The effect of deep breath relaxation and counterpressure massage on pain reduction during labor

Rahmawati Wahyuni, Supriadi Supriadi, Dewi Susanti, N. Syukur, Rosalin Ariefah Putri
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Abstract

Labor pain is a manifestation of the contraction (shortening) of the uterine muscles. Non-pharmacological treatment in pain management, namely deep breathing relaxation and counterpressure massage is an alternative method and a new trend that can be developed. This study investigated the effectiveness of deep breathing relaxation and Counterpressure massage in alleviating labor pain during active phase I. Employing a quasi-experimental design with a two-group pre-test post-test approach, 30 postpartum mothers from June to July 2021 were consecutively sampled. Deep breathing relaxation (5 times for 3-5 minutes) and counterpressure massage (3 times for 30-90 seconds) served as the independent variables, while pain intensity during the first active phase was the dependent variable. Utilizing the Wilcoxon and Mann Whitney tests at a 5% significance level, significant reductions in pain intensity were observed after both interventions (p-values: 0.002 for deep breathing, 0.046 for counterpressure massage). These non-pharmacological methods, enhancing endorphin release, contribute to relaxation and pain intensity reduction during labor. The findings underscore the potential of integrating deep breathing relaxation and counterpressure massage as effective approaches in non-pharmacological labor pain management.
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深呼吸放松和反压按摩对减轻分娩疼痛的效果
分娩疼痛是子宫肌肉收缩(缩短)的一种表现。非药物止痛疗法,即深呼吸放松和反压按摩是一种可供选择的方法,也是一种可发展的新趋势。本研究调查了深呼吸放松和反压按摩对缓解活跃期 I 产痛的效果。研究采用准实验设计和两组前测后测的方法,连续抽取了 2021 年 6 月至 7 月的 30 名产后母亲。深呼吸放松(5 次,每次 3-5 分钟)和反压按摩(3 次,每次 30-90 秒)为自变量,第一活动阶段的疼痛强度为因变量。在 5%的显著性水平下,利用 Wilcoxon 和 Mann Whitney 检验,观察到两种干预措施后疼痛强度均有显著降低(p 值:深呼吸为 0.002,反压按摩为 0.046)。这些非药物方法能促进内啡肽的释放,有助于放松和减轻分娩时的疼痛强度。研究结果表明,深呼吸放松和反压按摩是非药物分娩镇痛的有效方法。
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