Effleurage Massage Research Articles

Combination of Effleurage Massage and Lavender Aromatherapy on Back Pain in Pregnant Women

Back pain is a problem of discomfort that occurs in 20% to 80% of pregnant women, especially in late pregnancy. This condition causes the activities of daily life to be disrupted and has an impact on decreasing the quality of life so that back pain during pregnancy needs attention. Effleurage and aromatherapy are forms of therapy that are believed to reduce discomfort and pain. The aim of this research was to find out the effectiveness of the combination of effleurage and lavender aromatherapy on back pain in pregnant women. The research used a pre-experimental with a one-group pretest-posttest design. The samples consisted of 13 third trimester pregnant women. The data were analyzed using paired t-test. The results showed that the average back pain of pregnant women before (pretest) treatment was 4.31±1.032 and after treatment (posttest) 1.23±0.927 with an average difference of 3.077±0.760. The results showed that the combination of effleurage and lavender aromatherapy was proven to be effective in reducing back pain for pregnant women (p = 0.000). Abstrak: Nyeri punggung merupakan masalah ketidaknyamanan pada ibu hamil terutama pada trimester akhir dengan prevalensi berkisar 20% hingga 80%. Kondisi ini menyebabkan terganggunya aktivitas sehari-hari dan berdampak terhadap kualitas hidup yang menurun, sehingga nyeri punggung pada kehamilan perlu mendapatkan perhatian.Gangguan rasa nyaman akibat nyeri punggung dapat diminimalisir salah satunya dengan effleurage dan aromaterapi. Tujuan penelitian ini adalah untuk mengetahui efektivitas kombinasi effleurage dan aromaterapi lavender terhadap nyeri punggung ibu hamil trimester III. Desain penelitian pra eksperimen dengan rancangan one group pretest-posttest design. Populasi dalam penelitian ini adalah ibu hamil trimester ketiga. Sampel yang digunakan sebanyak 13 ibu hamil trimester III.Analisis data dalam penelitian ini dilakukan menggunakan uji paired t test. Hasil penelitian menunjukkan rata-rata nyeri punggung ibu hamil sebelum (pretest) perlakuan adalah 4,31±1,032 dan setelah perlakuan (posttest) 1,23±0,927 dengan selisih rata-rata 3,077±0,760. Hasil analisis didapatkan bahwa kombinasi effleurage dan aromaterapi lavender terbukti efektif menurunkan nyeri punggung ibu hamil (p=0.000). Disarankan terapi kombinasi effleurage dan aromaterapi lavender dapat dijadikan salah satu terapi untuk menurunkan nyeri punggung pada ibu hamil.

PENGARUH TEKNIK RELAKSASI EFFLEURAGE TERHADAP NYERI PERSALINAN KALA I PADA IBU INPARTU DI BIDAN PRAKTEK ZULAINI KOTA LANGSA

Labor pain occurs due to the cervical dilatation process, as the intensity and frequency of the uterus increase, the pain felt will be stronger and peak in the first stage of the active phase, namely the opening of the uterus to 4-10 cm during labor. The Effleurage massage technique is a massage technique in the form of a light massage using the fingers, performed on the abdomen, in rhythm with breathing during contraction. Massage effleurage helps reduce labor pain through the three hierarchical myelinated vagus/parasympathetic autonomic nerves, sympathetic nerves, vagus/unmyelinated parasympathetic nerves. This research method is a quasi-experimental study with a one group pretest-posttest approach by measuring the intensity of pain before and after the intervention. This research was conducted at the practice midwife Zulaini Langsa City using purposive sampling technique. The sample in this study were 16 people. Data analysis was carried out univariately (descriptively) to see the research variables both independent and dependent in the form of frequency distribution and bivariate using the Paired T-Test test to see the effect of the independent variable with the dependent. The first stage of labor pain is known to have a p value (sig) (0.000) < 0.05, which means that there is an effect of the Effleurage Relaxation Technique on the first stage of labor pain in the mother. The average score of labor pain before being given the Effleurage massage intervention was 2.38 and after the Effleurage massage intervention was given the average score for menstrual pain decreased to 1.38. This shows that Effleurage massage is effective in reducing labor pain in the first stage of labor. The conclusion is that there is an effect of the Effleurage Relaxation Technique on the First Stage of Labor Pain in the mother.

