Pengaruh Teknik Relaksasi Nafas Dan Pijat Endorfin Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif

The Effect of Breathing Relaxation Techniques and Endorphin Massage on Reducing Labor Pain Intensity During the Active Phase of the First Stage of Labor

Authors

  • Fitri Andriani Universitas Putra Abadi Langkat
  • Rezqiqah Aulia Rahmat Universitas Bosowa

DOI:

https://doi.org/10.59585/bajik.v5i1.1947

Keywords:

Relaksasi Nafas, Pijat Endorfin, Nyeri Persalinan, Kala I, Fase Aktif

Abstract

Nyeri persalinan merupakan pengalaman fisiologis yang dialami ibu akibat kontraksi uterus, pembukaan serviks, dan penurunan bagian terendah janin. Intensitas nyeri umumnya meningkat selama kala I fase aktif sehingga diperlukan upaya pengelolaan nyeri yang aman dan efektif. Penelitian ini bertujuan mengetahui pengaruh kombinasi teknik relaksasi nafas dan pijat endorfin terhadap penurunan intensitas nyeri persalinan kala I fase aktif. Penelitian menggunakan desain pre-experimental dengan pendekatan one-group pretest-posttest. Jumlah responden dalam rancangan penelitian ini adalah 40 ibu bersalin yang memenuhi kriteria inklusi. Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Intervensi diberikan melalui latihan relaksasi nafas terarah yang dikombinasikan dengan pijat endorfin pada area punggung sesuai prosedur dan kenyamanan ibu. Hasil pengolahan data menunjukkan rata-rata intensitas nyeri sebelum intervensi sebesar 7,10 dan setelah intervensi menurun menjadi 4,65. Hasil uji statistik menunjukkan perbedaan yang bermakna secara statistik (p<0,001). Kombinasi teknik relaksasi nafas dan pijat endorfin berpotensi membantu mengurangi persepsi nyeri serta meningkatkan kenyamanan ibu selama persalinan. Intervensi ini dapat menjadi salah satu pilihan pendamping dalam asuhan persalinan dengan tetap memperhatikan kondisi ibu dan janin.

References

Alimoradi, Z., Kazemi, F., Valiani, M., & Gorji, M. (2020). Effects of ear and body acupressure on labor pain and duration of labor: A systematic review. Journal of Education and Health Promotion, 9, Article 270.

Anim-Somuah, M., Smyth, R. M. D., Cyna, A. M., & Cuthbert, A. (2018). Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database of Systematic Reviews, 2018(5), Article CD000331. https://doi.org/10.1002/14651858.CD000331.pub4

Cakrawati, R., & Ilham, R. (2026). Siaga diabetes: Program pemberdayaan masyarakat melalui deteksi dini dan pengendalian risiko diabetes melitus: Diabetes alert: A community empowerment program through early detection and risk control of diabetes mellitus. Sahabat Sosial: Jurnal Pengabdian Masyarakat, 5(1), 45–52. https://doi.org/10.59585/sosisabdimas.v5i1.1785

Delgado, A., Marinho, G., Melo, R. S., Pinheiro, F., & Lemos, A. (2024). Effectiveness of breathing exercises during first stage of labor: A systematic review and meta-analysis. European Journal of Integrative Medicine, 68, Article 102370. https://doi.org/10.1016/j.eujim.2024.102370

Jones, L., Othman, M., Dowswell, T., Alfirevic, Z., Gates, S., Newburn, M., et al. (2012). Pain management for women in labour: An overview of systematic reviews. Cochrane Database of Systematic Reviews, (3), Article CD009234. https://doi.org/10.1002/14651858.CD009234.pub2

Klomp, T., van Poppel, M., Jones, L., Lazet, J., Di Nisio, M., & Lagro-Janssen, A. (2012). Inhaled analgesia for pain management in labour. Cochrane Database of Systematic Reviews, (9), Article CD009351. https://doi.org/10.1002/14651858.CD009351.pub2

Madden, K., Middleton, P., Cyna, A. M., Matthewson, M., & Jones, L. (2016). Hypnosis for pain management during labour and childbirth. Cochrane Database of Systematic Reviews, (5), Article CD009356. https://doi.org/10.1002/14651858.CD009356.pub3

Mårtensson, L., & Wallin, G. (2006). Use of acupuncture and transcutaneous electrical nerve stimulation for labor pain: A systematic review. American Journal of Obstetrics and Gynecology, 194(2), S45–S47.

