The Effectiveness of the Effleurage Massage Method Compared with Rubbing Massage on Reducing the Intensity of Normal Labor Pain in the First Active Phase

Meidayana Refisiliyani; Deviana Soraya Riu; Andi Nilawati Usman

doi:10.33096/woh.vi.702

Meidayana Refisiliyani Sekolah Pascasarjana Ilmu Kebinanan Universitas Hasanuddin
Deviana Soraya Riu Program Studi Obstetric dan Genicologi, Fakultas Kedokteran, Universitas Hasanuddin
Andi Nilawati Usman Program Studi Magister Ilmu Kebidanan, Sekolah Pascasarjana, Universitas Hasanuddin

DOI: https://doi.org/10.33096/woh.vi.702

Keywords: Effleurage Massage, Rubbing Massage, Labor Pain, Stage 1 Active Phase

Abstract

Labor pain is a physiological journey experienced by a woman to gain a subjective experience of physical feelings related to uterine contractions, cervical dilatation and effacement, and fetal descent during labor. This study aims to determine the effectiveness of the effleurage massage method compared to rubbing massage in reducing the pain intensity of normal labor during the first active phase. This type of research uses Quasi-Experimental with a Pretest-Posttest with a control group design. The population consisted of 45 respondents divided into three groups: two intervention groups and one control group. Each group consists of 15 respondents, selected through a total sampling technique. The use of an observation sheet that contains a list of observed points by marking the numbers contained in the assessment sheet, which shows the level of pain that the mother feels and is applied before and after the intervention is used as an indicator in measuring the effectiveness of the two methods using the Visual Analogue Scale (VAS) measurement scale. Data were analyzed using the Wilcoxon Test, the Kruskal-Wallis Test, and the Mann-Whitney Test. The results showed that the group given effleurage massage experienced a decrease in labor pain intensity by 12 respondents (80%) with a p-value of 0.000, and the group given rubbing massage experienced a decrease in labor pain intensity by ten respondents (66.7%) with a p-value value 0.000 while the comparison between the effleurage massage and rubbing massage groups obtained a p-value of 0.417 > 0.05. So that the use of pain reduction methods such as non-pharmacological methods in the form of effleurage massage and rubbing massage is always expected to be an option for health workers, in this case midwives in the handling of mothers in childbirth, considering that many factors influence the perception of pain which are very subjective and individual.