Efektivitas Massage Effleurage dan Teknik Relaksasi terhadap Tingkat Nyeri Punggung Ibu Hamil Trimester III di Puskesmas Kenali Besar Kota Jambi

Back pain is one of the most frequently reported complaints by pregnant women, varying from 50% to 70%, even 8% of them result in severe disability. Back pain is described as one of the minor disorders in pregnancy and is one of the causes of the incidence of cesarean delivery. From the initial survey, it was found that 4 out of 6 third trimester pregnant women had back pain complaints. The purpose of this study was to determine the effectiveness of Massage Effleurage and Relaxation Techniques on back pain in third trimester pregnant women at Kenali Besar Health Center Jambi City in 2021. This study was a quasi-experimental study using a two group pre-test and post-test design approach. The population of this study was 78 pregnant women in the third trimester using purposive sampling technique, the sample in this study used the SLOVIN formula so that a sample of 66 people was obtained. In the Mann-Whitney test for the effectiveness of Massage Effleurage and Relaxation Techniques, p value = 0.094 (p >0.05) which shows statistically there is no difference in average between Massage Effleurage and Relaxation Techniques on the level of back pain in third trimester pregnant women

Efektivitas Masase Effleurage dan Akupresur Sanyinjiao Point Terhadap Intensitas Nyeri Haid

Menstrual pain management measures or non-pharmacological therapy are alternative interventions or combinations in reducing the intensity of menstrual pain. Non-pharmacological therapy is a cheap, simple and safe therapy that uses physiological processes, one of which is massage effleurage and acupressure. The purpose of this study was to determine and analyze the effect of effleurage massage and Sanyinjiao point acupressure on the intensity of menstrual pain. The research design method used was a quasi-experimental pre-test and post-test two design. The sample used was 68 female students who experienced menstrual pain in both groups. The statistical test used was the Wilcoxon signed rank test and the Mann-Whitney test. In the Wilcoxon marked ranking test, the study of the effleurage massage group showed a p value = 0.000, then there was an effect after doing the effleurage massage, and the acupressure group showed a p value = 0.000, so there was an effect after applying acupressure on the menstrual pain scale. In conclusion, non-pharmacological therapy, massage effleurage and acupressure are effective in reducing the intensity of menstrual pain in female students. In the Mann-Whitney test, there are differences in the effect of effleurage massage and acupressure in overcoming menstrual pain, and the difference in the intensity of menstrual pain from the effect of effleurage massage is 44.09 greater than acupressure 24.91, p = 0.000. Acupressure is more effective than massage effleurage in dealing with menstrual pain, because acupressure therapy with a focus on the sanyinjiao point can increase endorphins levels and relieve pain more quickly.

Effleurage Massage With Lavender (Lavandula Lamiaceae) Essential Oil Aromatherapy Reduces Pregnant Women's Lower Back Pain

Pregnant women are a high-risk group because they experience physical and psychological changes, one of which is often complaints of lower back pain (LBP) in the third trimester. This can be due to changes in positioning, walking too often, using high heels, or lifting heavy weights. Effleurage massage is a complementary therapy to reduce LBP. The combination with lavender essential oil aromatherapy may reduce LPB more optimally. The purpose of this study was to identify the impact of a combination of effleurage massage with lavender essential oil aromatherapy on LBP in pregnant women. The research used a quasi-experimental pretest-posttest design with a control group. The sample consisted of 16 third-trimester pregnant women for each group (intervention and control), recruited through the purposive sampling. This research was conducted in the area of the Padangsari Health Center, Semarang City in February-March 2021. The Numerical Rating Scale (NRS) of pain was used. The intervention provided was a combination of effleurage massage with lavender essential oil aromatherapy four times a month for 15-20 minutes per session. Data were analyzed using the Wilcoxon test and independent t test. The results showed that the combination of effleurage massage with lavender essential oil aromatherapy led to a significant decrease in LBP in pregnant women (p < 0.001). This therapy can be carried out by the family as needed because it is easy, does not cause side effects, and basic ingredients are available in the market. Nurses can accompany pregnant women and their families in the non-pharmacological management of LBP integrated with maternal health programs in primary health care facilities.
 Keywords: aromatherapy lavender essential oil, effleurage massage, lower back pain, pregnant women

