Impact of Sacral Lumbal Massage on Pain and Head Decline During First Stage of Labor

https://doi.org/10.33860/jbc.v6i2.3757

Authors

  • Tetty Rina Aritonang Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia
  • Wiwit Desi Intarti Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia
  • Lenny Irmawaty Sirait Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia
  • Rosliana Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia
  • Ernawati Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia

Keywords:

Lumbar sacral massage, delivery, painful, head lowering

Abstract

Introduction: Labor pain varies in intensity, with many women experiencing high levels during delivery. This study aims to evaluate the effectiveness of sacral massage on pain intensity and fetal head descent during the first stage of labor. Method: A quantitative study was conducted with a sample of laboring mothers divided into intervention and control groups. Participants were selected using purposive sampling, with criteria including mothers aged 20-35 years, active first-stage labor, good maternal and fetal health, cephalic presentation, and uncomplicated labor. The intervention involved lumbar-sacral massage for 20 minutes, repeated once, with intervals of 5-10 minutes. The control group received relaxation through breathing exercises. The study took place from January to March 2024. Data were analyzed using the Wilcoxon and t-tests with a significance level of 0.05. Results: The intervention group significantly reduced labor pain (pre: 6.90, post: 3.70, p=0.000). There was no significant difference in fetal head descent duration between groups (p = 0.05). Conclusion: Lumbar sacral massage is an effective non-pharmacological method for reducing labor pain and is recommended for pain management in midwifery practice.

Downloads

Download data is not yet available.

Author Biographies

Wiwit Desi Intarti, Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia

Program studi Kebidanan, STIKes Medistra Indonesia

Rosliana, Department of Midwifery, STIKes Medistra Indonesia, Bekasi, Indonesia

Program Studi kebidanan, STIKes Medistra Indonesia

References

Abadian, L., Pouraboli, B., Ranjbar, H., Shariat, M., Otadi, K., & Nia, N. A. (2020). Comparison of the Effect of Massage and Music on Fatigue in Mothers With Premature Newborns Admitted to the Neonatal Intensive Care Unit: A Randomized Clinical Trial. Journal of Chiropractic Medicine, 19(4), 241–248. https://doi.org/10.1016/j.jcm.2020.06.003

Akköz Çevik, S., & Karaduman, S. (2020). The effect of sacral massage on labor pain and anxiety: A randomized controlled trial. Japan Journal of Nursing Science, 17(1), 1–9. https://doi.org/10.1111/jjns.12272

Collins;RN, E. F. H. M. G. S. C. K., & MD, S. S. M. T. J. G. (2015). Descent of the fetal head (station) during the first stage of labor. American Journal of Obstetrics & Gynecology, 2014(3), P360.E1-360.E6. https://doi.org/10.1016/j.ajog.2015.10.005

Durmuş, A., & ERYILMAZ, G. (2022). Effects of Heat and Massage Applications to the Lumbosacral Area on Duration of Delivery and Perception of Labor Pain: A Randomized Controlled Experimental Trial. Clinical and Experimental Health Sciences, 12(4), 945–953. https://doi.org/10.33808/clinexphealthsci.1025304

Hasan Ulubasoglu, et al. (2022). The effect of sacral massage on meconium-stained amniotic fluid and the duration of fetal descent in labor: A randomized controlled trial. The Journal of Obstetrics and Gynaecology Researcth, 49(1), 201–208. https://doi.org/10.1111/jog.15460

Laksono, A. D., Wulandari, R. D., Matahari, R., & Rohmah, N. (2023). The choice of delivery place in Indonesia: Does home residential status matter? Heliyon, 9(4), e15289. https://doi.org/10.1016/j.heliyon.2023.e15289

Mahin, Kamalifard; Hassanzadeh, Robab, M. M., & Mirghafourvand, M. (2022). The effect of massage on childbirth satisfaction: A systematic review and meta-analysis. Sciencedirect, 9(3), 151–158. https://doi.org/10.1016/j.aimed.2022.05.002

Mara I., Agung L., Y., & A., N. R. (2023). Factors Associated with the Place of Delivery among Urban Poor Societies in Indonesia. Indian Journal of Community Medicine, 48(6), 888–893. https://doi.org/10.4103/ijcm.ijcm_798_22

Morikawa, M., Sekizuka-kagami, N., & Tabuchi, N. (2020). Comparison of lumbar hot compresses and lumbar massage on labor pain-alleviating effects during the first stage of labor. Journal of Nursing Science and Engineering, 7(April 2019), 25–32. Retreived from https://cir.nii.ac.jp/crid/1390565134831897728?lang=en

