Nia Risa Dewi

Lecturer at Department of Maternity Nursing, Nursing Academy of Dharma Wacana Metro, Lampung,Indonesia

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BACKGROUND - Labor pain is a less pleasant experience for the mother. Impact of labor pain in the mother causes hyperventilation, increased cardiac output, increased blood pressure, increased metabolism and oxygen consumption, decreased gastrointestinal motility and bladder. While the fetus is risk reduction in oxygen transfer, late decelerations of the fetal heart rate, metabolic acidosis risk status and abnormal fetal heart rate patterns. Pain effect on labor to stimulate the state of alkalosis that induces vasoconstriction uterus, prolonged labor and uterine activity uncoordinated.

 

OBJECTIVE-The purpose of research is knowing the effectiveness of the method changes the position using  birthing ball against a decrease in pain in the first stage of labor.

 

METHOD -The study design using quasi-experimental approach to pre and post test design. The total sample of 20 respondents.

 

RESULTS - The results obtained by the parity distribution of respondents most that multiparas 12 people (60%), the majority (90%) never practiced with birhting ball, 75% ethnic Javanese, 95% experience anxiety, 70% did not experience fear, 53.8 % experiencing the same pain experience with childbirth ago, 50% experienced swelter and 100% of respondents gave birth to a normal, comfortable with the state of the delivery room, ready for delivery as well as getting the support of the family is as much as 75%, accompanied by her husband. The average age of 29.05 years old respondents (95% CI: 26,39- 31.71), the average birth weight 2925 grams (95% CI: 2742.23 to 3107.77), the average cervical dilation 3, 05 cm (95% CI: 2.33 to 3.77). average pain scale before a change in position by the birthing ball at 4.6 (95% CI: 4.13 to 5.07). Average pain scale after 10 minutes with a birthing ball position change is 4.15 (95% CI: 3,74- 4,56). Average pain scale after 20 minutes with a birthing ball position change is 4.15 (95% CI: 3.77 to 4.53). Average pain scale after 30 minutes with a birthing ball position change is 4.10 (95% CI: 3.48 to 4.72). Bivariate analysis using T test dependent concluded There is a significant difference between the pain scale before a change in position by the scale of pain after 10 minutes of a change in position using a birthing ball (p value = 0.004). There is a significant difference between the pain scale before a change in position by the scale of pain after 20 minutes of a change in position using a birthing ball (p value = 0.025). There is no significant difference between the pain scale before a change in position by the scale of pain after 30 minutes of a change in position using a birthing ball (p value = 0.096).

 

CONCLUSION - Suggestions of research that birth attendants need to educate the non-pharmacological management of labor pain in pregnancy in mothers since pregnancy and childbirth class program. Birth attendants need to provide motivation to make changes maternal birthing position with the ball so that the first stage of labor pain can be minimized.