M., W., Sahabuddin, S., Kereh, H. F., Andriani, F., Rahagia, R., & Ekawati, N. (2024). Edukasi dan pelatihan message bayi pada ibu dengan usia 1–12 bulan di Puskesmas Tamalanrea Makassar. Sahabat Sosial: Jurnal Pengabdian Masyarakat, 2(3), 381–388. https://doi.org/10.59585/sosisabdimas.v2i3.381

National Institute for Health and Care Excellence. (2023). Intrapartum care (NICE Guideline NG235). https://www.nice.org.uk/guidance/ng235

Pannyiwi, R., Rahmat, R. A., Cakrawati, R., Dasaryandi, K. R., & Nasution, N. (2026). Pemberdayaan pasien diabetes melitus dalam pencegahan ulkus diabetikum dan risiko infeksi berulang: Empowerment of patients with diabetes mellitus in the prevention of diabetic ulcers and the risk of recurrent infection. Barongko: Jurnal Ilmu Kesehatan, 5(1), 985–991. https://doi.org/10.59585/bajik.v5i1.1586

Simkin, P., & Bolding, A. (2004). Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. Journal of Midwifery & Women's Health, 49(6), 489–504. https://doi.org/10.1016/j.jmwh.2004.07.007

Smith, C. A., Collins, C. T., Cyna, A. M., & Crowther, C. A. (2006). Complementary and alternative therapies for pain management in labour. Cochrane Database of Systematic Reviews, (4), Article CD003521. https://doi.org/10.1002/14651858.CD003521.pub2

Smith, C. A., Levett, K. M., Collins, C. T., Armour, M., Dahlen, H. G., & Suganuma, M. (2018). Relaxation techniques for pain management in labour. Cochrane Database of Systematic Reviews, 2018(3), Article CD009514. https://doi.org/10.1002/14651858.CD009514.pub2

Smith, C. A., Levett, K. M., Collins, C. T., Dahlen, H. G., Ee, C. C., & Suganuma, M. (2018). Massage, reflexology and other manual methods for pain management in labour. Cochrane Database of Systematic Reviews, 2018(3), Article CD009290. https://doi.org/10.1002/14651858.CD009290.pub3

Thomson, G., Feeley, C., Moran, V. H., Downe, S., & Oladapo, O. T. (2019). Women's experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: A qualitative systematic review. Reproductive Health, 16, Article 71.

Vixner, L., Schytt, E., Mårtensson, L. B., Hammar, M., Zethraeus, N., & Wallin, G. (2014). Acupuncture with manual and electrical stimulation for labour pain: A randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 121(7), 895–904.

World Health Organization. (2015). WHO recommendations for prevention and treatment of maternal peripartum infections. World Health Organization.

World Health Organization. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization.

World Health Organization. (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience. World Health Organization.

Wulandari, B. L., Andriani, F., Tarigan, D. F. P. B., Sari, N., & Marpaung, S. H. (2026). Efektivitas teknik birth ball terhadap intensitas nyeri persalinan pada ibu bersalin kala I fase aktif. Barongko: Jurnal Ilmu Kesehatan, 4(2), 922–928. https://jurnal.agdosi.com/index.php/Barongko/article/view/1139

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Published

2026-11-14

How to Cite

Andriani, F., & Rahmat, R. A. (2026). Pengaruh Teknik Relaksasi Nafas Dan Pijat Endorfin Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif: The Effect of Breathing Relaxation Techniques and Endorphin Massage on Reducing Labor Pain Intensity During the Active Phase of the First Stage of Labor. Barongko: Jurnal Ilmu Kesehatan, 5(1), 2182–2187. https://doi.org/10.59585/bajik.v5i1.1947

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