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		Perbedaan Intensitas Nyeri Pada Ibu Bersalin Kala I  Fase Aktif Sebelum Dan Sesudah Dilakukan  Massage Counter Pressure
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<meta name="citation_reference" content="Merry, Y.A., Mardiani B., dan Olana, R.R., (2018). Pengaruh Massage Counter Pressure Terhadap Lama Kala 1 Fase Aktif Persalinan Normal. Jurnal Ilmiah Kebidanan Vol. 9 No.1."/>
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<meta name="citation_reference" content="Rusmila, D.S.D., dan Indrayani, D., (2022). Counter Pressure untuk Mengurangi Rasa Nyeri Persalinan (Evidence Based Case Report). Jurnal Kesehatan Siliwangi. Volume 3, No. 2, Desember 2022"/>
<meta name="citation_reference" content="Satria, M., (2018). Pengaruh Sebelum dan Sesudah Dilakukan Pijat Punggung Teknik Conterpressure Terhadap Pengurangan Rasa Nyeri Ibu Bersalin Kala I Fase Aktif di Klinik Bidan Elviana. Menara Ilmu, XII (5), 85–92."/>
<meta name="citation_reference" content="Surtiningsih. (2015). Efektifitas Tehnik Counter Pressure dan Endorphin Massage terhadap Nyeri Persalinan Kala 1 pada Ibu Bersalin di RSUD Ajibarang. ejournal.htp.ac.id/stikes/pdf.php?id=JRL0000092."/>
<meta name="citation_reference" content="Sutrisminah, Emi, Is Susiloningtyas, and Murni Jayanti. 2021. “Hubungan Usia, Paritas, Pendidikan dan Dukungan Keluarga dengan Kecemasan Ibu Bersalin Kala I di Klinik Bersalin Esti Husada Semarang.” Jurnal Kebidanan Khatulistiwa 7 (1): 15. https://doi.org/10.30602/jkk.v7i1.718."/>
<meta name="citation_reference" content="Utami, I. dan Fitriahadi, E., (2019). Buku Ajar Asuhan Persalinan &amp; Managemen Nyeri Persalinan. Universitas Aisyiyiah. Yogyakarta."/>
<meta name="citation_reference" content="Widiawati,I., dan Legiatai ,T., (2017) Mengenal Nyeri pada Primipara dan Multipara. Jurnal Bimtas FIKes-Universitas Muhamadiyah Tasikmalaya. Volume : 2, Nomer 1.?"/>
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<meta name="DC.Description" xml:lang="en" content="Background: Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. Method: This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. Result: Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. Conclusion: This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001."/>
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			<article class="obj_article_details">

			<h1 class="page_title">
		Perbedaan Intensitas Nyeri Pada Ibu Bersalin Kala I  Fase Aktif Sebelum Dan Sesudah Dilakukan  Massage Counter Pressure
	</h1>
	
	<div class="row">
		<div class="main_entry">

							<section class="item authors">
					<h2 class="pkp_screen_reader">Authors</h2>
					<ul class="authors">
											<li>
							<span class="name">
								Ni Luh Putu Silvi Madalena Gomes
							</span>
															<span class="affiliation">
									Poltekkes Kemenkes Denpasar, Indonesia
																	</span>
																				</li>
											<li>
							<span class="name">
								Regina Tedjasulaksana
							</span>
															<span class="affiliation">
									Poltekkes Kemenkes Denpasar, Indonesia
																	</span>
																				</li>
											<li>
							<span class="name">
								Komang Erny Astiti
							</span>
															<span class="affiliation">
									Poltekkes Kemenkes Denpasar, Indonesia
																	</span>
																				</li>
										</ul>
				</section>
			
																					
									<section class="item keywords">
				<h2 class="label">
										Keywords:
				</h2>
				<span class="value">
											Maternity Mother, 											Labor Pains, 											Massage Counter Pressure									</span>
			</section>
			
										<section class="item abstract">
					<h2 class="label">Abstract</h2>
					<p><strong>Background</strong><strong>: </strong>Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. <strong>Method: </strong>This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. <strong>Result: </strong>Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. <strong>Conclusion: </strong>This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001.</p>
				</section>
			
			