Literature Review: Massage effleurage Terhadap Respon Nyeri Pada Ibu Bersalin Kala I Fase Aktif

AbstractMost of the maternity mothers stated that they could not stand the pain they felt, especially in the abdomen, waist, back and radiating to the spine, so that the mother continued to feel pain during the first stage of labor. Contractions during labor can cause pain. Labor pain is a problem that has not received special attention, even though the purpose of intrapartum care itself is to reduce pain in labor, in addition to providing calm and comfort to the mother, it can also help speed up the process of opening the birth canal. reduced by taking non-pharmacological actions, one of which is the provision of massage effleurage. Massage effleurage which is done in the abdominal area to help reduce pain that arises during the labor process. The purpose of this study was to determine whether massage effleurage can reduce the pain response in women in the first stage of labor based on the literature review. The design of scientific papers is in the form of a literature review with three articles taken from the Google Scholar journal page with the keyword "massage effleurage". “labor pain” and “Active phase I stage”. The number of respondents from the three articles was 49 mothers who gave birth. The average value of pain response before effleurage massage was 5.883, and the average value of pain response after effleurage massage was 3.576. The conclusion is that the action of massage effleurage can help reduce the pain response in the active phase of the first stage of labor. Suggestions for health workers, especially midwives, to be able to apply the effleurage massage technique in the first stage of the active phase to reduce pain in the labor process. Keywords: Massage Effleurage, Level of Labor Pain in Active Phase I

Keefektifitasan Effleurage Massage Ketika Fase 1 Aktif

Background: About 90% of mothers are always accompanied by pain while pain in labor is a common thing. Great pain in the labor process causes the mother to experience psychological disorders, 87% post-partum blues that occur from 2 weeks postpartum to 1 year, 10% Depressi, and 3% with Psychosis.The Aim: To determine the effect of effleurage massage on the decrease in intensity of pain during phase I active in BPM Husniyati and BPM Yuhana Palembang in 2018.Method: This research uses pre test experiment method with One Group Pretest Posttest design. The sampling was taken by purposive sampling technique. The sample was 30 respondents.The Results: Based on the univariate analysis of labor pain intensity before effleurage massage was mostly on the 7-9 scale (severe pain) as much as 16 respondents (53.3%) while the intensity of labor pain after effleurage massage was mostly on 1-3 (mild pain) as many as 14 respondents (46.6%). From the result of bivariate test using Wilcoxon test, it got significant value (p value = 0,000), so p <0,05.Conclusion: There is influence of effleurage massage on the decrease in the intensity of pain during phase I active in BPM Husniyati and BPM Yuhana Palembang in 2018. Therefore, it is expected that health workers in particular to apply effleurage massage as a method to reduce the intensity of pain in maternal delivery.

Abdominal lifting, effleurage, and deep back massages effective in reducing pain during active phase of first stage labor

<p><strong>Background</strong> : Although childbirth is a natural process, the time of childbirth makes women feel afraid, anxious and anxious, thus affecting the labor process which results in prolonged labor and neonatal asphyxia. Where prolonged labor is a complication of the cause of maternal death which is the fifth largest in Indonesia. Labor pain can affect the condition of the mother in the form of victims, fear, worry and can cause stress. Stress can cause the uterine contractions to weaken and lead to prolonged labor.</p><p><strong>Objective</strong> : This study was to analyze the effectiveness of abdominal lifting, effleurage and deep back massage techniques in reducing pain during active phase of first stage labor.</p><p><strong>Method</strong> : This study used one-group pretest-posttest design method with a total sample of 30 Participants mother in labor. There were 3 groups that were given treatment, each group was given one massage technique. Change in pain was measured by a numerical pain scale. Testing variables using the Wilcoxon test, comparison of each intervention test performed using Kruskall Wallis.</p><p><strong>Result </strong>: There is a significant difference in pain scores before and after giving abdominal lifting massage with a value of p = 0.005 (<0.05). There was a significant difference in pain scores before and after giving effleurage massage with a value of p = 0.011 (p <0.05). There is a significant difference in pain scores before and after giving Deep Back Masaage with a value of p = 0.004 (p <0.005). There was no significant difference in pain scores after treatment between the three groups with a value of p = 0.080 (p> 0.05).</p><p><strong>Conclusion</strong> : abdominal lifting, effleurage, and deep back massage are effective in reducing the pain during active phase of first stage labor. There was no significant difference between the three massage techniques in reducing labor pain.</p>

