemasan pada ibu bersalin meningkatkan persepsi nyeri persalinan kala I. Perlu upaya penurunan atau menghilangkan kecemasan pada ibu bersalin dengan diberikan dukungan oleh keluarga atau Bidan dan pemahaman cara merespon nyeri.</p><p><strong><em>Background:</em></strong><em> Labor pain is a combination of physical pain due to myometrial contraction accompanied by a stretch of the lower uterine segment that integrates with the psychological condition of the mother during labor. Untreated labor pain causes prolonged labor and asphyxia in the fetus. </em><strong><em>Purpose</em></strong><strong><em>:</em></strong><em> The purpose of this study was to determine factors associated with labor pain. </em><strong><em></em></strong></p><p><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em>:</em></strong><em> The study design used a cross-sectional study. The sample consisted of 32 respondents and was taken by purposive sampling technique. The independent variables include anxiety, age, and parity, while the dependent variable is labor pain. Data collection using a questionnaire tool, Zung Self-Rating Anxiety Scales (ZSAC) to measure anxiety and observation sheet Numeric Rating Scale (NRS) (scale 0-10) for labor pain. Bivariate analysis using the chi-square test. </em><strong><em></em></strong></p><p><strong><em>Results:</em></strong><em> The results showed that 43.75% of mothers felt anxiety facing labor. The study found an association of anxiety with first stage labor pain (p = 0.017</em><em>; CI 95%: 1,3-43,7</em><em>). </em><strong><em></em></strong></p><p><strong><em>Conclusion:</em></strong><em> Anxiety in labor increases the perception of labor pain in the first stage. It is necessary to reduce or eliminate anxiety in labor by giving support from the family or midwife and understanding how to respond to pain.</em></p>
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Suyani, Suyani. "Pengaruh kompres hangat terhadap intensitas nyeri persalinan kala I fase aktif." Jurnal Kebidanan 9, no. 1 (February 21, 2020): 39. http://dx.doi.org/10.26714/jk.9.1.2020.39-44.
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Pain is an integral part of labor and childbirth which is normal due to physiological and psychological factors. Labor pain can affect uterine contractions through secretion of catecholamine and cortisol levels which increase sympathetic nervous system activity, changes in blood pressure, heart rate, breathing, and consequently affect labor duration. This study aims to determine the effect of warm compresses on the intensity of labor in the first phase of active labor. The design of this study was quasi-experimental with one group pre-test and post-test design. The population in this study were all labor women at BPM Tri Rahayu Setyaningsih Sleman, with incidental sampling techniques and 18 samples were obtained. A compress was carried out in the lower abdomen using hot bladders. Data analysis using Paired T test. Based on the research results obtained, the mean pain score before treatment was 8.66 and the mean pain score after treatment was 5.83. The results of statistical analysis of different pain intensity tests before and after treatment showed a significant difference (p = 0,000; 95% CI -3,352 - (- 2,314). This shows that warm compresses can reduce the intensity of pain in labor during the active phase. warmth can be used as one way to reduce the intensity of labor pain
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Puspitasari, Lina. "EFEKTIFITAS TEKNIK EFFLEURAGE DAN COUNTER PRESSURE VERTEBRA SACRALIS TERHADAP PENURUNAN NYERI PERSALINAN KALA I." Jurnal Kebidanan 12, no. 01 (June 14, 2020): 46. http://dx.doi.org/10.35872/jurkeb.v12i01.364.
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ABSTRAKNyeri persalinan merupakan suatu yang tidak bisa dipisahkan dari proses persalinan. Hal ini terjadi akibat peningkatan kontraksi uterus yang membuat janin turun memasuki ruang pelvis dan terus meningkat sampai dengan pembukaan serviks lengkap. Nyeri yang tidak ditangani segera dalam waktu lama dapat mengakibatkan kelelahan pada ibu dan stres yang meningkat dapat mengakibatkan rasa sakit yang semakin kuat dan berdampak pada persalinan lama Tujuan penelitian ini adalah untuk mengetahui efektifitas teknik effleurage dan counter pressure vertebra sacralis terhadap penurunan nyeri persalinan Kala I. Metode penelitian ini adalah eksperimen semu jenis one group without control design. Populasi penelitian sebanyak 142 ibu bersalin selama 3 bulan. Teknik pengambilan sampel dengan cara purposive sampling sebanyak 30 responden. Teknik Effleurage dan Counter Pressure Vertebra Sacralis diberikan kepada pasien oleh peneliti bersama dengan satu bidan sebagai enumerator secara bergantian dengan lama masing-masing 30 menit. Nyeri diukur dengan menggunakan lembar skala nyeri sebelum (pre test) dan sesudah tindakan (post test) oleh peneliti. Efek dari perlakukan terhadap nyeri persalinan dianalisis menggunakan Paired T-test dengan SPSS analisis pre post test. Hasil analisis data diperoleh nilai mean intesitas nyeri sebelum dan sesudah perlakuan, responden mengalami penurunan menjadi (1.45). Hasil uji one sample T-test menunjukkan bahwa keknik Effleurage dan Counter Pressure Vertebra Sacralis efektif menurunkan nyeri pada kala I persalinan dengan nilai sig 0.001 (t-hitung 11.22). Simpulan teknik effleurage dan counter pressure vertebra sacralis terbukti berdampak terhadap pengurangan nyeri persalinan Kala I. Diharapkan ada penelitian lebih lanjut terkait faktor-faktor yang mempengaruhi nyeri persalinan kala I sehingga dapat meningkatkan kualitas asuhan kebidanan. Kata kunci : Effleurage, Pressure, Sacralis, Nyeri, Persalinan EFFECTIVENESS OF TECHNIQUE OF EFFLEURAGE AND COUNTER PRESSURE VERTEBRA SACRALIS TO DECREASED LABOR PAINSABSTRACTLabor pain is an inseparable process of childbirth. This occurs due to an increase in uterine contractions that make the fetus fall into the pelvic chamber and continue to increase up to complete cervical opening. Pain that is not treated immediately for a long time can lead to fatigue in the mother and increased stress can lead to stronger pain and impact on old Labor The purpose of this research is to find out the effectiveness of the technique of effleurage and counter pressure vertebrae sacralis to decreased labor pain The study population of 142 maternity mothers for 3 months. The sampling technique by purposive sampling as many as 30 respondents. The Effleurage and Counter Pressure vertebrae Sacralis techniques are administered to patients by researchers along with one midwives as an enumerator alternately with a length of 30 minutes each. Pain is measured using the pain scale before (pre test) and after the action (post test) by the researcher. The effects of the treat against labor pains were analyzed using the Paired T-test with SPSS pre post test analysis. Data analysis results obtained the value of pain varying before and after treatment, the respondent decreased into (1.45). The T-Test one sample test results showed that the Effleurage and Counter Pressure Vertebra Sacralis were effective in reducing the pain at the time I was delivery with a value of sig 0.001 (T-count 11.22). The technique of effleurage and counter pressure vertebrae sacralis proved to affect the reduction of childbirth pain Kala I. It is hoped that more research is related to the factors that affect labor pain so that it can improve the quality of obstetric care. Keywords: Effleurage, Pressure, Sacralis, pain, childbirth
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Astuti, Lestari Puji, Arista Adityasari Putri, and Kuminah . "EFEKTIFITAS RELAKSASI HYPNOBIRTHING TERHADAP PENURUNAN TINGKAT NYERI DAN KESTABILAN TEKANAN DARAH PADA PERSALINAN KALA I." Jurnal Kebidanan 11, no. 01 (July 8, 2019): 76. http://dx.doi.org/10.35872/jurkeb.v11i01.332.