																																	
										<section class="item references">
					<h2 class="label">
						References
					</h2>
					<div class="value">
																					<p>Afritayeni. 2017. Hubungan Umur, Paritas dan Pendamping Persalinan Dengan Intensitas Nyeri Persalinan Kala I. Jurnal Endurance 2 (2): 178. <a href="https://doi.org/10.22216/jen.v2i2.1852">https://doi.org/10.22216/jen.v2i2.1852</a> </p>
															<p>Apriani, S., Enderia, S. (2021). Pengaruh Teknik Masase Counter Pressure Terhadap Intensitas Penurunan Nyeri Persalinan Kala 1 Fase Aktif Di BPM Herasdiana. Jurnal Delima Harapan Volume 8 Nomor 2 September 2021 </p>
															<p>Aryani,Y., Masrul, Evareny,L., (2015) Pengaruh Masase pada Punggung Terhadap Peningkatan Kadar Endorfin. Jurnal Kesehatan Andalas, 2015, 4(1) </p>
															<p>Buckley, S. et al. (2018). No.355-Physiologic Basis of Pain in labour and Delivery: An Evidence-Based Approach to its Management. Journal of Obstetrics and Gynaecology Canada. Elsevier Inc. 40(2), 227-245. </p>
															<p>Christiani, R., Indrayani, T., dan Widowati, R., (2022). Efektivitas Massage Counterpressure terhadap Intensitas Rasa Nyeri pada Persalinan Kala 1 Fase Aktif di PMB Bidan Monika Jakarta Timur. Journal for Quality in Women's Health Vol. 5 No. 1 March 2022 | pp. 107 - 113 p-ISSN: 2615-6660 | e-ISSN: 2615-6644 </p>
															<p>Dahlan, S. (2018). Besar Sampel dan Cara Pengambilan Sampel dalam Penelitian Kedokteran dan Kesehatan. Jakarta: Salemba Medika </p>
															<p>Judha, M., dan Fauziah, S.A., (2012). Teori Pengukuran Nyeri dan Nyeri Persalinan. Naha Medika. Jogjakarta. </p>
															<p>Maryuni. 2020. “Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan.” Jurnal Stikes Sitihajar, 116–22. </p>
															<p>Merry, Y.A., Mardiani B., dan Olana, R.R., (2018). Pengaruh Massage Counter Pressure Terhadap Lama Kala 1 Fase Aktif Persalinan Normal. Jurnal Ilmiah Kebidanan Vol. 9 No.1. </p>
															<p>Pasongli., (2014). Efektifitas Counterpressure Terhadap Penurunan Intensitas Nyeri Kala I Fase Aktif Persalinan Normal di Rumah Sakit Advent Manado. Jurnal Ilmiah Bidan Vol. 2 No. 2. </p>
															<p>Periani, N.M., Sriasih, N.G.K., dan Darmapartni, M.W.G., (2024). Perbedaan Intensitas Nyeri Persalinan Kala 1 Fase Aktif Sebelum Dan Sesudah Diberikan Masase Punggung (Counterpresure). Jurnal Kebidanan. Volume 12 (1A) Juli, Tahun 2024. </p>
															<p>Potter, dan Perry., (2010). Fundamental of Nursing edisi 7. Salemba Medika. Jakarta </p>
															<p>Prawirohardjo, S., (2014). Ilmu Kebidanan. PT Bina Pustaka. Jakarta </p>
															<p>Puspitasari, I., (2017). Tehnik Massage Punggung Untuk Mengurangi Nyeri Persalinan Kala I. Jurnal Ilmiah Kebidanan. (Online), Vol. 8 No. 2 (2017) 100-106. </p>
															<p>Rusmila, D.S.D., dan Indrayani, D., (2022). Counter Pressure untuk Mengurangi Rasa Nyeri Persalinan (Evidence Based Case Report). Jurnal Kesehatan Siliwangi. Volume 3, No. 2, Desember 2022 </p>
															<p>Satria, M., (2018). Pengaruh Sebelum dan Sesudah Dilakukan Pijat Punggung Teknik Conterpressure Terhadap Pengurangan Rasa Nyeri Ibu Bersalin Kala I Fase Aktif di Klinik Bidan Elviana. Menara Ilmu, XII (5), 85–92. </p>
															<p>Surtiningsih. (2015). Efektifitas Tehnik Counter Pressure dan Endorphin Massage terhadap Nyeri Persalinan Kala 1 pada Ibu Bersalin di RSUD Ajibarang. ejournal.htp.ac.id/stikes/pdf.php?id=JRL0000092. </p>
															<p>Sutrisminah, Emi, Is Susiloningtyas, and Murni Jayanti. 2021. “Hubungan Usia, Paritas, Pendidikan dan Dukungan Keluarga dengan Kecemasan Ibu Bersalin Kala I di Klinik Bersalin Esti Husada Semarang.” Jurnal Kebidanan Khatulistiwa 7 (1): 15. <a href="https://doi.org/10.30602/jkk.v7i1.718">https://doi.org/10.30602/jkk.v7i1.718</a>. </p>
															<p>Utami, I. dan Fitriahadi, E., (2019). Buku Ajar Asuhan Persalinan &amp; Managemen Nyeri Persalinan. Universitas Aisyiyiah. Yogyakarta. </p>
															<p>Widiawati,I., dan Legiatai ,T., (2017) Mengenal Nyeri pada Primipara dan Multipara. Jurnal Bimtas FIKes-Universitas Muhamadiyah Tasikmalaya. Volume : 2, Nomer 1.? </p>
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