Reducing Pain in the First Stage of Labour Using Counter-Pressure Therapy in the Indonesian Hospital
-
Sri Rejeki
,
Satriya Pranata
,
Machmudah Machmudah
,
Arief Yanto
,
Lalu Muhammad Irham
,
Tri Hartiti
,
Aric Vranada
Abstract
Inadequately managed labor pain can negatively impact the birthing process. Potential adverse effects of labor pain include stress, fatigue, impaired breathing patterns, inhibited oxytocin production, psychological distress, and an increased risk of medical interventions. Counter-pressure is a safe nursing intervention used to alleviate labor pain. This study aimed to determine the effect of counter-pressure on intrapartum maternal pain. A pre-experimental, one-group pretest-posttest design was utilized, focusing on first-stage intrapartum maternal pain within a hospital setting. The study participants included mothers in labor at the obstetrics department of Roemani Hospital, Semarang, Indonesia. A total of 20 participants were selected through purposive sampling. Data were collected using a numerical rating scale (NRS) and laboratory analysis of blood specimens. Results indicated that counter-pressure was effective in significantly reducing intrapartum maternal pain (P=0.0001). Following counter-pressure treatment, participants experienced a mean reduction of 2.4 points on the pain scale. The findings also demonstrated that counter-pressure does not adversely affect the inflammatory process or labor contractions. Sacral counter-pressure proved effective in alleviating pain during the first stage of labor. Nurses in obstetric units are encouraged to implement this intervention as a pain management strategy for intrapartum patients.
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11. Fan HSL, Wong JYH, Fong DYT, Lok KYW, Tarrant M. Association between intrapartum factors and the time to breastfeeding initiation. Breastfeed Med 2020;15:394-400.
12. Pawestri P, Machmudah M, Rejeki S, Pranata S, Ayu Nur Fitria S, Laila Fitri M, et al. Difference effectiveness of progressive muscle relaxation therapy and endorphin massage therapy towards reducing menstrual pain intensity in adolescents. J Res Health 2023;13:247-54.
13. Sharkawy HM. Effects of repetitive transcranial magnetic stimulation on pain thresholds in patients with chronic low back pain. Case Med Res 2017;85:2497-503.
14. Negara NWWP, Stang, Ansariad, Salamah AU, Seweng A, Nur R, et al. Effect of varash oil to decrease menstrual pain in primary dysmenorrhea of senior high school student at Palu City. Gac Sanit 2021;35:S145-7.
15. Rejeki S, Pratama FY, Ernawati E, Yanto A, Soesanto E, Pranata S. Abdominal stretching as a therapy for dysmenorrhea. Open Access Maced J Med Sci 2021;9:180-3.
16. Rejeki S, Solichan A, Machmudah, Safitri DNRP, Poddar S. The profile of interleukin-6, PGE2, and menstrual pain levels through the counterpressure regiosacralis therapy. Eur J Mol Clin Med 2020;7:122-8.
17. Astuti HP, Astuti AW, Agustin D, Awaliyah HF, Winarti GR, Jaya VO. Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan. J Cakrawala Promkes 2021;3:50-60.
18. Huang KY, Chang CH, Yu KC, Hsu CH. Assessment of quality of life and activities of daily living among elderly patients with hypertension and impaired physical mobility in home health care by antihypertensive drugs plus acupuncture. Medicine (Baltimore) 2022;101:e29077.
19. Lu C, Coxhead A. Specialized vocabulary across languages: the case of traditional Chinese medicine. Stud Second Lang Learn Teach 2023;13:179-217.
20. Abdi F, Amjadi MA, Zaheri F, Rahnemaei FA. Role of vitamin D and calcium in the relief of primary dysmenorrhea: a systematic review. Obstet Gynecol Sci 2021;64:13-26.
21. Sousa L de, Gomes-Sponholz FA, Nakano AMS. Transcutaneous electrical nerve stimulation for the relief of post-partum uterine contraction pain during breast-feeding: a randomized clinical trial 2014;40:1317-23.
22. Apriyani, Sagita D, Ningsih RPS. Pengaruh pemberian minuman air kunyit (Curcuma longa) terhadap skala nyeri dismenore pada remaja putri di Desa Sukasari. Nusant Hasana J 2022;2:146-54.
23. Özgen M, Gemiköz M, Atik Z, Armağan O, Mutlu F. Complex regional pain syndrome in hand-wrist injuries. Agri 2021;33:23-7.
24. Smart KM, Ferraro MC, Wand BM, O’Connell NE. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II. Cochrane Database Syst Rev 2022;2022:CD010853.
25. Chu XL, Song XZ, Li Q, Li YR, He F, Gu XS, et al. Basic mechanisms of peripheral nerve injury and treatment via electrical stimulation. Neural Regen Res 2022;17:2185-93.
