The effect of deep breath relaxation and counterpressure massage on pain reduction during labor

Submitted: 4 October 2023
Accepted: 20 December 2023
Published: 30 January 2024
Abstract Views: 793
PDF: 355
HTML: 6
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Labor pain is a manifestation of the contraction (shortening) of the uterine muscles. Non-pharmacological treatment in pain management, namely deep breathing relaxation and counterpressure massage is an alternative method and a new trend that can be developed. This study investigated the effectiveness of deep breathing relaxation and Counterpressure massage in alleviating labor pain during active phase I. Employing a quasi-experimental design with a two-group pre-test post-test approach, 30 postpartum mothers from June to July 2021 were consecutively sampled. Deep breathing relaxation (5 times for 3-5 minutes) and counterpressure massage (3 times for 30-90 seconds) served as the independent variables, while pain intensity during the first active phase was the dependent variable. Utilizing the Wilcoxon and Mann Whitney tests at a 5% significance level, significant reductions in pain intensity were observed after both interventions (p-values: 0.002 for deep breathing, 0.046 for counterpressure massage). These non-pharmacological methods, enhancing endorphin release, contribute to relaxation and pain intensity reduction during labor. The findings underscore the potential of integrating deep breathing relaxation and counterpressure massage as effective approaches in non-pharmacological labor pain management.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Ria G, Maya A, Jamalluddin SB. Murotal Al-Quran therapy on decreasing labor pain and anxiety in maternity mothers first phase. Enferm Clin 2020;30:110-4. DOI: https://doi.org/10.1016/j.enfcli.2019.11.034
Hamzah H, Nyoman Yesua Darma Surya Bratha I, Sumartono C, et al. Comparison of outcome between patients receiving general anesthesia combined with continuous epidural anesthesia and patients receiving general anesthesia combined with intermittent epidural anesthesia. Bali J Anesthesiol 2020;4:118-21. DOI: https://doi.org/10.4103/BJOA.BJOA_18_20
Dewi Yuliasari ES. Hubungan Counterpressure Dengan Nyeri Persalinan Pada Ibu Bersalin Kala I Fase Aktif Ibu Primipara Di BPS Hj. SULASTRI, Amd.Keb Pekalongan Lampung Timur Tahun 2013. Pengaruh Akupresur Lo4 (he kuk) dan Thai Cong terhadap Tingkat Nyeri Persalinan Kala I pada Ibu Bersalin. 2018;9:9-12. DOI: https://doi.org/10.26630/jk.v9i3.1166
Smith CA, Levett KM, Collins CT, et al. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev 2018. DOI: https://doi.org/10.1002/14651858.CD009514.pub2
Ni Gusti Made ES. Karakteristik Ibu Bersalin Kaitannya Dengan Intensitas Nyeri Persalinan Kala I di Kota Bogor. J Kebidanan 2017;3:204-10.
Whitburn LY, Jones LE, Davey MA, McDonald S. The nature of labour pain: An updated review of the literature. Women Birth 2019;32:28-38. DOI: https://doi.org/10.1016/j.wombi.2018.03.004
Komariah N, Wahyuni S. The Relation Between Labor Pain with Maternal Anxiety. In: First International Conference on Health, Social Sciences and Technology (ICOHSST 2020). Atlantis Press; 2021. p. 201–6. DOI: https://doi.org/10.2991/assehr.k.210415.043
Yulianingsih E, Porouw HS, Loleh S. Teknik Massage Counterpressure terhadap Penurunan Intensitas Nyeri Kala l Fase Aktif pada Ibu Bersalin di RSUD. Dr. M.M Dunda Limboto Kabupaten Gorontalo. Gaster 2019;17:231. DOI: https://doi.org/10.30787/gaster.v17i2.374
Czech I, Fuchs P, Fuchs A, et al. Pharmacological and Non-Pharmacological Methods of Labour Pain Relief-Establishment of Effectiveness and Comparison. Int J Environ Res Public Health 2018;15. DOI: https://doi.org/10.3390/ijerph15122792