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Lestari Puji Astuti1), Arista Adityasari Putri2),, Kuminah 3)1), 3) Program Studi SarjanaTerapan Kebidanan STIKes Karya Husada Semarang(2) Program Studi S1 Keperawatan STIKes Karya Husada SemarangE-mail: tari.stikeskh@gmail.comABSTRAKLatar Belakang : Nyeri selama persalinan menyebabkan penderitaan dan stres serta peningkatan tekanan darah, peningkatan denyut nadi, pernafasan, keringat, diameter pupil dan meningkatkan ketegangan otot. Tujuan penelitian ini adalah mengetahui efektifitas relaksasi hypnobirthing terhadap tingkat nyeri dan tekanan darah pada persalinan kala I: Metode penelitian menggunakan quasi eksperimental design rancangan post test only control group. Sampel sebanyak 34 ibu bersalin dengan 17 kelompok perlakuan dan 17 kelompok kontrol pengambilan sampel dengan teknik Accidental Sampling. Analisis menggunakan Mann-Whitney Test. Hasil: Persalinan kala I dilakukan relaksasi hypnobirthing memiliki tingkat nyeri terendah 0 dan tertinggi 3, memiliki tekanan darah systole terendah 105mmHg tertinggi 127,9mmHg, dan diastole terendah 70mmHg tertinggi 90mmHg. Ibu bersalin pada kala I tidak dilakukan relaksasi hypnobirthing sebagian besar mengalami tingkat nyeri terendah 0 dan tertinggi 6, memiliki tekanan darah systole terendah 110mmHg, tertinggi 145mmHg dan diastole terendah 80mmHg, tertinggi 90mmHg. Kesimpulan:Relaksasi hypnobirting efektif terhadap penurunan tingkat nyeri pada persalinan kala I (p value 0,001 < 0,05) dan efektif terhadap kestabilan tekanan darah pada persalinan kala I (p value systole 0,014 < 0,05dan p-valuediastole 0,000<0,05). Saran : bidan diharapkan meningkatkan kualitas asuhan pada ibu bersalin dengan kemampuan hypnobirting yang terbukti efektif dalam pengurangan nyeri persalinan dan menjaga kestabilan tekanan daran ibu bersalin.Kata Kunci: Relaksasi hypnobirthing, nyeri, tekanan darahTHE EFFECTIVENESS OF HYPNOBIRTHING RELAXATION ON DECREASE IN PAIN AND BLOOD PRESSURE STABILITY ON LABOR INABSTRACTBackground: Pain during chilbirth cause suffering and stress as well as increased blood pressure, increased pulse, respiration, sweat, pupil diameter and increased muscle tension. The purpose of This research was knowing the effectiveness of hypnobirthing relaxation to level of pain and blood pressure on first stage of birthing. Research Method : Research method used quosi experimental design with post test only with control group. Samples were 34 maternal mother, taking sample with technique Accidental Sampling. Analysis used Mann-Whitney Test Results: The first stage of birthing did hypnobirthing relaxation have level pain lowest 0 and highest 3, have blood pressure the lowest systole was 105mmHg, the highest was 127.9mmHg, and the lowest diastole was 70mmHg, the highest was 90mmHg. The first stage of birthing did not do hypnobirthing relaxation most of the level pain lowest 0 and the highest 6, have blood pressure the lowest systole was 110mmHg, the highest was 145mmHg and the lowest was 80mmHg, the highest was 90mmHg. Conclusion: hypnobirthing effective to reduce of pain in first stage of labor at the Gunungwungkal District Health Centre (p-value 0.0 01 <0.05) and effective to maintain of bood pressure in normal condition during first stage of labor at Gunungwungkal District Health Centre (p-value systole 0.0 14 <0.05 and p-value diastole 0,000 <0.05). Suggest : midwives are expected to improve the quality of care for mothers with hypnobirting abilities that are proven effective in reducing labor pain and maintaining stable blood pressure from the mother. Keywords: Blood pressure, hypnobirthing relaxation, pain
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Magfirah, Magfirah, and Idwar Idwar. "METODE MASSAGE EFFLEURAGE TERHADAP INTENSITAS NYERI PADA PERSALINAN KALA I." Jurnal Kebidanan Malahayati 6, no. 4 (October 26, 2020): 481. http://dx.doi.org/10.33024/jkm.v6i4.3009.
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ABSTRACT Background: Pain during childbirth is a physiological condition that is generally experienced by almost all women who give birth. This pain is a subjective experience caused by ischemia of the uterine muscle, traction of the uterine ligament, traction of the ovaries, fallopian tubes, distension of the lower part of the uterus, pelvic floor muscles and perineum. One of the non- pharmacological methods in the form of skin stimulation that can reduce labor pain and cause a relaxing effect is massage effleurage.Objective: To determine the effect of massage effleurage treatment on the intensity of pain during first stage labor in the Rantau Community Health Center, Aceh Tamiang Regency.Method: This research is a quasi experiment with a post test to control group design approach only. The sample were mothers who gave birth to the first stage of 4-8 cm opening. The number of samples was 16 respondents (8 for the treatment and 8 for the control group). The sampling technique was done by means of purposive sampling. While the data analysis used was univariate (frequency distribution) and bivariate (Independent T-Test).Results: Independent sample T-test results, in the treatment group effleurage massage treatment obtained an average value of 4.00 and control group 6.25 obtained p value of 0.031 (p≤0.05). There is a significant difference in the average intensity of stage I labor pain between the treatment group and the control group.Conclusion: There is an effect of the effleurage massage method on the intensity of the first stage labor pain. Suggestions are expected for further research to compare the two non- pharmacological methods to the intensity of scildbirth pain during the 1st stage. Keywords: Massage Flexure, Pain Intensity, and Labor Period. ABSTRAK Latar Belakang: Nyeri saat persalinan merupakan kondisi fisiologis yang secara umum dialami oleh hampir semua ibu bersalin. Nyeri persalinan merupakan sebuah pengalaman subjektif disebabkan oleh iskemik otot uteri, penarikan traksi ligament uteri, traksi ovarium, tuba fallopi, distensi bagian bawah uteri, otot dasar panggul dan perineum. Salah satu metode non farmakologi dalam bentuk stimulasi kulit yang dapat menurunkan nyeri persalinan, menimbulkan efek relaksasi adalah Massage effleurage.Tujuan : Untuk mengetahui pengaruh metode massage effleurage terhadap intensitas nyeri persalinan kala I di wilayah kerja Puskesmas Rantau Kabupaten Aceh Tamiang.Metode: Jenis penelitian quasi experiment, dengan pendekatan post test only control group design. Sampel dalam penelitian ini adalah ibu bersalin kala I pembukaan 4-8 cm. Jumlah sampel sebanyak 16 responden (masing-masing 8 responden untuk kelompok perlakuan dan kontrol). Teknik pengambilan sampel dilakukan dengan cara purposive sampling. Analisa data yang digunakan adalah univariat (distribusi frekuensi) dan bivariat (Uji Independet T-Test).Hasil: Hasil uji Independen Sampel T-test, pada kelompok perlakuan metode massage effleurage didapatkan nilai rata-rata 4,00 dan kelompok kontrol 6,25 diperoleh nilai p sebesar 0,031 (p≤0.05). Hal tersebut terdapat perbedaan signifikan rata-rata intensitas nyeri persalinan kala I antara kelompok perlakuan dan kontrol.Kesimpulan: Terdapat pengaruh metode massage effleurage terhadap intensitas nyeri persalinan kala I . Saran diharapkan penelitian lanjutan membandingkan dua metode non farmakologi terhadap intensitas nyeri persalinan kala I.Saran diharapkan untuk penelitian lebih lanjut untuk membandingkan dua metode non-farmakologis dengan intensitas nyeri scildbirth selama tahap pertama. Kata Kunci: Massage effleurage, Intensitas Nyeri, Persalinan
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Ariani, Deby Utami Siska, and Dewi Suryanti. "MASASE PUNGGUNG TERHADAP PENURUNAN NYERI PERSALINAN FISIOLOGIS KALA I FASE AKTIF." Jurnal Kebidanan Malahayati 7, no. 3 (July 31, 2021): 441–52. http://dx.doi.org/10.33024/jkm.v7i3.4276.