26. Enders J, Elliott D, Wright DE. Emerging nonpharmacologic interventions to treat diabetic peripheral neuropathy. Antioxid Redox Signal. 2023;38:989-1000.
27. Santuzzi CH, Azevedo H de, Neto F, Guilherme J, Pires P, Luiz W, et al. High-frequency transcutaneous electrical nerve stimulation reduces pain and cardio-respiratory parameters in an animal model of acute pain: participation of peripheral serotonin 2013;29:630-8.
28. Mohammadzadeh F, Noghabi ES, Noori R, Ahmadi SA, Azarang M, Noghabi AD. Comparing the effect of acupressure at the Spleen-10 (Xuehai) acupoint and vitamin E on primary dysmenorrhea. Med Acupunct 2022;34:325-30.
29. Yeh CH, Chien LC, Huang LC, Suen LKP. Auricular point acupressure for chronic pain. Holist Nurs Pract 2014;28:184-94.
30. Kafaei-Atrian M, Mirbagher-Ajorpaz N, Sarvieh M, Sadat Z, Asghari-Jafarabadi M, Solhi M. The effect of acupressure at third liver point on the anxiety level in patients with primary dysmenorrhea. Iran J Nurs Midwifery Res 2016;21:142-6.
31. Sorour AS, Ayoub AS, Abd El Aziz EM. Effectiveness of acupressure versus isometric exercise on pain, stiffness, and physical function in knee osteoarthritis female patients. J Adv Res 2014;5:193-200.
32. Yeh CH, Kawi J, Ni A, Christo P. Evaluating auricular point acupressure for chronic low back pain self-management using technology: a feasibility study. Pain Manag Nurs 2021;23:301-10.
33. Liu X, Wang X, Ma H, Zhang W. Mechanisms underlying acupuncture therapy in chronic kidney disease: a narrative overview of preclinical studies and clinical trials. Front Nephrol 2022;2:1006506.
34. Church D, Stapleton P, Vasudevan A, O’Keefe T. Clinical EFT as an evidence-based practice for the treatment of psychological and physiological conditions: a systematic review. Front Psychol 2022;13:951451.
2. Dastjerd F, Erfanian Arghavanian F, Sazegarnia A, Akhlaghi F, Esmaily H, Kordi M. Effect of infrared belt and hot water bag on labor pain intensity among primiparous: a randomized controlled trial. BMC Pregnancy Childbirth 2023;23:405.
3. Hibatulloh QN. The effectivity of acupressure therapy to relieve labor pain during the active phase of the first stage. Indones Midwifery Health Sci J 2022;6:96-110.
4. Altınayak SÖ, Özkan H. The effects of conventional, warm and cold acupressure on the pain perceptions and beta-endorphin plasma levels of primiparous women in labor: a randomized controlled trial. Explore (NY) 2022;18:545-50.
5. Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth 2018;18:1-14.
6. Azza A, Triharini M. A cultural nursing care model to prevent preeclampsia in the provision of basic services in Eastern Indonesia 2023;5293.
7. Nursalam N, Triharini M, Azza A, Chanif C, Wahyuni D, Machmudah M, et al. The relationship between spiritual quality and self-adaptation in cancer patients receiving chemotherapy 2023;54:261-6.
8. Solt Kirca A, Kanza Gul D. Effects of acupressure and shower applied in the delivery on the intensity of labor pain and postpartum comfort. Eur J Obstet Gynecol Reprod Biol 2022;273:98-104.
9. Gunadi A, Adnan N, Cahyawati FE, Listyaningrum TH, Sumaryani S. Trend of non-pharmacological therapy for first phase of active labor pain: a pilot study. J Epidemiol Kesehat Indones 2022;6.
10. Sharpe EE, Rollins MD. Beyond the epidural: alternatives to neuraxial labor analgesia. Best Pract Res Clin Anaesthesiol 2022;36:37-51.
11. Fan HSL, Wong JYH, Fong DYT, Lok KYW, Tarrant M. Association between intrapartum factors and the time to breastfeeding initiation. Breastfeed Med 2020;15:394-400.
12. Pawestri P, Machmudah M, Rejeki S, Pranata S, Ayu Nur Fitria S, Laila Fitri M, et al. Difference effectiveness of progressive muscle relaxation therapy and endorphin massage therapy towards reducing menstrual pain intensity in adolescents. J Res Health 2023;13:247-54.
13. Sharkawy HM. Effects of repetitive transcranial magnetic stimulation on pain thresholds in patients with chronic low back pain. Case Med Res 2017;85:2497-503.
14. Negara NWWP, Stang, Ansariad, Salamah AU, Seweng A, Nur R, et al. Effect of varash oil to decrease menstrual pain in primary dysmenorrhea of senior high school student at Palu City. Gac Sanit 2021;35:S145-7.
