PENGARUH TEKNIK MASSAGE COUNTER PRESSURE TERHADAP MANAJEMEN NYERI PADA IBU BERSALIN KALA 1 FASE AKTIF DI PMB PONIRAH

Abstract

Labor pain is a physiological experience that women almost universally experience during childbirth. According to the World Health Organization (WHO), only 15% of deliveries in 121 maternity centers across 36 countries are painless or cause minimal pain, while the Asian region experiences similar problems, with approximately 85% of women reporting severe labor pain. In Indonesia, 21% of women state that the childbirth they experienced was painful due to intense pain. In Lampung Province, there are 8,948 pregnant women, of whom 5,355 (59.8%) experience labor pain during childbirth. Unmanaged pain can cause anxiety, fatigue, and prolong the labor process.

This research objective is to determine the effect of the counter-pressure massage technique on pain management in women in labor at the independent midwifery practice of Ponirah in the South Metro District of Metro City 2025.

This research used a pre-experimental design with a one-group pretest–posttest approach. The research was conducted from July to August 2025 with a sample of 16 women in labor during the active phase of the first stage, selected using accidental sampling. The research instrument was an observation sheet using the Comparative Pain Scale to measure pain intensity before and after the intervention. Data analysis was performed using the Wilcoxon signed-rank test.

The results showed that the average pain level before the intervention was 8 (severe pain), while after the intervention, it decreased to 6.12 (moderate pain). The Wilcoxon signed-rank test showed a value of 0.001 (p < 0.05), indicating a statistically significant difference in labor pain scores before and after the application of the counter-pressure massage technique. It is recommended that healthcare providers, particularly midwives, apply this technique as a non-pharmacological method for managing labor pain to improve maternal comfort during childbirth.

Keywords: Counter pressure massage, Labor pain, Women in labor