The Potential of Walnut Oil with Massage Effleurage to Prevent Grade 1 Decubitus Wounds of Bed Rest Patients

The main problem in decubitus patients is the risk of damage to skin integrity related to factors: immobility, decreased sensory perception, decreased tissue perfusion, decreased nutritional status, friction and pulling force, advanced age, and increased humidity. The decubitus is a problem faced by patients with chronic diseases, weak conditions, and patients who experience paralysis. This study aimed to analyze the potential of walnut oil in preventing grade 1 decubitus Wounds of bed Rest Patients. This study used a Quasi-Experimental design (pretest-posttest control group). The sample was 20 people, divided into 2 groups; treatment and control. The treatment group received effleurage massage with walnut oil given twice a day for 7 days, while the control group received pressure ulcers prevention treatment according to the SOP applied in the hospital. A total of 10 patients who received massage using walnut oil showed a p-value of 0.04 (<0.05), which meant that walnut oil massage was affected significantly in preventing pressure ulcers. In conclusion, decubitus wounds can be prevented by effleurage massage with walnut oil which is given regularly twice a day.

Kombinasi Teknik Effleurage Massage dan Terapi Akupresur terhadap Nyeri Punggung Ibu Hamil Trimester III

Introduction: One of the complaints that is often felt by pregnant women in the third trimester is back pain. Back pain occurs in the lumbar sacral area and usually the pain will increase with gestational age. There are several non-pharmacological therapies that are often used to minimize pain, namely effleurage massage techniques and acupressure therapy. Purpose: This study was to determine the effect of the combination of effleurage massage technique and acupressure therapy on back pain in third trimester pregnant women. Methods: Quasi-experimental research method, one group pretest and posttest design. Samples were taken by purposive sampling obtained 24 third trimester pregnant women with back pain. Data collection was carried out in May-August 2021. Data collection used a numerical pain intensity questionnaire VAS (Visual Analog Scale) intensity (0-10). The effleurage massage technique was carried out in a right tilted position, then continued with acupressure therapy by pressing the BL 23 meridian point 3 times a week. Data analysis using Wilcoxon test. Results: There was a decrease in the mean of back pain before that was 2.83 and after 1.46 with a mean difference of 1.37. Wilcoxon test results obtained sig value is <0.0001. Conclusion: The combination of effleurage massage technique and acupressure therapy is effective in reducing back pain in third trimester pregnant women.

The Effect of Effleurage Massage Therapy on Symptoms of Osteoarthritis in Elderly Women with Osteoarthritis: A Cross-Clinical Trial

BACKGROUND: Osteoarthritis is the main and most common cause of pain and disability in older people. It affects women 3.5 times more than men. AIM: Therefore, the present study aimed to determine the effect of effleurage massage therapy on symptoms of osteoarthritis in elderly women with osteoarthritis. MATERIALS AND METHODS: The present study was a cross-sectional clinical trial with a control group on 58 elderly women with mild to moderate osteoarthritis in 2018. At the first stage of the study, we give a massage on each knee every day for 15 min a week by the Effleurage method with standard treatment (100 mg diclofenac) and the control group only received standard treatment. At the second stage, the intervention was shifted in groups according to the study type after 3 weeks of washout. The research instrument was a native questionnaire (The Knee Injury and Osteoarthritis Outcome Score [KOOS]). We analyzed data using the SPSS20. RESULTS: The research results indicated that knee massage techniques could reduce the severity of symptoms at both stages of the study in the intervention group. At the first stage, the severity of symptoms in Group A (intervention group) significantly decreased after the intervention compared to the pre-intervention and also decreased after washout in Group B (intervention group) after the intervention compared to the pre-intervention (p < 0.0001). CONCLUSION: Given the effect of massage on reducing symptoms of knee osteoarthritis (morning dryness, stiffness, and swelling,) in elderly women with osteoarthritis, massage therapy is recommended as an effective intervention to reduce symptoms of knee osteoarthritis in these patients.

