The Effectiveness of Counter Pressure and Endorphin Massage on Reducing Pain during First Stage of Labor in Intrapartum Mothers


Siti Maisaroh, Diani Maryani

 

Midwifery Academy of Karya Bunda Husada, Tangerang

 

ABSTRACT

Background: Comfort measures that provide natural pain relief can be very effective during labor and childbirth. Birthing techniques such as hydrotherapy, hypnobirthing, pat­terned breathing, relaxation, and visualization can increase the production of endogenous endorphins that bind to receptors in the brain for pain relief. Other methods of comfort therapy such as effleurage (light rhythmic stroking of the abdomen), massage, and hydrotherapy can provide pain relief by naturally creating competing impulses in the central nervous system that can prevent the painful stimuli of labor contractions from reaching the brain. This study aimed ot examine the effectiveness of counter pressure and endorphin massage on reducing pain during first stage of labor in intrapartum mothers.

Subjects and Method: This was a quasi experimental study. The study was conducted at private midwivery clinic in Tangerang, Indonesia. A number of 30 intrapartum mother was selected by accidental sampling and

divided into two groups, (1) 15 mother were given counter pressure and endorphin massage (intervention group) and (2) 15 mothers were not given any intervention (control group). The dependent variable was pain labor. The independent variable was counter pressure and endorphins massage. Mean difference of pain labor after intervention was assessed by independent t-test.

Results: Pain labor in the inter­vention group (mean= 9.5; SD= 1.57) was lower compared to the control group (mean= 21.5; SD= 0.66) and it was statistically significant (p= 0.003).

Conclusion: Pain labor in the intervention group is lower compared to the control group. Keywords: counter pressure, endorphin massage, pain labor.

Keywords: counter pressure, endorphin massage, pain labor

Correspondence: Siti Maisaroh. Midwifery Academy of Karya Bunda Husada, Tangerang. Jl. Imam Bonjol 77, Tangerang, Banten, Indonesia. Email: nikmahyudistra.86@gmail.com. Mobile: 081318133661.

DOI: https://doi.org/10.26911/ICPHmaternal.FP.08.2021.14

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