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Background: Pain in the process of persuasion begins since the occurrence of uterine contractions and complete cervical opening which is devided into two phases, namely the latent phase and the active phase. The International Association for Study of Pain, defines pain as a subjective sensory and unpleasant emotional experience associated with actual or potential tissue damage or perceived in events where damage occurs. Purpose: to determine the effect of back massage on the decrease in pain physiological labor pain during the active phase at the Husniyati Palembang Midwife Practice. Methods: The research design was pre-experimental design with one group pre test - post test design. The population in this study were all mothers who would give birth during the first stage of the active phase at the Husniyati Independent Practice Midwives. The research sample is the total population, namely 35 people. The research variables included independent variables, namely back massage and the dependent variable, namely labor pain. Results: 20 respondents (57.1%) who experienced moderate pain experienced pain scale description before giving back massage. After being given back massage, the pain scale decreased from 35 respondents who experienced mild pain totaling 23 respondents (65.7%). The results of the Wilcoxon statistical test showed that the value of p = 0.000, it can be concluded that there is a significant difference in the pain scale of mothers who are about to give birth during the 1st stage of the active phase before and after being given back massage. Conclusion: There is a significant difference in the pain scale of mothers who are about to give birth during the first stage of the active phase before and after being given back massage at the Husniyati Palembang Midwife Practice.Suggestion The results of this study can be used as information for further research using more varied variables and different designs. And can also be done on a larger number of samples. Keywords: labor pain, first stage active phase and back massage ABSTRAK Latar belakang: Nyeri pada proses persalinan dimulai sejak terjadinya kontraksi uterus dan pembukaan servik lengkap yang dibagi dua fase, yaitu fase laten dan fase aktif. International Association for Study of Pain, mendefinisikan nyeri sebagai suatu sensori subjektif dan pengalaman emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan yang bersifat aktual atau potensial atau yang dirasakan dalam kejadian-kejadian dimana terjadi kerusakan.Tujuan: untuk mengetahui pengaruh masase punggung terhadap penurunan nyeri persalinan fisiologis kala 1 fase aktif di Bidan Praktek Mandiri Husniyati Palembang.Metode: Rancangan penelitian dengan desain Pra Eksperimental dengan rancangan one group pre test - post test. Pengumpulan data didapat melalui wawancara langsung dan observasi pada responden dibantu dengan menggunakan angket. Populasi dalam penelitian ini seluruh ibu yang akan melahirkan pada kala I fase aktif di Bidan Praktek Mandiri Husniyati. Sampel penelitian merupakan total populasi yaitu berjum,ah 35 orang. Variabel penelitian, variabel independen yaitu masase punggung serta variabel dependen yaitu nyeri persalinan. Analisis yang digunakan adalah univariat dan bivariate. Uji Statistik yang digunakan yaitu non parametric Wilcoxon.Hasil: gambaran skala nyeri sebelum diberikan masase punggung dari 35 responden yang mengalami nyeri sedang berjumlah 20 responden (57,1%). setelah diberikan masase punggung skala nyeri menjadi menurun dari 35 responden yang mengalami nyeri ringan berjumlah 23 responden (65,7 %). Hasil uji statistik wilcoxon didapatkan nilai p = 0,000, maka dapat disimpulkan ada perbedaan yang signifikan skala nyeri pada ibu yang akan melahirkan pada kala 1 fase aktif sebelum dan sesudah diberikan masase punggung.Kesimpulan: ada perbedaan yang signifikan skala nyeri pada ibu yang akan melahirkan pada kala 1 fase aktif sebelum dan sesudah diberikan masase punggung di Bidan Praktek Mandiri Husniyati.Saran Hasil penelitian ini dapat dijadikan informasi untuk penelitian lebih lanjut dengan menggunakan variable yang lebih bervariasi dan desain yang berbeda. Dan juga dapat dilakukan pada jumlah sampel yang lebih banyak. Kata Kunci : Nyeri persalinan, kala I Fase aktif dan masase punggung
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Jayanti, Nicky Danur. "PEMBERIAN TERAPI CERMIN DALAM PENURUNAN INTENSITAS NYERI PADA IBU INPARTU KALA II." Jurnal Ilmiah Kesehatan Media Husada 2, no. 1 (September 12, 2013): 29–34. http://dx.doi.org/10.33475/jikmh.v2i1.100.
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In this era a lot about the world of medical research scientist with mirror therapy. This therapy can be used as a way to reduce the pain, as if the brain can predict patient back to health and recovery from illness. While in the case of childbirth mirror therapy was able to show the real state of the baby's position visually in women who are doing labor that affect the growth of maternal motivation in making an effort to push aside the pain. Measurements conducted on 20 mothers pain when the second stage, when the mother was taught to push 5 times the mother is not able to properly push past the pain scale assessment after mirror therapy treatment is done with mirrors placed with the length and width of 10 cm. After that led her to see the state of the baby until the mother found the concentration point and will reach very high concentrations and the mother's mind is influenced by the image of the mirror so she has a very strong suggestion. Results before the mirror therapy is given is 18 respondents (90%) with severe pain, whereas pain was only 2 respondents (10%). Having given moderate pain mirror therapy there were 16 respondents (20%), whereas severe pain a 4 respondents (20%). The data obtained were statistically analyzed by paired t test T-test using SPSS. Mirror therapy proven to be effective in reducing labor pain on stage II.
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Sitorus, Juli, Ova Emilia, and Detty Siti Nurdiati. "Pengaruh Pemberian Parasetamol Intravena untuk Mengurangi Nyeri Persalinan Kala 1 Fase Aktif." Jurnal Kesehatan Reproduksi 7, no. 1 (May 14, 2020): 6. http://dx.doi.org/10.22146/jkr.53482.
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Background: Labor was a physiological process, labor pain appeared from regularly uterine contraction, cervix distention and pressure to pelvic floor that stimulate free end nerves. Pain labor can influenced the mother, fetus and the progress of labor. There are various of effort to decrease pain labor by pharmacological or non pharmacological. The best therapy must be safe, effective, and minimal adverse effect to mother and fetus.Objective: To evaluate the effect of paracetamol intraveneous for pain relief in active labor versus saline water.Methods: In randomized controlled trial, with single blinded, 66 primigravid in active labor at RSUD Hj. ANNA LASMANAH Banjarnegara and RSUD Banyumas from November 2016 to January 2017. Sampels divided in two groups, paracetamol group (n=33) and normal saline group (n=33). The primary outcome was the efficacy of paracetamol to relief pain. Intensity of the pain measure by VAS (visual analogue scale), pain measured before drug administration, after 30 minutes, at 1, 2, 3, and 4 hours in both groups. The secondary outcomes include the adverse effect to the mother and baby in both group.Results: The reduction in pain score was significantly greater in paracetamol group than normal saline after 30 minutes, 1, 2, 3, and 4 hours after adiministration of the drug (p<0.05). There was no adverse effect to mother and baby in both groups.Conclusion: Paracetamol intravenous statistically significant decreasing mean pain score than normal saline and safe in active labor.Keywords: Paracetamol, analgesia, active phase in labor
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Manurung, Melva, and Rachel Natalia. "EFEKTIVITAS PENGARUH TEKNIK RELAKSASI DAN COUNTERPRESSURE TERHADAP PENURUNAN INTENSITAS NYERI SELAMA PERSALINAN KALA I DI KLINIK NURSANI KECAMATAN SIGUMPAR KABUPATEN TOBA SAMOSIR TAHUN 2020." Indonesian Trust Health Journal 4, no. 1 (April 30, 2021): 409–16. http://dx.doi.org/10.37104/ithj.v4i1.69.
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Pain during labor differs from other types of pain because it is part of the normal process that is experienced during childbirth. Women have time to prepare and limit their own pain. To manage pain, pharmacological and nonpharmacological management are used. Pharmacological action is still conflicting because the administration of drugs during labor can cross the placental barrier so that it can affect the baby. Therefore, a non-pharmacological method of controlling pain is very important, this method can help overcome pain and does not harm the mother or fetus, does not delay labor if adequate pain control is provided, and does not have allergic effects and drug effects. This study aims to analyze the effectiveness of the technique. relaxation and counterpressure to reduce pain intensity during first stage labor at the Nursani Clinic, Sigumpar District, Toba Samosir Regency in 2020. The design used in this study was the design used in this study was a quasy experimental type One group pretest-posttest consisting of 3 groups and each -Each group was given different interventions, the population in this study were mothers who gave birth to stage I with vaginal delivery at the Nursani Clinic, Sigumpar District, Toba Samosir Regency using accidental sampling. The instrument used was a questionnaire of demographic data and maternal pain intensity based on the pain intensity scale before and after the intervention significantly differed (p <0.05) for each intervention group, so it can be stated that the implementation of each intervention was significantly effective. the decrease in pain intensity during the first stage of labor in each intervention group. The decrease in maternal pain intensity during the first stage of labor between groups 1, 2 and 3 was significantly different (p <0.05), so it can be said that the effectiveness of the three interventions on reducing pain intensity. measures taken to reduce the intensity of pain during labor, especially the first stage, is to encourage the mother to continue to be able to relax during labor and for the partner or mother's companion to perform counterpressure techniques.