Pengaruh Kombinasi Masase Punggung dan Masase Effleurage Menggunakan Aromaterapi Melati Terhadap Intensitas Nyeri Disminorea Pada Santriwati di Pondok Pesantren Qamarul Huda Bagu

Background: Dysmenorrhea is abdominal pain that comes from uterine cramps and occurs during menstruation. Treatment uses non-pharmacological methods, one of which is using the massage method to reduce pain during menstruation, one of which is a combination of back massage and effleurage massage using jasmine therapy aroma. The purpose of this study was to determine the effect of a combination of back massage and effleurage massage using jasmine aromatherapy on the intensity of dysmenorrhea pain among female students at Qamarul Huda Bagu Islamic boarding school. Research Methods: The research design in this study used a quasy experimental with a pretest and posttest control group. The sample of this study was 52 female students with dysmenorrhea with simple random sampling technique. The test used was the paired t test with an error rate of ? = 0.05. Results: The results of the paired sample t test obtained a combination of back massage and effleurage massage on the intensity of dysmenorrheal pain p value = 0.001. This shows that p value = 0.001 <? = 0.05 then H0 is rejected and H1 is accepted. Conclusion: There is an effect of combination back massage and massage using aromatherapy on the intensity of dysmenorrhea pain.

COMBINATION OF EFFLEURAGE AND KNEADING MASSAGE CAN REDUCE INTENSITY OF DYSMENORRHEA

ABSTRACTBackground : Dysmenorrhea or menstrual pain has an impact in various aspects of life. There are many methods for treating dysmenorrhea like pharmacological and nonpharmacological therapy. Massage is one of the non-pharmacological therapies used to treat dysmenorrhoea. This study aims to determine the effect of a combination of effluence and kneading massage on decreasing the intensity of dysmenorrhoea pain in adolescents. Method: This research method is experimental with a pretest - posttest control group design research design. The sampling technique is simple random sampling. A total of 20 respondents were divided into 4 groups, namely the control group, the effleurage massage group, the kneading massage group, and the combination of effleurage and kneading massage groups. The instrument used was the observation sheet of the pain level Numerical Rating Scale (NRS). Results: The test results showed that there were differences in the intensity of dysmenorrhoea pain before and after intervention of effleurage, kneading, and combination of effleurage and kneading massage. The test results also showed a difference in decrease in the intensity of dysmenorrhea for all groups with a value of p = 0.009. The combination of effleurage and kneading massage is the best treatment to decrease the intensity of dysmenorrhea. Conclusion: there are differences in the effect of giving a combination of effleurage and kneading massage to the intensity of dysmenorrhoea, and the combination of effleurage and kneading massage is the best treatment to reduce the intensity of dysmenorrhoea.

Effect of Counter-Pressure Versus Effleurage Massages on Labor Pain Intensity Among Parturient Women

Context: Labor-related pain is a universal experience for parturient women. Several non- pharmacological methods have been utilized to relieve this pain including counter-pressure and effleurage massages. Aim: This study aimed to examine the effect of counter-pressure versus effleurage massages on labor pain intensity among parturient women. Methods: A quasi- experimental design (nonequivalent control group pretest/posttest) was adopted. A purposive sample of 96 parturient women was recruited and allocated to either control, counter-pressure, or effleurage massage group. This study was conducted at inpatient obstetrics and gynecology department of Kafrelsheikh general hospital, Kafrelsheikh governorate, Egypt. Data were collected using two tools: structured interviewing questionnaire schedule and Numeric Pain Rating Scale (NPRS). Results: The mean pain scores at baseline assessment did not show a significant difference between the control group and interventions groups (p>0.05). However, at 30 minutes, 1 hour, and 2 hours after intervention the differences in mean pain scores between the control group and interventions groups were highly statistically significant (p 0.05). Conclusion: counter- pressure and effleurage massages are effective non-pharmacological measures in reducing labor pain. Recommendation: Utilizing such simple and effective pain relief strategies by nurses and midwives should be encouraged.