Ningdiah, A. K., Ningsih, A. F., Iskandiani, L., & Lawra, C. (2022). Literature Review Teknik Mengurangi Nyeri pada Persalinan. Prosiding Seminar Nasional Dan CFP Kebidanan Universitas Ngudi Waluyo, 1(2), 892–901. Retreived from https://callforpaper.unw.ac.id/index.php/semnasdancfpbidanunw/article/view/273

Nori, W., Kassim, M. A. K., Helmi, Z. R., Pantazi, A. C., Brezeanu, D., Brezeanu, A. M., Penciu, R. C., & Serbanescu, L. (2023). Non-Pharmacological Pain Management in Labor: A Systematic Review. Journal of Clinical Medicine, 12(23). https://doi.org/10.3390/jcm12237203

Nursafitri, I. A. (2022). Pengaruh Pemberian Terapi Non Farmakologi terhadap Nyeri Persalinan. Jurnal Kebidanan, 12(1), 81–92. https://doi.org/10.35874/jib.v12i1.1006

Öztürk, R., Emi̇nov, A., & Ertem, G. (2022). Use of complementary and alternative medicine in pregnancy and labour pain: a cross-sectional study from turkey. BMC Complementary Medicine and Therapies, 22(1), 1–10. https://doi.org/10.1186/s12906-022-03804-w

Patel, R., Taylor, J. L., Dickenson, A. H., McMahon, S. B., & Bannister, K. (2024). A back-translational study of descending interactions with the induction of hyperalgesia by high-frequency electrical stimulation in rat and human. Pain. https://doi.org/10.1097/j.pain.0000000000003166

Patyal, N., Kumari, S., Verma, D., Yadav, H., Kaur, J., & Kaur, H. (2024). Effectiveness of Sacral Massage on Labor Pain and Satisfaction Among Antenatal Mothers in Active Phase of Labor. National Journal of Community Medicine, 15(4), 299–306. https://doi.org/10.55489/njcm.150420243670

Pietrzak, J., Mędrzycka-Dąbrowska, W., Tomaszek, L., & Grzybowska, M. E. (2022). A Cross-Sectional Survey of Labor Pain Control and Women’s Satisfaction. International Journal of Environmental Research and Public Health, 19(3), 1–12. https://doi.org/10.3390/ijerph19031741

Purwandari, A., Tuju, S. O., Tombokan, S., Korompis, M., Nancy Losu, F., & Kesehatan Kementerian Kesehatan Manado, P. (2022). Effleurage Massage by Husband on the Level of Pain in Maternal When the 1 Phase is Active. Journal of Positive School Psychology, 2022(5), 5527–5540. https://callforpaper.unw.ac.id/index.php/semnasdancfpbidanunw/article/view/273

Saeedeh Mohamad Beigi, M. V., & , Mousa Alavi, S. M. (2019). The relationship between attitude toward labor pain and length of the first, second, and third stages in primigravida women. January, 1–6. https://doi.org/10.4103/jehp.jehp

Smith, C. A., Levett, K. M., Collins, C. T., Dahlen, H. G., Ee, C. C., & Suganuma, M. (2018). Massage, reflexology and other manual methods for pain management in labour. Cochrane Database of Systematic Reviews, 2018(3). https://doi.org/10.1002/14651858.CD009290.pub3

Uvnäs-Moberg, K., Handlin, L., & Petersson, M. (2014). Self-soothing behaviors with particular reference to oxytocin release induced by non-noxious sensory stimulation. Frontiers in Psychology, 5(OCT), 1–16. https://doi.org/10.3389/fpsyg.2014.01529

WHO. (2020). WHO Labour Care Guide User’s ManUal. In Who (Issue licence (CC BY-NC-SA 3.0 IGO). https://iris.who.int/bitstream/handle/10665/337693/9789240017566-eng.pdf?sequence=1

Zuarez-Easton, S., Erez, O., Zafran, N., Carmeli, J., Garmi, G., & Salim, R. (2023). Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review. American Journal of Obstetrics and Gynecology, 228(5), S1246–S1259. https://doi.org/10.1016/j.ajog.2023.03.003

Downloads

Published

2024-06-30

How to Cite

Aritonang, T. R., Intarti, W. D., Sirait, L. I., Rosliana, R., & Ernawati, E. (2024). Impact of Sacral Lumbal Massage on Pain and Head Decline During First Stage of Labor. Jurnal Bidan Cerdas, 6(2), 115–121. https://doi.org/10.33860/jbc.v6i2.3757

Issue

Vol. 6 No. 2 (2024)

Section

Articles

License

Copyright (c) 2024 Tetty Rina Aritonang, Wiwit Desi Intarti, Lenny Irmawaty Sirait, Rosliana, Ernawati

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with Jurnal Bidan Cerdas agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Creative Commons License
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License

You are free to:

  • Adapt, remix, transform, and build upon the material for any purpose, even commercially.
  • The licensor cannot revoke these freedoms as long as you follow the license terms.