Abstrak
Nyeri selama proses persalinan berbeda dari nyeri tipe yang lain karena hal tersebut merupakan bagian dari suatu proses normal yang dirasakan saat melahirkan. Para wanita mempunyai waktu untuk mempersiapkannya dan membatasi sendiri nyerinya Untuk mengatasi nyeri digunakan manajemen farmakologis dan nonfarmakologis. Tindakan farmakologis masih menimbulkan pertentangan karena pemberian obat selama persalinan dapat menembus sawar plasenta sehingga dapat mempengaruhi bayi. Oleh karena itu metode pengontrolan nyeri secara nonfarmakologi sangat penting, metode ini dapat membantu mengatasi rasa nyeri dan tidak membahayakan ibu maupun janin, tidak memperlambat persalinan jika diberikan kontrol nyeri yang adekuat, dan tidak mempunyai efek alergi dan efek obat Penelitian ini bertujuan untuk menganalisis efektifitas teknik relaksasi dan counterpressure terhadap penurunan intensitas nyeri selama persalinan kala I di Klinik Nursani Kecamatan Sigumpar Kabupaten Toba Samosir Tahun 2020. Desain yang digunakan dalam penelitian ini adalah Desain yang digunakan dalam penelitian adalah quasy eksperimen jenis One group pretest-posttest yang terdiri dari 3 kelompok dan masing-masing kelompok diberikan intervensi yang berbeda, yang menjadi populasi dalam penelitian ini adalah ibu-ibu bersalin kala I dengan partus pervaginam di di Klinik Nursani Kecamatan Sigumpar Kabupaten Toba Samosir dengan menggunakan accidental sampling. Instrumen yang digunakan kuisioner data demografi dan intensitas nyeri ibu bersalin berdasarkan skala intensitas nyeri intensitas nyeri sebelum dan sesudah intervensi berbeda secara signifikan (p < 0.05) untuk masingmasing kelompok intervensi, sehingga dapat dinyatakan bahwa pelaksanaan masing-masing intervensi ternyata cukup efektif secara signifikan terhadap penurunan intensitas nyeri selama persalinan kala I pada setiap kelompok intervensi. penurunan intensitas nyeri ibu bersalin selama persalinan kala I antara kelompok 1, 2 dan 3 adalah berbeda secara signifikan (p< 0.05), sehingga dapat dikatakan bahwa efektifitas ketiga intervensi terhadap penurunan intensitas nyeri. tindakan yang dilakukan untuk menurunkan intensitas nyeri selama persalinan terutama kala I adalah mendorong ibu untuk tetap dapat melakukan relaksasi selama persalinan dan bagi pasangan ataupun pendamping ibu untuk melakukan teknik counterpressure.
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Suyani, Suyani, Mochammad Anwar, and Herlin Fitriana Kurniawati. "Pengaruh massage counterpressure terhadap intensitas nyeri persalinan kala I fase aktif." Jurnal Kebidanan dan Keperawatan Aisyiyah 12, no. 1 (April 30, 2018): 20–28. http://dx.doi.org/10.31101/jkk.125.
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The research is a quasi-experiment with nonequivalent control group design with objective to investigate the effect of counterpressuremassageon the pain intensity of active phase fisrt stage labor. The total population of the research were all of labor mother at Yogyakarta City Primary Health Centre which were taken using purposive sampling technique with 31 sales. The data were analyzed using T-test. According to the research result, the average of the intensity score before and after the treatment to the control group shows zero difference (p= 0,147). The difference comparison of pain intensity in the control and treatment group is significantly different withmean difference 2,097 (p<0,001;95%CI 1665-2,529). This shows that counterpressuremassage is able to reduce the pain intensity compared to the standard treatment. The multivariate test shows that counterpressuremassage mostly decreases pain as much as 2,356 compared to psychosocial assistance.
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Kundarti, Finta Isti, Ira Titisari, and Naning Tri Windarti. "Pengaruh Pijat Aromaterapi Lavender Terhadap Tingkat Nyeri Persalinan Kala I Fase Aktif." Jurnal Ilmu Kesehatan 3, no. 1 (June 13, 2017): 55. http://dx.doi.org/10.32831/jik.v3i1.46.
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Pain in the labor are predisposition for anxiety, hyperventilation, thus causing oxygen requirements and increased blood pressure. Pain in the labor can be reduced by non- pharmacological methods, one of which is using aromatherapy. Lavender as an aromatherapy effect relaxation, pain relief, reduces anxiety and causes calmness. The purpose of this research was to know the effect of lavender massage aromatherapy to the level of the first stage of labor pain in the active phase of first stage labor. The research design used quasi experiment with pre-test post-test with control group design. The population in this research that the whole maternal active phase of the first stage in BPM Blabak’s Community Health Center Kediri Regency. The research time is June 23 until July 19 sampling techniques. The research instrument used scale observation. Statistical tests in this study using the paired t test.The results showed t value (11,000) ; t table (2,262) and P value (0.000) ; α (0.05), then H0 is rejected, which means there is effect of lavender (Lavandula angustifolia) massage aromatherapy to the pain labor level of the active phase in the first stage of labor. So the conclusion of lavender massage aromatherapy down the level of pain in the active phase of the first stage of labor. This method can be applied midwives to help reduce pain during childbirth.; Keywords: Lavender Aromatherapy, Pain, Labor, Massage
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Ridhwan Muhammad Iqbal and Gati Annisa Hayu. "PEMANFAATAN ABU SEKAM PADI 10% DAN LIMBAH KACA SEBAGAI BAHAN SUBSTITUSI PADA CAMPURAN BETON MUTU fc’ 25 MPA." SONDIR 4, no. 2 (October 14, 2020): 6–15. http://dx.doi.org/10.36040/sondir.v4i2.3139.
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Penelitian ini membahas mengenai penggunaan serbuk limbah kaca dari campuran warna botol kaca (kaca bening, kaca coklat, dan kaca hijau) sebagai bahan pengganti agregat halus dan abu sekam padi sebagai bahan pengganti semen pada campuran beton. Penelitian dilakukan dengan membuat mix design beton rencana fc’25 MPa dan dikembangkan pada empat variasi campuran dengan jumlah serbuk limbah kaca 0%, 10%, 20%, dan 30% dengan penggunaan abu sekam padi 10%. Tujuan yang dilakukan pada penelitian ini adalah untuk mengetahui pengaruh bahan substitusi terhadap kuat tekan dan karakteristik beton yang meliputi workability, pola retak, dan lekatan agregat beton. Pengujian kuat tekan dilakukan pada umur 7, 14, dan 28 hari serta pengamatan visual terhadap pola retak dan lekatan agregat dilakukan pada umur 28 hari. Benda uji yang digunakan pada penelitian ini adalah silinder dengan diameter 15 cm dan tinggi 30 cm sebanyak 45 sampel. Dari hasil pengujian kuat tekan, nilai optimum beton variasi terjadi pada campuran serbuk kaca 20% dan abu sekam padi 10%, namun nilai yang dihasilkan masih dibawah beton normal. Penggunaan bahan substitusi juga mempengaruhi terhadap nilai workability beton dan dari pengamatan visual terhadap pola retak dan lekatan agregat pada beton cenderung titik terlemah terjadi pada ikatan antar agregat beton.
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Maryuni, Maryuni. "Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan." Journal of Health Science and Physiotherapy 2, no. 1 (January 23, 2020): 116–22. http://dx.doi.org/10.35893/jhsp.v2i1.42.
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Sebagian besar (90%) persalinan disertai rasa nyeri. Rasa nyeri pada persalinan lazim terjadi dan merupakan proses yang melibatkan proses fisiologis dan psikologis pada ibu. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik ibu bersalin (usia, paritas, pendidikan) dengan tingkat nyeri ibu bersalin kala I fase aktif. Penelitian ini merupakan penelitian kuantitatif metode observational analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu yang bersalin pada kala I fase aktif di Puskesmas Jatinegara pada bulan Juni 2019. Pengambilan sampel dalam penelitian ini menggunakan kuota sampling yaitu sebanyak 50 orang ibu bersalin Kala I Fase Aktif yang datang ke Puskesmas Kecamatan Jatinegara. Penelitian ini menggunakan data primer yang diperoleh langsung dari responden dan data sekunder berasal dari rekam medik pasien. Pengukuran tingkat nyeri persalinan dilakukan dengan menggunakan Universal Pain Assessment Tool. Analisa data dalam penelitian ini menggunakan analisa univariat dan bivariate. Uji statistik yang digunakan adalah uji Chi Square. Hasil Penelitian tidak terdapat hubungan antara usia, paritas, pendidikan, pekerjaan dengan nyeri persalinan, hal ini disebabkan karena nyeri persalinan bersifat subyektif dan dipengaruhi oleh banyak faktor.
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Nurhayati, Sri Mulyani, and Siti Ulfah Nurjanah. "Penurunan Intensitas Nyeri Persalinan Kala 1 Fase Aktif dengan Terapi Murottal Al-Qur’an." Journal of Telenursing (JOTING) 2, no. 1 (May 27, 2020): 21–30. http://dx.doi.org/10.31539/joting.v2i1.1092.
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The purpose of this study was to study how to analyze the intervention of giving marital therapy to decrease the intensity of labor in the first stage of the active phase in the Walnut Room of Pelni Hospital in Jakarta. The type of descriptive research chosen for the investigation to be carried out is a case study. The results of the survey before the administration of marital therapy found that subject I had a chance, pain scale 7 (severe pain), looked anxious, tense, pain disappeared, facial expressions grimaced. While in subject II who initially experienced a pain scale of 6 (moderate pain), looked worried, facial expressions appeared to wince. After the intervention of marital therapy, it was found that subject I had a chance, pain scale 6 (moderate pain). Conclusion, treatment of Murottal AlQuran therapy affects decreasing pain intensity.