COMPARISON OF ENDORPHINE MASSAGE AND EFFLEURAGE MASSAGE ON PRIMIGRAVIDA 1ST STAGE LATENT PHASE PAIN IN INDONESIA


 
 
 Latent phase pain was happen caused by several conditions such as cervix dilatation, uterus muscle hypoxia, lower segment uterus stretching, fetus head lower movement, and other condition which increases pain nerve system stimulus. One of the Non-pharmacological therapies to reduce the level of primigravida latent phase pain was Endorphin massage and Effleurage massage. This massage blocks catecholamines and adrenaline hormone thus trigger the birth process by stimulating oxytocin production. This study aims to determine the comparison of the effectiveness of the Endorphin Massage, Effleurage Massage, and control group on primigravida 1st stage latent phase pain. The research is pra experiment research with one group pre-test post-test design and takes place at RS Aura Syifa Kediri for five-month. The population for this research was all mothers of participants was 90 maternal mother at RS Aura Syifa Kediri. The subject for this research was 90 maternal mothers at RS Aura Syifa Kediri which appropriate with inclusion criteria and use total technique sampling. The inclusion criteria for this research were a maternal mother with 1st stage latent phase pain who agree for following this research. Mann Whitney test results for the endorphins group and the effleurage group were 0.002. Likewise for the significance value between the endorphin group and the control group of 0,000 where this value is smaller than 0.05 so the conclusions there is a significant difference between the pain reduction in the endorphin group and the control group. The final conclusion is that the endorphin group is the treatment that has the greatest effectiveness in reducing pain compared to the other groups and there was a significant difference between the effectiveness of pain reduction in the 3 groups.
 
 

Massage Counterpressure, Massage Effleurage dan Murothal Efektif Menurunkan Nyeri Persalinan Primigravida Kala 1 Fase Aktif


 
 
 Introduction: Labor pain is a physiological condition experienced by the mother during the birth process. The impact of labor pain if left untreated will cause fear and anxiety then it will cause stress and the delivery time will be long. Counterpressure massage, effleurage and murottal are non-pharmacological measures to reduce labor pain. Objectives: The purpose of this study was to determine whether there is an effectiveness of Counterpressure Massage, Massage Effleurage, Murohlah Against the Reduction of Primigravida Stage 1 Labor at BPM “M”.Method: This research method is quantitative using a quasi- experimental research design. The population in this study were all primigravida mothers in the first phase of labor in the active phase of the Midwife M BPM, amounting to 30 respondents. sample in this study were 30 . The sampling technique uses total sampling because the number of population is relatively small, 30. The instrument used is a face scale sheet. Data processing using computerized, with univariate and bivariate data analysis.Result: T-dependent massage counterpressure test results obtained p- value = 0,000 <0.05, massage effect p-value 0.001 <0.05, and for murothal p-value 0.010 <0.05. Based on the results of the study it can be concluded that the counterpressure, effleurage and murothal at BPM Midwife M affect labor pain. With this research, it is expected that BPM will further increase efforts to reduce the level of pain with this research.Conclution: It is expected that in midwives M midwives will perform counterpressure massage treatments for each delivery patient so as to improve the quality of service.
 
 

Massage Effleurage terhadap Adaptasi Kecemasan Primigravida

Effleurage is a massage technique using the palms of the hands in a circular pattern of movements in several parts of the body or strokes along the back and extremities. This study aims to determine the effect of massage effleurage on the adaptation of the anxiety level of childbirth during the first active phase of primigravida at Masyita Maternity Hospital.The type of research used is experiment with pre-experimental design with one group prestest design approach because it will compare the situation before it is done with after treatment. The sample in this study were all 30 prigravida maternity respondents. The relationship test was carried out using the paired sample t test with a significance level (α) of 0.05.The results of the paired sample t test p = 0.000, which means that the p value is smaller than the value (α) 0.05, thus H0 is rejected and Ha is accepted. Interpretation of the effect of massage effleurage on the adaptation of the level of anxiety during labor during the active phase.With this research, it can be concluded that overcoming labor anxiety when 1 fae is active, can be done by doing non-pharmacological methods such as massage, for example by giving efflaurage massage, without having to take drugs. This research can increase knowledge, especially regarding the effect of massage effleurage on the adaptability of primigravida anxiety during the active phase. and can be used as a source of information, especially related to maternity nursing science.

