Pengaruh Massage Counter Pressure Terhadap Lama Kala 1 Fase Aktif Persalinan Normal

Yussie Ater Merry, Mardiani Bebasari, Olana Rahma Ridanta


The smoothness of labor can be influenced by various factors, including psychological factors, namely anxiety and pain during uterine contractions. Physiological pain and maternal anxiety that are not handled properly can lead to prolonged labor, asphyxia and lead to maternal and infant mortality. Massage counter pressure is a non-pharmacological method used to treat pain and anxiety during childbirth. The aim of the study was to determine the effect of counter pressure massage on the duration of the 1 active phase of normal labor. This research method is pre experiment with static group comparison design. Research conducted in PMB Halimatun Sakdiah, Amd.Keb and Midwife Practice Together Kurao Padang City on 23 January – 01 March 2018. The Samples were taken by Accidental Sampling on the active maternal mother of 1 phase. The number of sample are 32 people, 16 in the control group and 16 in the treatment group.  Statistical test using univariate and bivariate data analysis with Unpaired T Test. The results of the research obtained the average duration of 1 active phase in the the treatment group 141.25 minutesand control group 195.94 minutes then the average the difference of the mean was 54.688 minutes. From the statistical test obtained p value = 0.039 indicate the influence of massage counter pressure on the duration of stage1st active phase of normal labor. The conclusion of this research massage counter pressure technique proved able to accerelate long time of 1st active phase of normal labor. Expected massage counter pressure will be an alternative intervention in acelerating the stage of 1st active phase of normal labor.


Massage Counter Pressure, Lama Kala 1 Fase Aktif

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American A. P. Prolonged Labor: Failure To Progress. Retrieved Juni 20, 2018, from American Pregnancy Association: (internet). 2017;

Nisa, S. M., Respati, S. H., & Murti, B. (2018). Psychosocial Factors Associated with Anxiety and Delivery Pain. Journal of Maternal and Child Health . 2018. 44-58.

Nystedt, A., & Hildingsson, I. Diverse definitions of prolonged labour and its consequences with sometimes subsequent inappropriate treatment. BMC Pregnancy and Childbirth. 2014. volume 14.

Zagami, S. E., Golmakani, N., Saadatjoo, S. A.-R., Ghomian, N., & Baghbani, B. The Shape of Uterine Contractions and Labor Progress in the Spontaneous Active Labor. Iran J Med Sci. 2015. Vol 40 No 2. 98-103.

Gebregziabher, G. T., Hadgu, F. B., & Abebe, H. T. . Prevalence and Associated Factors of Perinatal Asphyxia in Neonates Admitted to Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Cross-Sectional Study. Int J. pediatr. 2020.

Bonapace, J., Gagné, G.-P., Chaillet, N., Gagnon, R., Hébert, E., & Buckley, S. (2018). -Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Managemen. SOGC Clinical Practice Active Guideline Volume 40, Issue. 2018. P227-245, 227-245.

Rilyani:, L. A., & Wiagi. Pengaruh Counter Pressure Terhadap Skala Nyeri Persalinan Di Rumah Sakit Daerah May Jend.Hm. Ryacudu Kotabumi Lampung Utara Tahun 2017. Jurnal Kesehatan Holistik (The Journal of Holistic Healthcare). 2017. Volume 11, No.4, 257-264.

Munafiah, D., Hi, S. U., & Wahab. Manfaat Asuhan Counter Pressure dalam Mempercepat Persalinan Kala II . Jurnal Smart Kebidanan. 2018

Nadia, & Endarti, A. T. (2016). Pengaruh Massage Counter-Pressure Terhadap Adaptasi Nyeri Persalinan Kala 1 dan Kecepatan Pembukaan Pada Ibu Bersalin. Jurnal Ilmiah Kesehatan, 8(2).

Kurniarum, A. Asuhan Kebidanan Persalinan dan Bayi Baru Lahir. Jakarta: Pusdik SDM Kesehatan . 2016

Lawdermilk, D. L., Perry, S., & Cashion, K. Keperawatan Maternitas. Jakarta: Salemba Medika. 2018

Bobak, L. Buku Ajar Keperawatan Maternitas. Jakarta: EGC.2011

Simkin, P. The Labor Progress Handbook: Early Intervention to Prevent and Treat Dystocia. Wiley-Blacwel, United. United States: Wiley-Blacwel. 2011

Maryunani, Anik, dkk. Asuhan Kegawatdaruratan Maternal &Neonatal.Jakarta: Trans Info Media. 2013.

Shofia Ilmiah, Widia. Buku Ajar Asuhan Persalinan Normal. Yogyakarta : Nuha Medika :2015

Jannah, Nurul. Askeb II: Persalianan Berbasis Kompetensi. Jakarta : EGC. 2014.

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