Keywords: Murottal Al-Qur'an, Pain, Childbirth
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Cholifah, Siti, Abkar Raden, and Ismarwati Ismarwati. "Pengaruh aromaterapi inhalasi lemon terhadap penurunan nyeri persalinan kala I fase aktif." Jurnal Kebidanan dan Keperawatan Aisyiyah 12, no. 1 (April 30, 2018): 46–53. http://dx.doi.org/10.31101/jkk.124.
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This research to describe the effects of lemon aromatherapy inhalation on the reduction of first stage labor pain in the active phase. The study was a quasi-experimental with pre-test-post-test non equivalent control group design. Mann-Whitney bivariable analysis and linear regression for multivariable analysis. The result of this study was average of labor pain in aromatherapy group was 4.74 + 1.327 wich is lower than control group 5.79 + 1.316. Result of Mann-Whitney test is P 0.001 < 0.05. External variables which influence the labor pain was anxiety with the value of P < 0.05. There is inhaled lemon aromatherapy effect on reducing first stage labor pain in active phase.
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Noviyanti, Noviyanti, Nurdahliana Nurdahliana, Fitri Munadya, and Gustiana Gustiana. "Kebidanan komplementer: Pengurangan nyeri persalinan dengan latihan birth ball." Holistik Jurnal Kesehatan 14, no. 2 (July 27, 2020): 226–31. http://dx.doi.org/10.33024/hjk.v14i2.2876.
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Advantage of birth ball exercises on labour pain managementBackground: Maternal Mortality Rate (MMR) in Indonesia is still high. 2015 Census Survey, MMR ranged from 305 / 100,000 live births. The MMR in Banda Aceh in 2016 was 37 per 100,000 live births. Pain during labour arises as a result of physical and psychological reflexes of the mother. Emotional tension due to anxiety will worsen the perception of pain felt by the mother during labour . Pain that occurs during labour requires proper pain management and this should be a concern for women, families and health workers. Pain labour during the first stage is severe pain that the mother feels in labor for a longer time. Non-pharmacological (Complementary) methods are proven to reduce labor pain, one of which is Birth Ball.Purpose: To analyze the effectiveness of birth ball exercises on labour pain managementMethod: An experimental study with a Pre and Post-Test Control Group Design approach. The population was primigravida first stage active mothers with a sample of 15 participants. The study was conducted at clinic of Midwife Practices in Banda Aceh City. The instrument used in this study was an observation sheet about the intensity of labor pain using the Faces Pain Rating Scale scale.Results: Statistical tests were performed using the Wilcoxon Test and showed that the p value (0.001 <0.05) so it can be concluded that there was a significant difference in the intensity of labour pain before and after Birth Ball exercises.Conclusion: Birth ball exercises is one of the complementary midwifery care which can be implementation easily, cheaply, simply, effectively, and without adverse effects. Birth ball exercises had a significantly reduce labour pain in primigravida mother stage I.Keywords: Advantage; Birth ball exercises; Labour pain; Management Pendahuluan: Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Survei Angka Sensus (Supas) tahun 2015, AKI berkisar 305/100.000 kelahiran hidup. AKI di Kota Banda Aceh pada tahun 2016 adalah 37 per 100.000 kelahiran hidup. Nyeri saat persalinan timbul sebagai akibat reflek fisik dan psikis ibu. Ketegangan emosi akibat rasa cemas akan memperburuk persepsi nyeri yang dirasakan oleh ibu saat melahirkan. Nyeri yang timbul saat persalinan, memerlukan manajemen pengelolaan nyeri yang tepat dan ini hendaknya menjadi perhatian bagi wanita, keluarga dan petugas kesehatan. Nyeri persallinan saat kala I merupakan nyeri berat yang dirasakan ibu bersalin dalam waktu yang lebih lama. Metode non farmakologis (Komplementer) terbukti dapat mengurangi nyeri persalinan salah satunya latihan Birth Ball. Tujuan : Menganalisis efektifitas latihan birth ball pada ibu bersalin kala I terhadap penurunan nyeri persalinan di Praktek Mandiri Bidan (PMB) “EM” di Kota Bada AcehMetode : Penelitian eksperimental dengan pendekatan Pre and Post-Test Control Group Design. Populasinya ibu bersalin primigravida kala I fase aktif dengan jumlah sampel 15 partisipan. Penelitian di lakukan di Praktek Bidan Mandiri (PMB) “EM” di Kota Banda Aceh. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi tentang intensitas nyeri persalinan dengan menggunakan skala Faces Pain Rating Scale.Hasil : Uji statistik dilakukuan dengan menggunakan Uji Wilcoxon didapatkan nilai p-value (0,001<0,05) jadi dapat disimpulkan bahwa terdapat perbedaan yang bermakna pada intensitas nyeri persalinan sebelum dan sesudah diberikan latihan Birth Ball.Simpulan : Latihan Birth Ball adalah salah satu asuhan kebidanan komplementer yang dapat diberikan secara mudah, murah, simple, efektif, dan tanpa efek yang merugikan. Birth Ball secara signifikan dapat menurunkan nyeri persalinan pada ibu primigravida kala I.
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W, Rr Catur Leny, and Machfudloh Machfudloh. "TERAPI ENDORPHIN MASSAGE UNTUK MENURUNKAN INTENSITAS NYERI KALA 1 FASE AKTIF PERSALINAN." Jurnal SMART Kebidanan 4, no. 2 (January 23, 2018): 1. http://dx.doi.org/10.34310/sjkb.v4i2.117.
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ABSTRAK Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid. Endorphin Massage merupakan sebuah terapi sentuhan/pijatan ringan yang cukup penting diberikan pada wanita hamil, di waktu menjelang hingga saatnya melahirkan. Tujuan penelitian adalah mengetahui pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Penelitian ini menggunakan jenis penelitian kuantitatif quasi eksperimental design, dengan rancangan yang digunakan adalah posttest only control group design dengan sampel 30 responden diambil dengan menggunakan teknik Acidental sampling di BPM Wilayah Puskesmas Demak. Data yang digunakan data primer dengan instrument berupa lembar checklist. Analisa data menggunakan uji Spearman Rank. Hasil Penelitian ada pengaruh pemberian Terapi Endorphin Massage terhadap intensitas nyeri kala I fase aktif persalinan yaitu didapatkan hasil p<0,05 yaitu p=0,004. Simpulan intesitas nyeri responden sebelum dilakukan Endorphin Massage sebagian besar responden mengalami nyeri berat dengan skala 8-9, Intesitas nyeri responden setelah dilakukan Endorphin Massage sebagian besar responden mengalami nyeri sedang dengan skala 6-7. Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Kata kunci : Endorphin massage; Intensitas nyeri; Persalinan ENDORPHIN MASSAGE THERAPY TO REDUCE THE INTENSITY OF PAIN DURING THE ACTIVE PHASE OF LABOR ABSTRACT Birth pain may cause stress that lead tobring out excessive hormones such as catecholamines and steroids. Endorphin massage is a touch therapy orgentlemassage which is important enough for pregnant women before giving birth. The aim of this research is to know the effect of Endorphin Massageonpain intensity during active phase of first stage in labor. This research uses quantitative quasi experimental design, with the design used is posttest for control group design. Independent variable is endorphin massage.Variable dependent is pain intensity of acitivephase of first stage in labor, with 30 respondents of sample wich is taken by using technique of Acidental sampling. This research took a place in BPM area of public health center Demak. The data was gathered through observation using checklist form. The data was analyzed using Spearman Rank test. The result of the research is there is an effect of Endorphin Massage onpain intensity of acitivephase of first stage in labor withp <0,05, p = 0,004. The conclusion is most of respondents had severe pain with scale 8-9before Endorphin Massage, and most of the respondentshad moderate pain with scale 6-7after Endorphin Massage. There is an effect of Endorphin Massage on pain intensity of acitivephase of first stage in labor. Keywords: Endorphin massage; Labor; Pain Intensity
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Nainggolan, Lenny. "Keikutsertaan dalam kelas antenatal Dapat menurunkan intensitas nyeri persalinan Kala 1 fase aktif." Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 16, no. 1 (May 7, 2021): 32–35. http://dx.doi.org/10.36911/pannmed.v16i1.1032.
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The antenatal classes are means of learning activity for pregnant woman, together in a group which aimed to increase their knowledge and skills. During the labor process, there are various problems that may occur in the mother, one of which is labor pain. Efforts that can be made to reduce the pain problems are through the implementation of antenatal classes. The purpose of this study was to determine the relationship of antenatal classes and the intensity of labor pain during the active phase of labor. This is an observasional analytic study with cohort design in 33 mothers who attended the antenatal classes. The sampling tehnique that used is consecutive sampling and the data were analyzed by chi-square. As the results of data analysis on the relationship between the antenatal class and the intensity of labor pain during the first stage of active phase, the value of p = 0.000. The P value < 0.05. The results of data analysis obtained that there was a relationship between the antenatal class and the intensity of the labor pain during the first stage of the active phase. Midwives are expected to be able to increase the quality of antenatal classes and can attract the interest of the community, especially pregnant woman to actively participate antenatal classes.