Effect of effleurage massage versus water immersion with exercise on physiological foot edema among primigravidae

Introduction: Leg edema is a prevalent problem during pregnancy causing activity limitations for pregnant women. The study aimed to compare the effect of effleurage foot massage versus water immersion with exercise on physiological foot edema among primigravidae. Study design: A quasi experimental, comparative study was utilized. Setting: study was conducted at the outpatient clinic of antenatal unit at El Shatby Maternity Hospital. Subjects: The subjects of the study included 90 primigravida women who attended to antenatal unit. Tools: Three tools were used to collect the data: Tool 1: Pregnant women basic data structured interview schedule, Tool 2: Assessment Chart for Pitting Edema and Tool 3: Anon-elastic tape measure. Results: there was statistically significant decreased in mean circumferences of left and right (Ankle, Instep and MP joint) foot among the massage and immersion groups, compared to the control group immediately and After 5 days of intervention. Additionally +3 & +4 degrees of edema didn't observe among the massage and immersion groups, while they were observed among 56.7% and 23.3% respectively of the control group. There was statistically significant improvement in the degree of edema among both massage and immersion groups in favor of the massage group compared to the control group immediately after intervention (p=0.003), and after 5 days of intervention (P <0.001).Conclusion: the effleurage foot massage and water immersion exercise was significantly improved foot edema, when compared to control group. However, the effleurage foot massage was more effective than water immersion exercise in this respect. Recommendations: Effleurage massage and water immersion with exercise should be recommended in hospital protocols for management of physiological foot edema.

EFFLEURAGE MASSAGE MENGGUNAKAN ESENSIAL OIL SERAI (CYMBOPOGON Sp) DAN TEH SEREH EFEKTIF UNTUK MENURUNKAN NYERI PADA IBU POST PARTUM

The reported prevalence of postpartum morbidity included: bleeding 71.92%, fever 12.18%, hypertension 10.64%, after pain 6.1% and others 0.71%. Pain after childbirth is caused by successive uterine contractions and relaxations that occur continuously. Effleurage massage is a non-pharmacological pain reduction method because touch and pain are stimulated at the same time, the sensation of touch travels to the brain and closes the gate in the brain, thus limiting the amount of pain felt in the brain. Flavonoids, tannins and saponins have the effect of inhibiting the cyclooxygenase enzyme which can suppress the production of prostaglandins (PGE2), thus providing analgesic and anti-inflammatory effects. The purpose of this study was to determine the effectiveness of effleurage massage using lemongrass aromatherapy and lemongrass tea drink (cymbopogon sp) on pain in postpartum mothers. The design of this study was a quasi-experimental with control group, paired T-test, unpaired T-test and Man Whitney test. There was a decrease in pain scores, after being given the intervention, the score decreased by 3 higher than the control group, namely 2. The decrease in anxiety scores in the intervention group was higher than the control group, namely 12.16 and 1.39. The results showed that there was a relationship between effleurage massage with lemongrass essential oil and lemongrass tea drink cymbopogon sp on post partum mother pain (after pain). There is great potential for further collaborative research by midwives to explore clinical applications with large-scale randomized sampling techniques..

PIJAT EFFLEURAGE PADA NYONYA WDALAM ASUHAN KEBIDANAN MASA KEHAMILAN DI KLINIK PRATAMA WIDURI SLEMAN

Background: Physiological adaptation to the musculoskeletal system is one of the changes that are often complained of by pregnant women, namely changes in posture, especially in the third trimester of pregnancy. There are 60-80% of pregnant women in various regions of Indonesia who experience back pain (back pain) in their pregnancy. The midwife's efforts to improve services in accordance with the professional code of ethics, midwives began to develop complementary therapeutic innovations in Indonesia. One of the complementary therapies that are often used to reduce back pain during pregnancy is effleurage massage. Objectives : To apply effleurage massage to reduce back pain in obstetric care during pregnancy in Ny. W at the Primeric Widuri Sleman Clinic. Method : This research uses descriptive analytic method, by describing the facts of the study obtained from interviews and direct observations on Mrs. W by involving the respondent's husband for 7 days conducted in October 2019. Results : After effleurage massage was done on Mrs. W, for 10-15 minutes a day, there was a change in Ny W from moderate pain to mild pain, from pain scale number 6 to number 3. Conclusion : Effleurage massage is effective for reducing back pain in pregnant women in the third trimester at the Primeric Widuri Sleman Clinic Keywords: Pregnancy Care, Back Pain, Effleurage Massage