Abstract
Pain is a physiological condition that is generally experienced by almost all mothers in labor or pain during menstruation (dysmenorrhea). Pain causes tachycardia in the mother, increased oxygen consumption, lactic (lactic) acid production, hyperventilation with a risk of respiratory alkalosis, and increased skeletal muscle tension. Regiosarcal Counter Pressure is an effective therapy to reduce pain due to uterine contractions. Based on research that has been done, Regiosarcal counter-pressure therapy can reduce pain levels and has also been shown to slightly reduce prostaglandin (PGE-2) levels in an insignificant amount. Changes in PGE-2 are suspected to have an impact on the stimulant hormone Interleukin-6 (IL-6). This study aims to determine the levels of IL-6 and prostaglandins in the first stage of labor. The research method used quasi-experimental, with inclusion criteria of first-stage labor, no pelvic abnormalities and other abnormalities that hindered the process of vaginal delivery, primiparas, singleton pregnancies, the location of the head did not receive painkillers. The results obtained 25 respondents with an average age of 23.72 (± 2.89) years, the average concentration of IL-6 before therapy was 185.159 (± 3.76) pg/ml and the mean after therapy was 180.782 (± 22.05) pg. /ml, the mean concentration of PGE2 before treatment was 223.521 (± 72.73) pg/ml and the mean after treatment was 179.873 (± 110.61) pg/ml. Administration of regiosacral counter-pressure therapy did not significantly reduce the levels of the hormone IL-6 and prostaglandins in women who experienced uterine contractions.
Highlights
Nyeri persalinan merupakan kondisi fisiologis yang secara umum dialami oleh hampir semua ibu bersalin
Sedangkan konsentrasi Interleukin-6 responden setelah dilakukan tindakan counter-pressure regiosacralis memiliki rerata 180,782 (± 22,05) pg/ml, dengan nilai minimal 95,017 pg/ml dan nilai maksimal 198,890 pg/ml
Sedangkan konsentrasi Prostaglandin E-2 responden setelah dilakukan tindakan counter-pressure regiosacralis memiliki rerata 179,873 (± 110,61) pg/ml, dengan nilai minimal 3,424 pg/ml dan nilai maksimal 352,492 pg/ml
Summary
Nyeri persalinan merupakan kondisi fisiologis yang secara umum dialami oleh hampir semua ibu bersalin. Berdasarkan penelitian yang telah dilakukan, terapi Counter-Pressure Regiosarkalis selain menurunkan skala nyeri juga terbukti sedikit menurunkan kadar prostaglandin (PGE-2), walaupun dalam jumlah yang tidak signifikan [14]. Penelitian akan melihat pengaruh terapi Counter Pressure Regiosarkalis terhadap kadar IL-6 dan prostaglandin khususnya pada kala 1. Berdasarkan latar belakang ini, peneliti tertarik untuk melihat gambaran profil hormon IL-6 dan PGE-2 pada persalinan kala-1 setelah mendapatkan terapi Counter Pressure Regiosarkalis.
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