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Arikhman, Nova. "Penurunan Intensitas Nyeri Persalinan Fase Aktif Kala I Melalui Terapi Musik Instrumental." Jurnal Keperawatan Indonesia 13, no. 1 (March 24, 2010): 32–36. http://dx.doi.org/10.7454/jki.v13i1.228.
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AbstrakIntensitas nyeri selama persalinan yang berlebihan dapat merugikan ibu dan janin. Terapi musik instrumental sebagai teknik nonfarmakologi, berguna menimbulkan efek distraksi dan relaksasi. Tujuan penelitian ini mengetahui pengaruh terapi music instrumental terhadap intensitas nyeri saat persalinan. Penelitian metode kuasi-eksperimen dengan pre post-test desain ini dilakukan pada 18 ibu multipara yang mengalami persalinan kala I di ruang bersalin kebidanan rumah sakit X. Pengambilan sampel melalui metode consecutive sampling. Data dianalisa melalui uji Paired t-test dan Wilcoxon sign rank test. Hasil penelitian menunjukkan bahwa perlakuan terapi musik instrumental berpengaruh signifikan terhadap penurunan intensitas nyeri (p= 0.017, α= 0,05). Penelitian ini merekomendasikan agar terapi musik instrumental sebagai salah satu terapi nonfarmakologis digunakan dalam menurunkan persepsi intensitas nyeri pada ibu multipara yang mengalami persalinan fisiologis kala I. AbsractSeverity of labor pain may damage mother and infant. Therefore, instrumental music therapy as non-pharmacology technique can be used for distraction and relaxation. This research aims to study about the effect of instrumental music therapy to severity of labor pain. Method of this research is quasi-experiment with pre post-test design, involving 18 multiparous mothers who experienced stage I labor in labor room of X hospital. Samples are selected through consecutive sampling. Data was analyzed by paired t-test and Wilcoxon sign rank test.The research shown that instrumental music therapy significantly relieved the severity of pain labor (p= 0.017, α= 0,05). The research recommended that instrumental music therapy can be used as non- pharmacological therapy to relieve the severity of labor pain for multiparous mothers who experience stage I labor.
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Oktavia, Nike Sari. "EFEK AROMA EKSTRAK MELATI TERHADAP PENGURANGAN NYERI PERSALINAN KALA I FASE AKTIF PADA PARTURIENT." Jurnal Ipteks Terapan 11, no. 4 (December 31, 2017): 323. http://dx.doi.org/10.22216/jit.2017.v11i4.458.
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<p><em>Labor pain arising from physical and psychological reflex response of from the pain that experienced by the patient. Jasmine essential oil is proven to nervous exhoustion, reduce pain, emotional distress, reduce anxiety, energy, and euphoria that everything that is needed by a mother while facing the birth process. Purpose of this study was to determine whether the jasmine essnstial oil can be used to reduce the pain of the active phase on first stage of parturient. This study used a quasi-experimental method, the sampel was 48 people inpartu who are in the active phase of the first stage of labor. Study subjects were devided into 2 groups; jasmine essential oil (n = 24) and control (n = 24). Pain assessed twice in each group with a numerical rating scale (NRS), that when the woman is in the active phase before inhalation the smell of jasmine essential oil and at the end of the first stage after inhalation the smell. Test statistical analysis using Wilcoxon Signed Ranks test and Mann Whitney test. The result is; in jasmine essential oil group the median 6 with a range 4-9 decreased to 4 (3-9), while controls had increased pain intensity with a median value of 4.5 (2-10) to 9 (4 -10). There are difference between pain assesment I and II in both groups p = 0.000 (p <0,05). Comparison between jasmine essential oil group and control group p = 0.000 (p <0,05). </em><em><br /> </em></p><p><strong><em>Keyword: Jasmine essential oil, labor pain</em></strong><strong><em></em></strong></p>
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Kurniawati, Ade, Djaswadi Dasuki, and Farida Kartini. "Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida." Jurnal Ners dan Kebidanan Indonesia 5, no. 1 (May 16, 2017): 1. http://dx.doi.org/10.21927/jnki.2017.5(1).1-10.
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<em><span>Some problems may appear due to childbirth, such as discomfort, fear and pain. Particularly for pain in the first stage of labor, it can be severe and takes place a longer time</span><span lang="IN">, </span><span>thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.</span><span>This was a quasi-experimental study </span><span lang="IN">t</span><span>o determine the effectiveness of birth ball exercise </span><span>is</span></em><em><span>one of nonpharmacological methods</span></em><em><span>towards the reduction of labor pain in the active phase of the first stage of labor in primigravida. Thirty eight women were recruited with consecutive sampling technique, divided into 2 groups, the treatment group given ball birth exercise in active phase of the first stage for 30 minutes for two times and the control group not given the exercise. The bivariable analysis was conducted with correlation and t-test, while the multivariable analysis used linear regression.</span><span lang="IN"> The results showed that t</span><span>he mean labor pain in the group given birth ball exercise was lower 4.5 than that in the control group at 5.4 with a p-value of </span><span lang="IN">0.01</span><span>. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of <0.05. The multivariate analysis using Model 4 obtained an R² value of 0.49, which means that the birth ball exercise and husband and family support contributed to labor pain equal to 49%.</span><span>There were significant differences in pain intensity in active phase of the first stage of labor between primigravida who practiced birth ball exercise and those who did not. The pain intensity was lower in women practicing birth ball exercise than that in those who did not.</span></em>
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Afdila, Reva, and Nuraida Nuraida. "EFEKTIFITAS AROMA THERAPHY LEMON DAN BITTER ORANGE TERHADAP INSTENSITAS NYERI PERSALINAN KALA I FASE AKTIF." Jurnal Kebidanan Malahayati 7, no. 1 (January 31, 2021): 1–5. http://dx.doi.org/10.33024/jkm.v7i1.3253.
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ABSTRACT THE EFFECTIVENESS OF LEMON THERAPHY AND BITTER ORANGE AROMAS ON THE INSTENSITY OF ACTIVE PHASE I LABOR Background: Labor pain is a pain that is often felt by mothers during childbirth in Stage I. Labor pain is felt by all mothers who give birth. One of the mother's loving care is comfort, namely the reduction of pain that the mother feels. with the provision of non-pharmacological therapy is very helpful for mothers in undergoing the labor process, where there are no side effects from the use of non-pharmacological therapies.Purpose: This study aims to determine the effectiveness of lemon and bitter orange aromatherapy on the intensity of first stage labor pain in women who give birth.Methods: The type of research used is a quasi-experimental design with a pretest-posttest control group design. Sampling technique using accidental sampling technique, the number of samples in this study were 32 mothersResults: The results showed that the lemon group was effective in reducing pain (0,000). in the bitter orange group it is also effective in reducing labor pain (0.000). The results of the independent sample T test analysis showed no comparison of effectiveness between the two groups (0.061), where the two groups were equally effective in reducing labor pain in laboring mothersConclusion: Aromatherapy of lemon and bitter orange are both effective in reducing the pain of first stage labor in the mother.Suggestion: It is hoped that health workers can provide care for the mother's love by reducing pain during labor. Keywords: Aromatherapy, Labor Pain ABSTRAK Latar Belakang : Nyeri persalinan merupakan nyeri yang sering dirasakan ibu pada saat persalinan di Kala I. Nyeri persalinan dirasakan oleh semua ibu bersalin. salah satu asuhan sayang ibu adalah kenyamanan yaitu pengurangan rasa nyeri yang ibu rasakan. dengan pemberian terapi nonfarmakologi sangat membantu ibu dalam menjalanin proses persalinan, dimana tidak ada efek samping dari penggunaan terapi non farmakologi.Tujuan : penelitian ini bertujuan untuk mengetahui perbandiangan efektifitas aromaterapi lemon dan bitter orange terhadap intensitas nyeri persalinan kala I pada ibu bersalin.Metode: jenis penelitian yang digunakan yaitu quasi eksperimen dengan densain pretest- posttest control group desain. tehnik pengambilan sampel menggunakan Tehnik accidental Sampling, jumlah sampel pada penelitian ini yaitu 32 ibu bersalin.Hasil : Hasil penelitian didapat pada kelompok lemon efektif dalam pengurangan rasa nyeri (0,000). pada kelompok bitter orange juga efektif dalam pengurangan nyeri persalinan (0,000). hasil analisis independent sampel T Test menunjukan tidak ada perbandingan efektifitas antara kedua kelompok (0,061), dimana kedua kelompok sama-sama efektif dalam pengurangan nyeri persalinan pada ibu bersalin.Kesimpulan :Aromatherapi lemon dan bitter orange sama-sama efektif dalam pengurangan nyeri persalinan kala I pada ibu bersalin.Saran :Diharapkanuntuk para tenaga kesehatan untuk dapat memberikan pelayanan asuhan sayang ibu dengan pengurangan rasa nyeri pada saat ibu bersalin. Kata Kunci : Aromaterapi, Nyeri Persalinan
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Sunarsih, Sunarsih, and Tuti Puspita Sari. "Nyeri persalinan dan tingkat kecemasan pada ibu inpartu kala I fase aktif." Holistik Jurnal Kesehatan 13, no. 4 (January 9, 2020): 327–32. http://dx.doi.org/10.33024/hjk.v13i4.1365.