Bakar A, Suhartatik S, Hidayati L. Combined benson and dhikr relaxation reduces anxiety and pulse frequency of inpatient cardiacs in hospitals. Int J Pharm Res 2020;12:1747-53. DOI: https://doi.org/10.31838/ijpr/2020.12.02.303
Secka A, Handayani S. Effectiveness of maternity waiting homes in increasing utilization of facility-based delivery: A systematic review. Int J Public Heal Sci 2021;10:529-36. DOI: https://doi.org/10.11591/ijphs.v10i3.20922
Beyable AA, Bayable SD, Ashebir YG. Pharmacologic and non-pharmacologic labor pain management techniques in a resource-limited setting: A systematic review. Ann Med Surg 2022;74:103312. DOI: https://doi.org/10.1016/j.amsu.2022.103312
Ayu NGM, Supliyani E. Karakteristik Ibu Bersalin Kaitannya Dengan Intensitas Nyeri Persalinan Kala 1 Di Kota Bogor. J Kebidanan 2017;3:204-10.
Choudhary S, Jelly P, Mahala P, Mery A. Effect of back massage on relieving pain during labour: a systemic review. Int J Reprod Contracept Obs Gynecol 2021;10:2466-73. DOI: https://doi.org/10.18203/2320-1770.ijrcog20212194
Anggondowati T, Deviany PE, Latief K, et al. Care-seeking and health insurance among pregnancy-related deaths: A population-based study in Jember District, East Java Province, Indonesia. PLoS One 2022;17:e0257278. DOI: https://doi.org/10.1371/journal.pone.0257278
Maryuni M. Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan. J Heal Sci Physiother 2020;2:116-22. DOI: https://doi.org/10.35893/jhsp.v2i1.42
Wulandari RD, Laksono AD. Determinants of knowledge of pregnancy danger signs in Indonesia. PLoS One 2020;15:e0232550. DOI: https://doi.org/10.1371/journal.pone.0232550
Mardiyanti I, Devy SR, Ernawati E. Analysis of Sociodemographic and Information Factors on Family Behaviour in Early Detection of High-Risk Pregnancy. J Ners 2019;14:144-50. DOI: https://doi.org/10.20473/jn.v14i2.16561
Sebayang SK, Has EMM, Hadisuyatmana S, et al. Utilization of Postnatal Care Service in Indonesia and its Association with Women’s Empowerment: An Analysis of 2017 Indonesian Demographic Health Survey Data. Matern Child Health J 2022;26:545-55. DOI: https://doi.org/10.1007/s10995-021-03324-y
Afritayeni A. Hubungan Umur, Paritas Dan Pendamping Persalinan Dengan Intensitas Nyeri Persalinan Kala I. J Endur 2017;2:178. DOI: https://doi.org/10.22216/jen.v2i2.1852
Rachmayanti RD, Diana R, Anwar F, et al. Culture, traditional beliefs and practices during pregnancy among the Madurese tribe in Indonesia. Br J Midwifery 2023;31:148-56. DOI: https://doi.org/10.12968/bjom.2023.31.3.148
Fitriyah R, Fernandez GV, Samudera WS, et al. Deep Breathing Relaxation for Decreasing Blood Pressure in People with Hypertension. J Ners 2019;14:141-5. DOI: https://doi.org/10.20473/jn.v14i3.16945
Azizah N, Rosyidah R, Mahfudloh H. Reducing Labor Pain Intensity within First Stage Active Phase through Hegu LI 4 Acupressure and Quranic Recital Method. J Ners 2020;15:162-6. DOI: https://doi.org/10.20473/jn.v15i2.20556
Novita KR, Rompas S, Bataha Y. Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Respon Nyeri Pada Ibu Inpartu Kala I Fase Aktif Di Puskesmas Bahu Kota Manado. J Keperawatan UNSRAT 2018;5:113347.
Puspitasari I, Astuti D. Tehnik Massage Punggung Untuk Mengurangi Nyeri Persalinan Kala I. J Ilmu Keperawatan dan Kebidanan 2017;8:100. DOI: https://doi.org/10.26751/jikk.v8i2.289
Saraswati W, Rosyiadi MR, Imandiri A. Electroacupuncture Versus Analgesics for Patients with Stage IIIB Cervical Cancer Post Cisplatin Chemotherapy. Med Acupunct 2020;32:293-9. DOI: https://doi.org/10.1089/acu.2020.1425
Santiasari RN, Siti Nurdiati D, Lismidiati W, Saudah N. Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain. Heal Notions 2018;2:7.

How to Cite

Wahyuni, R., Supriadi, S., Susanti, D., Syukur, N. A., & Putri, R. A. (2024). The effect of deep breath relaxation and counterpressure massage on pain reduction during labor. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2024.11917