Abstract

Labour is the process of opening and thinning of the cervix and the foetus descending into the birth canal. Pain in the first stage of labour is due to cervical dilatation, lower uterine segments, the presence of opposing prisoners, the pull and injury to the muscle tissue and ligaments that support the structure above. Back massage technique is one of the methods to reduce labour pain. The purpose of this study is to determine the effect of back massage on the reduction of labour pain during the active phase. This type of research uses a quasi-experimental design with a non-equivalent control group. The sample of this research was 31 women who were taken by accidental sampling at BPM Yusida Edward Palembang. The instrument used was an observation sheet to measure labour pain. The results of univariate analysis of most mothers experienced severe pain 48.4%, moderate pain 44.4%, pain very severe 3.2% and after back massages most of the mothers felt moderate pain 71%, mild pain 16%, severe pain 13%. Bivariate data analysis techniques used the Kolmogorov-Smirnov normality test and paired sample T-test. The conclusion of this study is that back massage influences the reduction of labour pain during the active phase. Therefore, it is recommended for health workers, especially midwives, to improve the quality of childbirth care services using back massage techniques to reduce labour pain in the first stage.

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