Effect of Guided Deep Breath Relaxation and Kegel Gym on Perineal Pain Reduction in Postpartum Women at Buleleng Hospital, Bali

Luh Ayu Purnami1), R. Soerjo Hadijono2), Lucky Herawati3)


1)School of Health Sciences Buleleng

2)School of Health Sciences Guna Bangsa Yogyakarta

3)School of Health Polytechnics, Ministry of Health Yogyakarta



Background: Mothers regardless of their ethnicity and demographic characters des­cribed post-partum pain as one of the serious problem after giving births. Severe peri­neal pain can dis­tract the mother and therefore interrupt the initial bonding process bet­ween mother and baby which is very essential. Deep breathing helps relax the body and mind. Learning deep breath­ing reduces muscle tension thereby lessening pain. This study aimed to analyze the effect of guided deep breath relaxation and Kegel gym on perineal pain reduction in postpartum wo­men at Bule­leng Hospital, Bali.

Subjects and Method: This study was a quasi experiment with a pre-test and post-test with control group design. It was conducted at Buleleng hospital, Bali. A total of 82 post­partum mo­thers was divided into 2 groups: 41 postpartum mothers in ex­pe­ri­men­tal group and 41 post­par­tum mothers in control group. The independent variable was Kegel gym and guided deep breathing. The dependent variable was perineal pain at 12 hours, 24 hours, and 48 hours. The data were collected using a pain observation sheet in the form of a Numeric Rating Scale (NRS), Stan­­dard Operating Procedure (SOP), and leaflets on guided deep breath that had been deve­lo­ped by researchers. The data were analyzed using Paired t-test and Independent Test t-test and Manova test.

Results: Decrease in perineal pain in the experimental group (Mean= 2.78) was larger than the control group (Mean= 1.52), and it was statisticallly significant.

Conclusion: The guided deep breathing method is more effective in reducing mater­nal perineal pain at 24 hours postpartum. It is expected that guided deep breathing can be used as an alternative method of overcoming persistent perineal pain.

Keywords: guided deep breath, Kegel exercise, pain, perineum, postpartum

Correspondence: Luh Ayu Purnami. School of Health Sciences Buleleng, Jl. Raya Air Sanih KM 11 Bungkulan Singaraja, Buleleng, Bali.  Email: ayupurnami40@gmail.com. Mobile: 0878­63­069849.

DOI: https://doi.org/10.26911/theicph.2019.03.06

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