THE The Effect Of Effleurage Massage On Reducing The Intensity Of Labor Pain In The First Stage at The PMB Wanti Clinic In Medan City
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Abstract
Pain during the active phase of first stage labor can cause anxiety, fatigue, and difficulty adapting to the labor process. This condition requires practical, safe, and applicable non-pharmacological pain management by midwives. The purpose of this study was to analyze the reduction in pain intensity in mothers giving birth in the active phase of first stage labor before and after Effleurage Massage. The research method used a pre-experimental with one group pretest-posttest design. The study sample consisted of 15 mothers who gave birth using a purposive sampling technique according to the inclusion criteria. Pain intensity was measured using a Numeric Rating Scale ranging from 0-10, carried out twice, namely before and after respondents received Effleurage Massage for 20 minutes. The collected data were tested using the Wilcoxon Signed Rank Test. The results showed an average pain score before treatment of 5.20 and decreased to 3.27 after treatment. This decrease was statistically significant with a p-value = 0.001. The pain score showed that all respondents experienced a decrease in pain, with an average decrease of 1.93 points.The conclusion of this study is that effleurage massage has an effect on reducing the intensity of labor pain during the active phase of the first stage of labor. It is recommended that women attending PMB Wanti consider effleurage massage as an alternative non-pharmacological therapy to reduce pain and assist with labor. It can also be taught to husbands or family members so that mothers receive optimal support during labor at PMB Wanti.
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References
- Aviva, AN, Norhapifah, H., Astutik, W., & Risnawati, R. (2025). Description of labor pain intensity and anxiety in mothers giving birth in the first stage at Tepian Buah Community Health Center. Innovative: Journal of Social Science Research, 5(2), 3459–3472.
- Bepari, S., N., S., & B., M. (2025). Effleurage massage as a non-pharmacological intervention for labor pain management among primigravida mothers. Bioinformation, 21, 3550–3553. https://doi.org/10.6026/973206300213550
- Jujuren Sitepu, JS, Ardiana Batubara, AB, & Arum Puspita Sari, APS (2024). The Effectiveness of Effleurage Massage on the Intensity of Pain Reduction in Mothers Giving Birth in the First Active Phase at PMB Junita Am. Keb Pematangsiantar City in 2024. The Effectiveness of Effleurage Massage on the Intensity of Pain Reduction in Mothers Giving Birth in the First Active Phase at PMB Junita Am. Keb Pematangsiantar City in 2024, 1(8), 133–145.
- Kurniawaty, K., Sunarmi, S., & Fathia, NA (2023). Application of Effleurage Massage to Mothers in the First Stage of Labor with Pain Problems. Jurnal'Aisyiyah Medika, 8(1).
- Nur'aini, MA, & Widiawati, I. (2023). Comprehensive midwifery care for Mrs. S with the application of effleurage massage for first-stage labor pain. Siliwangi Health Journal, 4(1), 663–668.
- Nurmaliza, N., Yusmaharani, Y., & Desmariyenti, D. (2024). The Effect of Effleurage Massage on Pain Reduction in First-Stage Labor Mothers. JOMIS (Journal of Midwifery Science), 8(2), 115–125.
- Pratiwi, AM, Zuliyati, I., & Fatimatasari, F. (2021). Abdominal lifting, effleurage, and deep back massages are effective in reducing pain during active phase of first stage labor. JNKI (Indonesian Journal of Nursing and Midwifery). https://doi.org/10.21927/jnki.2021.9(3).175-182
- Putri, E., Altika, S., & Hastuji, P. (2022). The Effect of Effleurage Massage Technique on Labor Pain. Bina Cipta Husada Journal: Journal of Health and Science, 18(2), 74–88.
- Ranjbaran, M., Khorsandi, M., Matourypour, P., & Shamsi, M. (2017). Effect of Massage Therapy on Labor Pain Reduction in Primiparous Women: A Systematic Review and Meta-analysis of Randomized Controlled Clinical Trials in Iran. Iranian Journal of Nursing and Midwifery Research, 22, 257–261. https://doi.org/10.4103/ijnmr.ijnmr_109_16
- Ratna, DPA (2022). effect of endorphin massage on reducing the intensity of first stage childbirth pain in maternity mothers. In International journal of health sciences. https://doi.org/10.53730/ijhs.v6ns9.12878
- Sheidaee, S., Azima, S., Sayadi, M., & Yazdanpanahi, Z. (2026). “Comparative effects of rotational effleurage and connective tissue massage on labor pain, duration, and perineal outcomes in pregnant women”: a randomized clinical trial. BMC Pregnancy and Childbirth, 26. https://doi.org/10.1186/s12884-025-08325-1
- Shetty, S. P., & Fogarty, S. (2021). Massage During Pregnancy and Postpartum. Clinical Obstetrics and Gynecology, 64 3, 648–660. https://doi.org/10.1097/grf.0000000000000638
- Sulistyawati, ED (2025). Midwifery Care for Childbirth. Ypad Publisher.
- Syahida, A. (2022). The Effect of Effleurage Relaxation Technique on First Stage Labor Pain in Pregnant Women at Zulaini Midwife Practice in Langsa City. Imelda Midwifery Scientific Journal, 8(1), 7–13.
- Zanah, M., & Armalini, R. (2022). The Effectiveness of Effleurage Massage with Lavender Aromatherapy on Reducing the Intensity of Labor Pain in the Active Phase of the First Stage in Bpm Yenita, Pariaman City. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 11(2), 128–135.