References

1. Firdaus, N., Setiawan, L. & Fahmi, N. F. Studi Komparasi Terapi Kombinasi Massage Effleurage Dan Aromaterapi Lavender Dengan Metode Bonapace Terhadap Nyeri Persalinan Pada Ibu Primigravida Kala 1 Fase Aktif Di BPM Mei Yuni. Jurnal Ilmiah Obsgin 13, 7–14 (2021).
2. Kurniawaty & Sari, S. N. Penerapan Manajemen Non Farmakologi Dalam Upaya Mengurangi Nyeri Pada Persalinan Kala 1 : Literatur Review. Jurnal Aisyiyah Medika 6, 158–173 (2021).
3. Lubis, D. R., Maryuni & Anggraeni, L. Efektivitas Massage Punggung Dalam Mengurangi Nyeri Persalinan Kala 1 Fase Aktif Pada Primigravida & Multigravida. Jurnal Ilmiah Bidan V, 22–28 (2020).
4. Qonitun, U. The Effect Of Massage Effleurage On Pain Intensity And Length Of Labor I In The Normal Inpartu In Tuban District. Jurnal Midpro 12, 105–109 (2020).
5. Handayani, L. Komplementer Dalam Mengatasi Nyeri Persalina : Literatur Review. Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan 12, 107–118 (2021).
6. Aryani, Y., Masrul, M. & Evareny, L. Pengaruh Masase pada Punggung Terhadap Intensitas Nyeri Kala I Fase Laten Persalinan Normal Melalui Peningkatan Kadar Endorfin. Jurnal Kesehatan Andalas 4, 70–77 (2015).
7. Paseno, M., Situngkir, R. & Pongantung, H. Massage Counter Pressure Dan Massage Effleurage Efektif Mengurangi Nyeri Persalinan Kala 1. JUIPERDO 7, 20–31 (2019).
8. Puspitasari, I. & Astuti, D. Teknik Massage Punggung Untuk Mengurangi Nyeri Persalinan Kala 1. Jurnal Ilmu Keperawatan dan Kebidanan 8, 100–106 (2017).
9. Suriani, Nuraini, E. & Siagian, N. A. Pengaruh Teknik Massage Back-Effleurage Terhadap Pengurangan Rasa Nyeri Persalinan Kala 1 Di Klinik Bersalin Kurnia Kecamatan Delitua Kabupaten Deli Serdang. Jurnal Penelitian Keperawatan Medik Received: 2, 24–29 (2019).
10. Rahmawati, P. L., Dwiningsih, S. R. & Herawati, L. Kombinasi Effleurage Dan Kneading Massage Dapat Menurunkan Intensitas Dismenorea. Indonesian Midwifery and Health Sciences Journal 4, 51–59 (2020).
11. Riska, A. & Mariza, A. Pengaruh Massase Terhadap Pengurangan Rasa Nyeri Pada Ibu Inpartu Kala 1 Di BPS Nurhasanah Kecamatan Teluk Betung Bandar Lampung. Jurnal Kesehatan 7, 407–411 (2016).
12. Qurniasih, N., Dasuki, D. & Hidayat, A. Efektivitas Masase Effleurage Terhadap Penurunan Intensitas Nyeri Persalinan Kala 1 Fase Aktif Di Puskesmas Kota Yogyakarta. Occupational Medicine 53, 130 (2017).
13. Lestari, S. & Apriyani, N. Pengaruh Massage Effleurage Terhadap Perubahan Tingkat Nyeri Pada Pasien Kala 1 Fase Aktif Persalinan. Jurnal Kesehatan 10, 12–18 (2019).
14. Herinawati, Hindriati, T. & Novilda, A. Pengaruh Effleurage Massage terhadap Nyeri Persalinan Kala I Fase Aktif di Praktik Mandiri Bidan Nuriman Rafida dan Praktik Mandiri Bidan Latifah Kota Jambi Tahun 2019. Jurnal Ilmiah Universitas Batanghari Jambi 19, 590–601 (2019).
15. Wahyuni, S. & Wahyuningsih, E. Pengaruh Massage Effleurage Terhadap Tingkat Nyeri Persalinan Kala 1 Fase Aktif Pada Ibu Bersalin Di RSU PKU Muhammadiyah Delanggu Klaten 2015. Jurnal Involusi Kebidanan 5, 43–53 (2015).
16. Dewi, P. I. S., Aryawan, K. Y., Ariana, P. A. & Nandarini Ni Ayu Putu Eka. Intensitas Nyeri Persalinan Kala I Fase Laten pada Ibu Inpartu menggunakan Birth Ball Exercise. Jurnal Keperawatan Silampari 3, 456–465 (2020).
17. Fitriahadi, E. & Utami, I. Deep Back dan Rubing Massage Berpengaruh Terhadap Penurunan Intensitas Nyeri dan Percepatan Pembukaan Serviks Ibu Bersalin. Jurnal Kebidanan 10, 13–22 (2021).
18. Sumarni, Fadlilah, S., Sucipto, A., Setyaningsih, D. & Vidayanti, V. Rubbing Massage And Deep Back Massage As An Alternative Therapy Reduces Active Phase 1 Labor Pain. Pakistan Journal of Medical and Health Sciences 14, 1439–1443 (2020).
19. Yanti, J. S., Saputri, E. M. & Pratiwi, W. Efektifitas Pelaksanaan Pijat Effluarage Pada Ibu Bersalin Di Klinik Pratama Deliana. Ensiklopedia of Journal 3, 214–218 (2021).
20. Ekawati, H. & Martini, D. E. Pengaruh Pemberian Tehnik Masase Effleurage Terhadap Penurunan Nyeri Persalinanan Normal Pada Ibu Bersalin Kala 1 Fase Aktif. SURYA 08, 26–30 (2016).
21. Pratiwi, A. M., Zuliyati, I. C. & Fatimatasari. Abdominal Lifting, Effleurage, and Deep Back Massage Effective In Reducing Pain During Active Phase Of First Stage Labor. JURNAL NERS DAN KEBIDANAN INDONESIA INDONESIAN JOURNAL OF NURSING AND MIDWIFERY 9, 175–182 (2021).
22. Rosita & Lowa, M. Y. Efektifitas Deep Back Massage Dan Effleurage Massage Terhadap Penurunan Intensitas Nyeri Persalinan Kala 1 Fase Aktif Pada Ibu Primipada Di Puskesmas Jumpandang Baru Makassar. Jurnal Keperawatan Muhammadiyah 5, 207–216 (2020).
23. Karuniawati, B. Efektivitas Massage Endorphin dan Counter Massage Terhadap Intensitas Nyeri Persalinan Kala I. Jurnal Ilmu Kesehatan 4, 27–33 (2020).
24. Pratiwi, A. M., Zuliyati, I. C. & Fatimatasari, F. Abdominal lifting, effleurage, and deep back massages effective in reducing pain during active phase of first stage labor. JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) 9, 175 (2021).