15. Rejeki S, Pratama FY, Ernawati E, Yanto A, Soesanto E, Pranata S. Abdominal stretching as a therapy for dysmenorrhea. Open Access Maced J Med Sci 2021;9:180-3.
16. Rejeki S, Solichan A, Machmudah, Safitri DNRP, Poddar S. The profile of interleukin-6, PGE2, and menstrual pain levels through the counterpressure regiosacralis therapy. Eur J Mol Clin Med 2020;7:122-8.
17. Astuti HP, Astuti AW, Agustin D, Awaliyah HF, Winarti GR, Jaya VO. Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan. J Cakrawala Promkes 2021;3:50-60.
18. Huang KY, Chang CH, Yu KC, Hsu CH. Assessment of quality of life and activities of daily living among elderly patients with hypertension and impaired physical mobility in home health care by antihypertensive drugs plus acupuncture. Medicine (Baltimore) 2022;101:e29077.
19. Lu C, Coxhead A. Specialized vocabulary across languages: the case of traditional Chinese medicine. Stud Second Lang Learn Teach 2023;13:179-217.
20. Abdi F, Amjadi MA, Zaheri F, Rahnemaei FA. Role of vitamin D and calcium in the relief of primary dysmenorrhea: a systematic review. Obstet Gynecol Sci 2021;64:13-26.
21. Sousa L de, Gomes-Sponholz FA, Nakano AMS. Transcutaneous electrical nerve stimulation for the relief of post-partum uterine contraction pain during breast-feeding: a randomized clinical trial 2014;40:1317-23.
22. Apriyani, Sagita D, Ningsih RPS. Pengaruh pemberian minuman air kunyit (Curcuma longa) terhadap skala nyeri dismenore pada remaja putri di Desa Sukasari. Nusant Hasana J 2022;2:146-54.
23. Özgen M, Gemiköz M, Atik Z, Armağan O, Mutlu F. Complex regional pain syndrome in hand-wrist injuries. Agri 2021;33:23-7.
24. Smart KM, Ferraro MC, Wand BM, O’Connell NE. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II. Cochrane Database Syst Rev 2022;2022:CD010853.
25. Chu XL, Song XZ, Li Q, Li YR, He F, Gu XS, et al. Basic mechanisms of peripheral nerve injury and treatment via electrical stimulation. Neural Regen Res 2022;17:2185-93.
26. Enders J, Elliott D, Wright DE. Emerging nonpharmacologic interventions to treat diabetic peripheral neuropathy. Antioxid Redox Signal. 2023;38:989-1000.
27. Santuzzi CH, Azevedo H de, Neto F, Guilherme J, Pires P, Luiz W, et al. High-frequency transcutaneous electrical nerve stimulation reduces pain and cardio-respiratory parameters in an animal model of acute pain: participation of peripheral serotonin 2013;29:630-8.
28. Mohammadzadeh F, Noghabi ES, Noori R, Ahmadi SA, Azarang M, Noghabi AD. Comparing the effect of acupressure at the Spleen-10 (Xuehai) acupoint and vitamin E on primary dysmenorrhea. Med Acupunct 2022;34:325-30.
29. Yeh CH, Chien LC, Huang LC, Suen LKP. Auricular point acupressure for chronic pain. Holist Nurs Pract 2014;28:184-94.
30. Kafaei-Atrian M, Mirbagher-Ajorpaz N, Sarvieh M, Sadat Z, Asghari-Jafarabadi M, Solhi M. The effect of acupressure at third liver point on the anxiety level in patients with primary dysmenorrhea. Iran J Nurs Midwifery Res 2016;21:142-6.
31. Sorour AS, Ayoub AS, Abd El Aziz EM. Effectiveness of acupressure versus isometric exercise on pain, stiffness, and physical function in knee osteoarthritis female patients. J Adv Res 2014;5:193-200.
32. Yeh CH, Kawi J, Ni A, Christo P. Evaluating auricular point acupressure for chronic low back pain self-management using technology: a feasibility study. Pain Manag Nurs 2021;23:301-10.
33. Liu X, Wang X, Ma H, Zhang W. Mechanisms underlying acupuncture therapy in chronic kidney disease: a narrative overview of preclinical studies and clinical trials. Front Nephrol 2022;2:1006506.
34. Church D, Stapleton P, Vasudevan A, O’Keefe T. Clinical EFT as an evidence-based practice for the treatment of psychological and physiological conditions: a systematic review. Front Psychol 2022;13:951451.
| Files | ||
| Issue | Vol 64 No 7 (2026) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/acta.v64i7.22417 | |
| Keywords | ||
| Labour pain Pain management Counter-pressure Nurse | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Rejeki S, Pranata S, Machmudah M, Yanto A, Irham LM, Hartiti T, Vranada A. Reducing Pain in the First Stage of Labour Using Counter-Pressure Therapy in the Indonesian Hospital. Acta Med Iran. 2026;64(7):442-427.