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Labor pain and anxiety levels in the mothers inpartu active phase of the first stage at Metro medical center, Lampung-IndonesiaBackground: Anxious feeling whom mother felt at give birth process would influence toward painful sensation in giving a birth. The presurvey result that done at Metro medical center, finding of 7 mother who give birth, most of them (71,4 %) had anxious level that was medium, and there were of 4 mother (57, 2%) had a light pain, and of 3 was a medium pain.Purpose: Knowing the correlation of labor pain and anxiety levels in the mothers inpartu active phase of the first stage at medical center, Metro Lampung-IndonesiaMethods: A quantitative with cross sectional and the sample of 31 inpartu active phase by using accidental sampling method. Instrument for painful intensity used Baurbanis painful scale and for anxious level’s by using State-trait anxiety inventory (STAI) Form Y-1. This research had done on March-July 2018 and data analyses used person product moment test.Result: Finding that the average of anxious level inpartu mother was of 51.35 and the average of pain score was of 4,68.Conclusion: There was correlation between of labor pain and anxiety levels in the mothers inpartu active phase of the first stage at medical center, Metro Lampung-Indonesia. Medical care provider to be give more information regarding the birth physiology in order to mother could prevent anxious feeling during giving birth process.Keywords: Labor Pain; Anxiety Levels; Mothers InpartuPendahuluan: Rasa cemas yang dialami ibu pada proses persalinan akan berpengaruh terhadap nyeri pada persalinan. Hasil prasurvey yang dilakukan di BPS P Kota Metro menunjukkan bahwa dari 7 ibu bersalin, sebagain besar (71,4%) memiliki tingkat kecemasan sedang dan sebanyak 4 ibu bersalin (57,2%) memiliki intensitas ringan, 3 ibu (42,8%) memiliki intensitas nyeri sedang.Tujuan: Diketahuinya hubungan tingkat kecemasan terhadap nyeri pada ibu inpartu kala I fase aktif di BPS P Kota Metro.Metode: Penelitian kuantitatif, dengan desain penelitian cross sectional. Populasi pada penelitian ini adalah ibu bersalin di BPS P pada bulan juni 2018 sebanyak 35 orang. Sampel berjumlah 31. Pengambilan sampel dengan metode accidental sampling. Pengumpulan data intensitas nyeri menggunakan skala nyeri Bourbanis, sedangkan pengumpulan data tingkat kecemasan ibu bersalin dilakukan menggunakan State-trait anxiety inventory (STAI) Form Y-1. Penelitian telah dilaksanakan pada tahun 2018. Analisa data menggunakan uji person product moment. Hasil: Diperoleh rata-rata tingkat kecemasan ibu inpartu adalah 51,35 dan rata-rata skor nyeri yang dirasakan adalah 4,68.Simpulan: Adanya hubungan antara tingkat kecemasan dengan nyeri ibu inpartu kala I fase aktif. Bagi ibu yang akan menjalani proses persalinan hendaknya menggali informasi tentang fisiologis persalinan agar ibu bersalin mampu mencegah terjadinya kecemasan selama proses persalinan.
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Mawaddah, Sofia. "PENGARUH TERAPI MUSI K TERHADAP PENURUNAN INTENSITAS NYERI PADA IBU INPARTU KALA I FASE AKTIF." JPP (Jurnal Kesehatan Poltekkes Palembang) 15, no. 1 (July 9, 2020): 30–38. http://dx.doi.org/10.36086/jpp.v15i1.456.
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the time leading up to labor, especially in the first stage (when opening), the pain occurs because of the great activity in the mother's body to expel the baby. This pain is getting stronger and stronger, the handling and supervision of labor pain, especially in the first phase of the active phase is very important, because this is a determining point whether a maternity mother can undergo a normal delivery or be assisted with an action due to complications.
Method: This study uses a Quasy Experiment with the design of the Two Experiment Pre-Post Test. There were 2 groups in this study, 17 in the first phase active mothers who were given Baluwung distilled music therapy and 17 in the first phase active mothers who were given aromatherapy therapy in rose essential oil. Bivariate analysis using the Mann Whitney test.
Results: The study showed the intensity of pain after rose essential oil therapy in First Stage Inpartu mothers The active phase with the resulting probability was 0.623, so it was higher than the intensity of pain after music therapy for First Stage Inpartu mothers active phase.
Conclusion: The provision of music therapy is more effective in reducing the intensity of pain in mothers Inpartu Kala I Active phase than the administration of rose essential oil therapy.
Keywords: Music Therapy, Labor Pain, Active Phase I Stage
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Anita, Anita. "Pengaruh Akupresur Lo4 (he kuk) dan Thai Cong terhadap Tingkat Nyeri Persalinan Kala I pada Ibu Bersalin." Jurnal Kesehatan 9, no. 3 (December 31, 2018): 471. http://dx.doi.org/10.26630/jk.v9i3.1166.
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<p>The study of women in the first stage of labor using McGill Pain Questionnaire to assess pain found that 60% of maternity described pain due to uterine contractions was very severe (intolerable, unverable, extremely severe), 30% moderate pain. In multipara 45% of pain is severe, 30% is moderate pain, 25% is mild pain (Acute Pain Services (APS), 2007). The aim of this study was to determine the effect of acupressure on the level of labor pain at the first time in maternity. Type of quantitative research, research design Quasy experiment. The population of first-time maternity with a 4-6 cm opening numbered 45 women giving birth per month, a sample of 40 respondents. The one group pre - post-test research design with interventions with acupressure point combinations L04 (he kuk) and thai cong that were carried out during the first active phase was 4-6 for 40 times at the time of his joke. The results showed that the level of first stage pain in maternity before acupressure was 6.00, SD 1,219 and after acupressure was 5.05 SD 1,218, it was concluded that there was an acupressure effect on the level of labor pain (p-value=0,000). The application of L04 (he kuk) acupressure and Cong Thai can reduce labor pain in the first stage active phase of opening 4-6.</p>
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Satmoko, Aditya Akbaryan, and Eggy Fajar Andalas. "STEREOTIP ORANG PINGGIRAN PADA KUMPULAN CERPEN DI KALA PAGI KARYA RENI NURYANTI." Jurnal Pendidikan Bahasa dan Sastra Indonesia Metalingua 5, no. 2 (November 13, 2020): 59–68. http://dx.doi.org/10.21107/metalingua.v5i2.7414.
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Nurpratiwi, Yulidian, Muhammad Hadi, and Idriani Idriani. "Teknik Rebozo terhadap Intensitas Nyeri Kala I Fase Aktif dan Lamanya Persalinan pada Ibu Multigravida." Jurnal Keperawatan Silampari 4, no. 1 (December 30, 2020): 293–304. http://dx.doi.org/10.31539/jks.v4i1.1627.
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This study aims to determine Rebozo Shake The Apples (RSTA) effectiveness and Rebozo Sifting While Lying Down (RSWLD) on the intensity of pain during the first stage of the active phase and the duration of labor in multigravida mothers. This research method is a quasi-experiment with two group pre and post design. This study indicates that there is a difference in the mean intensity of pain in the first stage of active labor in multigravida mothers before and after giving RSTA & RSWLD (p-value = 0.007). Whereas in the length of work, there was no significant difference in the average size of labor between the RSTA and RSWLD technique interventions (p-value = 0.351), and the effectiveness of the two Rebozo techniques had the same variant, meaning they were equally effective in diverting labor pain during the active phase and duration of delivery (p-value = 0.118). In conclusion, they are giving RSTA, and RSWLD can delay labor pain intensity during the first stage of the active phase and the duration of labor in multigravida mothers.
Keywords: Pain intensity, duration of labor, Multigravida, Rebozo technique
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Irawati, Irawati, Muliani Muliani, and Gusman Arsyad. "Pengaruh Pemberian Kompres Hangat terhadap Penurunan Intensitas Nyeri Persalinan pada Ibu Inpartu Kala I Fase Aktif." Jurnal Bidan Cerdas 2, no. 1 (May 23, 2020): 46–53. http://dx.doi.org/10.33860/jbc.v2i1.82.
