The Effect of Birthing Ball on the Pain Scale of First Stage of Labor in the Active Phase in the Bukit Sari Health Center Work Area
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Abstract
Labor pain is a feeling and emotional reaction that begins with regular contractions, helping to open the birth canal. It can lead to higher blood pressure, heart rate, and breathing rate. Unmanaged pain can increase worry and anxiety. This research sought to evaluate how a birthing ball influences labor discomfort during the initial active stage. The research design is a pre-experimental one-group pretest-posttest. The study population includes 45 active phase I maternity mothers. Accidental sampling is used, with a sample size of 28 people. Univariate analysis uses a frequency distribution table, and bivariate analysis uses the Wilcoxon test. Based on the results of the study obtained an average of labor pain in mothers before the intervention, as many as 26 people (92.9%) respondents were in severe pain. After the intervention, the average labor pain of 21 people (75%) of respondents decreased to moderate pain. Based on the test mc near test between pretest and posttest values obtained a p-value of 0.000 (p<0.05) so that it can be concluded that there is an influence of birth ball in reducing the pain scale of maternity mothers during the first active phase. The birth ball reduces the pain scale of maternity mothers in the first active phase.
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References
Alchalidi., AL (2023). Complementary Therapy in Labor Pain Management. West Java. Media Sains Indonesia.
Andarwulan, S., D. (2022). The Effect of Gymball and Herbal Compress on Head Descent and Pain Intensity in the First Stage of Active Labor. Profesional Health Journal, 4(1, December 2022), 180–188.
Apriani, S., & Sari, E. (2021). The Effect of Counter Pressure Massage Technique on the Intensity of Reducing Pain in the First Active Phase of Labor in BPM Herasdiana. Jurnal Delima Harapan, 8(2), 34–39.
Dirgahayu, I., Rustikayanti, N., & Ilmiya, M. (2021). BIRTH BALL EXERCISES IN REDUCING THE INTENSITY OF PAIN IN THE FIRST STAGE OF LABOR. http://journal.stikeskendal.ac.id/ind ex.php/Keperawatan
Fitria Siswi Utami, IMP (2020). Management of normal labor pain. Midwifery Journal, 5(2), 107–109. https://doi.org/ISSN 2503-4340
Fitrianingsih, W., Suindri, N. and Armini, N. (2019). The Relationship Between Knowledge, Income, and Mother's Occupation with High-Risk Pregnancy at the Denpasar Barat District Health Center in 2018', Jurnal Ilmiah Kebidanan. The Journal Of Midwifery, 7(2).
Ginting. L, D. (2019). Effectiveness of Lemon Aromatherapy on Reducing Labor Pain, Duration of Second Stage of Labor and Fetal Outcome. Jurnal Kebidanan Kestra (JKK), 2(1 Edition May-October 2019), 44–50.
H, Z. (2021). Utilization of birthing ball as an effort to reduce pain in active phase 1 labor and postpartum bleeding in pmb nadhofah, s.st in bangkalan. Jurnal Ilmiah OBSGIN, 13(3), 110–120.
Hastutining Fitri, D., Umarianti, T., & Wijayanti, W. (2023). Effectiveness of Warm Compresses on Reducing the Intensity of Pain in the First Stage of Active Labor. Scientific Journal of Permas: Scientific Journal of STIKES Kendal, 13(4), 1189–1200. https://doi.org/10.32583/pskm.v13i4.1159.
Herinawati, et al. (2019). The Effect of Effleurage Massage on Labor Pain in the First Active Phase in Independent Practice of Midwife Nuriman Rafida and Independent Practice of Midwife Latifah in Jambi City in 2019. Scientific Journal of Batanghari University, Jambi, 19(3 October 2019), 590–601.
Kumala, R., & Apsari, F. (nd). Painless Labor Service and National Health Insurance in Indonesia. 13(2024), 174–185.
Maryuni. (2020). Relationship between Characteristics of Mothers Giving Birth and Labor Pain. Stikes Siti Hajar, 2(1), 116–122.
Nurcahyani, AN, Alifta, S., Sabur, F., Ningsi, A., & Sukarta, IM (2024). The effectiveness of using the birthing ball method in multiparous mothers in the first active phase of labor to accelerate cervical dilation at TPMB Hj. A. Nani Nurcahyani, S.ST. Media for Midwifery, Makassar Health Polytechnic, 3(2).
Pietrzak J., D.W. (2022). A Cross-Sectional Survey of Labor Pain Control and Women's Satisfaction. Int. J Environ. Res. Public Health, 1(12).
Sintya Dewi, PI, Aryawan, KY, Ariana, PA, & Eka Nandarini, NAP (2020a). Intensity of Latent Phase of First Stage Labor Pain in Inpartu Mothers Using Birth Ball Exercise. Silampari Nursing Journal, 3(2), 456–465.
Sulisdiana., EM (2019). Textbook of Midwifery, Childbirth, and Newborn Care. Central Java. In CV Oase Group. (Ed.), Textbook of Midwifery Care.
Sulistianingsih, A., & Wijayanti, Y. (2022). Combination of Birth Ball and Breathing Exercises with Reducing Pain in First Stage of Labor. Journal of Nursing and Midwifery, 13(1), 66–74. https://doi.org/10.26751/jikk.v13i1.1243
Susilowati, N., & Kamidah, K. (2024). Counterpressure Massage is Effective in Reducing Pain in the First Stage of Labor. Indonesian Journal on Medical Science, 11(1). https://doi.org/10.55181/ijms.v11i1.455.
Sutriningsih, Yuhelva Destri, & AS (2019). The effect of birth ball on labor pain. Wellness and Healthy Magazine, 1(1), 125–132.
Yeung, MPS, Tsang, KWK, Yip, BHK, Tam, WH, Ip, WY, Hau, FWL, Wong, MKW, Ng, JWY, Liu, SH, Chan, SSW, Law, CK, & Wong, SYS (2019). Birth ball for pregnant women in labor research protocol: A multi-centre randomized controlled trial. BMC Pregnancy and Childbirth, 19(1), 1–6. https://doi.org/10.1186/s12884-019- 2305-8
Yustiari., AK (2022). Ethicolegal in Midwifery Practice. In Midwifery Care Textbook. PT Global Executive Technology.