Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida

• Main Authors: Ade Kurniawati, Djaswadi Dasuki, Farida Kartini
• Format: Article
• Language: Indonesian
• Published: Alma Ata University Press 2017-05-01
• Series: Jurnal Ners dan Kebidanan Indonesia
• Subjects: birth ball; labor pain; the first stage; the active phase; primigravida
• Online Access: http://ejournal.almaata.ac.id/index.php/JNKI/article/view/341

<em><span>Some problems may appear due to childbirth, such as discomfort, fear and pain. Particularly for pain in the first stage of labor, it can be severe and takes place a longer time</span><span lang="IN">, </span><span>thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.</span><span>This was a quasi-experimental study </span><span lang="IN">t</span><span>o determine the effectiveness of birth ball exercise </span><span>is</span></em><em><span>one of nonpharmacological methods</span></em><em><span>towards the reduction of labor pain in the active phase of the first stage of labor in primigravida. Thirty eight women were recruited with consecutive sampling technique, divided into 2 groups, the treatment group given ball birth exercise in active phase of the first stage for 30 minutes for two times and the control group not given the exercise. The bivariable analysis was conducted with correlation and t-test, while the multivariable analysis used linear regression.</span><span lang="IN"> The results showed that t</span><span>he mean labor pain in the group given birth ball exercise was lower 4.5 than that in the control group at 5.4 with a p-value of </span><span lang="IN">0.01</span><span>. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of &lt;0.05. The multivariate analysis using Model 4 obtained an R² value of 0.49, which means that the birth ball exercise and husband and family support contributed to labor pain equal to 49%.</span><span>There were significant differences in pain intensity in active phase of the first stage of labor between primigravida who practiced birth ball exercise and those who did not. The pain intensity was lower in women practicing birth ball exercise than that in those who did not.</span></em>