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Pain is a body protection mechanism that arises when the tissue is damaged and causes the individual reaction to relieve pain. Related to discomfort and pain, therefore, researchers want to apply warm compress techniques to reduce pain in labor. This study aims to determine the effect of giving warm compresses to the decrease in the intensity of pain in mothers in labor during the active phase. The method used is Pre-experiment with one group pretest-posttest design. The population in this study were all primigravida maternal mothers in the Puskesmasn Kampung Baru with a sample of 15 respondents selected by consecutive sampling. The statistical test used was the Wilcoxon Rant Test. The results of this study were the mean value before a warm compress performed 7.6, and the mean value after a warm compress was 5.8, with a significance value of 0.001. This study concludes that there is an effect of giving warm compresses to the decrease in labor pain in the first-phase mother of the active phase. By giving warm compresses, the responsiveness feels more relaxed so that the psychological state does not focus on the pain she feels. The results of this study are expected to be applied in health facilities such as hospitals, maternity clinics, and health centers.
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Rinata, Evi, and Rafhani Rosyidah. "Efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif." Jurnal Riset Kebidanan Indonesia 4, no. 1 (June 30, 2020): 1–5. http://dx.doi.org/10.32536/jrki.v4i1.85.
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Latar belakang: Nyeri persalinan merupakan proses fisiologis akibat kontraksi miometrium dengan intesitas yang berbeda pada masing-masing individu. Meskipun fisiologis namun nyeri persalinan akan terasa menyakitkan, tidak menyenangkan dan menakutkan bagi ibu. Tujuan penelitian: Mengetahui efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif. Metode: Desain penelitian Quasi Eksperimental Design dengan metode Nonequivalent Control Group Design menggunakan pretest – posttest design. Populasi ibu bersalin kala I fase aktif yang memenuhi kriteria inklusi menggunakan consecutive sampling. Jumlah sampel 48 ibu bersalin yang dibagi dua kelompok yaitu kelompok perlakuan (birth massage dan perubahan posisi) dan kelompok kontrol (birth massage). Pengamatan nyeri persalinan pre dan posttest menggunakan skala nyeri dengan observasi perilaku (FLACC behavioral scale). Hasil: Hasil penelitian menunjukkan rerata skor nyeri persalinan kelompok perlakuan pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Sedangkan rerata skor nyeri persalinan kelompok kontrol pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Hasil uji Mann – Whitney didapatkan nilai P = 0,564 yang berarti tidak ada perbedaan penurunan nyeri pada kelompok yang diberikan birth massage kombinasi perubahan posisi atau pada kelompok yang hanya diberikan birth massage. Simpulan: Tidak ada perbedaan penurunan nyeri persalinan pada kelompok perlakuan dan kelompok kontrol. Background: Labour pain is the physiological processes as a result of the contraction of myometrium with different intensity on each individual. Although it is physiological, labour pain is painful, unpleasant and frightening for the mother. Objective: This research aims to know the effectiveness of combination between birth massage and change position towards the decrease of labor pain in the forst active phase. Methods: The design of this study was Quasi Experimental with Nonequivalent Control Group method using pretest-posttest Design was applied. The population of maternity mother in the first active phase that meet the criteria of inclusion by using consecutive sampling. The number of sample was 48 maternity mothers divided into two groups, treatment group (birth massage and position change) and control group (birth massage). Observation on labor pain during pre and posttest used behavioral FLACC scale. Results: The results showed a mean score of labor pain treatment group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. While the average score labor pain control group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. Mann-Whitney test results obtained the value of P = 0.564 which means there is no difference in decreasing pain in the group given birth massage combined with position changes and in the group just given birth massage. Conclusion: There is no difference between labor pain in treatment group and control group who were just given birth massage.
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Lestari, Sri, and Nita Apriyani. "PENGARUH MASSAGE EFFLEURAGE TERHADAP PERUBAHAN TINGKAT NYERI PADA PASIEN KALA 1 FASE AKTIF PERSALINAN." Jurnal Kesehatan 10, no. 1 (February 19, 2020): 1246–52. http://dx.doi.org/10.38165/jk.v10i1.3.
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Proses persalinan dimulai pada saat terjadi kontraksi uterus yang teratur dan progresif serta akan diakhiri dengan keluarnya janin. Massage merupakan salah satu metode non farmakologi yang dapat menimbulkan efek relaksasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh massage effleurage terhadap perubahan tingkat nyeri kala 1 fase aktif persalinan di Wilayah Kerja Puskesmas Plered Kabupaten Cirebon Tahun 2018. Jenis penelitian quasi eksperimental dengan menggunakan rancangan penelitian pre and post test without control. Populasi dalam penelitian ini adalah semua pasien yang akan melahirkan pada bulan Maret yang berjumlah 42 orang dan metode pengambilan sampel menggunakan teknik purposive sampling sebanyak 38 orang. Pengumpulan data dilakukan dengan teknik wawancara. Instrumen penelitian yang digunakan dalam penelitian ini adalah Skala nyeri numerik atau Numerical Rating Scale (NRS). Metode analisis data menggunakan teknik analisis statistik non parametrik dengan uji Wilcoxon.Hasil penelitian ini menunjukan bahwa tingkat nyeri persalinan sebelum diberikan intervensi adalah nyeri berat (rata-rata 7,37) dan setelah diberikan intervensi adalah nyeri tingkat sedang (rata-rata 4,95). Penurunan tingkat nyeri setelah diberikan intervensi adalah 2,42. Hasil uji statistik diperoleh nilai p 0,000 lebih kecil dari nilai α 0,05 dengan demikian massage effleurage efektif menurunkan nyeri kala 1 fase aktif persalinan.Kata kunci: Nyeri, kala 1, massage effleurage ABSTRACTThe labor started as a contraction of the uterus that is orderly and progressive and will and with the release of the fetus. Massage is one of the methods for the pharmacology that could lead to the effect of relaxation. The purpose of this research is to know the effect of massage effleurage to change on the level on labor pain of stage I of active phase at plered public health centre, Cirebon 2018. This type of research is quasi experimental with pre and post test without control design. The population in this research is all the patients who want birthing in March, which has 42 people, and the method of sampling is purposive sampling as many as 38 people. Data collection is done by interview techniques. The research instrument used in this study was the Numerical Rating Scale (NRS).The data of the research were analyzed by using the statistical non-parametric Wilcoxon test. The results showed that the level of pain of labor before being given intervention is pain severe (the average 7,37) and after giver intervention the pain is moderate (the average 4,95). Thus, the level of labor pain declines as much as 2,42 following the treatment. The result of the analysis shows that the value of p is 0,000, which is smaller than the value of α = 0,05, meaning that the effleurage massage is are effective to reduce the labor pain of stage I of active phase.Keywords: Pain, active phase, effleurage massage
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Lumbantobing, Hendri Parluhutan, Renny Sinaga, and Kandace Sianipar. "PENGARUH BELLY DANCE DIKOMBINASIKAN DENGAN PIJAT ENDORPHIN TERHADAP PENGURANGAN RASA NYERI PADA IBU BERSALIN KALA 1." Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 15, no. 1 (April 27, 2020): 109–15. http://dx.doi.org/10.36911/pannmed.v15i1.660.
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Physiologically, all women who give birth will experience pain during labor process and statistically, labor pain cannot be tolerated by two out of three mothers. Women who get massages during labor will experience a significant decrease in anxiety, reduction in pain, and shorter delivery time. No wonder that endorphin massage technique is important to be mastered by pregnant women and husbands who enter the gestational age of the 36th week. The second thing that can be done to deal with the labor pain besides the endorphin massage is dancing. Dancing is a performance art but also can heal and free someone, especially the pregnant women who suffer from psychological disorders. The purpose of this study was to determine the effect of belly dance combined with endorphin massage in reducing pain in the first stage of labor at the Beringin Health Center Tapian Dolok District, Simalungun Regency. The hypothesis in this study was belly dance and endorphin massage were effective in reducing pain in primiparous mothers. The type of this research was a quasi-experiment. The design of this study was pre and post-test design. The required number of samples was 16 + 1.6 = 17.6 or n = 18 samples, that was the sample size for the control group was 18 samples and the sample size for the treatment group was 18 samples, so the total number of samples needed in this study were n = 36 respondents. The results showed that there was an effect of endorphin massage combined with belly dance (asymp.sig 0.004) on reducing pain in first stage of labor. This study is expected to provide an education to pregnant women about the importance of the belly dance combined with endorphin massage in reducing pain in first stage of labor, so that pregnant women can do a belly dance combined with endorphin massage at home.